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Beam trajectories (112-182)

PTV (green) + 70%, 50%, 30% isodoses

APBI with Cyberknife

Real-time tracking: PTV = CTV +

2 mm margin

Vermeulen et al. Front Oncol 1:43. 2011

-

9 patients, RTOG-0423 protocol, 30 Gy in 5 fractions or 34 Gy in 10 fractions

- gold fiducial markers into cavity wall ->

CyberKnife Synchrony tracking

- CyberKnife is a

suitable device

for delivering APBI with achievable normal tissue constraints

- the treatment time is

long

(appr. 60 min)