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This study evaluates the dosimetric impact of prostate-based couch shifts on dose delivery during simultaneous IMRT for prostate cancer treatment. A retrospective analysis of 253 CBCT studies from 28 patients revealed that prostate motion significantly affects the doses delivered to seminal vesicles and lymph nodes, necessitating specific PTV margins to avoid geographical miss. The recommended margins include 0.7 cm for the prostate, 0.8-0.9 cm for the seminal vesicles, and asymmetric 1.0 cm vertically and

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dobashisuguru

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EN