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Keywords: Stereotactic Radiosurgery
BReP-SNAP-T-21Accuracy of Dose-Volume Metric Calculation for Small Volume Radiosurgery Targets
D Stanley1*, H Liu2, D Bridges1, E Thomas1, R Cardan1,J Fiveash1, R Popple1, (1) The University of Alabama at Birmingham, Birmingham, AL, (2) Thomas Jefferson University, Philadelphia, PA
BReP-SNAP-T-48Dosimetric Evaluation of Static and Rotating Gamma Ray Systems for Intracranial SRS/SRT
Q Jiang 1*, A Eldib2, L Chen3, D wu4, B Wang5, S Li6, C Miyamoto7, J Li8, B Nguyen9, C Ma10, (1) The First Affiliated Hospital of Chongqing Medical University, Chongqing, China, (2) Fox Chase Cancer Center, Philadelphia, PA (3) Fox Chase Cancer Center, Philadelphia, PA (4) The People`s Hospital of Guangxi Zhuang Autonomous Region ,Guangxi, China (5) Temple University Hospital, Philadelphia, PA, (6) Temple University Hospital, Philadelphia, PA (7) Temple University, Philadelphia,(8) ,Huntingdon Valley, PA, (9) Prowess Inc., Concord, CA, (10) Fox Chase Cancer Center, Philadelphia, PA
BReP-SNAP-T-50Dosimetric Sensitivity to Sources of Uncertainties for Liver Cancer and Trigeminal Neuralgia Treated with Ablative Radiosurgery
M Liu1*, J E Cygler2,1,3, J Doody2, S Malone2, J Pantarotto2, D Tiberi2, E Vandervoort2,1,3, (1) Carleton University, Ottawa, ON, CA, (2) The Ottawa Hospital Cancer Centre, Ottawa, ON, CA, (3) University of Ottawa, Ottawa, ON, CA
BReP-SNAP-T-62Examining the Capability of Versa HD to Accurately Treat Single-Isocenter Multi-Lesion Brain Patients
R McGurk1*, E Schreiber1, M Dance1, S Stathakis2, K Zourari3,4, G Kalaitzakis3,5, E Zoros3,4, E Pappas3,6, B Read7, P Barry7, N Papanikolaou2, S Das1, P Mavroidis1, (1) University of North Carolina at Chapel Hill, Chapel Hill, NC, (2) Mays Cancer Center - MD Anderson Cancer Center, San Antonio, TX, (3) 3RTsafe P.C., Athens, Greece, (4) Medical Physics Laboratory, Medical School, National and Kapodistrian University of Athens, Athens, Greece, (5) Department of Medical Physics, University of Crete, Heraklion, Greece, (6) Radiology & Radiotherapy Sector, Department of Biomedical Sciences, University of West Attica, Athens, Greece, (7) Oncology Solutions, Elekta AB
BReP-SNAP-T-85Improving Uncertainty in GammaPod Dose Through the Use of ND,w and IAEA TRS 483
B Yi*, S Becker, Univ. of Maryland School Of Medicine, Baltimore, MD
BReP-SNAP-T-95Laser-Like X-Ray Sources for a New Stereotactic Radiotherapy Paradigm
E Simiele*, D Breitkreutz, D Capaldi, L Skinner, Stanford University, Stanford, CA
BReP-SNAP-T-97Lesion Specific Asymmetric Rotational Margins for Targets Remote From Isocenter
C Dial*, V Sarkar, A Paxton, G Nelson, B Salter, University of Utah, Salt Lake City, UT
BReP-SNAP-T-113Portal Dosimetry Scripting Application Programming Interface (PDSAPI) for Winston Lutz Test
Y Hao, M Schmidt, Y Wu, M Yaqoub*, N Knutson, Washington University School of Medicine, St Louis, MO
BReP-SNAP-T-117Prioritizing Patient-Specific Geometry: Beam Angle Optimization in Stereotactic Radiosurgery
T Mann*, N Ploquin, K Thind, Tom Baker Cancer Center/University of Calgary, Calgary, AB
BReP-SNAP-T-127Surface Area Matters: The SRS/SRT Intermediate Dose Spill Depends On PTV Surface Area (not PTV Volume)
D Desai1, I Cordrey2*, E Johnson3, S Srinivasan4, H Elasmar5, (1) Memorial Hospital, Hixson, TN, (2) Hillsdale Wildflower Refuge, Cookeville, TN, (3) Univ Kentucky Medical Ctr, Lexington, KY, (4) Memorial Health Care System, Hixson, TN, (5) Memorial Health Care System, Chattanooga, TN
PO-GeP-M-224Feasibility of Surface Tracking During Framed Stereotactic Radiosurgery
A Paxton*, V Sarkar, H Zhao, C Dial, B Salter, University of Utah, Salt Lake City, UT
PO-GeP-M-312On the Feasibility of Daily Delivered Dose Evaluation Using RTapp for Adaptive Lung SBRT Treatments
N Zulkarnain*, D Mathew, C Cho, A Santhanam, D Elliott, S Seshan, Y Watanabe, University of Minnesota, Minneapolis, MN
PO-GeP-M-325Patterns in the Diffusion Characteristics of Brain Metastases in Stereotactic Radiosurgery Patients Using Diffusion Weighted Imaging
J Madamesila*, N Ploquin, E Tchistiakova, Tom Baker Cancer Center, Calgary, AB, CA
PO-GeP-M-328Pre-Clinical Evaluation of a Surface Imaging System for Intracranial Stereotactic Radiosurgery
E Covington1*, C Huyghe2, S Wiesner2, D Hanson2, R Popple1, (1) University of Alabama-Birmingham, Birmingham, AL, (2) Varian Medical Systems, Palo Alto, CA
PO-GeP-M-385Stereotactic Space Definition Accuracy in the Latest Gamma Knife Icon Based Radiosurgery
B Liu1*, T Cui1, N Yue1, S Danish1, J Weiner1,K Nie1, (1) Rutgers Cancer Institute of New Jersey, New Brunswick, NJ
PO-GeP-P-61Dosimteric Impact of Distortion Correction of MR Image Set for Cranial Stereotactic Radiation Treatments
R Sandhu*, C Knill, I Grills, P Chinnaiyan, Z Seymour, Beaumont Health System, Royal Oak, MI
PO-GeP-P-94The Effect of Different Aperture Shape Controller Modes in Eclipse Photon Optimizer for Lung SBRT Planning
J Fang1*, Z Zhang2, D Zhu1, K Yu3, (1) Saint Thomas Rutherford Hospital, Murfreesboro, TN, (2) University of Miami, Coral Gables, FL, (3) John Patrick University Of Health & Applied Sciences, South Bend, IN
PO-GeP-T-45A Novel Conformity Index to Minimize Volume Effects: Application in SRS/SRT
S Oh*, Y Liang, H Lee, D Lee, J Sohn, Allegheny Health Network, Pittsburgh, PA
PO-GeP-T-89Adrenal SBRT Treatment Using ExaCradle Dampening System
F Clemente-Gutierrez*, F San Miguel Avedillo, P Chamorro Serrano, Hospital Central de la Defensa "Gomez Ulla", Madrid, MES,
PO-GeP-T-154Beyond TG119: Providing Multiple Institutional Planning and Dosimetry Comparisons for Stereotactic Radiosurgery Commissioning
J Burmeister1*, R Culcasi2, G Baran3, M Dominello4, A Molineu5, S Benedict6, R Popple7, B Salter8, K Yenice9, (1) Karmanos Cancer Center / Wayne State University School of Medicine, Detroit, MI, (2) Karmanos Cancer Center / Wayne State University School of Medicine, Detroit, MI, (3) Karmanos Cancer Center, Detroit, MI, (4) Wayne State University School of Medicine, Detroit, MI, (5) UT MD Anderson Cancer Center, Houston, TX, (6) UC Davis Cancer Center, Sacramento, CA, (7) Univ Alabama Birmingham, Birmingham, AL, (8) University Utah, Salt Lake City, UT, (9) University of Chicago, Chicago, IL
PO-GeP-T-165Can We Use a Decay Plan for GammaPod APBI Treatments?
M Guerrero*, B Zhang, E Nichols, S Becker, Univ. of Maryland School Of Medicine, Baltimore, MD
PO-GeP-T-188Clinical Implementation of a New a Single-Isocenter Multiple-Target Cranial Optimization Algorithm
C Knill*, R Sandhu, R Halford, L Lin, Z Seymour, I Grills, P Chinnaiyan, Beaumont Health System, Royal Oak, MI
PO-GeP-T-206Comparative Study of SRS End-To-End QA Processes of a Diode Array Device and An Anthropomorphic Phantom Loaded with Radiochromic XD Film
S Lim*, M Chan, L KUO, T Li, X Li, A Ballangrud, D Lovelock, Memorial Sloan Kettering Cancer Center, New York, NY
PO-GeP-T-249Creating a High Quality Reference Data Set for SRS Cones
N Knutson*, Y Hao, T Mazur, M Schmidt, F Reynoso, Washington University School of Medicine, St Louis, MO
PO-GeP-T-253Cyberknife MultiPlan IMRT QA Comparison Between MapCHECK2 and SRS MapCHECK
W Feng1*, J Feng2, J Yang3, J Zhou4, C Yang5, L Zhou6, J Sakellakis7, P Abbass8, (1) Saint Barnabas Medical Center, Livingston, NJ, (2) Philadelphia Cyberknife, Havertown, PA, (3) Alliance Imaging/Alliance Oncology, Havertown, PA, (4) Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, (5) Monmouth Medical Center, Long Branch, NJ, (6) Livingston, NJ, (7) Clara Maass Medical Center, Montville, NJ, (8) 21st Century Oncology, Jupiter, FL
PO-GeP-T-273Determination of Confidence Limits for Linac-Based SRS Point, Composite and Per-Field Measurements From a Clinically Comprehensive SRS Test Suit
G Baran1*, R Culcasi1, M Dominello2, J Burmeister1,2, (1) Karmanos Cancer Institute, Detroit, MI (2) Wayne State University School of Medicine, Detroit, MI
PO-GeP-T-309Dose Calculation Accuracy Comparison of BrainLab Monte Carlo and Eclipse Acuros XB for SRS/SBRT Planning
J Yoon*, A Gray, The University of Rochester Cancer Cen, Rochester, NY
PO-GeP-T-317Dosimetric Advantages of Partial Prostate SBRT Compared to Whole-Gland SBRT
C Langmack1*, B Traughber1,2, M Kharouta1,2, R Ellis1,3, E Fredman1,2, L Ponsky1,2, M Machtay1,2, T Baig1, K Xu1, T Podder1,2, (1) University Hospitals, Cleveland, OH, (2) Case Western Reserve University, Cleveland, OH, (3) Penn State Cancer Institute, Hershey, PA,
PO-GeP-T-325Dosimetric Comparison Between Two Dose Calculation Algorithms Available in Gamma Knife Planning System (the Traditional TMR10 and the New Convolution Algorithms)
M Fager1*, A Carlsson Tedgren1, M Gubanski2, P Forander3, H Benmakhlouf1, (1) Department of Radiotherapy Physics and Engineering, Karolinska University Hospital, Solna, AB, SE, (2) Department Of Radiation Oncology, Karolinska University Hospital,Solna, AB, SE,(3) Department Of Neurosurgery, Karolinska University Hospital,Solna, AB, SE,
PO-GeP-T-327Dosimetric Comparison of Gamma Knife(R) IconTM and Linear Accelerator-Based FSRT Plans for the Re-Irradiation of Large (> 14 Cc) Recurrent Glioblastomas
M Schelin*, H Liu, W Shi, Y Yu, K Mooney, Thomas Jefferson University, Philadelphia, PA
PO-GeP-T-340Dosimetric Evaluation of a New Integrated SBRT/IMRT Treatment System
D wu1*, A Eldib2, L Chen3, Q Jiang4, B Wang5, T Dos Santos6, C Ma7, (1) The People`s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, CN, (2) Fox Chase Cancer Center, Philadelphia, PA, (3) Fox Chase Cancer Center, Philadelphia, PA, (4) The First Affliated Hospital of Chongqing Medical University, Chongqing, Chongqing, CN, (5) Temple University Hospital, Philadelphia, PA, (6) AdventHealth at Gordon, Calhoun, GA, (7) Fox Chase Cancer Center, Philadelphia, PA
PO-GeP-T-375Efficient Quality Assurance Method for Multi-Lesion Stereotactic Radiosurgery Treatment with a Single Isocenter
H Kang*, S Gros, R Patel, Loyola Univ Medical Center, Maywood, IL
PO-GeP-T-404Evaluation of Correlation Between Tumour Volume and Plan Quality Metrics in Stereotactic Radiotherapy
N Loganathan*, V Goel, Max Super Speciality Hospital, Shalimarbagh, New Delhi, Delhi INDIA,
PO-GeP-T-413Evaluation of Respiratory Phase Shifts Between Lung Tumor and External Marker Motions Using a 320-Slice Volumetric 4D-CT
Y Akino1*, O Suzuki2, H Shiomi2, F Isohashi2, Y Seo2, K Tamari2, T Hirata2, K Ogawa2, (1) Osaka University Hospital, Suita, Osaka, JP, (2) Osaka University Graduate School of Medicine, Suita, Osaka, JP
PO-GeP-T-425Evaluation of Trends and Performance Indicators for IROC Houston's SRS Head Phantom
H Mehrens*, T Nguyen, M Glenn, D Branco, S Edward, S Hartzell, N Hernandez, P Alvarez, A Molineu, P Taylor, D Followill, S Kry, MD Anderson, Houston, TX
PO-GeP-T-432Examining the Capability of Precision, IPlan, Raystation and Monaco to Satisfy the UNC Treatment Planning Protocol of Stereotactic Radiosurgery for Multi-Lesion Brain Cases
E Schreiber1*, M Dance1, S Stathakis2, A Licon2, N Papanikolaou2, S Das1, P Mavroidis1, (1) Univ North Carolina, Chapel Hill, NC, (2) Mays Cancer Center - MD Anderson Cancer Center, San Antonio, TX
PO-GeP-T-444Feasability Study Of Stereotactic Intracranial Treatments On Halcyon Treatment Machine
F JOSSERAND PIETRI1*, D NGUYEN2, V Passerat3, N Barbet2, M Khodri2, (1) Radiotherapy Center ORLAM, MERMOZ, Lyon, 69, FR, (2) Radiotherapy centers of ORLAM group, Macon, ,FR, (3) Radiotherapy Centers Of Orlam Group, Villeurbanne,,FR
PO-GeP-T-456Feasibility Study of Total Lymph Node Planning with Halcyon Using Three Isocenters
W Feng1, M Needham2, G Huebscher3, S Zhang4, W Qi5, A Grann6*, (1) Saint Barnabas Medical Center, Livingston, NJ, (2) Saint Barnabas Medical Center, Livingston, NJ, (3) Saint Barnabas Medical Center, Livingston, NJ, (4) Alliance Imaging/alliance Oncology, Havertown, PA, (5) Alliance Imaging/alliance Oncology, Havertown, PA, (6) Saint Barnabas Medical Center, Livingston, NJ
PO-GeP-T-468Full Automation of Spine Stereotactic Radiosurgery/Stereotactic Body Radiation Therapy (SRS/SBRT) Planning Using Varian Eclipse Scripting API
J Teruel*, M Malin, A McCarthy, E Sulman, J Silverman, D Barbee, Department of Radiation Oncology, NYU Langone Health, New York, NY
PO-GeP-T-479How Much CTV Coverage Is Lost When the PTV Margin Is Zero?
J Chang1*, (1) Northwell Health and Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Lake Success, NY
PO-GeP-T-505Implementing Volume-Staged Radiosurgery for Treatment of Large-Volume Arteriovenous Malformations On a Conventional Linac-Based System
E Sudentas*, Mount Sinai West, New York, NY
PO-GeP-T-507Implications of Metallic Spine Hardware On Dosimetry and Image Verification in Spine SBRT
E Tchistiakova*, H Morrison, K Thind, N Ploquin, Tom Baker Cancer Center, Calgary, AB,CA
PO-GeP-T-565LINAC-Based Stereotactic Radiosurgery Dosimetric Outcomes Dictated by Isocenter Settings
J Zhang1*, S Lee2, W Inouye2, W Lien1, (1) Southern California Permanente Medical Group, Los Angeles, CA, (2) Va Long Beach Healthcare System,Long Beach, CA
PO-GeP-T-614Optimisation Strategy and Conformity Guidance for Mono-Isocentre SRS VMAT of Targets
K Blythe*, D Eaton, Guys And St Thomas Nhs Foundation Trust
PO-GeP-T-618Optimization of Treatment Isocenter Location in Radiation Therapy to Minimize the Impacts of Rotational Uncertainties
T Cui1*, Y Zhou2, N Yue3, I Vergalasova4, Y Zhang5, J Zhu6, K Nie7, (1) Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, (2) Fudan University Zhongshan Hospital, Shanghai, 31, CN, (3) Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, (4) Rutgers, Cancer Institute of New Jersey, New Brunswick, NJ, (5) Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, (6) Rutgers cancer institute of New Jersey, New Brunswick, NJ, (7) Rutgers Cancer Institute of New Jersey, New Brunswick, NJ
PO-GeP-T-631Patient SRS Plans Verification of the New O-Ring System (Halcyon™)
D NGUYEN1*,J FARAH3, F JOSSERAND PIETRI2, M KHODRI1, (1) Radiotherapy centers of ORLAM group, MACON,FR, (2) Radiotherapy centers of ORLAM group, LYON,FR, (3) Vision RT Ltd, LONDON,UK
PO-GeP-T-651Pre-Clinical Testing On a Novel Film OrthoChromic OC-1 for Quality Assurance in Radiation Therapy
W Feng1*, A Chu2, C Shi3, (1) Saint Barnabas Medical Center, Tenafly, NJ, (2) Montefiore Medical Center, Bronx, NY, (3) Memorial Sloan Kettering Cancer Center, Marlboro, NJ
PO-GeP-T-692Rapid Hippocampal Sparing HyperArc VMAT Radiosurgery for Multiple Brain Metastases
A Palmiero*, L Critchfield, t hunter, W St Clair, M Randall, D Pokhrel, University of Kentucky, Lexington, KY
PO-GeP-T-714Scanning Beam-Based Dose Delivery for Rotating Gamma Ray Systems for Intra- and Extra-Cranial SRS/SBRT
J Xu*, C Ma, Fox Chase Cancer Center, Philadelphia, PA
PO-GeP-T-715Scripting API-Based Frame Coordinate Calculator for Stereotactic Body Radiotherapy
Y Park1*, Z Iqbal1, A Pompos1 (1) UT Southwestern Medical Center, Dallas, TX
PO-GeP-T-726Single Isocenter Multiple Target Stereotactic Radiosurgery Commissioning Experience From Concept to Patient Specific QA
M Piantino*, D Piantino, J Anderson, M Cohen, R Prahbu, S Burri, Atrium Health Levine Cancer Institute - Morehead, Charlotte, NC
PO-GeP-T-729Small Field Stereotactic Radiosurgery Fluence Measurement for Cone and MLC-Based Plans Using SRS MapCHECK
C Geraghty1*, T Li2, J Carroll3, B Hasson4, (1) Anne Arundel Medical Center, Annapolis, MD, (2) ,Annapolis, MD, (3) Versant Medical Physics & Radiation Safety, Tewksbury, MA, (4) Anne Arundel Medical Center, Annapolis, MD
PO-GeP-T-735Spinal Stereotactic Radiotherapy Treatment Plan Quality and Delivery Comparison Between a Conventional Linac and a 1.5T MR-Linac
M Aima*, E Han, N Hughes, T Briere, D Yeboa, P Castillo, J Wang, J Yang, S Vedam, The University of Texas MD Anderson Cancer Center, Houston, TX
PO-GeP-T-757TG-119 Equivalent for SRS: Standardizing Linac Based Stereotactic Radiosurgery (SRS) Dosimetric Commissioning Using a Clinically Comprehensive Set of Intracranial Optimization Problems
R Culcasi1*, G Baran1, M Dominello2, J Burmeister1,2, (1) Karmanos Cancer Institute, Detroit, MI (2) Wayne State University School of Medicine, Detroit, MI
PO-GeP-T-763The Dosimetric Characteristics of Titanium Implants On Proton Spine SBRT
M Kang1*, J Yamada2, L Hu1, C Ackerman1, C Apinorasethkul1, P Park1, J Moreau1, G Yu1,I Choi1, C B Simone II1, H Lin1, (1) New York Proton Center, New York, NY, (2) Memorial Sloan-Kettering Cancer Center, New York, NY
PO-GeP-T-764The Dosimetric Effect of Vertebral Body Replacement/Fixation Devices On Spine SBRT: A Monte Carlo Study
X Chen1*, J Fan2, I Veltchev1, J Li3, J Meyer1, C Ma1, (1) Fox Chase Cancer Center, Philadelphia, PA, (2) Inova Health System, Fairfax, VA, (3) OUR United RT Group, Xi'an, China
PO-GeP-T-824Use of Octavius 4D for the Patient Specific Dose Validation of Single-Isocenter Multiple Brain Metastasis Stereotactic Radiosurgery
J McCulloch*, J Pawlowski, N Kirby, K Rasmussen, Z Shi, P Myers, S Stathakis, N Papanikolaou, D Saenz, Mays Cancer Center - MD Anderson Cancer Center, San Antonio, TX
PO-GeP-T-838Validation of a New Tool for Testing Spatial Accuracy of Off-Axis Beam Apertures Used in Single-Isocenter Stereotactic Treatment of Multiple-Metastases of the Brain
D Pinkham1*, A Murray2, H Kudrolli2, S Hancock3 (1) Yale School of Medicine, New Haven, CT, (2) Sun Nuclear Corporation, Melbourne, FL, (3) Southeast Missouri Hospital, Cape Girardeau, MO
TH-AB-TRACK 4-4Deep-Learning Based Auto-Detection of Brain Metastases for Stereotactic Radiosurgery
Z Tian*, S Kahn, W Curran, T Liu, X Yang, Winship Cancer Institution, Emory University, Atlanta, GA
TH-D-TRACK 6-1An Integrated Quality Assurance Phantom for Frameless Single-Isocenter Multitarget Stereotactic Radiosurgery: A Multi-Institutional Trial
D Capaldi1*, T Nano2, L Skinner3, C Chuang4, P Dubrowski5, L Xing6, A Yu7, (1) Stanford University, Stanford, CA, (2) University of California, San Franisco, San Francisco, CA, (3) Stanford University Cancer Center, Stanford, CA, (4) Stanford, Stanford, CA, (5) Stanford University, San Jose, CA, (6) Stanford Univ School of Medicine, Stanford, CA, (7) Stanford University Cancer Center, Stanford, CA
TH-D-TRACK 6-2Analytical Setup Margin for Spinal SBRT Based On Measured Errors
A Barron1*, A Copeland2, J Fontenot1,2, (1) Mary Bird Perkins Cancer Center, Baton Rouge, LA, (2) Louisiana State University, Baton Rouge, LA
TU-C-TRACK 5-0Matters of the Heart: From Cardiac Radioablation to Cardiac Sparing and Toxicity
C Robinson1*, M Cao2*, C Glide-Hurst3*, (1) Washington University, Saint Louis, MO, (2) UCLA School of Medicine, Los Angeles, CA, (3) Henry Ford Health System, Detroit, MI
TU-C-TRACK 5-1Clinical Outcomes after Noninvasive Cardiac Radioablation for Ventricular Tachycardia (VT)
C Robinson1*, M Cao2*, C Glide-Hurst3*, (1) Washington University, Saint Louis, MO, (2) UCLA School of Medicine, Los Angeles, CA, (3) Henry Ford Health System, Detroit, MI
TU-C-TRACK 5-2Imaging technologies for Stereotactic Ablative Radiotherapy (SABR) of Cardiac Ventricular Tachycardia
C Robinson1*, M Cao2*, C Glide-Hurst3*, (1) Washington University, Saint Louis, MO, (2) UCLA School of Medicine, Los Angeles, CA, (3) Henry Ford Health System, Detroit, MI
TU-C-TRACK 5-3Leveraging advanced technologies for improved cardiac sparing
C Robinson1*, M Cao2*, C Glide-Hurst3*, (1) Washington University, Saint Louis, MO, (2) UCLA School of Medicine, Los Angeles, CA, (3) Henry Ford Health System, Detroit, MI
TU-D-TRACK 3-3First-In-Canada Non-Invasive Cardiac Radio-Ablation: Physics Considerations
K Lekx-Toniolo*, G Cook, M Lacelle, G Fox, E Ali, The Ottawa Hospital, Ottawa, ON, Canada