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Objective: For spinal CyberKnife (CK) treatments, prone patient position can yield a dosimetric advantage for posterior lesions, but the target can be subject to respiratory motion. We treated 17 lower lumbosacral lesions in prone position using CK fiducial-free XsightTM spine tracking and analyzed motion data in order to establish an adequate margin concept.

Feasibility of fiducial-free prone-position treatments with CyberKnife for lower lumbar/sacral spine lesions