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60

The dream …

Treatment

Planning

/Adaptation

Treatment

Delivery fraction i

-Machine parameter/

dose recording

-Daily in-room imaging

Delivered Fraction i

Dose Reconstruction

-Recalculation of delivery

Dose on image of the day =

“Dose of the day”

Accumulated

Treatment Dose

of n of the N fractions

D

n

=Σd

i,daily

The

“Ultimate”

Closed Loop Patient Specific IMRT QA

i=1:n