{"id":42963,"date":"2025-11-20T14:38:34","date_gmt":"2025-11-20T19:38:34","guid":{"rendered":"https:\/\/www.accuray.com\/?post_type=studies&p=42963"},"modified":"2025-11-24T15:59:28","modified_gmt":"2025-11-24T20:59:28","slug":"stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report","status":"publish","type":"studies","link":"https:\/\/www.accuray.com\/ja\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/","title":{"rendered":"Stereotactic Body Radiotherapy of a Lung Tumor with Large Respiratory Motion Using Real-time Adaptive Motion Management: A Case Report"},"content":{"rendered":"\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t< View All Case Studies<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

CASE STUDY | FOX CHASE CANCER CENTER<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t

Stereotactic Body Radiotherapy of a Lung Tumor\nWith Large Respiratory Motion Using Real-time\nAdaptive Motion Management: A Case Report<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tDownload Case Study<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Challenge:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tTraditional internal target volume (ITV) methods for the treatment of a\nlung tumor on conventional linac would require a large planning target\nvolume (PTV), risking high radiation exposure to the chest wall and lungs.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Solution:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\tSynchrony\u00ae on the CyberKnife\u00ae System was used to adapt the radiation\nbeam in real time to the tumor\u2019s motion, eliminating the need for large\nmotion margins.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Case:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\r\n\t\t
\r\n\t\t\t\r\n\t\t\t\r\n\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t
Patient<\/strong><\/span><\/td>72-year-old female<\/span><\/td><\/tr>
Diagnosis<\/strong><\/span><\/td>Stage IA2 non-small cell lung cancer in the right lower lobe<\/span><\/td><\/tr>
Radiotherapy Challenge<\/strong><\/span><\/td>Tumor exhibited large respiratory motion (~5 cm) and an elongated shape<\/span><\/td><\/tr>
Plan<\/strong><\/span><\/td>Initially planned for conventional linac-based SBRT, the patient was switched to CyberKnife-based SBRT using real-time adaptive motion management (AMM) due to concerns about excessive radiation to healthy tissue<\/span><\/td>\t\t\t<\/tr>\r\n\t\t<\/tbody>\r\n\r\n\t\t\r\n\t\t\t<\/table>\r\n\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Treatment Planning:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\r\n\t\t
\r\n\t\t\t\r\n\t\t\t\r\n\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t
Fiducials<\/strong><\/span><\/td>A single gold fiducial marker was placed in the lesion approximately one week prior to simulation<\/span><\/td><\/tr>
PTV Margin<\/strong><\/span><\/td>3 mm margin added to the GTV<\/span><\/td><\/tr>
Dose<\/strong><\/span><\/td>50 Gy in five fractions was prescribed to cover at least 95% of the PTV<\/span><\/td><\/tr>
Treatment Beams<\/strong><\/span><\/td>152 beams on 40 nodes<\/span><\/td><\/tr>
Estimated Treatment Delivery Time<\/strong><\/span><\/td>46 minutes<\/span><\/td><\/tr>
For Comparison a VMAT Plan was Created<\/strong><\/span><\/td>PTV expanded 5 mm from the ITV. The same clinical goals and OAR dose constraints were applied<\/span><\/td>\t\t\t<\/tr>\r\n\t\t<\/tbody>\r\n\r\n\t\t\r\n\t\t\t<\/table>\r\n\t\t<\/div>\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t
Figure 5 from paper: comparison of dosimetric parameters between the CyberKnife\u00ae System with real-time adaptive radiotherapy (blue), ITV approach with conventional linac (orange), and the tolerance limits (white).<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Outcomes:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t
  • The CyberKnife\u00ae plan with Synchrony\u00ae real-time adaptive radiotherapy significantly reduced radiation dose to the OARs as shown in figures 3 and 5.<\/li>
  • The patient received the five-fraction treatment with the CyberKnife System as scheduled with no acute treatment toxicity.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t

    Advantages:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
    \n\t\t\t\t
    \n\t\t\t\t\t\t\t\t\t
    • The CyberKnife\u00ae System with Synchrony\u00ae real-time adaptive radiotherapy \u201callows the removal of the motion margin from the planning target and allows beams to only target the tumor itself, thus significantly avoiding unnecessary dose to healthy tissues\u201d.<\/li>
    • \u201cSimilar applications would also be beneficial to liver or abdominal cases where lesions are close to the diaphragm and have significant motion or are surrounded by low-dose-tolerance OARs such as the duodenum and small bowel.\u201d<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
      \n\t\t\t\t\t\t
      \n\t\t\t\t\t
      \n\t\t\t
      \n\t\t\t\t\t\t
      \n\t\t\t\t
      \n\t\t\t\t\t

      Conclusion:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
      \n\t\t\t\t
      \n\t\t\t\t\t\t\t\t\tThis case demonstrates that Synchrony real-time adaptive radiotherapy with the CyberKnife System is highly beneficial for tumors with large respiratory motion, offering minimized dose to healthy tissue and potentially\nimproving patient outcomes.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
      \n\t\t\t\t\t\t
      \n\t\t\t\t\t
      \n\t\t\t
      \n\t\t\t\t\t\t
      \n\t\t\t\t
      \n\t\t\t\t\t\t\t\t\t

      Chen X, Hayes S, Cohen R, et al. (June 20, 2025) Stereotactic Body Radiotherapy of a Lung Tumor With Large Respiratory Motion Using RealTime Adaptive Motion Management: A Case Report. Cureus 17(6): e86436. DOI 10.7759\/cureus.86436<\/p>

      Important Safety Information:<\/p>

      Most side effects of radiotherapy, including radiotherapy delivered with Accuray systems, are mild and temporary, often involving fatigue, nausea, and skin irritation. Side effects can be severe, however, leading to pain, alterations in normal body functions (for example, urinary or salivary function), deterioration of quality of life, permanent injury, and even death. Side effects can occur during or shortly after radiation treatment or in the months and years following radiation. The nature and severity of side effects depend on many factors, including the size and location of the treated tumor, the treatment technique (for example, the radiation dose), and the patient\u2019s general medical condition, to name a few. For more details about the side effects of your radiation therapy, and to see if treatment with an Accuray product is right for you, ask your doctor. Accuray Incorporated as a medical device manufacturer cannot and does not recommend specific treatment approaches. Individual results may vary.<\/p>

      \u00a9 2025 Accuray Incorporated. All Rights Reserved. Accuray, the Accuray logo, and other trademarks are trademarks or registered trademarks of Accuray Incorporated and may not be used without permission. For more information on Accuray and its trademarks, please visit www.accuray.com\/trademarks. MKTCKCSCC16092025#1<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

      Traditional internal target volume (ITV) methods for the treatment of a lung tumor on conventional linac would require a large planning target volume (PTV), risking high radiation exposure to the chest wall and lungs.<\/p>\n","protected":false},"featured_media":42964,"menu_order":0,"template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_links_to":"","_links_to_target":""},"categories":[1865],"studies_products":[],"case_studies_products":[1269,1861],"class_list":["post-42963","studies","type-studies","status-publish","has-post-thumbnail","hentry","category-synchrony-on-cyberknife","case_studies_products-cyberknife","case_studies_products-synchrony"],"acf":[],"yoast_head":"\nPediatric Total Body Irradiation on the Radixact System - Accuray<\/title>\n<meta name=\"description\" content=\"Learn how the Radixact System was used to treat pediatric total body irradiation (TBI) treatment at University Hospitals Birmingham\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/\" \/>\n<meta property=\"og:locale\" content=\"ja_JP\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Stereotactic Body Radiotherapy of a Lung Tumor with Large Respiratory Motion Using Real-time Adaptive Motion Management: A Case Report\" \/>\n<meta property=\"og:description\" content=\"Learn how the Radixact System was used to treat pediatric total body irradiation (TBI) treatment at University Hospitals Birmingham\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/\" \/>\n<meta property=\"og:site_name\" content=\"Accuray\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/AccurayIncorporated\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-24T20:59:28+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.accuray.com\/wp-content\/uploads\/Screenshot-2025-09-18-at-1.11.48-PM-scaled.png\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1082\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@Accuray\" \/>\n<meta name=\"twitter:label1\" content=\"\u63a8\u5b9a\u8aad\u307f\u53d6\u308a\u6642\u9593\" \/>\n\t<meta name=\"twitter:data1\" content=\"4\u5206\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.accuray.com\\\/case-studies\\\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\\\/\",\"url\":\"https:\\\/\\\/www.accuray.com\\\/case-studies\\\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\\\/\",\"name\":\"Pediatric Total Body Irradiation on the Radixact System - Accuray\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.accuray.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.accuray.com\\\/case-studies\\\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.accuray.com\\\/case-studies\\\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.accuray.com\\\/wp-content\\\/uploads\\\/Screenshot-2025-09-18-at-1.11.48-PM-scaled.png\",\"datePublished\":\"2025-11-20T19:38:34+00:00\",\"dateModified\":\"2025-11-24T20:59:28+00:00\",\"description\":\"Learn how the Radixact System was used to treat pediatric total body irradiation (TBI) treatment at University Hospitals Birmingham\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.accuray.com\\\/case-studies\\\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\\\/#breadcrumb\"},\"inLanguage\":\"ja\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.accuray.com\\\/case-studies\\\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"ja\",\"@id\":\"https:\\\/\\\/www.accuray.com\\\/case-studies\\\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.accuray.com\\\/wp-content\\\/uploads\\\/Screenshot-2025-09-18-at-1.11.48-PM-scaled.png\",\"contentUrl\":\"https:\\\/\\\/www.accuray.com\\\/wp-content\\\/uploads\\\/Screenshot-2025-09-18-at-1.11.48-PM-scaled.png\",\"width\":2560,\"height\":1082},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.accuray.com\\\/case-studies\\\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.accuray.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Case Studies\",\"item\":\"https:\\\/\\\/www.accuray.com\\\/case-studies\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Stereotactic Body Radiotherapy of a Lung Tumor with Large Respiratory Motion Using Real-time Adaptive Motion Management: A Case Report\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.accuray.com\\\/#website\",\"url\":\"https:\\\/\\\/www.accuray.com\\\/\",\"name\":\"Accuray\",\"description\":\"Deliver More. Better. Faster\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.accuray.com\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.accuray.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"ja\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.accuray.com\\\/#organization\",\"name\":\"Accuray Incorporated\",\"url\":\"https:\\\/\\\/www.accuray.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ja\",\"@id\":\"https:\\\/\\\/www.accuray.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.accuray.com\\\/wp-content\\\/uploads\\\/accuray-logo200.jpg\",\"contentUrl\":\"https:\\\/\\\/www.accuray.com\\\/wp-content\\\/uploads\\\/accuray-logo200.jpg\",\"width\":200,\"height\":24,\"caption\":\"Accuray Incorporated\"},\"image\":{\"@id\":\"https:\\\/\\\/www.accuray.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/AccurayIncorporated\",\"https:\\\/\\\/x.com\\\/Accuray\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/accuray\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Pediatric Total Body Irradiation on the Radixact System - Accuray","description":"Learn how the Radixact System was used to treat pediatric total body irradiation (TBI) treatment at University Hospitals Birmingham","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/","og_locale":"ja_JP","og_type":"article","og_title":"Stereotactic Body Radiotherapy of a Lung Tumor with Large Respiratory Motion Using Real-time Adaptive Motion Management: A Case Report","og_description":"Learn how the Radixact System was used to treat pediatric total body irradiation (TBI) treatment at University Hospitals Birmingham","og_url":"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/","og_site_name":"Accuray","article_publisher":"https:\/\/www.facebook.com\/AccurayIncorporated","article_modified_time":"2025-11-24T20:59:28+00:00","og_image":[{"width":2560,"height":1082,"url":"https:\/\/www.accuray.com\/wp-content\/uploads\/Screenshot-2025-09-18-at-1.11.48-PM-scaled.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_site":"@Accuray","twitter_misc":{"\u63a8\u5b9a\u8aad\u307f\u53d6\u308a\u6642\u9593":"4\u5206"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/","url":"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/","name":"Pediatric Total Body Irradiation on the Radixact System - Accuray","isPartOf":{"@id":"https:\/\/www.accuray.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/#primaryimage"},"image":{"@id":"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/#primaryimage"},"thumbnailUrl":"https:\/\/www.accuray.com\/wp-content\/uploads\/Screenshot-2025-09-18-at-1.11.48-PM-scaled.png","datePublished":"2025-11-20T19:38:34+00:00","dateModified":"2025-11-24T20:59:28+00:00","description":"Learn how the Radixact System was used to treat pediatric total body irradiation (TBI) treatment at University Hospitals Birmingham","breadcrumb":{"@id":"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/#breadcrumb"},"inLanguage":"ja","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/"]}]},{"@type":"ImageObject","inLanguage":"ja","@id":"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/#primaryimage","url":"https:\/\/www.accuray.com\/wp-content\/uploads\/Screenshot-2025-09-18-at-1.11.48-PM-scaled.png","contentUrl":"https:\/\/www.accuray.com\/wp-content\/uploads\/Screenshot-2025-09-18-at-1.11.48-PM-scaled.png","width":2560,"height":1082},{"@type":"BreadcrumbList","@id":"https:\/\/www.accuray.com\/case-studies\/stereotactic-body-radiotherapy-of-a-lung-tumorwith-large-respiratory-motion-using-real-timeadaptive-motion-management-a-case-report\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.accuray.com\/"},{"@type":"ListItem","position":2,"name":"Case Studies","item":"https:\/\/www.accuray.com\/case-studies\/"},{"@type":"ListItem","position":3,"name":"Stereotactic Body Radiotherapy of a Lung Tumor with Large Respiratory Motion Using Real-time Adaptive Motion Management: A Case Report"}]},{"@type":"WebSite","@id":"https:\/\/www.accuray.com\/#website","url":"https:\/\/www.accuray.com\/","name":"Accuray","description":"Deliver More. Better. Faster","publisher":{"@id":"https:\/\/www.accuray.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.accuray.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"ja"},{"@type":"Organization","@id":"https:\/\/www.accuray.com\/#organization","name":"Accuray Incorporated","url":"https:\/\/www.accuray.com\/","logo":{"@type":"ImageObject","inLanguage":"ja","@id":"https:\/\/www.accuray.com\/#\/schema\/logo\/image\/","url":"https:\/\/www.accuray.com\/wp-content\/uploads\/accuray-logo200.jpg","contentUrl":"https:\/\/www.accuray.com\/wp-content\/uploads\/accuray-logo200.jpg","width":200,"height":24,"caption":"Accuray Incorporated"},"image":{"@id":"https:\/\/www.accuray.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/AccurayIncorporated","https:\/\/x.com\/Accuray","https:\/\/www.linkedin.com\/company\/accuray\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.accuray.com\/ja\/wp-json\/wp\/v2\/studies\/42963","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.accuray.com\/ja\/wp-json\/wp\/v2\/studies"}],"about":[{"href":"https:\/\/www.accuray.com\/ja\/wp-json\/wp\/v2\/types\/studies"}],"version-history":[{"count":0,"href":"https:\/\/www.accuray.com\/ja\/wp-json\/wp\/v2\/studies\/42963\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.accuray.com\/ja\/wp-json\/wp\/v2\/media\/42964"}],"wp:attachment":[{"href":"https:\/\/www.accuray.com\/ja\/wp-json\/wp\/v2\/media?parent=42963"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.accuray.com\/ja\/wp-json\/wp\/v2\/categories?post=42963"},{"taxonomy":"studies_products","embeddable":true,"href":"https:\/\/www.accuray.com\/ja\/wp-json\/wp\/v2\/studies_products?post=42963"},{"taxonomy":"case_studies_products","embeddable":true,"href":"https:\/\/www.accuray.com\/ja\/wp-json\/wp\/v2\/case_studies_products?post=42963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}