Dose Course 2018_Flipping book

Effect: Plan optimization

• Plans optimised for target and OAR’s

– OARs necessarily out of field (mostly)

• OAR dose limits the dose to target volumes (DVC’s)

• Clinicians use OAR doses for clinical decision making (eg mean dose to heart)

• Dose to implanted devices (pacemakers etc)

10 Adapted from A. Ahnesjö