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. 2017 Oct 20;3(1):87-91.
doi: 10.1016/j.adro.2017.10.005. eCollection 2018 Jan-Mar.

The CivaSheet: The new frontier of intraoperative radiation therapy or a pricier alternative to LDR brachytherapy?

Danushka Seneviratne  1 , Christopher McLaughlin  2 , Dorin Todor  2 , Brian Kaplan  3 , Emma C Fields  2
Affiliations

The CivaSheet: The new frontier of intraoperative radiation therapy or a pricier alternative to LDR brachytherapy?

Danushka Seneviratne et al. Adv Radiat Oncol. .
No abstract available

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Figures

Figure 1
Figure 1
Magnetic resonance imaging scans obtained before treatment (left) and within 3 months of initial external beam radiation therapy (right) revealed a decrease in the size of the mass but indicated persistent encasement of the axillary vessels and several inferior branches of the brachial plexus.
Figure 2
Figure 2
The CivaSheet was cut to size and sewn into the tumor cavity with 3-0 Vicryl sutures.
Figure 3
Figure 3
Computed tomography images of the implanted device obtained for dosimetric analysis, before (top row) and after (bottom row) implantation, with the brachial plexus contoured (green line).
Figure 4
Figure 4
Visualization of the radiation dose distribution.
Figure 5
Figure 5
Coronal (left) and axial (right) computed tomography scans obtained 3 months postimplantation indicate the presence of the source seeds within the region of initial placement. Imaging also demonstrates postsurgical changes that are suggestive of fibrosis.
See this image and copyright information in PMC

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