Especially for ion therapy, efficiency in form of patient throughput is becoming increasingly important, and here, patient positioning in treatment room isocenter is a key aspect. In order to ascertain high quality nonetheless, we suggest an alternative to the rigidly installed couch paradigm in form of real-time patient positioning onhand a ceiling mounted infrared photogrammetric system giving positioning information to a novel treatment couch with 6 degrees of freedom integrated on a rolling platform. All MedAustron treatment planning rooms and even the planning CT are not forseen to have a rigidly installed treatment couch.
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