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Table 4 Requirements adaptive treatment

From: Making the right software choice for clinically used equipment in radiation oncology

Requirements for accuracy
Minimal Enhanced Optimal
Automatic link of the CBCT images to the corresponding treatment plan and CT (the applied shift on treatment table must be integrated in the link) Adaptive system automatically indicates if a new treatment plan is clinically needed (predefined limits by the user) Adaptive system automatically creates a new treatment plan if clinically needed (predefined limits by the user)
Requirements for efficiency
Minimal Enhanced Optimal
Automatic transfer from the CBCT images to the treatment system   
For online adaptive treatment: automatic propagation and adaption of the original structures and the original plan including sum plan and DVH of the sum