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Published illustration

of pancreatic SBRT:

No (obvious) safety margin:

• Imaging for extension of diease?

• Microscopic disease?

• Residual uncertainties?

Despite small (zero) safety margin:

• Full dose to adjacant duodenal

wall

• Relevant doses to intestine

ESTRO SBRT Course 2015 - Emerging SBRT indications

8

Pancreatic cancer