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Dealing with uncertainties

Single voxel dose ‘spectrum’

due to positioning errors.

Each is possible on each

fraction of delivery

Voxel dose ‘spectrum’ due to

positioning errors after n-

fractions.

Positioning errors assumed to

be random errors

Example reduction of single

voxel dose uncertainty (over

full treatment) as a function of

number of fractions

Fractionation

1 fraction

30 fraction

Lowe et al (2016)

Robust optimisation – What is a good robustness metric?