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Linac

Linac

Linac

Linac

Safety margins

incorporating motion

Gating

Dynamic couch

compensation

Tracking/Pusuit

-static beam

-static couch

-wide beam

-100% duty cycle

-static beam

-static couch

-small beam

-20-30% duty cycle

-static beam

-dynamic couch

-small beam

->90% duty cycle

-dynamic beam

-static couch

-small beam

->90% duty cycle

Very long treatment

ti es (duty cycle

20-30%)

Exposure of large

volumes of healthy

tissue

Conclusion

Some parts of the achine have to move

actively, responding real-time to tumor motion

for counteracting or pursuit