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Eliminates systematic error due to imaging (except hysteresis)

Geometrically and dosimetric very close to full 4D plan!

Wolthaus et al, IJROBP 2006; Nijkamp et al ICCR 2007

Mid-ventilation CT

4D CT

Mid-ventilation is very simple

(used clinically on hundreds of patients)

ESTRO IGRT 2018