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Steps of IGRT

on the treatment machine using CBCT

1. Green-purple overview: entire FOV visible

2. Registration in 6 DoF

3. Evaluation of registration, did the algorithm work?

4. Evaluation of anatomy:

– GTV/CTV within PTV?

– no anatomical changes compromising dose

distribution?

– Rotations within threshold?

5. Evaluation of the correction

Typical Protocol