ESTRO PT 2018

The planning process in general (adapted from M.Goitein)

• protons vs. photons

Treatment planning process

1 Evaluate the patient and decide treatment

Complex targets

~ same

Imaging in treatment position

2

same

3 Delineate target volumes and critical organs

Meaning of PTV ?

~ same

Prescription

4

same

Models, tools, inhomogeneities, uncertainties

Planning

5

different

Evaluate, modify, select a plan

6

same

Final prescription Ensure if deliverable Treat, record and veryfy

7

same

8

same

Some QA harder

9

~ same

Adapt

10

same

Document

11

same

Follow up

12

same