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Motion compensation techniques

Margins versus edge enhancement to compensate for

motion blurring in IMRT?

Using margins:

Ø

Tumor size / SD of tumor motion < 2

§

Optimal intensity map WITHOUT MARGIN, only pure

intensity scaling to compensate for blurring created by motion

Ø

Tumor size / SD of tumor motion > 2

§

Optimal intensity map by combining margin and intensity

scaling

Using edge enhancement

Ø

Tumor size / SD of tumor motion < 2

§

Again only intensity scaling required

Ø

Tumor size / SD of tumor motion > 2

§

Edge enhancement is the preferred solution.

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SBRT 2016 - D. Verellen