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Invasive frame-based stereotactic radiosurgery

Novalis system:

Phantom positioning:

frame-based vs. image-guided

Patient set-up:

frame-based vs. image-guided

Why the difference?

Flex in the ring fixation system

when attached to the couch

Torque due to placement of the

localizer device on the ring

Lamba et al., IJROBP 2009