Page 91 - Organ motion in children for high-precision radiotherapy - Sophie Huijskens

reason for large intrafractional variabilities. Also, shifting the child’s attention via distraction methods such as e.g., a rewarding system, video games, or storytelling, has shown to increase comfort and reduce anxiety [46].
5.5 | Conclusions
In conclusion, our study provides novel information on respiratory-induced diaphragm motion in children during IGRT. Respiratory motion is patient-specific and requires an individualized approach to account for. Therefore, we suggest performing 4DCT in children, which enables to quantify the individual respiratory motion prior to treatment and to define individualized safety margins, offering an improved potential for tumour control with less dose to healthy tissue.
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