Exploring the Need for Plan Adaptation in Robustly Optimized head and neck Intensity Modulated Proton Therapy: A Dosimetric Perspective from Initial Institutional Experience

2026-06-11

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Vysakh Raveendran

Shwetabh Sinha *

Prattusha Mukherjee

Anuj Kumar

Prakash Hari Shinde

A. Chithambara Prabu

Rohidas Namdeo Punde

Lalit Narendra Chaudhari

Shija Merrin Mathew

Samarpita Mohanty

Monali Swain

Ashwini Budrukkar

Sarbani Ghosh Laskar

DOI：10.1016/j.clon.2026.104216

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• Real-world dosimetric evaluation of adaptive IMPT in HN cancers. • Strategies to minimize treatment plan adaptation are summarized. • Dosimetric effects of weight loss and flap shrinkage analyzed. • Detailed assessment of anatomical robust optimization. • Effects of shoulder reproducibility and tongue motion evaluated.

Exploring the Need for Plan Adaptation in Robustly Optimized head and neck Intensity Modulated Proton Therapy: A Dosimetric Perspective from Initial Institutional Experience

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