A ring‐based compensator <scp>IMRT</scp> system optimized for low‐ and middle‐income countries: Design and treatment planning study

Abstract

The novel ring-compensator IMRT system can produce plans of comparable quality to standard 6 MV-MLC systems. Even when ⁶⁰ Co beams are used the plan quality is acceptable and treatment times are substantially reduced. ⁶⁰ Co-compensator IMRT plans are adequately modeled in an existing commercial treatment planning system. These results motivate further development of this low-cost adaptable technology with translation through clinical trials and deployment to expand the reach of IMRT in low- and middle-income countries.