[en] Optimized intensity-modulated treatments one of the important advances in photon radiotherapy. Intensity modulation provides a greatly increased control over dose distributions. Such control can be maximally exploited to achieve significantly higher levels of conformation to the desired clinical objectives using sophisticated optimization techniques. Safe, rapid and efficient delivery of intensity-modulated treatments has become feasible using a dynamic multi-leaf collimator under computer control. The need for all other field shaping devices such as blocks, wedges and compensators is eliminated. Planning and delivery of intensity-modulated treatments is amenable to automation and development of class solutions for each treatment site and stage which can be implemented not only at major academic centers but on a wide scale. A typical treatment involving as many as 10 fields can be delivered in times shorter than much simpler conventional treatments. The main objective of the course is to give an overview of the current state of the art of planning and delivery methods of intensity-modulated treatments. Specifically, the following topics will be covered using representative optimized plans and treatments: 1. A typical procedure for planning and delivering an intensity-modulated treatment. 2. Quantitative definition of criteria (i.e., the objective function) of optimization of intensity-modulated treatments. Clinical relevance of objectives and the dependence of the quality of optimized intensity-modulated plans upon whether the objectives are stated purely in terms of simple dose or dose-volume criteria or whether they incorporate biological indices. 3. Importance of the lateral transport of radiation in the design of intensity-modulated treatments. Impact on dose homogeneity and the optimum choice of margins. 4. Use of intensity-modulated treatments in escalation of tumor dose for the same or lower normal tissue dose. Fractionation of intensity-modulated treatments. The minimum number of beams in an intensity-modulated treatment. 5. The computer-controlled delivery of intensity-modulated treatments using a dynamic MLC. Methods to transform an intensity distribution into patterns of leaf motion. Consideration of leaf transmission, 'tongue-and-groove' effect, head scatter and rounded edges of leaves. Treatment times. 6. Safety and quality assurance issues. Dosimetric verification of treatments. Record and verify aspects (confirmation of leaf travel pattern). Optimized intensity-modulated 3DCRT is a rapidly evolving field. Its potential is being recognized and it is expected that its development and implementation will permit a significant escalation of tumor dose for the same or lower probability of normal tissue damage with a potential for improvement in local control and hence, survival