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Historically, radiation therapy (RT) fields/doses were selected

empirically, based largely on experience

Physicians relied on clinical intuition to select field sizes/doses.

They understood that these empiric guidelines were imprecise

and did not fully reflect the underlying anatomy, physiology, and

dosimetry

For most cases, modern treatments will redistribute, not

eliminate, the dose to normal tissue. The fundamental problem of

treatment planning is how to balance exposure of one organ

against that of another

QUANTEC: Use of NTCP models in the clinic