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Summary & Conclusions

IMRT treatment planning means

exploring the limits of

physics

for each patient

:

- the ‘physics in the patient’: Is the desired dose distribution possible?

(steepness and placement of gradients,…)

- Applicability by MLC hardware

numerous different and partly conflicting target and normal tissue goals

need to be balanced —

IMRT

optimization algorithms

are tools to

ESTRO IMRT course 2016

IMRT optimization: algorithms&cost functions

London April 4th, 2016

-65-

‘navigate’ through the solution space

‘navigation’

: using weight factors, constraints, or a library of

precalculated plans

different approaches to arrive at applicable, segmented plans:

typically a

two-stage optimization-process