“…However, as pointed out in [18], in practice the optimal choice of beam directions is one of the most difficult problems of medical treatment optimization, and there should be as great an effort expended on optimizing beam directions [12]. While there are quite a few 2-D and 3-D results [5,6,7,8,9,10,11,12,13,18,19,22,23,24,26,29,34, 351 on treatment optimization with respect to one of the first two parameters, or even both, optimizing the beam directions has remained an elusive goal. The few papers which consider the optimization of the beam directions discretize the problem and use brute force methods (i.e., trying a large number of combinations of directions and selecting the best).…”