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2016 Medicare Nuclear Medicine
2016 Medicare Nuclear Medicine

... events of angioedema and generalized urticaria. In some patients the allergic symptoms developed on the second injection during CARDIOLITE® imaging. • Caution should be exercised and emergency equipment should be available when administering CARDIOLITE®. • Before administering CARDIOLITE® pa ...
Summary  - Cancer Care Ontario
Summary - Cancer Care Ontario

... locate guidance documents on the delivery of BT for cervical cancer. Ten documents that were determined to be the most recent, comprehensive, and relevant to practice in Ontario (1-10) provided a source for adapted recommendations. The clinical effectiveness of HDR BT has been established in randomi ...
1630_Rivard_PL54F6
1630_Rivard_PL54F6

... Adjunct Assistant Professor-Kansas University School of Medicine ...
Cone Beam CT guided Radiotherapy
Cone Beam CT guided Radiotherapy

... By zooming in on a region of interest, any target can be accurately localized even if the anatomy changes shape ...
Module 5
Module 5

... First, a targeted imaging agent containing a positron emitting radioisotope is administered to the subject. Positrons are emitted from each imaging agent only once; these positrons travel short distances and collide with electrons in the surrounding tissues (annihilation), resulting in the productio ...
Fun Dx Penguine Points
Fun Dx Penguine Points

... -a large variation of pixel values represents high image noise -the resolution of low-contrast objects is limited by the noise of a CT imaging system -noise is the variability of pixel values -when the CT is calibrated, there should be a straight line through 0 -uniformity is the concept that when w ...
CT for Pediatric, Acute, Minor Head Trauma
CT for Pediatric, Acute, Minor Head Trauma

... with abnormal head CT findings Table 2: Two- to 20-year-old patients with minor head trauma who qualified for use of the clinical guidelines: CT imaging findings for acute, minor head trauma CT Imaging Findings No. of Patients Followed the algorithm with normal ...
Radiation Dosimetry of the Patient – Chapter 24, Bushberg
Radiation Dosimetry of the Patient – Chapter 24, Bushberg

... Radiation Dose  Radiation dose is defined as the absorbed energy per unit mass but this says nothing about the total mass of tissue exposed and the distribution of the absorbed energy  Would you prefer to receive a dose of 10 mGy to the whole body or 20 mGy to the finger?  The 10 mGy whole body d ...
Patient-Centered Radiology
Patient-Centered Radiology

... “Freddie Odlum spent two terrible days waiting by the phone for her doctor to call. She had had a CT scan to investigate a suspicious mass in her lungs and Ms. Odlum, a Los Angeles breast cancer patient, was all too aware that if the cancer had spread, her prognosis would not be good. “But her docto ...
Computed Tomography Routine Examinations and the Related Risk
Computed Tomography Routine Examinations and the Related Risk

... tissues in a thin “slice” of the body. Computed tomography is used in cancer diagnosis in many different ways to detect abnormal growths, helps to diagnose the presence of a tumor, provides information about the stage of cancer, determines exactly where to perform a biopsy procedure. The x-rays, gan ...
Tomotherapy: A "Revolution" in Radiation Therapy
Tomotherapy: A "Revolution" in Radiation Therapy

... treatment, and (3) reconstruction of the actual dose delivered to the patient with the possibility of making corrections in subsequent fractions. Although megavoltage CT images generally have inferior tissue contrast compared with kilovoltage CT, research to date demonstrates that imaging using mega ...
Is the Inferior Vena Cava Really Superior?
Is the Inferior Vena Cava Really Superior?

... the investigation, but one which should be considered when assessing studies that purport to demonstrate that a new technique (whether it is a biomarker or an imaging technique) is superior to the history and physical examination. Where do we go from here? The time has come to assess whether routine ...
Fluorescence Visualization Detection of Field Alterations in Tumor
Fluorescence Visualization Detection of Field Alterations in Tumor

... contrast, only 1 of the 66 FVR margins was dysplastic. In other words, FVL identified 32 of the 33 cancerous or dysplastic biopsies in the 102 margin biopsies, including all of the cancerous and high-grade dysplasias. There was a significant correlation between the presence of high-grade dysplasia a ...
Image Guided Radiation Therapy: Brachytherapy - NA
Image Guided Radiation Therapy: Brachytherapy - NA

... – Gold markers – RF devices ...
Effects on radiation oncology treatments involving
Effects on radiation oncology treatments involving

... neuromodulation devices is not available from any manufacturer nor have test results been published by researchers. Therefore, a recommendation to “not place the device directly in the field of radiation” is provided, which is expected to be considered when planning radiotherapy procedures [6]. This ...
Optimizing radiation dose by varying age at pediatric temporal bone
Optimizing radiation dose by varying age at pediatric temporal bone

... patients undergoing temporal bone CT, and we discuss the validity of radiation dose reduction and its effect on image quality. II. MATERIALS AND METHODS Our retrospective (first-step) and prospective (second-step) studies were approved by our institutional review board; informed patient consent for ...
Required/Required when applicable/Optional
Required/Required when applicable/Optional

... controlled via motion management techniques, care must be taken to ensure accurate targeting of the ITV within the treatment Management of Radiation Dose to the Patient from IGRT NRG Oncology is concerned about the estimated doses given from IGRT, and is committed to limiting the imaging dose when I ...
Overview of Focused Ultrasound (aka `all the fuss over FUS)
Overview of Focused Ultrasound (aka `all the fuss over FUS)

... 67yr old patient with a 2cm HCC primary lesion in segment 5. The liver because it was so large pushed segment 5 well below the ribs providing a reasonable treatment position. Although not an ideal first position, because of some anaesthesia issues due to patient chest problems, it was decided to lea ...
Three-dimensional fusion computed
Three-dimensional fusion computed

... Methods: Our institutional database was reviewed to identify patients undergoing branched or FEVAR. Patients treated using 3D fusion CT were compared with patients treated in the immediate 12-month period before implementation of this technology when procedures were performed in a standard hybrid op ...
What does your CT dose say about your facility?
What does your CT dose say about your facility?

... Even before its patients began asking about dose, Zwanger-Pesiri started to explore how it could further reduce dose in CT. “We see 'low dose' as not only being the right thing to do for our patients, but it also is a real differentiator for us,” says Day. “The question is how do you say that your C ...
Timetable for Medical Physics
Timetable for Medical Physics

... of the accelerator called the wave guide and then allows these electrons to collide with a heavy metal target. As a result of these collision, high energy x rays are scattered from the target. The patient's radiation oncologist prescribes the appropriate treatment volume and dosage. The medical radi ...
Preprint - DTU Orbit
Preprint - DTU Orbit

... centers the daily target alignment of cervical cancer patients is based on bone matching, which is also standard in our department. However, bone matching does not take the relative uterine positional displacement into account. Recently, 3D US has been more frequently applied as an IGRT method and m ...
News Letter - Association of Medical Physicists of India
News Letter - Association of Medical Physicists of India

... Mr.Karthikeyan Treasurer Dr. B. Shwetha ...
Positron Emission Tomography (PET) Fact Sheet
Positron Emission Tomography (PET) Fact Sheet

... days to reconstruct. Today, the same reconstruction takes only a few minutes. The results are 3-dimensional images of the body which can be used to localize normal and abnormal processes, providing clinicians with information about the tissue biochemistry that is unobtainable by other imaging modali ...
Contrast enhanced spectral mammography: A literature
Contrast enhanced spectral mammography: A literature

... Breast cancer detection can be challenging, particularly in dense breasts or breasts post-surgery, even with the addition of ultrasound examination. Contrast Enhanced MRI (CEMRI) is currently the most sensitive imaging modality for breast cancer diagnosis[2] however there are significant barriers to ...
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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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