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ESTRO IMRT course 2015

IMRT optimization: algorithms&cost functions

Brussels October 5th, 2015

-36-

4 mm x 2 mm beamlet, 15 MV, 3D-PB

This is why some planning system calculate

simplified beamlet doses:

too steep and/or truncated penumbra,

esp. in presence of inhomogenieties

thus, OARs may wrongly appear

sufficiently spared

the final, more precise dose calculation

reveals such initial simplifications!

plan degradation of segmented

plan!

5 cm!

• computation time issue

• computer memory issue (10.000

beamlets can be ~Gigabyte memory)

Precise dose computation DURING fluence profile

optimization is immensely expensive!