• Non–surgical candidate
  • Non–candidate for transplant
  • Unresectable primary liver cancer
  • Unresectable metastatic disease involving liver
  • Tumor size less ≤or 8cm
  • Patient condition satisfies simulation and treatment requirements for reproducibility
  • 18 years of age or older
  • Female patients must confirm non–pregnant


  • Fiducial marker placement:
    • 3 gold fiducial markers placed within 6cm of tumor
  • At least 1 week lapse between fiducial marker placement and treatment planning simulation
  • 39–42GY in treatment fractions using Synchrony
  • Minimum of 24 hours between treatment fractions
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