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Dosimetric confirmation was evaluated with regards to of gamma pass rate. Target protection, sparing of organs in danger (OARs), and monitor devices had been evaluated and compared involving the manual and automated VMAT plans. Results not absolutely all therapy plans fully met the dose goals for preparing target amounts (PTVs) and OARs, particularly in T4 clients. Overall, automatic VMAT provides a comparable or exceptional program high quality to handbook VMAT in many instance