<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN" "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article article-type="research-article" dtd-version="1.4" xmlns:xlink="http://www.w3.org/1999/xlink" xml:lang="en" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">odmj</journal-id>
      <journal-title-group>
        <journal-title xml:lang="en">OncoDaily Medical Journal</journal-title>
        <abbrev-journal-title abbrev-type="publisher">ODMJ</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="epub">3067-6444</issn>
      <publisher>
        <publisher-name>OncoDaily Medical Journal</publisher-name>
        <publisher-loc>
          <country>US</country>
        </publisher-loc>
      </publisher>
      <self-uri xlink:href="https://oncodailyjournal.com/"/>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">7595</article-id>
      <article-id pub-id-type="doi">10.69690/ODMJ-001-0626-7958</article-id>
      <article-categories>
        <subj-group xml:lang="en" subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title xml:lang="en">Evaluation of Intra-Fractional Target Position Variation during Deep Inspiration Breath-Hold (DIBH) Sessions in Lung Stereotactic Body Radiotherapy (SBRT)</article-title>
      </title-group>
      <contrib-group content-type="author">
        <contrib contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Abdo</surname>
            <given-names>Hana</given-names>
          </name>
          <aff xml:lang="en">Suffolk University, USA</aff>
          <email>hanaa-ab@hotmail.com</email>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Zhang</surname>
            <given-names>Miao</given-names>
          </name>
          <aff xml:lang="en">Lahey Hospital &amp; Medical Center, USA</aff>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Nyamwanda</surname>
            <given-names>Jacqueline</given-names>
          </name>
          <aff xml:lang="en">Suffolk University, USA</aff>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Hsu</surname>
            <given-names>Howard</given-names>
          </name>
          <aff xml:lang="en">Lahey Hospital &amp; Medical Center, USA</aff>
        </contrib>
      </contrib-group>
      <pub-date date-type="pub" publication-format="electronic">
        <day>13</day>
        <month>06</month>
        <year>2026</year>
      </pub-date>
      <elocation-id>ODMJ-001-0626-7958</elocation-id>
      <permissions>
        <copyright-statement>Copyright (c) 2026 OncoDaily Medical Journal</copyright-statement>
        <copyright-year>2026</copyright-year>
        <copyright-holder>OncoDaily Medical Journal</copyright-holder>
      </permissions>
      <self-uri xlink:href="https://oncodailyjournal.com/10.69690/odmj-001-0626-7958/"/>
      <kwd-group xml:lang="en">
        <kwd>Deep Inspiration Breath-Hold</kwd>
        <kwd>DIBH</kwd>
        <kwd>Intra-Fractional Target Position</kwd>
        <kwd>Lung Stereotactic Body Radiotherapy</kwd>
        <kwd>Radiotherapy</kwd>
        <kwd>SBRT</kwd>
      </kwd-group>
      <custom-meta-group>
        <custom-meta>
          <meta-name>production-ready-file-url</meta-name>
          <meta-value>
            <ext-link ext-link-type="uri" xlink:href="https://oncodailyjournal.com/pub/uploads/2026/06/Article-27-1.pdf"/>
          </meta-value>
        </custom-meta>
      </custom-meta-group>
    </article-meta>
  </front>
  <body/>
  <back>
    <ref-list>
      <ref id="R1">
        <mixed-citation>Botticella A, Levy A, Auzac G, Chabert I, Berthold C, Le Pechoux C. Tumour motion management in lung cancer: a narrative review. Transl Lung Cancer Res. 2021;10(4):2011-7</mixed-citation>
      </ref>
      <ref id="R2">
        <mixed-citation>Caillet V, Booth JT, Keall P. IGRT and motion management during lung SBRT delivery. Phys Med. 2017;44:113-22.</mixed-citation>
      </ref>
      <ref id="R3">
        <mixed-citation>Mørkeset ST, Lervåg C, Lund J, Jensen C. Clinical experience of volumetric-modulated flattening filter free stereotactic body radiation therapy of lesions in the lung with deep inspiration breath-hold. J Appl Clin Med Phys. 2022;23(9):e13733.</mixed-citation>
      </ref>
      <ref id="R4">
        <mixed-citation>Josipovic M, Persson GF, Bangsgaard JP, Specht L, Aznar MC. Deep inspiration breath-hold radiotherapy for lung cancer: impact on image quality and registration uncertainty in cone beam CT image guidance. Br J Radiol. 2016;89(1068):20160544.</mixed-citation>
      </ref>
      <ref id="R5">
        <mixed-citation>Naumann P, Batista V, Farnia B, et al. Feasibility of optical surface-guidance for position verification and monitoring of stereotactic body radiotherapy in deep-inspiration breath-hold. Front Oncol. 2020;10:573279.</mixed-citation>
      </ref>
      <ref id="R6">
        <mixed-citation>Lawler G. A review of surface guidance in extracranial stereotactic body radiotherapy (SBRT/SABR) for set-up and intra-fraction motion management. Tech Innov Patient Support Radiat Oncol. 2022;21:23-6.</mixed-citation>
      </ref>
      <ref id="R7">
        <mixed-citation>Nguyen D, Reinoso R, Farah J, et al. Reproducibility of surface-based deep inspiration breath-hold technique for lung stereotactic body radiotherapy on a closed-bore gantry linac. Phys Imaging Radiat Oncol. 2023;26:100448.</mixed-citation>
      </ref>
      <ref id="R8">
        <mixed-citation>Prado A, Zucca D, De la Casa MÁ, et al. Intrafraction target shift comparison using two breath-hold systems in lung stereotactic body radiotherapy. Phys Imaging Radiat Oncol. 2022;22:57-62.</mixed-citation>
      </ref>
      <ref id="R9">
        <mixed-citation>Shah C, Grills IS, Kestin LL, et al. Intrafraction variation of mean tumor position during image-guided hypofractionated stereotactic body radiotherapy for lung cancer. Int J Radiat Oncol Biol Phys. 2012;82(5):1636-41.</mixed-citation>
      </ref>
      <ref id="R10">
        <mixed-citation>Scherman Rydhög J, Riisgaard de Blanck S, Josipovic M, et al. Target position uncertainty during visually guided deep-inspiration breath-hold radiotherapy in locally advanced lung cancer. Radiother Oncol. 2017;123(1):78-84.</mixed-citation>
      </ref>
      <ref id="R11">
        <mixed-citation>Aznar MC, Carrasco de Fez P, Corradini S, et al. ESTRO-ACROP guideline: recommendations on implementation of breath-hold techniques in radiotherapy. Radiother Oncol. 2023;185:109734.</mixed-citation>
      </ref>
      <ref id="R12">
        <mixed-citation>Josipovic M, Aznar MC, Thomsen JB, et al. Deep inspiration breath hold in locally advanced lung cancer radiotherapy: validation of intrafractional geometric uncertainties in the inhale trial. Br J Radiol. 2019;92(1104):20190569.</mixed-citation>
      </ref>
      <ref id="R13">
        <mixed-citation>Boda-Heggemann J, Knopf AC, Simeonova-Chergou A, et al. Deep inspiration breath hold–based radiation therapy: a clinical review. Int J Radiat Oncol Biol Phys. 2016;94(3):478-92.</mixed-citation>
      </ref>
      <ref id="R14">
        <mixed-citation>Peng Y, Vedam S, Chang JY, et al. Implementation of feedback-guided voluntary breath-hold gating for cone beam CT-based stereotactic body radiotherapy. Int J Radiat Oncol Biol Phys. 2011;80(3):909-17.</mixed-citation>
      </ref>
      <ref id="R15">
        <mixed-citation>Keall PJ, Mageras GS, Balter JM, et al. The management of respiratory motion in radiation oncology: report of AAPM Task Group 76. Med Phys. 2006;33(10):3874-900.</mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>
