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Modulation

Total dose delivered by multiple small beamlets

1. Output factor for very small fields difficult

to measure/model

2. Field penumbra directly in the target

3. Inter-leaf leakage exposing the target

4. Secondary dose calculation complicated

5. Interplay effect

05/04/2016

Limitations in beam modelling more important for IMRT.

Monte Carlo beam model could address 1-3 above.