ESTRO 2025 - Abstract Book

S1841

Clinical – Upper GI

ESTRO 2025

Figure 1: OARs VxGy relative to the fractionation schedule across all 7 cases for BP, APP and AAP. The blue lines represent the clinical limits according to institutional guidelines.

Conclusion: MR-LINAC facilitates real-time treatment plan adaptation, ensuring optimal tumor coverage while maintaining OARs dose constraints. The value of MR-LINAC as compared to CBCT-guided SBRT still needs to be established.

Keywords: SBRT, MR-linac

References: 1.Andratschke, N., Alheid, H., Allgäuer, M., et al. (2018). The SBRT database initiative of the German Society for Radiation Oncology (DEGRO): Patterns of care and outcome analysis of stereotactic body radiotherapy (SBRT) for liver oligometastases in 474 patients with 623 metastases. BMC Cancer , 18 (1), 283. https://doi.org/10.1186/s12885 018-4191-2 2.Mayinger, M., Ludwig, R., Christ, S. M., et al. (2021). Benefit of replanning in MR-guided online adaptive radiation therapy in the treatment of liver metastasis. Radiation Oncology (London, England) , 16 (1), 84. https://doi.org/10.1186/s13014-021-01813-6

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