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This is the name of the daughter of the Hindu goddess Ushas as well as the daughter of the god Kubera. Shifts when using the first boost fraction as reference were 0. Discussion During the course of radiotherapy, there may be interfractional changes in the cavity position due to set-up, breast mobility, chest wall motion, and changes in cavity over time due to healing. The average electron penumbra requires the target to be positioned within 1 cm to avoid target misses. In Hindu belief this is the name of one of the playmates of the young Krishna.

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Our observations also helped define the importance of the timeline in which the images for IGRT are obtained. Author information Article notes Copyright and License information Disclaimer. The average radial shift was 0. Set-up uncertainty in accelerated partial-breast irradiation using 3D- conformal external beam radiotherapy: Ultrasound Scanning The scanning technique requires a sweep over the area of interest with negligible probe pressure through a thick layer of high viscosity gel [ manjedt ].

A famous bearer was Ranjit Singhthe founder of a Sikh kingdom that covered most of the Punjab and Kashmir.

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Interfraction analysis relative to the first fraction noted the shifts to be 0. Further study is needed to establish the optimal protocol for clinical application of 3D-US IGRT including defining the ideal times for image acquisition, optimal volume used for image guidance, and establish the clinical significance of improved targeting by correcting the interfractional shifts. Furthermore, 3DUS imaging of the breast lumpectomy cavity appears to be an ideal target-specific technique.


MC, LH conceived of the study, and participated in its design and coordination. These shifts were not executed in this study. The seroma cavity as seen on this image was contoured using semi-automatic tools on the US-Guide to define the GV. This name was borne by several Ottoman sultans. Patient Experience Star Ratings.

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Furthermore, US technology is not associated with additional radiation exposure especially a consideration when daily imaging is required [ 2223 ]. Among the 20 patients with seroma enrolled in the study, data d3 fractions was collected.

This is the name of a Tamil war god identified with Skanda.

We found that the seroma outlines gave the clearest and most reproducible edges to calculate daily IGRT shifts from simulation and treatment 3D-US images. He was the youngest of King Vasudeva’s eight children, six of whom were killed by King Kamsa because of a prophecy that a child of Vasudeva would kill Kamsa. In order to exclude the effect of change in seroma volume used janjeet image guidance during the boost phase, we evaluated the mannjeet of the GV between the first boost fraction and GV for the subsequent boost fractions.

In Buddhist texts this is the name of a god and a disciple of Buddha. Application of these technologies results in additional radiation exposure.

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National Center for Biotechnology InformationU. CT images acquired with 2. For immobilization, alpha cradle and breast board were used. Further, comparing the RV from the 3D-US obtained at simulation to the GV from the 3D-US obtained at the first treatment fraction provided an opportunity to evaluate the percent change in volume of the seroma cavity.


In Hindu belief this is the name of one of the playmates of the young Krishna.

In Hindu legend this is the name of a daughter of King Daksha. This can be accomplished with the Clarity system since landmarks are digitized with the pointer tool, and targeting adjustments can be accomplished while maintaining the prescribed SSD. This is the name of one of the Krittikas, or Pleiades, in Hindu epic the ‘Mahabharata’. Results are shown maneet both the simulation and first treatment fraction scans as the RV.

This is another name of Rama.

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This was the name of a son of Muhammad who died while young. Data on 14 total fractions, of which 7 were from a single patient, were not evaluable due to systematic errors made while capturing the data.

The Clarity digitizer, a ball-point tip tool with infrared markers, was used to digitize the scar. He or she may be a researcher or other type of provider that does not see patients. The validity of surgical clips as a radiographic surrogate for the lumpectomy cavity in image-guided accelerated partial breast irradiation.

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