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Gantry-mounted kV: Pros and cons

Improved image quality

Low dose

Can acquire images at any

angle

Possibility for volumetric

imaging

Intrafraction monitoring?

Relatively poor soft tissue

contrast (bone / marker

match);

Monoscopic: needs several

angles for 3D positioning

information

Potential collision with

different couch angles (and

very lateral targets?)

Inexact coincidence of kV and

MV isocentre

Intrafraction monitoring?