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Tenets of pancreas plan adaptation
•
It is not a library of
plans approach
•
Isotoxicity approach
•
It does not involve
resegmentation of the
pancreas tumor; we
are bad at that!
•
Adaptation is focused
on the high dose
gradient overlap of the
critical GI organs at risk
Stomach
Duodenum
Small intestine
Pancreas
Stomach
Duodenum
Small intestine
Pancreas
Day 2
Day 1