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19

Improvement of dose calculation accuracy

Photons

: for EBRT, accuracy seems adequate (even in

commercial TPS, if well implemented)

Electrons

:

• Accuracy with Monte Carlo

• Clinical urgency? #patients

, often manual ‘planning’

• MERT

• Very High Energy Electrons (VHEE)

Brachytherapy

: Kari?

Protons

:

• Range uncertainty, dual energy CT, proton beam CT …

• Include RBE?

Ions

: Oliver?

Enhance optimization- and dose calculation speed

Make better plans

Fast, daily on-line (re)planning for adaptive RT (MR-linac, …)

One-stop-shot palliative treatments

Plan approval right after contouring