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Intrafraction motion

Negligeable (

Langen KM IJROBP 2001

)

BUT…

1. Amplitude of motion increases with elapsed time

(

Ghilezan M, IJROBP 2004

)

How much time between daily image and treatment is acceptable?

2. Correlated with rectal filling

Diet advices and mild laxatives may help :

2-fold reduction of the SD for P motion

(

Nijkamp J IJROBP 2008

)