Advances in computer technology and software design have enabled the c
oncept of virtual simulation, first suggested by George Sherouse, to b
e realized. This article reviews the hardware and software requirement
s that provide a system that feels like a simulator and can facilitate
the 3D planning process. Fast digital reconstruction of a radiograph
from a CT data set provides true verification of treatment held design
within the constraints of the virtual method. The clinical applicatio
n of this technique is discussed in detail in relation to particular t
reatment sites.