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IGRT/Frameless: rotational correction

40 patients, 66 Brain metastases

Treatment with

6-DOF

robotic couch

correction based on ET/NB IGRT

Retrospective simulation of

4-DOF

by

manipulation of CT-dataset in TPS,

omitting rotational correction

Paddick Conformity Index reduces

from

0.68 to 0.59

(6-DOF versus 4-DOF correction)

Loss of 5%

in prescription isodose

coverage

(80%).

50

TV

PI

PI

×

TV

PI

TV

6-DOF

4-DOF

Gevaert

et al.

Int J Radiat Oncol Biol Phys 2012

SBRT 2016 - D. Verellen