Reducing tomotherapy modulation beyond the gantry plateau saved almost no treatment time
The pre-plateau modulation factor preserved plan quality while further reduction created idle delivery time without meaningful efficiency gain.
The pre-plateau modulation factor preserved plan quality while further reduction created idle delivery time without meaningful efficiency gain.
Tomotherapy improved target coverage and reduced bilateral lung exposure compared with VMAT and fixed-field IMRT in 20 whole-pleural irradiation cases.
Combining plan complexity with three-dimensional dose radiomics improved tomotherapy PSQA prediction, although performance deteriorated substantially during cross-institution testing.
Five-fraction helical tomotherapy achieved favorable organ sparing, while the planning target volume-to-breast ratio was associated with higher ipsilateral breast dose.