Foreword |
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xi | |
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Foreword |
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xiii | |
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Preface |
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xv | |
Acknowledgments |
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xvii | |
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Part I: General Principles of Radiosurgical Planning |
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1 | (46) |
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What Is This Book and What Is Radiosurgical Planning? |
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3 | (14) |
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Preliminaries I: Three Confessions, an Apology and a Promise |
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3 | (1) |
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Preliminaries II: Is This Book for Beginners or Experts? |
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4 | (1) |
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Preliminaries III: What Is in This Book? |
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4 | (1) |
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5 | (2) |
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7 | (3) |
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Isodose Lines Versus Isodose Shells |
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10 | (2) |
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12 | (1) |
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Prescriptions to Isodose Lines: Problems |
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12 | (1) |
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Radiosurgical Heresy: The Utility of Heterogeneity |
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13 | (1) |
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Selection of Isodose Lines |
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14 | (1) |
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So What is Radiosurgical Planning? |
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15 | (2) |
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Introducing the Gamma Knife, Its Algorithm, and Its Strategies |
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17 | (12) |
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18 | (2) |
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The Gamma Knife: Perfection or Perfexion? |
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20 | (7) |
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27 | (2) |
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Introducing the CyberKnife, Its Algorithm, and Its Strategies |
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29 | (6) |
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A Different Animal: The CyberKnife |
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29 | (1) |
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The CyberKnife: Inverse Planning |
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30 | (1) |
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31 | (1) |
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32 | (1) |
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33 | (2) |
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Compromises and Four Goals of Radiosurgical Planning |
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35 | (4) |
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Why Every Plan Is a Compromise |
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35 | (1) |
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Goal One: Punish the Guilty |
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36 | (1) |
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Goal Two: Protect the Innocent |
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36 | (1) |
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Goal Three: Guide the Heat |
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37 | (1) |
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Goal Four: Minimize the Volume |
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38 | (1) |
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39 | (8) |
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39 | (1) |
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Choose the Dose, Tumor Size, and Critical Structures |
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40 | (1) |
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40 | (1) |
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40 | (3) |
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Choose the Prescription Isodose Line |
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43 | (1) |
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43 | (1) |
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Choose How to Protect the Innocent |
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44 | (1) |
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45 | (1) |
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45 | (2) |
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Part II: Tricks and Picks |
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47 | (104) |
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49 | (64) |
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49 | (3) |
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49 | (1) |
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49 | (1) |
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Spread Out Your Shots: Introducing Renormalization |
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50 | (2) |
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52 | (1) |
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52 | (1) |
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Tricks for Geometric Building Blocks |
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52 | (10) |
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53 | (1) |
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The Virtual Collimator on-the-Fly |
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53 | (1) |
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The Virtual Collimator Revisited |
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54 | (1) |
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Making Nubbins: Renormalization Again |
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54 | (3) |
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Making Ovals and Barbells |
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57 | (2) |
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59 | (1) |
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59 | (1) |
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Renormalization for Large Targets |
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60 | (1) |
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The Virtual Collimator Revisited Again |
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61 | (1) |
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62 | (3) |
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62 | (2) |
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64 | (1) |
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65 | (1) |
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65 | (1) |
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66 | (1) |
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66 | (1) |
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66 | (4) |
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Quick Comparisons of Different Treatments |
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67 | (1) |
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Quick Comparison of Different Plans |
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68 | (1) |
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Better Ways to Move Shots |
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68 | (1) |
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68 | (1) |
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68 | (1) |
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Critical Doses at a Glance |
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69 | (1) |
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70 | (2) |
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70 | (1) |
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Influence at a Distance by Renormalization |
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71 | (1) |
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Effortless Expansion and Contraction |
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71 | (1) |
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Tricks for Managing the Heat |
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72 | (11) |
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72 | (1) |
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73 | (1) |
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74 | (2) |
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76 | (1) |
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76 | (2) |
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78 | (1) |
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79 | (2) |
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81 | (2) |
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Tricks for Arteriovenous Malformations |
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83 | (4) |
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84 | (2) |
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86 | (1) |
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87 | (5) |
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87 | (1) |
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88 | (1) |
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89 | (1) |
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Reaching Laterally: The Plug-Squash Trick |
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89 | (2) |
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91 | (1) |
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The Half-Doughnut Trick: Vertical and Horizontal Shots |
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91 | (1) |
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Tricks for Multiple Lesions |
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92 | (6) |
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Tricks for Multiple Lesions |
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93 | (2) |
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95 | (1) |
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Top-to-Bottom Matrix Organization |
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96 | (2) |
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Segregation of Collimators |
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98 | (1) |
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98 | (1) |
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98 | (1) |
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Whole Numbers for Trunnions |
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98 | (1) |
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99 | (1) |
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99 | (5) |
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Save Time with Fewer Groups |
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99 | (1) |
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100 | (1) |
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100 | (1) |
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Control Your Angles with Asymmetric Plugs |
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100 | (3) |
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103 | (1) |
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Tricks Especially for Perfexion |
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104 | (6) |
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Understanding the Isodose Lines |
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104 | (1) |
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105 | (2) |
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107 | (1) |
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107 | (1) |
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Doughnuts to Perfexion: A Hypothesis |
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108 | (1) |
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Corruption of Dose Gradient |
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108 | (1) |
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The Time Cost of Sector Blocking |
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109 | (1) |
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A Final, Special Gamma Knife Trick |
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110 | (3) |
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110 | (3) |
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113 | (38) |
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113 | (2) |
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113 | (1) |
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114 | (1) |
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115 | (3) |
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115 | (1) |
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Collimator Size: Simplicity |
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116 | (1) |
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Collimator Size: Complexity |
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116 | (1) |
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117 | (1) |
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118 | (2) |
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Choose Your Margins: Tumors |
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118 | (1) |
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119 | (1) |
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119 | (1) |
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120 | (2) |
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120 | (1) |
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121 | (1) |
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122 | (1) |
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The Power of Small Collimators |
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122 | (1) |
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Forcing the Low-Isodose Line |
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122 | (1) |
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123 | (7) |
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123 | (1) |
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123 | (1) |
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Control Dose with a Margin Call |
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124 | (1) |
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124 | (1) |
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Anisotropy to the Rescue: Lopsided Margin Structures |
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125 | (1) |
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Ultimate Control of Dose with Shells and Margins |
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126 | (2) |
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Protecting the Innocent with Buffer Zones |
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128 | (1) |
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Splitting Critical Structures |
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129 | (1) |
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129 | (1) |
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130 | (6) |
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130 | (1) |
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131 | (1) |
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Trim a Little Off the Top, Please |
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132 | (1) |
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133 | (1) |
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133 | (1) |
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134 | (1) |
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135 | (1) |
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136 | (3) |
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136 | (1) |
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137 | (2) |
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139 | (3) |
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139 | (2) |
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141 | (1) |
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142 | (3) |
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142 | (1) |
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142 | (1) |
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143 | (1) |
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Non-isocentric May Not Be Best |
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144 | (1) |
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What to Tell Your Physicist |
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145 | (1) |
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145 | (3) |
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Keeping Track of Treatment Time |
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145 | (2) |
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147 | (1) |
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148 | (3) |
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148 | (3) |
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Part III: Parting Shots: How the Culture of Radiosurgery Affects Radiosurgical Planning |
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151 | (14) |
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Radiosurgery as a Human Effort |
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153 | (12) |
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153 | (3) |
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156 | (3) |
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159 | (2) |
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The Physicist (The UK Perspective) |
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161 | (4) |
References |
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165 | (2) |
Appendixes |
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167 | (2) |
Appendix I: Site of Maximum Dose of Two Shots of Unequal Size |
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169 | (2) |
Appendix II: Exercises for Gamma Knife Radiosurgical Planning |
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171 | (4) |
Appendix III: Tutorial for the Gamma Knife Simulator |
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175 | (4) |
Index |
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179 | |