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The purpose of this study is to evaluate utility of rotating adjustment using Xsight spine tracking system in 3D DOF location adjusting method, to minimize error between 6D DOF and 3D DOF in fiducial tracking system. In this study, the result of 6D DOF target location error is 0.124 ± 0.058mm, using fiducial inside tumor 3D DOF 0.673 ± 0.142mm, outside tumor 1.126 ± 0.253mm, apply with Xsight spine tracking system 3D DOF 0.542 ± 0.103mm. As the experiment shows, it was demonstrated that rotating adjustment through Xsight spine tracking system is valuable in case of treatment in 3D DOF location error that makes increasing accuracy and dose distribution each approximately 48% and 3%. In accordance with result of this study is useful rotation.

Useful evaluation of 3D target location correction by using Xsight spine tracking system in CyberKnife