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Interplay - Dynamic techniques

Problem

: planning for IMRT, dynamic arc treatment or active

scanning particle therapy on a moving target

the motion of the target may

interfere constructively or

destructively

with the motion of the MLC leaves, the beam

opening, the gantry rotation, the beam scan path and

/

or other

dynamic parameters during treatment delivery.

The effect of such interferences is that the dose to sub-volumes

in the patient may be significantly different from the planned

dose, since

interferences are not modeled

in the treatment

planning system.