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Effectiveness of Tracking relies on a stable relationship

between the marker and tumor

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Changes in tumor geometry (long-course RT)

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Migration between CT and radiation delivery (bronchofiberscopy)

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Ideal location Visicoil:

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in the center of the lesion

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not in the same axial-CT image plane (e.g. 45 degree angle)

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Time interval between marker placement and CT for

‘scarring in’

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Lung and liver: percutaneous insertion under CT-

fluoroscopic guidance

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