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MLC delivery deviates from the ideal profiles

sequencing: translation into

(coarser, but deliverable)

segments

step and shoot

courtesy M. Alber

improvement

ESTRO IMRT course 2016

IMRT optimization: algorithms&cost functions

London April 4th, 2016

-36-

optimal fluence profile

(1) Quality loss due to

discretization

sliding-window dynamic

(2) Hi-quality dose calculation of

segment doses changes dose distribution!

(usually: to the worse)