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Peer-Reviewed Publication
Cureus2026;18(3):e106211.March 1, 2026Journal Article

Cone Beam Computed Tomography (CBCT)-Based Online Adaptive Radiotherapy for Patients With Metal Implants: An Institutional Experience.

Fiona Li1, Sean Tanny2, Wesley Rivais1, Olga Dona Lemus3, Alexander Podgorsak1, Dandan Zheng1
1Radiation Oncology, University of Rochester, Rochester, USA.
2Radiation Oncology, Radformation, New York, USA.
3Radiation Oncology, University of Miami, Miami, USA.

Abstract

Background Patients with metal implants (MIs) are often excluded from the current cone beam computed tomography (CBCT)-based online adaptive radiotherapy (oART) workflows because of concerns regarding imaging artifacts, potentially limiting access to this innovative technology. Purpose This study aimed to present our institutional experience treating patients with MI using an oART workflow and to…

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