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Intrafraction motion with bite blocks

1. Masi, IJROBP 71, 2008 p926 (Novastereo, Novater)

(

with bite block, ns

)

X:-0.2

±

0.6 Y:0.1

±

0.6 Z:0.3

±

0.6

and rotations:

-1.0

°±

1.6, -0.8

°±

1.0

°

, -0.1

°±

1.2

°

trend towards higher intrafraction error with

longer treatment time (15 min). Use of bite-block

reduced.

2. Santvoort IJROBP 72, 2008 p261, Brainlab

Mask: 3D: 0.7

±

0.6 mm

AP:-0.01

±

0.10

CC:0.05

±

0.28

LR:-0.11

±

0.20

Table: 0.02

±

0.22 CC:-0.02

±

0.23 LR:-0.05

±

0.31

With bite block: 3D: 0.4

±

0.4mm,

AP:-0.03

±

0.06

CC:-0.13

±

0.13

LR:-0.11

±

0.16

Table: 0.06

±

0.17 CC:-0.02

±

0.15 LR:-0.02

±

0.11

Intrafraction errors for vertical and longitudinal

translations and for rotations were smaller with

bite block.

3. Ruschin IJROBP 79, 2010 p306 Gamma-Knife bite

block accuracy: 3D: 0.4 mm

±

0.3 mm

1

2

3