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