When do you choose motion management over free-breathing techniques for lung SBRT?
Do you prefer breath-hold techniques (ABC, DIBH) or abdominal compression regardless of tumor motion? Or do you use a general threshold number of cc's in target volume difference? Or a measurement of sup/inf movement on 4D CT?
Answer from: Radiation Oncologist at Academic Institution
The take home message for everyone is that motion management, regardless of the method used, is necessary. All patients should undergo 4DCT imaging in order to construct a "motion map" to quantify tumor motion in all directions. You can never assume that tumors will move in a predictable pattern. ...