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4D IGRT using CBCT technology

4D volumetric image guidance:

Symmetry

XVI 4.5

Mid

End-Ex

End-Ex

Mid

Treatment planning:

Reference Image

Treatment delivery:

Verification Image

07.09.17

ESTRO SBRT Course 2017

31

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4D IGRT using CBCT technology

4D volumetric image guidance:

End-exhalation as reference:

„tumor moves into the

exhalation GTV contour and

within the ITV contour“

07.09.17

ESTRO SBRT Course 2017

32