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05), but not with RT dose or BCID. The rate of recurrence in clivus was 14%. New clival lesions that occurred within the first 12months after RT (in six patients) did not develop recurrence suggesting radiation osteitis (12%). After RT, residual clival medullary signal change/enhancement is seen in most NPC patients and can persist even years without recurrence. After RT, residual clival medullary signal change/enhancement is seen in most NPC patients and can persist even years without recurrence. SUVN-D4010 is a novel, potent, highly s