A prescribing user can designate and prioritize clinical goals that can, in turn, serve as the basis for optimization objectives to guide the development of a radiation treatment plan. The prescribing user can then alter that prioritization 401 of one or more clinical goals and view information 404 regarding changes to fluence-based dose distributions that occur in response to those changes to relative prioritization amongst the clinical goals to thereby understand dosing tradeoffs that correspond to prioritization amongst the clinical goals.