Ablative radiation approaches for unresectable pancreatic cancer can improve survival outcomes. Breath hold with tracking is the ideal form of motion management, but not all treatment systems have that capability. Here is a feasibility study of abdominal compression rather than DIBH during an 50Gy/5 MR-adaptive approach. Each patient had 3 MRIs per treatment: before, during, and after— note the during and after are after daily adaptive replanning. The objective of minimizing tumor motion to <5mm was achieved in 75% of fractions: median tumor motion across all fractions for all patients (150 MRIs) was 1.7 (0.7–7) mm in anterior-posterior direction, 2.1 (0.6–6.3) mm left-right, and 4.1 (1.4–10.0) mm superior-inferior. Nonetheless, key constraints to nearby GI structures were not invincible. These included D0.035cc ≤33 Gy to stomach (exceeded on 48/100 during/after MRIs) and small bowel (exceeded on 52/100) and D5cc ≤25 Gy to stomach (exceeded on 28/100) and small bowel (exceed on 34/100). A final note is that these calculations are likely overestimates because there is clearly a feathering effect of these organs at risk during beam on. | Tyagi, Phys Imaging Radiat Oncol 2021


  1. Hello to everyone out here, I am here to share the unexpected miracle that happened to me … My name is Susan Christian , I live in London, UK. we got married for more than 9 years and have gotten two kids. thing were going well with us and we are always happy. until one day my husband started to behave in a way i could not understand, i was very confused by the way he treat me and the kids. later that month he did not come home again and he called me that he want a divorce, i asked him what have i done wrong to deserve this from him, all he was saying is that he want a divorce that he hate me and do not want to see me again in his life, i was mad and also frustrated do not know what to do, i was sick for more than 2 weeks because of the divorce. i love him so much he was everything to me without him my life is incomplete. i told my sister and she told me to contact a spell caster, i never believe in all this spell casting of a thing. i just want to try if something will come out of it. i contacted Dr Emu for the return of my husband to me, they told me that my husband have been taken by another woman, that she cast a spell on him that is why he hate me and also want us to divorce. then they told me that they have to cast a spell on him that will make him return to me and the kids, they casted the spell and after 24 hours my husband called me and he told me that i should forgive him, he started to apologize on phone and said that he still love me that he did not know what happen to him that he left me. it was the spell that Dr Emu casted on him that make him come back to me today, me and my family are now happy again today. thank you Dr Emu for what you have done for me i would have been nothing today if not for your great spell. i want you my friends who are passing through all this kind of love problem of getting back their husband, wife , or ex boyfriend and girlfriend to contact Dr Emu , if you need his help you can contact him through his private mail: or you can contact him through his website fb page Https://


Post a Comment

Popular Posts