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for dose optimization. Standard 2d  发帖心情 Post By:2015-4-27 15:39:58

 
Another important thing is the usage of the powder only a least amount of powder ould be used Carrom powder when scattered ross the board will cut the roughness and enhances the pocket flow At the same time excess usage of powder ould be avoided as it will disrupt the flow of the gameWhen the carrom powder is sprinkled on surfe of the board then automatically fiction is reduced thus assists faster and smoother games It enables the game to be pla[censored] in a soft and quick way To cut the friction high quality food-grade powder ould be used because only high-quality powder helps and allows for smoother tion of the piecesThe main function of this powder is that it reduces the friction and it will be bking the board thereby allowing the coins to flow into the pocket easily which results in fast playFor far-rehing board life and finest performance use only a little measure of powder before starting eh game There are different types of powders available in the market and an important thing which must be avoided is the mix of powders One ould not mix different powders and use as this will result in a different retion In case if you are planning to use a different powder simply wipe off the board with a soft cloth and then switch to different powdersHence to sum up the usage of carrom board powder is a must because it allows playing the game smoothly as well as exists as a support to the carrom boardThings to be avoided:The carrom board ould not be exposed to direct sunlight also it must be kept away from any kind of heat radiator If exposed it will result in a severe damage especially the polied surfe will get damagedWhen you are planning to buy a carrom board online make sure that you get it from reputed store such that it will stand long Carromgear. which is one of the best online stores for all types of carrom game like carrom board Ty Lawson Big & Tall Jersey , carrom powder, board games and high quality products needed for the purpose of carrom gear. Auf der Jagd nh einer der zahlreichen Arten von Kratom online komn Kratomfans an an dem niederl盲ndischen Onlineh盲ndler Thai Kratom nicht vorbei, denn dieses ist unter anderem auf die verschiedenen Kratom-Artikel spezialisiert. Neben einem umfassenden und qualitativ hochwertigen Produktangebot hat der Betrieb Thai Kratom seinen Kunden auch noch eas anderes zu bieten Nuggets Lawson Jersey , das die Einzigartigkeit von Thai Kratom hervorhebt . Besonders der gut organisierte Prozess von der Order bis zur Lieferung durch Thai Kratom hebt sich von anderen H盲ndlern positiv ab und erm枚glicht eine sehr rasche Anlieferung beim K盲ufer . Im Gegensatz zu einer Masse an Kratom-Artikeln suchen Kunden nh verz枚gerten Lieferzeiten bei der Order bei Thai Kratom vergebens . Mehrere Abl盲ufe im Unternehn Thai Kratom sind so perfektioniert , dass im Sinne des Kunden sowohl Zeit als ebenfalls Kosten eingespart werden. Bei einem Eingang von Bestellung sowie Zahlung bis 15 Uhr erfolgt der Warenversand noch taggleich . F眉r Worldwide breast cancer is the most mon malignancy in won. In the developed world, it is responsible for 18 percent of all cases of cancers seen in won. One million new cases of breast cancer are registered worldwide every year and it is the single monest cause of death among won in the 40- 50 years age group. In India breast cancer is the second monest cancer seen in the won after carcinoma cervix. Its prevalence is higher in urban won and it aounts for 20% of all cancer related diseases. In Mumbai and Delhi Ty Lawson Jersey , it is the monest malignancy seen in won. In India it has an incidence of 17-40 cases per 1, 00,000 population and the 5 years survival is 42.3 percent to 46.8 percent.Conventionally radiotherapy in early breast cancers is done by the whole breast technique which utilizes o tangential ports. Upper margin of the radiotherapy field lies at the first intercostals spe 2015 Denver Nuggets Jerseys , and the lower margin lies 2 cm below the inferior mammary line. Medial margin is in the midsternal line and the lateral margin is at the mid axillary line. A total dose of 50 Gy in 25 frtions is given over 5 weeks by conventional frtionation followed by boost of 10-20 Gy. This technique is easy to setup, and avoids the junction dose. Computerizes planning is done for dose optimization. Standard 2d treatnt (conventional radiotherapy) techniques utilizes a simplistic view of patient anatomy and it creates ‘hot spot’ because lung transmission is not aurately included and thinner regions of breast (superior and inferior) are modeled like the thickest slice of the breast. Thus conventional radiotherapy has limitations in the treatnt of breast cancer and these include.? Dose inhomogeniety – due to change in the contours of the breast 15–20 percent of dose inhomogenicity in the superior and the inferior planes of the breast ours. The dial and lateral aspects of the breast get higher doses of radiation.? Radiation panints i. e. radiation effects on normal tissues in the field are seen unmonly but they do our in the lungs and the heart. Newer techniques are able to minimize them.The newer techniques are used to? Improve dose homogeneity within the tumor volu.? Avoid radiation to normal tissues in the area.? Reduce side effects related to the radiation treatnt.? Improve local tumor control and overall survival of the patient.In an attempt to address the above ntioned paraters a number of newer radiotherapy techniques have been introduced for the treatnt of early breast cancer. These include IMRT, external beam RT using 3D conformal RT Denver Nuggets Jerseys , Intraoperative Electron Beam RT, Mammosite Ballon Branchytherapy and interstitial branchytherapy. Gated radiotherapy is also available.All these techniques need a CT scan based treatnt planning system and require the use of tissue pensators.IMRTIMRT is an approh to conformal therapy that not only delivers high dose to the tumor tissue but also ensures low dose to the surrounding normal tissue. The dose is varied depending on the

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for dose optimization. Standard 2d








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