Management of borderline and locally advanced pancreatic cancer: Where do we stand?

Figure 3 Depiction of stereotactic body radiation plan using computed tomography. Typically the tumor is expanded 2-3 mm to account for set up error microscopic extension and set-up error planning treatment volume. In the lower panel, (patient b) this represents a plan integrating intensity modulated radiation therapy (IMRT) where the tumor is expanded 1-3 cm to cover the tumor and peripancreatic lymph nodes. Stereotactic body radiation is often delivered over 1-5 d without chemotherapy. IMRT is delivered over 5-6 wk with concurrent chemotherapy.