Physics Bucharest 2017

Comparison of competing techniques Standard IMRT, Tomotherapy, VMAT, FF - FFF

How to judge treatment plan quality?

Comparison – Evaluation Criteria

• Dosimetric parameters • Planning efficiency • Delivery efficiency, complexity and reliability: time and planned MU • Versatility • Total leakage radiation received by the patient outside the target • QA protocols (Dynamic leaf motion + gantry rotation + speed and DR variation) • IGRT – adaptive work flow integration?

NB: How much depends on the optimizer expertise?