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Therefore, new methods were developed for the use of segment doses calculated with the CDE in combination with pencil-beams, used for the selection of new segments. For 20 patients with prostate cancer and 12 with liver cancer, segmented plans were compared with FMO plans. All three versions of the proposed segmentation algorithm could well mimic FMO dose distributions. Segmentation with a fully integrated CDE provided the best plan quality and lowest numbers of Monitor Units and segments at the cost of increased calculation time.Steno
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