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Image Guidance for SBRT

Challenges for Liver and Lung

Small margins vs. respiration

Intra-fractional changes of the tumor position

Target verification prior each fraction

Pre-CBCT aera: Logistic issues on

CT and Linac

Transport prolongs “overall time for treatment”

IGRT technology contributed to simplify logistics for SBRT

„get the patient from

the CT to the linac“

Hugo

Bewegung