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Comparison of competing techniques

Standard IMRT, Tomotherapy, VMAT, FF - FFF

How to judge treatment plan quality?

Comparison – Evaluation Criteria

Dosimetric parameters

Planning efficiency

Delivery efficiency, complexity and reliability:

time

and planned

MU

Versatility

Total leakage radiation received by the patient outside the target

QA protocols (Dynamic leaf motion + gantry rotation + speed and DR

variation)

IGRT – adaptive work flow integration?

NB: How much depends on the optimizer expertise?