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Offline Plan Adaptation in Robustly Optimized CBCT-Guided Pencil Beam Scanning Proton Beam Therapy: Lessons From a Real-World Cohort

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Purpose: Pencil beam scanning proton beam therapy (PBS-PBT) is highly sensitive to anatomic variations, often necessitating adaptive replanning (ARP) to ensure accurate dose delivery. While cone beam computed tomography (CBCT) is... ...