Planification inverse avec approche par segments anatomiques et non anatomiques en radiothérapie externe appliquée à l'ORL

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ISBN 13 :
Total Pages : 177 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Planification inverse avec approche par segments anatomiques et non anatomiques en radiothérapie externe appliquée à l'ORL by : Charles Lavoie

Download or read book Planification inverse avec approche par segments anatomiques et non anatomiques en radiothérapie externe appliquée à l'ORL written by Charles Lavoie and published by . This book was released on 2006 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dans le but d'offrir des plans de qualités dosimétriques comparable au plan d'IMRT, l'ajout de segments prédéterminés non anatomiques a été réalisé pour les plans balistiques. Avec des corrections manuelles du MLC, il s'est avéré possible de générer des plans comparables à ceux réalisés en IMRT, et ce avec moins de segments et d'UM. Au total, 11 cas ont été réalisés selon cette approche. De plus, la robustesse des deux méthodes de planification à l'amaigrissement du patient et aux erreurs de position du collimateur multilame a été abordée. En IMRT classique, aucune optimisation de l'orientation des faisceaux est réalisée, une distribution coplanaire équidistante est employée. L'impact de l'utilisation des incidences, suggérées par Ballista, a aussi été étudié sur les plans d'IMRT.

Dosimétrie cardiovasculaire à l'aide de fantômes numériques hybrides en radiothérapie externe

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (899 download)

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Book Synopsis Dosimétrie cardiovasculaire à l'aide de fantômes numériques hybrides en radiothérapie externe by : Alexandra Moignier

Download or read book Dosimétrie cardiovasculaire à l'aide de fantômes numériques hybrides en radiothérapie externe written by Alexandra Moignier and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les atteintes cardiovasculaires consécutives à la radiothérapie font partie des effets secondaires tardifs soulevant de nombreuses interrogations au sein de la communauté scientifique, notamment du point de vue de la relation dose-Effet et des effets concomitants d'autres facteurs de risque (chimiothérapie, cholestérol, âge, tension artérielle,...). Les coronaropathies post-Radiques sont une des principales causes de morbidité cardiaque. Cependant, l'étude des doses reçues par les coronaires lors d'une radiothérapie requiert des approximations importantes, notamment d'un point de vue morphologique. Pour les études rétrospectives avec des dossiers médicaux anciens, les informations anatomiques sont réduites à des radiographies orthogonales et quelques contours au simulateur. Pour les dossiers médicaux plus récents, l'utilisation de l'imagerie scanner pour la planification de traitement permet la considération d'une anatomie 3D, toutefois extrêmement limitée pour les coronaires en raison d'une résolution et d'un contraste trop faibles. Par ailleurs, lors de la planification de traitement des patients traités actuellement, les doses reçues par les artères coronaires sont rarement quantifiées en clinique, et quand elles le sont, c'est au moyen d'une segmentation par a priori anatomique. Ce travail de thèse propose une utilisation originale des fantômes numériques hybrides afin d'étudier les doses aux coronaires dans le cadre de radiothérapies du sein gauche et du lymphome de Hodgkin.Au cours de la thèse, une méthode d'insertion de fantômes numériques hybrides au format DICOM dans le système de planification de traitement a été développée et validée. Elle a été adaptée et testée avec des informations anatomiques limitées aux radiographies comme c'est le cas pour les dossiers médicaux anciens, pour des traitements du sein gauche.La méthode a également été adaptée pour effectuer des reconstructions dosimétriques précises aux artères coronaires de patients traités par radiothérapie pour un lymphome de Hodgkin médiastinal, ayant bénéficié d'un suivi cardiovasculaire incluant le diagnostic de sténoses coronariennes à l'aide d'un coroscanner. Par une étude cas-Témoin, le risque de sténoses à un segment d'artère coronaire donné a été évalué comme étant multiplié par 1,049 à chaque Gray aditionnel sur la dose médiane au segment d'artère coronaire.Pour les dossiers actuels, les incertitudes associées à l'approche de segmentation par a priori anatomique des artères coronaires ont été estimées dans le cadre du traitement du sein gauche, en simulant différentes topologies réalistes d'artères coronaires dans un unique thorax et en évaluant les doses, pour une balistique donnée avec et sans irradiation de la chaîne mammaire interne. La variabilité inter-Topologique de la dose moyenne à l'artère coronaire la plus irradiée, l'interventriculaire antérieure, a été estimée à respectivement 35%et 19% avec et sans irradiation de la chaîne mammaire interne tandis qu'avec la dose aux 2% du volume de l'artère interventriculaire les plus irradiés, cette variabilité est respectivement de 76% et 49%.Enfin, l'ordre de grandeur des écarts entre des mesures par films radiochromiques et des calculs de dose du système de planification de traitement ISOgray en bordure de champ et hors du champ a été évalué pour des configurations simple (fantôme physique homogène parallélépipédique, champ carré ouvert) et complexe (fantôme physique anthropomorphe avec hétérogénéités, faisceaux tangentiels rectangulaires avec filtres en coin). Ces écarts sont jugés significatifs essentiellement en bordure de champ quelle que soit la configuration.

The Ladybird Illustrated

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ISBN 13 :
Total Pages : 100 pages
Book Rating : 4.5/5 (61 download)

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Book Synopsis The Ladybird Illustrated by : D H Lawrence

Download or read book The Ladybird Illustrated written by D H Lawrence and published by . This book was released on 2020-11-09 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Ladybird is a long tale or novella by D. H. Lawrence. It was first drafted in 1915 as a short story entitled The Thimble. Lawrence rewrote and extended it under a new title in December 1921 and sent the final version to his English agent on 9 January 1922. It was collected with two other tales, The Captain's Doll and The Fox, and the three novellas were then published in London by Martin Secker in March 1923 under the title The Ladybird and in New York by Thomas Seltzer as The Captain's Doll in April 1923."

Notes on the Minor Prophets

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ISBN 13 :
Total Pages : 464 pages
Book Rating : 4.:/5 (54 download)

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Book Synopsis Notes on the Minor Prophets by : Henry Allan Ironside

Download or read book Notes on the Minor Prophets written by Henry Allan Ironside and published by . This book was released on 1955 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Long Eighth Century

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Publisher : BRILL
ISBN 13 : 9789004117235
Total Pages : 404 pages
Book Rating : 4.1/5 (172 download)

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Book Synopsis The Long Eighth Century by : Inge Lyse Hansen

Download or read book The Long Eighth Century written by Inge Lyse Hansen and published by BRILL. This book was released on 2000 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a major reassessment of the archaeological and documentary evidence for the economic history of eighth-century Europe and the Mediterranean.

Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011

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Publisher : Bloomsbury Publishing
ISBN 13 : 184731869X
Total Pages : 337 pages
Book Rating : 4.8/5 (473 download)

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Book Synopsis Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011 by : Catherine Barnard

Download or read book Cambridge Yearbook of European Legal Studies, Vol 13, 2010-2011 written by Catherine Barnard and published by Bloomsbury Publishing. This book was released on 2011-12-15 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Cambridge Yearbook of European Legal Studies provides a forum for the scrutiny of significant issues in EU Law, the law of the European Convention on Human Rights, and Comparative Law with a 'European' dimension, and particularly those issues which have come to the fore during the year preceding publication. The contributions appearing in the collection are commissioned by the Centre for European Legal Studies (CELS) Cambridge, a research centre in the Law Faculty of the University of Cambridge specialising in European legal issues. The papers presented are at the cutting edge of the fields which they address, and reflect the views of recognised experts drawn from the University world, legal practice, and the institutions of both the EU and its Member States. Inclusion of the comparative dimension brings a fresh perspective to the study of European law, and highlights the effects of globalisation of the law more generally, and the resulting cross fertilisation of norms and ideas that has occurred among previously sovereign and separate legal orders. The Cambridge Yearbook of European Legal Studies is an invaluable resource for those wishing to keep pace with legal developments in the fast moving world of European integration. INDIVIDUAL CHAPTERS Please click on the link below to purchase individual chapters from Volume 13 through Ingenta Connect: www.ingentaconnect.com SUBSCRIPTION TO SERIES To place an annual online subscription or a print standing order through Hart Publishing please click on the link below. Please note that any customers who have a standing order for the printed volumes will now be entitled to free online access. www.hartjournals.co.uk/cyels/subs Editorial Advisory Board: Albertina Albors-Llorens, John Bell, Alan Dashwood, Simon Deakin, David Feldman, Richard Fentiman, Angus Johnston, John Spencer Founding Editors: Alan Dashwood and Angela Ward Ius Commune Prize 2012 Alexandre Saydé wrote Chapter 15 in this volume entitled: 'One Law, Two Competitions: An Enquiry into the Contradictions of Free Movement Law' and we are delighted to announce that he has been awarded the Ius Commune Prize 2012.

Commentary on the Apocalypse

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Publisher : CUA Press
ISBN 13 : 0813201128
Total Pages : 229 pages
Book Rating : 4.8/5 (132 download)

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Book Synopsis Commentary on the Apocalypse by : Oecumenius (Bishop of Tricca.)

Download or read book Commentary on the Apocalypse written by Oecumenius (Bishop of Tricca.) and published by CUA Press. This book was released on 2006-03 with total page 229 pages. Available in PDF, EPUB and Kindle. Book excerpt: No description available

The Promised Lands

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Publisher : University of Pennsylvania Press
ISBN 13 : 9780812213829
Total Pages : 308 pages
Book Rating : 4.2/5 (138 download)

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Book Synopsis The Promised Lands by : Wim Blockmans

Download or read book The Promised Lands written by Wim Blockmans and published by University of Pennsylvania Press. This book was released on 1999 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: They were, in the words of one contemporary observer, ""the Promised Lands."" In all of Europe, only Northern Italy could rival the economic power and cultural wealth of the Low Countries in the later Middle Ages. In The Promised Lands, Wim Blockman

Secretum scriptorum

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Publisher : Maklu
ISBN 13 : 9789053509685
Total Pages : 388 pages
Book Rating : 4.5/5 (96 download)

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Book Synopsis Secretum scriptorum by : Wim Blockmans

Download or read book Secretum scriptorum written by Wim Blockmans and published by Maklu. This book was released on 1999 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Western Home

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Publisher : University of Illinois Press
ISBN 13 : 9780252023279
Total Pages : 464 pages
Book Rating : 4.0/5 (232 download)

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Book Synopsis The Western Home by : Orm Øverland

Download or read book The Western Home written by Orm Øverland and published by University of Illinois Press. This book was released on 1996 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Western Home: A Literary History of Norwegian America is a history of American literature. It is different from other histories of American literature in that the language of the writers and their readers was not English. There have been studies of American authors who have used languages such as French, German, Spanish, or Swedish, but this is the first comprehensive history of any literature written and read in the United States in another language than English. Indeed, most histories of American literature are based on the theory that English is the only American literary language. Such a theory, however, dismisses the fact that English has in periods been a minority language in many areas. In this book American literature is the literature of people who are American by choice or by birth regardless of the language they may have used. This book demonstrates that Norwegian has indeed been an American literary language and that many of the American writers in this language deserve our attention.

Metaphor and Analogy in the Sciences

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Publisher : Springer Science & Business Media
ISBN 13 : 9780792365600
Total Pages : 260 pages
Book Rating : 4.3/5 (656 download)

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Book Synopsis Metaphor and Analogy in the Sciences by : F. Hallyn

Download or read book Metaphor and Analogy in the Sciences written by F. Hallyn and published by Springer Science & Business Media. This book was released on 2000-10-31 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection of papers contains historical case studies, systematic contributions of a general nature, and applications to specific sciences. The bibliographies of the contributions contain references to all central items from the traditions that are relevant today. While providing access to contemporary views on the issue, the papers illustrate the wide variety of functions of metaphors and analogies, as well as the many connections between the study of some of these functions and other subjects and disciplines.

Unidentified

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Publisher : Career Press
ISBN 13 : 9781601633422
Total Pages : 0 pages
Book Rating : 4.6/5 (334 download)

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Book Synopsis Unidentified by : Robert Salas

Download or read book Unidentified written by Robert Salas and published by Career Press. This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1969 the U.S. Air Force issued a statement that read' "No UFO reported, investigated and evaluated by the Air Force was ever an indication of threat to our national security." This statement is patently false. It has been proven untrue by the testimony of many military officers and airmen and documentation of incidents involving UFOs and nuclear weapons, testimonies of which the U.S. Air Force was fully aware. Unidentified details many of these testimonies, some for the first time. As partial justification for its position, the Air Force cites a University of Colorado study that was contracted and paid for by federal funds. Unidentified reveals how this study was actually just another part of the plan to cover up the reality of the UFO phenomenon. For the first time, Unidentified publishes evidence that the investigators for the Colorado study knew about the UFO-related missile shutdown incidents but did not investigate them or include them in their final report.

New Historicism and Cultural Materialism

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Publisher : Bloomsbury Publishing
ISBN 13 : 1349266221
Total Pages : 254 pages
Book Rating : 4.3/5 (492 download)

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Book Synopsis New Historicism and Cultural Materialism by : John Brannigan

Download or read book New Historicism and Cultural Materialism written by John Brannigan and published by Bloomsbury Publishing. This book was released on 2016-02-12 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: New historicism and cultural materialism emerged in the early 1980s as prominent literary theories and came to represent a revival of interest in history and in historicising literature. Their proponents rejected both formalist criticism and earlier attempts to read literature in its historical context and defined new ways of thinking about literature in relation to history. This study explains the development of these theories and demonstrates both their uses and weaknesses as critical practices. The potential future direction for the theories is explored and the controversial debates about their validity in literary studies are discussed.

A History of European Banking

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ISBN 13 : 9789061534693
Total Pages : 422 pages
Book Rating : 4.5/5 (346 download)

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Book Synopsis A History of European Banking by : Raymond Bogaert

Download or read book A History of European Banking written by Raymond Bogaert and published by . This book was released on 2000 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Socialism, Perestroika, and the Dilemmas of Soviet Economic Reform

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Publisher : Routledge
ISBN 13 : 9780367303211
Total Pages : 239 pages
Book Rating : 4.3/5 (32 download)

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Book Synopsis Socialism, Perestroika, and the Dilemmas of Soviet Economic Reform by : John E Tedstrom

Download or read book Socialism, Perestroika, and the Dilemmas of Soviet Economic Reform written by John E Tedstrom and published by Routledge. This book was released on 2021-12-13 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book highlights that Soviet economic planners and politicians must come to recognize the need to make fundamental changes, not simply incremental refinements, in the failing Soviet system. It examines the dynamics of the process of perestroika and the complexity of individual economic issues.

Computing Anticipatory Systems

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Publisher : American Institute of Physics
ISBN 13 : 9780735403314
Total Pages : 674 pages
Book Rating : 4.4/5 (33 download)

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Book Synopsis Computing Anticipatory Systems by : Daniel M. Dubois

Download or read book Computing Anticipatory Systems written by Daniel M. Dubois and published by American Institute of Physics. This book was released on 2006-06-16 with total page 674 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book constitutes the proceedings of the Seventh International Conference on Computing Anticipatory Systems, CASYS'05. The volume includes all invited papers as well as those papers that received a best paper award. Also included is a lecture on "General Principles for Brain Design," presented by Brian D. Josephson, Nobel Laureate in Physics. The papers discuss recent research and development in the modeling and computing of anticipatory systems in fields of natural and artificial systems.

Lost Secrets of the Sacred Ark

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Publisher : HarperCollins UK
ISBN 13 : 000714296X
Total Pages : 466 pages
Book Rating : 4.0/5 (71 download)

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Book Synopsis Lost Secrets of the Sacred Ark by : Laurence Gardner

Download or read book Lost Secrets of the Sacred Ark written by Laurence Gardner and published by HarperCollins UK. This book was released on 2004 with total page 466 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Ark of the Covenant is the source of one of the deepest mysteries of the Western world. Laurence Gardner has accessed Rosicrucian archives to reveal where the Ark is, what it is and how this lost secret of the distant past has led to the phenomenal new science of space-time manipulation.