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Special issues for Rotational IMRT:

Discretized Arc vs. Continuous Arc Dose Calculation

Pinnacle SmartArc

Most algorithms calculate the dose of an Arc as sum of segment dose contributions

from

discrete beam angles

Monte Carlo: Beam angle can be treated as additional random variable!

simulation of the rotating, dynamically modulated beam without discretization

of the motion

courtesy M. Alber

ESTRO IMRT course 2016

Dose Calculation in Static and Rotational IMRT

London April 7th, 2016

-46-

treatment plan,

recomputed with

Monte Carlo