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Independently on the approach used for VMAT plan optimization, the

common principle is that:

because rotational therapy is not sensitive to small angular

deviations, in field intensity modulation can be traded with the use of

more beam angles as long as adjacent aperture could be geometrically

connected

if dose rate variation is allowed, it has been shown that the same

plan quality of fixed IMRT techniques can be reached

Static and Rotational IMRT - Principle

Tang G et al 2007

IJROBP (

69)