NRG Oncology International Consensus Contouring Atlas on Target Volumes and Dosing Strategies for Dose-Escalated Pancreatic Cancer Radiation Therapy

International NRG consensus atlas for target volumes in dose-escalated pancreatic cancer radiotherapy. Besides the contouring steps, it gives practical simulation advice: IV contrast for CT-based plans with a triple-phase protocol considered (arterial, pancreatic and portal venous at 25, 40 and 70 seconds), a small oral volume on the table, motion management for more than 5 mm of motion, fiducials, and fusion with diagnostic MRI or PET to aid contouring. It also tabulates suggested organ metrics for its dose-escalated schedules. Citation checked against Europe PMC.

Current NRG consensus on pancreatic target volumes, with practical simulation advice — triple-phase contrast timing, oral contrast, fiducials, motion thresholds and MRI or PET fusion.