ESTRO 2025 - Abstract Book

S3300

Physics - Intra-fraction motion management and real-time adaptive radiotherapy

ESTRO 2025

Conclusion: Performance characterisation of the first open-source couch tracking system demonstrated lower geometric targeting error. Prospective clinical use of the couch tracking system for real-time adaptive radiotherapy is approved within a Real-time IGRT Master Protocol clinical trial. The couch tracking system hardware design and software are available from https://github.com/Image-X-Institute/couch-tracking.

Keywords: open source, couch tracking, adaptive radiotherapy

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