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Gating and duty cycle

Challenge 1: how to keep a sustainable duty cycle forhighly mobile

tumors?

Margin

10mm

Duty cycle

100%

Margin

0mm

Duty cycle

37.5%

Margin

6mm

Duty cycle

100%

Margin

2mm

Duty cycle

75%

Guckenberger 2011

Case example: SBRT for a 2cm NSCLC, 20mm motion