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. 2018 May 28;7:1–5. doi: 10.1016/j.tipsro.2018.04.001

Table 1.

Factors used in the calculation of the margin in both breath-hold and free breathing. Components are shown that apply for all patients.

Margin contributions Random (R)/Systematic (S) Cran-Caud [mm] Vent-Dors [mm] Med-Lat [mm]
Delineation uncertainty: caused by interpretation differences and contrast limitations S 2.0 2.0 2.0
Accuracy of pre-treatment imaging: half of the voxel size S 0.9 0.4 0.4
Accuracy of the dose calculation: determined by resolution S 1.0 1.0 1.0
Inter-fraction movement: analysed from our patient group using the breath-hold procedure S 0.2 0.4 0.2
Inter-fraction movement: analysed from our patient group using the breath-hold procedure R 0.3 0.3 0.3
Deformation [14] S 1.2 1.0 0.9
Match accuracy [14] R 0.2 0.6 0.0
Stability during breath-hold (intra breath-hold stability; used for breath-hold only) R 1.2 1.0 1.0
Accuracy of the cone beam CT system S 0.5 0.5 0.5
Isocenter accuracy: derived from measurements in our department for an Elekta linac with Agility MLC S 0.4 0.4 0.4
MLC accuracy R 0.3 0.3 0.3