{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T01:30:57Z","timestamp":1793410257852,"version":"4.5.0"},"reference-count":7,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","meddos.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Medical Dosimetry"],"published-print":{"date-parts":[[2026]]},"DOI":"10.1016\/j.meddos.2026.05.008","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T11:47:39Z","timestamp":1782733659000},"page":"508-511","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case study of inhale and exhale split-course VMAT treatment to minimize dose to ribs"],"prefix":"10.1016","volume":"51","author":[{"given":"Jacob","family":"De Los Santos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazifa","family":"Bakar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haley","family":"Paletta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2347-6031","authenticated-orcid":false,"given":"Nishele","family":"Lenards","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Hunzeker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1519-3768","authenticated-orcid":false,"given":"Elizabeth","family":"Weiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.meddos.2026.05.008_bib0001","doi-asserted-by":"crossref","first-page":"e338","DOI":"10.1016\/j.prro.2019.01.012","article-title":"Characterization of chest wall toxicity during long-term follow up after thoracic stereotactic body radiation therapy","volume":"9","author":"Chipko","year":"2019","journal-title":"Pract. Radiat. Oncol"},{"key":"10.1016\/j.meddos.2026.05.008_bib0002","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1186\/s13014-015-0406-8","article-title":"Radiation-induced rib fracture after stereotactic body radiotherapy with a total dose of 54-56 Gy given in 9-7 fractions for patients with peripheral lung tumor: impact of maximum dose and fraction size","volume":"10","author":"Aoki","year":"2015","journal-title":"Radiat. Oncol"},{"issue":"12","key":"10.1016\/j.meddos.2026.05.008_bib0003","doi-asserted-by":"crossref","first-page":"2052","DOI":"10.1097\/JTO.0b013e3182307e74","article-title":"Incidence and risk factors for chest wall toxicity after risk-adapted stereotactic radiotherapy for early-stage lung cancer","volume":"6","author":"Bongers","year":"2011","journal-title":"J. Thorac. Oncol"},{"key":"10.1016\/j.meddos.2026.05.008_bib0004","doi-asserted-by":"crossref","first-page":"12","DOI":"10.3389\/fonc.2013.00012","article-title":"Volume modulated arc therapy (VMAT) for pulmonary stereotactic body radiotherapy (SBRT) in patients with lesions in close approximation to the chest wall","volume":"3","author":"Ding","year":"2013","journal-title":"Front. Oncol"},{"key":"10.1016\/j.meddos.2026.05.008_bib0005","doi-asserted-by":"crossref","DOI":"10.1016\/j.radonc.2024.110481","article-title":"Cumulative rib fracture risk after stereotactic body radiotherapy in patients with localized non-small cell lung cancer","volume":"200","author":"Bentsen","year":"2024","journal-title":"Radiother. Oncol"},{"issue":"1","key":"10.1016\/j.meddos.2026.05.008_bib0006","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.ijrobp.2021.09.027","article-title":"A story of hypofractionation and the table on the wall","volume":"112","author":"Timmerman","year":"2022","journal-title":"Int. J. Radiat. Oncol. Biol. Phys"},{"key":"10.1016\/j.meddos.2026.05.008_bib0007","first-page":"1","article-title":"UK consensus on normal tissue dose constraints for stereotactic radiotherapy","volume":"30","author":"Hanna","year":"2018","journal-title":"Clin. Oncol"}],"container-title":["Medical Dosimetry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0958394726000476?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0958394726000476?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:50:11Z","timestamp":1793407811000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0958394726000476"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"alternative-id":["S0958394726000476"],"URL":"https:\/\/doi.org\/10.1016\/j.meddos.2026.05.008","relation":{},"ISSN":["0958-3947"],"issn-type":[{"value":"0958-3947","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A case study of inhale and exhale split-course VMAT treatment to minimize dose to ribs","name":"articletitle","label":"Article Title"},{"value":"Medical Dosimetry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.meddos.2026.05.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 American Association of Medical Dosimetrists. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}