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Hasan et al. IJROBP 70:619-625. 2008

Image guidance with different surrogates for lumpectomy cavity

27 patients with

two CT scans

, three CT registration methods

bony structures clip positions surface matching

residual error

7 ± 2 mm 3 ± 2 mm 5 ± 2 mm

clip registration

provided

better

localization in 93% of cases compared to bony structures

surface matching improved cavity localization in 70% of cases compared to bony structures

mean improvements for clips and surface to bones were 4 and 2 mm, respectively

residual error = distance between the COMs of the cavity in the reference and second scans