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How to evaluate and find the best strategy?:
Treatment course simulation approaches
treatment plan,
dose distribution
multiple organ contours and
setup errors values
•
either measured in a patient
study
•
and/or simulated based on
motion model
sample N
fractions
(e.g. 35) setup error
repeat thousands
ESTRO IMRT course 2016
Adaptive Radiotherapy
London April 7th, 2016
-18-
values and organ geometries
evaluate and average/sum-up dose
for these N
fractions
samples
of times
Probability distribution of
organ doses