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Registration results between D-CBCT and F-CBCT were compared. D-CBCT image geometry fidelity was tested. The mean peak signal to noise ratio of D-CBCT was 1.7 dB higher than SART-TV reconstructions (P .001, SART-DDL vs SART-TV, 36.36 ± 0.55 dB vs 34.68 ± 0.28 d. All D-CBCT images were recognized as clinically acceptable without significant difference with F-CBCT in subjective grading (P .05). In clinical registration, the maximum translational and rotational difference was 1.8 mm and 1.7 degree respectively. The horizontal,
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