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encourage compliance and consistency. Further work into how best to encourage guideline adherence is needed for surgeons and patients alike. Declaration of interest The authors declare that there is no conflict of interest that could be perceived as
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using a shielded infusion pump system. All patients were evaluated by the nuclear medicine radiation safety team to ensure adherence to institutional radiation safety protocols. Stereotactic body radiotherapy SBRT was initiated before or
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per day. Adherence to αMPT treatment was deemed sufficient (100% overall) during the study in all patients. Measurement of catecholamine metabolites Urinary MN and NMN levels were measured by liquid chromatography/mass spectrometry (SRL, Tokyo