Method: 2D/3D kV imaging and CBCT data using 6 degrees of freedom (6DoF) were compared to evaluate inter and intrafraction motion.

Results: Results showed that intrafraction errors were low and interfraction levels were within institutional protocols.

Conclusion: Confidence was given to use low dose 2D/3D kV imaging to confirm daily patient set up errors, and to use pre-treatment CBCT only once weekly for additional imaging information.

Implications For Practice: Further research is necessary to assess other uncertainties, to enable the calculation of a margin and determining the feasibility of further reduction of this.

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http://dx.doi.org/10.1016/j.radi.2024.04.010DOI Listing

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