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. 2024 Mar 19;16(6):1206. doi: 10.3390/cancers16061206

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© 2024 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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(a) Initial plan met all organ-at-risk constraints for a patient with a pancreatic tumor (blue color wash) based on the anatomy from the initial CT simulation. (b) Application of the plan to the daily MRI set resulted in a violation of hard duodenal (green color wash) constraints. (c) Daily adaptive planning achieved the resolution of the OAR constraint violation to the duodenum (marked with arrows) while preserving target volume coverage. Reprinted/adapted with permission from “Simulated Online Adaptive Magnetic Resonance–Guided Stereotactic Body Radiation Therapy for the Treatment of Oligometastatic Disease of the Abdomen and Central Thorax: Characterization of Potential Advantages” by Henke et al. 2016, International Journal of Radiation Oncology* Biology* Physics, 96(5), Copyright 2016 by Elsevier [23].