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Many ways to Rome!

Method

Margin

(AMC)

Extra

treatment time

Imaging dose

Corretable? Relevant

anatomical

information

Bone match

10 mm

2-3 minutes

(3cGY*2) High Possible

-

Offline fiducial

PI

8 mm

0 minutes

No

-

+

Online fiducial

PI

7 mm

1-3 minutes

Very low (kV) to

high (MV)

Correctable in

case of PI

+

Online CBCT 7 mm

1-3 minutes

0.4-3.5 cGy/scan Partly

+++

If there is a balance with the used margin:

1. LC is about the same for the all different procedures

2. Toxicity probably lowest with online IGRT