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What about tomotherapy?

Simulation

using 4D-CT,

deformable registration and

Monte Carlo dose calculation

All patients were

coached

to

ensure regular breathing

ITV-based

treatment using

helical tomotherapy: good tumor

coverage for all patients

(95% of the prescribed dose to

95% of the volume)

SBRT 2015 - D. Verellen

15

Courtesy E. Sterpin

et al.

95% iso-

dose

GTV

CT

Planned

delivery

Dynamic

delivery

(interplay + motion)

Static delivery

(tumor motion

only)