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2D

box

2D

Standard

shielding

3D

individualized

shielding

3D Intensity-

modulated/arc

therapy

4D Motion

management

to create a dose distribution that closely conforms to the shape of

the target volume in 3 dimensions to give a higher dose to the

target, and/or lower doses to the surrounding normal tissues

Personalized medicine

Evolution in radiotherapy

Challenge in Radiotherapy

Introduction