Inclusion Criteria:  Men and women over 18 years of age Patients with a histologically confirmed diagnosis of pancreatic cancer with borderline resectable or locally advanced disease Receiving stereotactic body radiation therapy for pancreatic cancer with active breathing control (ABC) Able to read and write in English or able to understand/answer study questions and instructions with the aid of an interpreter  Exclusion Criteria:  Patients who do not provide informed consent Patients who chose not to answer the study questions Patients who chose not to use the xR device and platform Patients with a seizure history