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ITV

• Straightforward (?)

• Physician time

(contouring)

MidVentilation

• Counterintuitive (?)

• Physicist time

(choice of

phase + margin calculation)

• Coverage is ensured

• Larger volumes of lung

irradiated if large motion

• Smaller lung volume

irradiated

• Needs an elaborate 4D

viewer?

• Requires special

software?

Do not delay the introduction/routine use of 4D-CT

because of this issue!