This software is copyright J. O. Deasy and Washington University in St Louis. A free license is granted to use or modify but only for uses which are non-commercial and non-clinical. In particular, clinical decisions should not be made based on the use of CERR. Use of CERR to design or test commercial products is not granted without an agreement with Washington University. Any user-modified software must retain the original copyright and notice of changes if redistributed. Any user-contributed software (not modifications of existing files) will retain the copyright terms of the contributor. No warranty or fitness is expressed or implied for any purpose whatsoever--use at your own risk."
In other words, research use is completely free from fees or restrictions on code use with the limitations stated above. Use for making clinical patient care decisions is explicitly forbidden.
Use to design or test commercial products is explicitly forbidden without an agreement with Washington University.
Although users are granted the right to modify any CERR routine in any way, this right does not include commercial or clinical use, as outlined above.
The philosophy here is that institutions should not feel that contributing 'open source' code and tools to interoperate with CERR compromises potential commercial rights.
All the files supplied from Washington University have these same copyright terms, whether explicitly written in the file or not.