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IGRT with CBCT for prone APBI

Jozsef et al. IJROBP 81:568-574. 2011

343 CBCT verifications at 70 patients in prone position

manual matching between planning and CBCTs using

breast/chest wall

interface

planning CT

CBCT

AP SI

ML

systematic 0.38 0.21 0.28

random 0.43 0.29 0.37

margin

1.26 0.73 0.96

the interfraction variations detected are

comparable

to those reported for APBI with a supine setup

the currently applied margin to the CTV of

1.5 cm

adequately compensates for the detected setup

variability

Derived quantities from shifts in cm