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. Author manuscript; available in PMC: 2019 Jan 24.
Published in final edited form as: Ann Pancreat Cancer. 2018 Aug 6;1:20. doi: 10.21037/apc.2018.07.05

Figure 1.

Figure 1

(A) Coronal and (B) sagittal views of an IMRT plan for a pT3N0 pancreatic adenocarcinoma, resected to negative margins and with 0/15 lymph nodes. The patient received 5,040 cGy in 180 cGy per fraction with concurrent twice daily capecitabine. This field encompassed the preoperative tumor volume, surgical margin, PJ, choledocojejunostomy, celiac axis, SMA and vein, porta hepatis, and paraaortic lymph nodes. This plan incorporated 6 MV photons and non-coplanar fields to better spare the liver and kidneys. Also, 4-dimensional computed tomography simulation with abdominal compression was employed to allow for reproducibility of respiratory motion. IMRT, intensity-modulated radiation therapy; PJ, pancreaticojejunostomy; SMA, superior mesenteric artery.