An MR-compatible 4D ultrasound probe allows hands-free, simultaneous MR and ultrasound image acquisition. This new imaging capability provides a path for tracking tumor target motion during radiation therapy, as an alternative to an integrated MR-LINAC system. To facilitate this, the ability to track the motion of fiducial markers as an indication of respiratory state is essential. In our approach, as the MR images are acquired outside of the radiation therapy procedure, motion tracking of endogenous ultrasound fiducials is proposed to determine respiratory states.
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