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12

Is there a future for planning studies to compare

treatment techniques?

Planning studies are essential:

- often clinical studies not feasible

- get a fast answer regarding difference in plan quality,

delivery time, MUs, ..

- can be hypothesis generating for clinical studies

- patient selection: protons vs. photons

Need to be done well:

- avoid bias

- enough patients

- clinically deliverable plans

- plans have to be checked by clinicians

Automated planning can help

Bias-free treatment technique comparison

exactly the same optimization algorithm/scheme

exactly the same planning constraints and

prioritized treatment objectives (‘wish-list’)