Advanced TP

Adaptive Radiation Therapy Concept  Origins are informatics and modern control theory.  IGRT provides feedback , statistical treatment deviations are observed.  Use knowledge to predict and address anatomical (and biological) variation over time.  Imperfect feedback is a significant challenge.  Unpredictable variations leads to:  Incorrect interventions. Yan et al., Sem. Rad. Oncol 20(2) 79-83 ( 2010)

 Efforts to over-control the process.  A need for robust decision support.