Real-Time Motion Management in Today’s Clinical Practice
Description
The ability to monitor and manage target motion in real time is rapidly becoming a cornerstone of precision radiation therapy. As institutions expand adaptive treatment programs, hypofractionation, and tighter margins, the clinical demand for robust motion management has never been greater. While the topic of motion tracking has been addressed in prior meetings, recent developments such as the growing clinical use of MR LINACs, integration of hybrid tracking platforms, and the introduction of AI-assisted tools have significantly advanced both the capabilities and expectations for real-time tracking in daily practice. This educational session will offer a timely, clinically grounded update on real-time motion tracking technologies, with emphasis on implementation, QA, and integration into routine workflows. Topics will include cine MRI gating on MR LINACs, SGRT for breast DIBH and stereotactic applications, and practical strategies for clinical adoption. The session also addresses key operational elements: reimbursement considerations, training, and workflow alignment. In recognition of the field’s rapid evolution, this session concludes with a forward-looking discussion of emerging tools, i.e. AI-based tracking algorithms, real-time ultrasound guidance, and hybrid systems like ExacTrac Dynamic that are approaching clinical maturity. Attendees will gain practical insight into selecting and implementing tracking technologies, as well as an understanding of how future innovations may influence clinical care. The session is designed for clinical physicists involved in motion management, image guidance, or technology commissioning, and will emphasize evidence-based approaches and real-world experience.