The descriptive statistics of the composite PQM are presented in Table 4 for the HDPs and five APs. The technique modification efforts described in Methods had some desired effects. In AP4, adding the second, nearly identical PTV_56 objective increased the number of cases where the dose to 100% of PTV_56 was at or above 53.2 Gy from 3 to 7 out of 10. It is the same number as for the HDP (although not in all the same cases). The plans generated by technique No. 5 (AP 5) had the highest average PQM among the APs and that technique was selected for detailed evaluation. This improvement in the AP composite score is attributable to the success of additional operator‐added tuning structures in improving dose homogeneity. Combining the scores for the goals of maximum dose and PTV_70 volume at or above 73.5 Gy, the average for AP 5 stands at 47.2%, with the next best one, AP 2, at 35.4%. For comparison, the HDP achieved 91.1% on average.