Embodiments of the disclosure may be directed to a system for generating a motion target volume representative of shape changes of a target region in a patient. The system may comprise at least one computer system configured to receive a plurality of electronic medical images that include the target region, and each of the plurality of images may have been taken at a different time point. The computer system may be configured to define a three-dimensional volume containing the target region in each of the plurality of images, and the three-dimensional volume may be different in at least two of the plurality of images due to differences in shape of the target region in the at least two images. The computer system may also be configured to co-register the three-dimensional volumes and generate the motion target volume, wherein the motion target volume encompasses each of the three-dimensional volumes.