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ITV case:

54 year old patient with lungmetastasis

2007: Primary sigmoid cancer

2010: lung + livermetastasis => chemotherapy

2011: resection liver + lungmetastasis

2011: RT 42 Gy (15x 2.8 Gy) thoracic wall

2012: lungmetastasis in right inferior lobe, referred for

SBRT 10 x 5 Gy

Motion amplitude:

CC of 4 mm

in 4D CT

SBRT 2015 - D. Verellen

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