Highlights • Inter-fractional port positional errors can be larger than 1.5 cm.• Cumulative dosimetric effect of daily measured port errors is minimal.• Cumulative dosimetric effect of a systematic registration error… Click to show full abstract
Highlights • Inter-fractional port positional errors can be larger than 1.5 cm.• Cumulative dosimetric effect of daily measured port errors is minimal.• Cumulative dosimetric effect of a systematic registration error can be significant.• Assigning the metal port tissue-equivalent density is not an adequate strategy.• Alignment of anatomical landmarks should be prioritized over port alignment.
               
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