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Volumetric Modulated Arc Therapy

Interplay between leaves and tumor motion is not significant for single-

fraction treatments when RapidArc is delivered with two different arcs

Under phantom conditions, single-arc and single-fraction 2400 MU/min FFF

RapidArc lung stereotactic body radiation therapy is susceptible to interplay.

Two arcs and ≥2 fractions reduced the effect to a level that appeared

unlikely to be clinically significant

Ong et al. Int. J. Radiation Oncology Biol. Phys., Vol. 79, No. 1, pp. 305–311, 2011

Ong et al. Int J Radiation Oncol Biol Phys, Vol. 86, No. 4, pp. 743e748, 2013