Abstract

Purpose: Image-guidance allows for accurate positioning of spinal radiosurgery patients; however, due to long treatment times an accurate and efficient intra-fraction motion management is necessary. An analysis tool, Snap Verification (SV, BrainLAB AG, Feldkirchen, Germany) has been implemented to monitor intra-fraction motion based on single oblique digital radiographs. We investigate the feasibility of the method in a clinical setting and its performance in detecting spinal radiosurgery patient movements in 3D space.

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