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NIRS: trial methodology

• Evidence-based choice of schedule

– Radiotherapy only

– Radio-systemic therapy

– Pre/post-operative radio(systemic)therapy

• Educated guess of start schedule

– Systemic therapy schedule

– CIRT dose and fractionation

• Systemic therapy is optimized first

Kamada T, et al. Lancet Oncol. 2015 Feb;16(2):e93-e100