Abstract
The present status of CT simulation (CT sim) hardware, software and practice is reviewed, particularly with regard to the changes that have taken place over the last 5 years. The latest technology is discussed together with some recently developed techniques. The article concludes with a discussion of virtual simulation vs physical (conventional) simulation; in particular there is a review of the changes that have been made to the ''Disadvantages table'' presented by Conway and Robinson (1), which now make CT sim an attractive system for any radiotherapy department.
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