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Doing More With Less (Radiation)
Doing More With Less (Radiation)

... Fortunately for Coastal Bend women, three-dimensional mammography is now available. Radiology Associates is the first and only healthcare organization in the area to offer the latest advancement in breast cancer detection in more than 30 years. “The reality is … the breast is a three-dimensional obj ...
DRL Reference Guide - NC Radiation Protection
DRL Reference Guide - NC Radiation Protection

... avoid radiation dose to the patient that does not contribute to the clinical purpose of a medical imaging task. Diagnostic reference levels are determined based upon data collected from nationwide studies such as the Nationwide Evaluation of X-ray Trends (NEXT) Program and are typically set at the s ...
FDG-PET - Moffitt Cancer Center
FDG-PET - Moffitt Cancer Center

... imaging. 18F is produced in a cyclotron, and the radiopharmaceutical is usually then synthesized locally by simple radiochemistry. Due to its relatively short half-life (110 minutes), many centers now have the cyclotron facility and camera on site to ensure a supply of [18F]FDG. However, manufacture ...
Royal Australian and New Zealand College of Radiologists
Royal Australian and New Zealand College of Radiologists

... Radiologists are medical specialists who are trained to assist other doctors and specialists to treat their patients by making a diagnosis and providing treatment using medical imaging. Radiologists have the medical knowledge to understand and explain a patient’s medical problem or symptom through t ...
Radiology Procedure for Imaging Pregnant Patients
Radiology Procedure for Imaging Pregnant Patients

... The use of iodine- and low or medium risk gadolinium-based contrast agents should not be used for female patients aged 16 to 50 unless it is clinically indicated or the pregnancy status has been established and the patient is not pregnant. High-risk gadolinium-based contrast agents are contraindicat ...
Imaging In Pregnancy Jamal Alkoteesh Consultant &Head of Interventional Radiology
Imaging In Pregnancy Jamal Alkoteesh Consultant &Head of Interventional Radiology

... However, the damage is such that the cells become nonfunctional and therefore could not result in a successful conception or pregnancy. Unfortunately there is no way to know if subtle changes can occur, which could effect the genetics of future generations. In an overview perspective, x-ray imaging ...
Cervical Cancer Brachytherapy Task Group
Cervical Cancer Brachytherapy Task Group

... Goal TD should be >85 Gy. High-dose-rate typically prescribed in one of the following fractionation regimes: 5.5 Gy x 5, 6 Gy x 5, 7 Gy x 4 Timing All treatment, including external-beam and brachytherapy, must be completed within 56 days from initiation of treatment. High-dose-rate brachytherapy com ...
Clinical Outcome of Patients with Previous Myocardial Infarction and
Clinical Outcome of Patients with Previous Myocardial Infarction and

... Sciences, and Peking Union Medical College approved the study protocol. Coronary Angiography Selective coronary angiography was performed (using Judkins’ technique) on all patients within 4 wk of radionuclide imaging studies. Two experienced observers who were unaware of the clinical data visually a ...
Diagnosis, Evaluation and Follow-Up of
Diagnosis, Evaluation and Follow-Up of

... however, that US, either alone or in combination with IVU, is widely-used in clinical practice and is recommended by other guidelines.29 The use of US alone or in combination with IVU is an alternative but less optimal option for imaging because these techniques do not reliably produce diagnostic ce ...
[2017.96] Interactive Exhibit on Imaging Updates for Staging and
[2017.96] Interactive Exhibit on Imaging Updates for Staging and

... Acknowledgements-The illustrations in the exhibit were provided by Radiology Education Media Services (REMS) at Massachusetts General Hospital. ...
template portfolio for the regional clinical training
template portfolio for the regional clinical training

... therefore needs to be conducted under the direct supervision of CQMPs. Residents have access to patients and their records, but they are not qualified to take any direct responsibility for decision-making related to patient management and care. National centres, even with limited radiation medicine ...
Committee Opinion, Number 656, February 2016, Guidelines
Committee Opinion, Number 656, February 2016, Guidelines

... 15). With regard to intellectual disability, based on data from atomic bomb survivors, it appears that the risk of central nervous system effects is greatest with exposure at 8–15 weeks of gestation. It has been suggested that a minimal threshold for this adverse effect may be in the range of 60–310 ...
Y-90 SIRT in the Liver - Emory Radiology
Y-90 SIRT in the Liver - Emory Radiology

... – > 80% of cancers involving the liver are secondary – Hepatic metastases occur in 40-50% of adult patients with extrahepatic primary malignancies – Colorectal, breast, lung, melanoma, neuroendocrine – Significant source of morbidity and mortality * American Cancer Society ...
diffusion weighted magnetic resonance imaging with
diffusion weighted magnetic resonance imaging with

... 6.2 REVIEW OF LITERATURE:Diffusion weighted imaging (DWI) is one of the most recent products of this modern diagnostic era. Diffusion-weighted magnetic resonance (DW-MR) imaging provides potentially unique information on the viability of brain tissue7. It provides image contrast that is dependent on ...
Imaging in Pregnant Patients
Imaging in Pregnant Patients

... Toxic effects of gadolinium have been demonstrated in animals that received high doses; however, no adverse effects have been demonstrated in the small number of human studies done to date (11,27). Although gadolinium-based contrast material crosses the human placenta when given in clinical doses, n ...
RT 7
RT 7

... compensator to provide the required beam attenuation that would otherwise occur in the “missing” tissue when the body surface is irregular or curved. Because the compen sator is designed to be positioned at a distance from the surface, the dimensions and shape of the compensator must be adjusted bec ...
Redalyc.Relationship between Left Ventricular Mass and
Redalyc.Relationship between Left Ventricular Mass and

... analysis of myocardial strain based on speckle tracking echocardiography has brought new elements of understanding in particular situations. The findings of this study show that hypertensive patients who remain asymptomatic but with higher LVMI do not have greater abnormalities of the E/e ratio or e ...
Dose assessment in Nuclear Medicine Therapy
Dose assessment in Nuclear Medicine Therapy

... The mean absorbed dose required to yield a surviving fraction equal to that arising from the probability distribution of dose values (absorbed dose or BED) given by the normalized DVH. Sgouros G et al Semin nucl Med 2008 ...
DRAFT TEMPLATE - American College of Radiology
DRAFT TEMPLATE - American College of Radiology

... benchmarks for comparing X-ray dose estimates from a given facility, they should not be used as a substitute for estimating specific doses delivered to a patient. For example, CTDI100, CTDIw, and CTDIvol are estimates of dose delivered to phantoms of a specified size and material as a result of the ...
Dense breast tissue
Dense breast tissue

... Renown Institute for Cancer Cancer Screening in Dense Breasts Breast density refers to how breast tissue appears on a mammogram. Some women think that because their breasts are firm, they are dense. But breast density isn’t based on how your breasts feel. In dense breasts, radiation can pass through ...
People Exposed To More Radiation From Medical
People Exposed To More Radiation From Medical

... Can you compare this to something with which I’m familiar? The estimated collective dose to the U.S. population from natural background radiation is 918,000 person sievert. The estimated collective dose to all who were exposed to radiation as a result of the Chernobyl nuclear accident is 400,000 per ...
3.图像设备 (EPID, OBI, CBCT)
3.图像设备 (EPID, OBI, CBCT)

... --- Before first day of treatment, patient body marked with marker pen indicating treatment field. --- on first day of treatment, therapist align laser (at iso) to patient plan origin (tattoo or marker), then shift (x,y,z) to planned patient position, then the light field should align with marked fi ...
ARRT Radiography Task Inventory
ARRT Radiography Task Inventory

... procedures in radiography. Successful performance of these fundamental procedures, in combination with mastery of the cognitive knowledge and skills covered by the radiography examination, provides the basis for acquisition of the full range of clinical skills required in a variety of settings. An a ...
SPR Practice Parameter for the Performance of Skeletal Scintigraphy
SPR Practice Parameter for the Performance of Skeletal Scintigraphy

... practice parameters, standing alone, does not necessarily imply that the approach was below the standard of care. To the contrary, a conscientious practitioner may responsibly adopt a course of action different from that set forth in the practice parameters when, in the reasonable judgment of the pr ...
Validating the use of Digitally Reconstructed Radiographs as
Validating the use of Digitally Reconstructed Radiographs as

... planning and simulation is performed at the Mater Hospital, Newcastle, that DRRs \ire valid and accurate tools for verifying isocentre location with respect to pelvic bony anatomy, and therefore may replace simulation verification images with respect to establishing the treatment isocentre location ...
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Neutron capture therapy of cancer



Neutron capture therapy (NCT) is a noninvasive therapeutic modality for treating locally invasive malignant tumors such as primary brain tumors and recurrent head and neck cancer. It is a two step procedure: first, the patient is injected with a tumor localizing drug containing a non-radioactive isotope that has a high propensity or cross section (σ) to capture slow neutrons. The cross section of the capture agent is many times greater than that of the other elements present in tissues such as hydrogen, oxygen, and nitrogen. In the second step, the patient is radiated with epithermal neutrons, which after losing energy as they penetrate tissue, are absorbed by the capture agent which subsequently emits high-energy charged particles, thereby resulting in a biologically destructive nuclear reaction (Fig.1).All of the clinical experience to date with NCT is with the non-radioactive isotope boron-10, and this is known as boron neutron capture therapy (BNCT). At this time, the use of other non-radioactive isotopes, such as gadolinium, has been limited, and to date, it has not been used clinically. BNCT has been evaluated clinically as an alternative to conventional radiation therapy for the treatment of malignant brain tumors (gliomas), and more recently, recurrent, locally advanced head and neck cancer.
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