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6/3/2017

IMRT fields = 2D modulation

Could (potentially) consider each leaf

pair separately

Preferable to consider 2D matrix and

group leaves

maximise segment area

minimise number of segments

73

ESTRO physics course 2017

Dynamic

More versatile - more intensity levels

Faster overall treatment time - beam stays on

Smooth transition - but depends on leaf speed

MU efficiency lower

Gantry rotation

VMAT/ RapidArc

74

ESTRO physics course 2017

IMRT delivery methods