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PTV in practice: oesophagus

Systematic uncertainty

(confidence level)

Σ

(mm)

Σ

2

Snapshot CT

1.32 1.74

Delineation (intra observer)

4.00 16.00

Random uncertainty

(dose blurring)

σ

(mm)

σ

2

Intrafraction organ mobility 1.00 1.00

Interfraction setup (laser)

0

0

Interfraction setup (laser)

0

0

Interfraction setup (IGRT)

(intra observer registration)

0.3 0.09

End2end IGRT

(eg PentaCheck)

1.08 1.17

QUADRATIC SUM

19.00

Intrafraction patient motion 1.99 3.96

σ

p

3.2 10.24

QUADRATIC SUM

15.20

σ

3.90

The PTV 2017 - D. Verellen

Σ

4.36

σ

p

3.2

PTV margin (mm)

12,04

M

=

a

S +

b s

2

+

s

p

2

-

bs

p

α=2.5

β=1.64