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PAUL SCHERRER INSTITUTProblems and pitfalls1. DVHs are insensitive to small ‘hot’ and ‘cold’ spotsPlan 1 Plan 2ConsiderPlan 1Plan 2comparativeDVHs from twocompetingplansTarget <strong>volume</strong>Brain stemPosterior fossaFrom DVHs, plan2 appears to bethe best….SGSMP/SRO Physics Lectures 2007Posterior fossa…apart fromapparentlyBut this increaseinignificantcorresponds to aincrease in high105% hot spot in<strong>dose</strong> to posteriorposterior fossafossaPD Dr Tony LomaxTreatment plan evaluation

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