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Current treatment plans are often (much) further from
optimality than we know or think!
How do I know:
‐ Literature
‐ Systematic comparisons of clinical plans with
automatically generated plans using Erasmus‐iCycle
Bad for patients:
- inadequate coverage
- excessive OAR dose
Sub-optimal use of expensive resources
Head and Neck cancer
Int J Radiat Oncol Biol Phys. 2013; 85(3): 866-72.
in 97% of cases the automatic plan was selected by
physician for treatment