Real-time MRI-guided adaptive radiation for inoperable pancreatic cancer

Real-time MRI-guided adaptive radiotherapy of unresectable pancreatic cancer

NIH-funded research Sloan-Kettering Inst Can Research · NIH-11144526

This approach uses real-time MRI to guide high-dose, focused radiation for people with pancreatic tumors that cannot be removed by surgery.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionSloan-Kettering Inst Can Research NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11144526 on NIH RePORTER

What this research studies

This project aims to image the pancreatic tumor in three dimensions during treatment so the radiation beam can follow its movement as you breathe. The team will pre-learn common 3D motion patterns and then rapidly match those motion 'signatures' during each treatment session to update the beam in real time. They are implementing this on an MR-Linac (Unity) and linking the motion output to the treatment couch and multileaf collimator so the beam tracks the moving tumor. The goal is to deliver much higher, surgery-like radiation doses while keeping nearby organs safe.

Who could benefit from this research

Good fit: Adults with locally advanced, unresectable pancreatic tumors who are not candidates for surgery and who can undergo MRI-compatible radiotherapy are the most likely candidates.

Not a fit: Patients with small resectable tumors, widespread metastatic disease unlikely to benefit from localized therapy, or those with MRI-incompatible implants may not benefit from this approach.

Why it matters

Potential benefit: If successful, this could allow higher, potentially curative radiation doses for patients with unresectable pancreatic cancer while reducing damage to nearby gastrointestinal organs.

How similar studies have performed: Early MR-guided tracking has shown promising real-time tumor tracking in the liver and ablative radiation has achieved surgery-like outcomes in some settings, but fully real-time 3D MRI-guided adaptive delivery for pancreatic cancer remains relatively new.

Where this research is happening

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Cancer CauseCancer EtiologyCancers
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.