Real-time morphological and dosimetric adaptation in nasopharyngeal carcinoma radiotherapy: insights from autosegmented fractional fan-beam CT.

Despite maintaining stable volumes, the brainstem and spinal cord showed an increasing trend in dose.

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Linear fitting analysis revealed a decreasing trend (R 2 ≥ 0.7) in the parotid glands, submandibular glands, thyroid, spinal cord, and target volumes (excluding GTVp), which temporally correlated with their volumetric dynamic patterns (Fig. 2 e and f).

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