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Treatment delivery of prostate SBRT
Ø
Daily IGRT using implanted markers
Ø
Intra-fraction motion management strategy
Study
Technology
IGRT
IGRT
Safety
margin
McBride 2012
Cyberknife Implanted markers Real-time tracking
3 – 5mm
Madsen 2007
Linac
Implanted markers
Daily IGRT
4 – 5mm
Boike 2011
Linac
Implanted markers
Daily IGRT
Rectal balloon
3mm
King 2012
Cyberknife Implanted markers Real-time tracking
3 – 5mm
Jabbari 2012
Cyberknife Implanted markers Real-time tracking
0 – 2mm
Katz 2013
Cyberknife Implanted markers Real-time tracking
3 – 5mm
Matthias Guckenberger - ESTRO SBRT Course 2017
17
07.09.17
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07.09.17
Matthias Guckenberger - ESTRO SBRT Course 2017
18
Prostate SBRT
1.
Dose and fractionation
2.
Target volume concept
3.
Treatment delivery
4.
Outcome