SBRT 2016

Tumor dose ↑ Lung dose ↓ Esophagus OK

4D Digital Patient

4D Digital Patient

Planning

Fraction 1

Fraction 3

Advanced in-room imaging to update 4D digital patient model

Online treatment adaptation to match present 4D digital patient model and updated treatment objectives

4D Optimized delivery and real- time image-guided protection of healthy tissues

PT

CT

4D PGI Safety

Robot

Real-time dose reconstruction

Time = 30 seconds

M. Hoogeman