A few disclaimers
•
We’re limiting ourselves to photon treatment
… for obvious reasons
•
From
3D-CRT
to
IMRT
to
rotational IMRT
:
“
re-distribution of dose
”
Simplistic: “if you want more conformality, you’ll sacrifice on
homogeneity and
vice versa
.”
The clinical choice is: “delivering more dose to
some
normal tissues and
sparing
others
completely” versus “distributing low dose values
uniformly within large volumes of normal tissues (
low dose wash
).”
CompetitivePlans 2017 - D. Verellen