Source of Support: None, Conflict of Interest: None
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In our hospital, we are provided with Genius 60 x-ray machine, which is a mobile radiographic unit. Since we have no other diagnostic units like SIM-CT or CT-SIM with which we can get slices of the patient anatomy and from which the medical physicist can properly interpret a three dimensional treatment plan by using 3D-TPS, physicist tried to generate a manual 3D treatment planning by accurately localizing the carcinoma of the oesophagus. This localization technique can also be adopted for other anatomical areas and treatment techniques (SAD/SSD) by proper correlation. Apart from methods and materials, procedure adopted by physicist for localization, discussion of this new planning technique is given along with result.