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A 10-year-old male affected by right pleural PNET. HT allows different dose gradients between the pleural cavity (36 Gy/20 fractions) (a) and residual disease (42 Gy/20fractions) (b). DVHs of the first phase of treatment for the residual GTV, right pleural PTV, right lung, left lung, total lung volume and heart are shown (c). Further 10 Gy/5 fractions were delivered only to the shrinking tumor (bottom left) after the first phase of treatment on the basis of MV-CT acquisition.
