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?