Clinical Evaluation of a Laser Surface Scanning System in 120 Patients for Improving Daily Setup Accuracy in Fractionated Radiation Therapy

Using a reference image acquired with the laser system itself after MVCT-based setup correction appears more reliable than importing the DICOM reference surface. After generation of the optical reference, the laser system may be used to derive setup corrections over a certain number of fractions, but additional radiologic imaging may still be necessary on a regular basis (eg, weekly) or if the corrections of the optical system appear implausibly large. Nevertheless, such a combined application may help to reduce the imaging dose for the patient.