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Actual treatment beam used for imaging

Direct geometric alignment

Beam has been modeled in TPS and concomitant IGRT dose

Advantages of MV tomography IGRT

can

“easily”

be incorporated into dose calculation.

3D volumetric imaging, no surrogates required.

CT-CT registration, similar information

Registration of dose distribution and anatomy

possible

No high-Z artifacts

22

ESTRO IGRT 2008

MV-CT usable for dose calculation and dose

reconstruction