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• Isocenter placed in target
• 7-11 fields spread as much as possible
• Avoid directly opposing fields
• Avoid entering a OAR (spinal cod, duodenum, bowel, kidneys).
• Fit MLC to help structure
3D conformal treatment planning
PTV
MLC fit
• MLC fit is 2mm longer (sup-inf) and 3 mm
tighter (lat and AP) than the PTV
• Manual adjustements may be necessary,
for example to sprare thoracic wall better