Would irreversible elctroporation (IRE) performed at the time of Whipple affect your plans or dose for radiation in the setting of adjuvant treatment for pancreatic adenocarcinoma?  

IRE is an ablative modality that is more selective for tumor than thermal ablation. There are at least 2 high volume centers (Louisville and Miami) that have reported interesting long term survival in locally advanced pancreatic cancer. During their learning curve, there were multiple grade 5 compli...