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Breathing synchronization

Requires monitoring respiration (IR markers, spirometers, …)

Requires correlating external breathing signal with internal

tumor motion

Requires prediction model to compensate for system latency

Gating

Ø

Inefficient use of duty cycle: trade-off between minimizing motion in the gate and

beam-on time

Ø

Robust … less depending on predicting model

Ø

Verification during treatment possible

Tracking

Ø

Efficient use of duty cycle

Ø

Requires accurate prediction model of breathing motion

Ø

Verification during treatment is possible with EPID (VERO)

SBRT 2016 - D. Verellen

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