Conclusion
•
Tools of how to arrive at an optimal plan in a short time.
•
EMBRACE protocol constraints – Achievable for Targets,
OAR(some times not achievable especially for bowel).
•
IMRT / VMAT produces significant bowel and bladder
sparing and hence improved conformity.
•
Future tools – Knowledge based planning, MCO!
•
Use of gEUD / constraint optimization works well for
OARs.
•
Advanced IGBT is superior to IMPT
41




