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To measure or not to measure…

Arguments for…

Alternative checks are unfeasible:

IMRT plans possess more beam parameter

information than 3DCRT so manual checks for

file transfer integrity are unfeasible

Complexity metrics aren’t reliable enough to

predict if delivered plans will match the TPS

model

Arguments against…

Can use alternative checks:

Independent software-based calculations &

complexity metrics to test the TPS

linac QA to check if the plan will be delivered

accurately

checksums to verify integrity of data transfer