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This paper presents an overview of the x‐ray guided robotic radiosurgery system that has been developed for the ablation of solid tumors. A robot‐mounted linear accelerator is directed through a sequence of positions and orientations designed to deliver high radiation dosages focused at a specific location. Patient movement during treatment is identified by stereo x‐ray measurements and the robotic system adjusts the linear accelerator prior to the delivery of radiation at each location. The result is accurate delivery without rigid fixation of the tumor relative to the treatment system.

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