IMRT Course 2016

Finally: Some (more) words of caution

The ‘latest-and-greatest’ ART schemes use methods from the ‘toolbox’, that start to find its way into commercial products and thus into clinical practice.

BUT be aware…

• Deformable registration errors => dose warping errors! Deformable registration is especially challenging for prostate/rectum • Thus: Are hot/cold spots in an accumulated dose real? Should these be actively compensated for? • Dose calculation on cone beam CT data: no high-precision dose calculation possible, thus dose-of-the-day calculation is subject to errors

ESTRO IMRT course 2016 Adaptive Radiotherapy London April 7th, 2016

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