The novel ring-compensator IMRT system can produce plans of comparable quality to standard 6 MV-MLC systems. Even when Co beams are used the plan quality is acceptable and treatment times are substantially reduced. 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.
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