PubMed · 9542425
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B de la Calle Reviriego, P Albert de la Cruz. 1997. [Mechanical ventilation].. https://pubmed.ncbi.nlm.nih.gov/9542425/
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An approach to potential improvements in magnetic field shielding for a gradient coil system with cylindrical geometry is presented, utilizing "supershielding" conditions for the currents on both the primary and the secondary coils. It is demonstrated that the field can be strongly suppressed everywhere outside a cylindrical shield coil radius, even though the finite-length active shield only partially surrounds a primary coil. The supershielding method, which is aimed at controlling eddy currents, still has sufficient freedom to maintain the desired magnetic field behavior inside the imaging volume. The trade-off is an additional primary current oscillation and increased current peaks and field energy. This method has been applied to design short transverse and axial gradient coils, giving substantially improved shielding compared to an apodization method. Magn Reson Med 45:147-155, 2001.
Vacuum extractors have replaced forceps for many situations in which assistance is required to achieve vaginal delivery. Compared with metal-cup vacuum extractors, soft-cup devices are easier to use and cause fewer neonatal scalp injuries; however, they detach more frequently. Vacuum extractors can cause neonatal injury. These devices should be employed when indicated, usually for a nonreassuring fetal heart tracing or failure to progress in the second stage of labor. Complications may be minimized if the physician recognizes contraindications to the use of vacuum extraction. Complete documentation is essential.
PURPOSE: To evaluate intrafractional tumor position stability during computed tomography (CT)-guided frameless stereotactic radiation therapy (SRT) for lung or liver cancers, we checked repeated CT scanning, with a fusion of CT and linear accelerator (FOCAL) unit. METHODS AND MATERIALS: The FOCAL unit is a combination of a linear accelerator (Linac), CT scanner, X-ray simulator (X-S), and carbon table, and is designed to achieve CT-guided SRT with daily CT positioning followed by immediate irradiation while patients keep reduced shallow respirations. To evaluate intrafractional tumor position stability, 50 lung or liver lesions in 20 patients were checked by repeated CT scanning just before and after irradiation, and the obtained images were compared. RESULTS: There was no case with the intrafractional error judged to be greater than 10 mm. In 68% of cases, the intrafractional positioning errors were negligible (0-5 mm). CONCLUSIONS: Using the FOCAL unit, SRT for lung or liver cancers could be performed with intrafractional positioning errors not greater than 10 mm.