Abstract

1. What characteristics SBRT plans have and how they are different from conventional fractionated radiotherapy plans. 2. For IMRT/VMAT SBRT plans (such as spine SBRT plans that concave distributions around the cord are required), we will discuss strategies that can be employed to overcome many commercial treatment planning system's IMRT algorithms' intrinsic penalty for inhomogeneous plans. Additional issues related to VMAT will be also discussed. 3. For non-IMRT SBRT plans (such as many lung or liver cases where target motion is a concern), we will discuss techniques to control dose inhomogeneities and dose fall off. 4. We will also discuss policy and procedures on SBRT patient setup and verification issues to ensure safe delivery of SBRT treatments.

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