3-D treatment planning has received a great deal of attention in the r
adiation therapy community over the last several years. This new techn
ology makes use of the continuous improvements in computer hardware an
d graphics capabilities, along with major improvements in treatment pl
anning software, to provide a fully three dimensional simulation of th
e patient, radiation beams, and dose distributions which are used for
radiation therapy of various cancers. With these capabilities, the phy
sician and treatment planner may now optimize the radiation beams used
to treat the patient much more effectively than in the past, when onl
y a limited description of the patient, beams, and doses was available
. This paper describes several of the new capabilities of these 3-D pl
anning systems, some research studies which are currently being perfor
med to evaluate the usefulness of the new technology, and finally some
of the costs associated with its implementation.