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Fig 1.

Location of the treatment couch with respect to the phantom that is placed on the treatment couch with the ionization chamber point of measurement at the isocenter.

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Fig 1 Expand

Fig 2.

Panels A, B, C, and D present CBCT images of the phantom placed at the reference position (hanging in front of the treatment couch), extension plate, joint part, and main couch, respectively.

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Fig 2 Expand

Fig 3.

Pretreatment gamma pass rate calculation diagram constructed using Edose software.

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Fig 3 Expand

Fig 4.

Panels A and B show the calculation diagram of the TPS dose before and after adding the treatment couch.

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Fig 4 Expand

Table 1.

Measurements calculated with the presence of a real couch, TPS calculation of actual couch based on CBCT images, and TPS calculation introducing a virtual couch model and corresponding P-values per group.

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Table 1 Expand

Fig 5.

Attenuation factors δ changing with gantry angles under different conditions (M1: Extension; M2: Joint; M3: Couch; CBCT1: Extension; CBCT2: Joint; CBCT3: Couch; CT: Couch).

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Fig 5 Expand

Fig 6.

A: Measured dose values for the different attenuation cases. B, C, and D: Measured (M) and calculated values (CBCT, CT) for the extension, joint, and couch positions, respectively.

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Fig 6 Expand

Table 2.

Passing rates of the NPC IMRT plan beams after passing through the extension plate, joint, and main couch plate.

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Table 2 Expand