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One arc or more arcs? (coplanar –

non-coplanar

– partial arcs)

For most of the commercial planning solutions, no more than 2-

arcs are needed

For complex cases, 2-arcs make it easier to connect the apertures

thereby offering the optimizer more freedom, leading to

significantly improved dose conformality and homogeneity

Pushing the

quality

of the treatment plan decreases

monitor

unit efficiency

and increases

treatment time

VMAT - Planning vs Deliverability