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Slide courtesy of U. van der Heide

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Question 2: inter- and intrafraction mobility

MRI is particularly useful to measure motion variability due to its excellent soft

tissue visualization, the absence of radiation, the availability of multiplanar

imaging and fast 4D imaging. Using serial MRIs during external beam

radiation for cervical cancer demonstrates that the uterus, cervix, vagina

and even pelvic lymph nodes have considerable motion between treatments

due to changes in bladder filling, rectal filling and other internal motion.