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Using two methods for position verification ART and exchanging of table is minimum.
Multiple parameters: For position verification, plausibility is checked for multiple parameters.
These approaches use the received signal strength indicator (RSSI) for position verification and hence are more promising than the others because of their lightweight and distributed nature [11, 20, 21].
4D-CT-imaging is considered standard of care for target definition and for position verification during the course of radiotherapy when treating patients with moving organs.
With helical IMRT as Tomotherapy© dose distributions often are even more conformal, longer volumes can be treated, and the treatment machine offers online MV-CT imaging for position verification.
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Another advance CT offered was the creation of digitally reconstructed radiographs or DRRs for patient position verification at the time of treatment using the linac.
The CT scan is performed for patient position verification as well as monitoring of anatomical changes during the course of radiotherapy and is considered standard of care.
For safety alerts, position verification is important, and vehicle will wait for RSU response which creates more latency [15].
A preliminary study group of five patients were scanned on a GE high speed QXI multi-slice scanner with a slice spacing and thickness of 2.5 mm and the resulting DRRs used for daily treatment position verification.
Treatment was well tolerated although treatment including set-up, position verification, and irradiation for carbon ions takes between 30 and 45 min. Treatment-related acute effects as assessed at completion of radiotherapy were generally mild with mucositis CTC °III occurring in 25% (R2) and 15.4% (R1).
We proposed a clinical workflow of stereotactic VMAT for a lung tumor from planning to tumor position verification using 4D planning CT and 4D CBCT [ 59].
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