Abstract

It is established that real-time target tracking is an ideal method for treating moving lung tumors. In its absence, 4D-CT simulation with generation of an ITV has been considered an acceptable alternative. However there are no data regarding the choice of an optimal density to the ITV for dose planning that would result in identical in situ dose deposition. The purpose of this study is to compare in situ target coverage for lung tumors treated with real-time tracking vs ITV-based plan and treatment delivery.

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