2808-2809 / 2953
Finally: Some (more) words of caution
•
Deformable registration errors => dose warping errors!
Deformable registration is especially challenging for prostate/rectum
The ‘latest-and-greatest’ ART schemes use methods from the
‘toolbox’, that start to find its way into commercial products
and thus into clinical practice.
BUT be aware…
ESTRO IMRT course 2016
Adaptive Radiotherapy
London April 7th, 2016
-49-
•
Thus: Are hot/cold spots in an accumulated dose real? Should these be
actively compensated for?
•
Dose calculation on cone beam CT data: no high-precision dose
calculation possible, thus dose-of-the-day calculation is subject to
errors