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Would you recommend completing prostate SBRT without fiducials?

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2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network

In the era of 3D imaging with CBCT, I don’t see we need fiducial marker routinely.

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Mednet Member
Mednet Member
Radiation Oncology · University of Chicago

I prefer to have fiducial markers for prostate SBRT since it enables intrafraction motion monitoring with triggered KVs (we don't have an MR linac). We are using 22G needles to implant three intraprostatic fiducial markers on the same day of the sim with a very low rate of significant pain, bleeding...

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