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Dynamic and Adaptive Planning
Modern Brachytherapy Treatment Planning
Define „best-possible“
implant: Inverse
Planning
Implant next
catheter/needle:
Implantation/Navigation/Re
al Time Feedback
Deviation from
„best-possible“
acceptable?
Real-Time
Feedback/Planni
ng
Yes
No
Re-optimize*
Deviation
from „best-
possible“
acceptable?
Yes
Adjust „best-
possible“ for
remaining
Catheters*
No
* Consider possible anatomical changes