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Table 1.

Patient demographics.

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Fig 1.

An example of radiotherapy planning using a respiratory-gated, volumetric-modulated, arc therapy technique for hepatocellular carcinoma in segment 3 of the liver.

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Fig 2.

Calculating the distance semi-automatically between the tumor margin and a marker in 3-dimensional space creating a curved line parallel to the outer margin of the tumor using planning CT workstation.

Firstly, draw a line along tumor margin. Second, create a curved line parallel to the outer margin of the tumor at marker site using workstation tool. And the distance between the tumor margin and a marker is automatically calculated as 1.6cm.

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Table 2.

Technical success and complications in 101 patients.

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Table 2 Expand

Fig 3.

Beam hardening artifact created by the marker obscuring tumor margins.

(a) Hepatic metastasis (arrow, the longest tumor diameter: 1.4 cm) from rectal cancer in segment 4 of the liver. (b, c) Beam-hardening artifact of the marker obscured the tumor margin. The distance between the tumor and the marker was 0.4 cm.

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Table 3.

Comparison of visible and poorly conspicuous lesions on gray-scale US.

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Table 3 Expand

Fig 4.

Minor complications.

A 43-year-old male with hepatocellular carcinoma who underwent fiducial marker implants (arrowheads, a-b). After the procedure, a small, echogenic lesion (b) developed in the subcapsular portion of the liver, thus suggesting subcapsular hematoma (arrow).

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