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Boutry C, Rathbone J, Gibbons F, Brooks D, Moghaddam N, Mays C, Patel P, Malins S. Experiences of deliberate practice orientated psychological skills training for cancer care staff: Barriers and facilitators to learning and implementation in practice. J Health Psychol 2024; 29:467-480. [PMID: 37961944 PMCID: PMC11005300 DOI: 10.1177/13591053231210133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2023] Open
Abstract
This study explored participant-reported facilitators and barriers to learning and implementation from a 2-day training in psychological assessment and intervention skills for cancer staff, involving deliberate practice and supervision. Twenty-six semi-structured interviews were analysed using thematic analysis leading to four meta-themes: perceived practicality of training, impact of training: practice and its effects, implementation transfer processes and supervision engagement. Analysis identified a learning process to implementation: observation and practice of techniques during training facilitated participant learning; personal use and relevance of training content encouraged reflection, which enabled selection of appropriate tools for clinical practice; gains in commitment and confidence to use techniques supported participants to adapt clinical consultations, and supervision further facilitated implementation. Changing practice increased confidence, sense of achievement and engagement with participants' own wellbeing. Interactive training, deliberate practice and continuous learning were facilitators to implementation whilst time constraint and low confidence in using techniques in remote consultations were barriers.
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Affiliation(s)
| | | | | | - Dan Brooks
- Nottinghamshire Healthcare NHS Foundation Trust, UK
- Derbyshire Community Health Services NHS Foundation Trust, UK
| | | | - Chloe Mays
- Nottinghamshire Healthcare NHS Foundation Trust, UK
| | | | - Sam Malins
- University of Nottingham, UK
- Nottinghamshire Healthcare NHS Foundation Trust, UK
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Malins S, Boutry C, Moghaddam N, Rathbone J, Gibbons F, Mays C, Brooks D, Levene J. Psychosocial skills training helps improve skill and well-being. Med Educ 2023; 57:1165-1166. [PMID: 37705225 DOI: 10.1111/medu.15207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 08/23/2023] [Indexed: 09/15/2023]
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Malins S, Boutry C, Moghaddam N, Rathbone J, Gibbons F, Mays C, Brooks D, Levene J. Outcomes of psychological support skills training for cancer care staff: Skill acquisition, work engagement, mental wellbeing and burnout. Psychooncology 2023; 32:1539-1547. [PMID: 37559503 DOI: 10.1002/pon.6200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 06/17/2023] [Accepted: 07/28/2023] [Indexed: 08/11/2023]
Abstract
OBJECTIVE Psychological support skills training has the potential to improve both the ability of cancer staff to help their patients, and staff wellbeing. However, few recent studies have assessed both these outcomes or incorporated current developments in psychological skills training, such as deliberate practice, which includes the use of iterative, corrective feedback to identify and improve individualised skill deficits. No studies have evaluated the contribution that psychological skills training could make to cancer care staff wellbeing and expertise in the wake of the COVID-19 pandemic. This study aimed to evaluate staff skill acquisition and work-related wellbeing following psychological support skills training that applied deliberate practice principles. METHOD A 2-day training and monthly supervision was offered to 145 cancer care staff that focused on brief assessment and intervention skills for patients experiencing mental health problems after cancer diagnosis and treatment. Deliberate practice principles were used to focus training on skills practice and feedback, over technique description. Self-reported ability to perform key skills taught, staff mental wellbeing, work engagement, and burnout were assessed at baseline, 3-month and 8-month follow-up. RESULTS Significant improvements in skills, mental wellbeing, burnout and work engagement were reported at 8-month follow-up. Full engagement in both training sessions was predicted by poorer baseline mental wellbeing, more positive evaluation of initial training, supervision attendance, and shorter follow-up. CONCLUSION A 2-day psychological support skills training using deliberate practice principles may support improvement in staff skill, mental wellbeing, burnout and work engagement.
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Affiliation(s)
- Sam Malins
- University of Nottingham, School of Medicine, Nottingham, UK
- Nottinghamshire Health Care NHS Foundation Trust, Nottingham, UK
| | - Clement Boutry
- University of Nottingham, School of Medicine, Nottingham, UK
| | | | - James Rathbone
- Nottinghamshire Health Care NHS Foundation Trust, Nottingham, UK
| | - Felicity Gibbons
- Nottinghamshire Health Care NHS Foundation Trust, Nottingham, UK
| | - Chloe Mays
- Nottinghamshire Health Care NHS Foundation Trust, Nottingham, UK
| | - Daniel Brooks
- Derbyshire Community Health Services NHS Foundation Trust, Bakewell, UK
| | - Joanna Levene
- Nottinghamshire Health Care NHS Foundation Trust, Nottingham, UK
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Webster L, Boutry C, Gledhill J, Willis A, Bates P, Morriss R. To have and to hold: An exploratory qualitative study exploring why research participants with treatment-resistant depression undergoing transcranial magnetic stimulation treatment requested copies of their research brain MRI scans. J Med Imaging Radiat Sci 2023; 54:S95-S103. [PMID: 37019815 DOI: 10.1016/j.jmir.2023.03.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 02/23/2023] [Accepted: 03/16/2023] [Indexed: 04/05/2023]
Abstract
PURPOSE There has been little research providing an in-depth exploration of the reasons behind research participants, particularly in mental health settings, requesting copies of their research data, such as magnetic resonance imaging (MRI) scans. BRIGhTMIND is a large double blind randomised controlled trial using functional and structural magnetic resonance imaging to create personalised targets for transcranial magnetic stimulation delivery, and a number of trial participants requested copies of these scans. METHODS Seven participants involved in the BRIGhTMIND trial completed semi-structured interviews exploring their reasons behind their request for copies of their MRI scans. The qualitative data was co-analysed between researchers and patient and public involvement and engagement representatives using inductive thematic analysis. RESULTS The interviews produced consistent themes concerning curiosity to visualise their MRI scans, and the hope that their participation would result in a better understanding of the nature and future treatment of depression. Concerns around the rights to access their own personal health data emerged as a clear theme as did their own ability to interpret any radiological information. DISCUSSION This study provides insight into the reasons why research participants with depression would like to retain copies of their MRI scans and the perceived role that such techniques may have for improving research and neuromodulation treatments in depression. Such first-hand experiential accounts emphasises the importance of listening to participants perspectives and lived experience, in order to improve research and health outcomes. Future research could aim to provide greater verbal and written information for participants, including details about the accessibility to their MRI scans, the difference between research and clinical MRI scans, and educational materials to help with the interpretation of MRI images.
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Briley PM, Webster L, Boutry C, Cottam WJ, Auer DP, Liddle PF, Morriss R. Resting-state functional connectivity correlates of anxiety co-morbidity in major depressive disorder. Neurosci Biobehav Rev 2022; 138:104701. [PMID: 35598819 DOI: 10.1016/j.neubiorev.2022.104701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 04/17/2022] [Accepted: 05/13/2022] [Indexed: 10/18/2022]
Abstract
Major depressive disorder (MDD) is frequently co-morbid with anxiety disorders. The co-morbid state has poorer functional outcomes and greater resistance to first line treatments, highlighting the need for novel treatment targets. This systematic review examined differences in resting-state brain connectivity associated with anxiety comorbidity in young- and middle-aged adults with MDD, with the aim of identifying novel targets for neuromodulation treatments, as these treatments are thought to work partly by altering dysfunctional connectivity pathways. Twenty-one studies met inclusion criteria, including a total of 1292 people with MDD. Only two studies included people with MDD and formally diagnosed co-morbid anxiety disorders; the remainder included people with MDD with dimensional anxiety measurement. The quality of most studies was judged as fair. Results were heterogeneous, partly due to a focus on a small set of connectivity relationships within individual studies. There was evidence for dysconnectivity between the amygdala and other brain networks in co-morbid anxiety, and an indication that abnormalities of default mode network connectivity may play an underappreciated role in this condition.
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Affiliation(s)
- P M Briley
- Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK; Institute of Mental Health, School of Medicine, University of Nottingham, Nottingham, UK.
| | - L Webster
- Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK
| | - C Boutry
- Institute of Mental Health, School of Medicine, University of Nottingham, Nottingham, UK
| | - W J Cottam
- NIHR Nottingham Biomedical Research Centre, Queen's Medical Centre, University of Nottingham, Nottingham, UK; Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, UK; Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK
| | - D P Auer
- NIHR Nottingham Biomedical Research Centre, Queen's Medical Centre, University of Nottingham, Nottingham, UK; Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, UK; Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, UK
| | - P F Liddle
- Institute of Mental Health, School of Medicine, University of Nottingham, Nottingham, UK
| | - R Morriss
- Institute of Mental Health, School of Medicine, University of Nottingham, Nottingham, UK; NIHR Nottingham Biomedical Research Centre, Queen's Medical Centre, University of Nottingham, Nottingham, UK
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Patel S, Boutry C, Patel P, Craven MP, Guo B, Zafar A, Kai J, Smart D, Butler D, Higton F, McNaughton R, Briley PM, Griffiths C, Nixon N, Sayal K, Morriss R. A randomised controlled trial investigating the clinical and cost-effectiveness of Alpha-Stim AID cranial electrotherapy stimulation (CES) in patients seeking treatment for moderate severity depression in primary care (Alpha-Stim-D Trial). Trials 2022; 23:250. [PMID: 35379314 PMCID: PMC8978160 DOI: 10.1186/s13063-022-06192-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 03/23/2022] [Indexed: 11/23/2022] Open
Abstract
Background Major depression is the second leading cause of years lost to disability worldwide and is a leading contributor to suicide. However, first-line antidepressants are only fully effective for 33%, and only 40% of those offered psychological treatment attend for two sessions or more. Views gained from patients and primary care professionals are that greater treatment uptake might be achieved if people with depression could be offered alternative and more accessible treatment options. Although there is evidence that the Alpha-Stim Anxiety Insomnia and Depression (AID) device is safe and effective for anxiety and depression symptoms in people with anxiety disorders, there is much less evidence of efficacy in major depression without anxiety. This study investigates the effectiveness of the Alpha-Stim AID device, a cranial electrotherapy stimulation (CES) treatment that people can safely use independently at home. The device provides CES which has been shown to increase alpha oscillatory brain activity, associated with relaxation. Methods The aim of this study is to investigate the clinical and cost-effectiveness of Alpha-Stim AID in treatment-seeking patients (aged 16 years upwards) with moderate to moderately severe depressive symptoms in primary care. The study is a multi-centre parallel-group, double-blind, non-commercial, randomised controlled superiority trial. The primary objective of the study is to examine the clinical efficacy of active daily use of 8 weeks of Alpha-Stim AID versus sham Alpha-Stim AID on depression symptoms at 16 weeks (8 weeks after the end of treatment) in people with moderate severity depression. The primary outcome is the 17-item Hamilton Depression Rating Scale at 16 weeks. All trial and treatment procedures are carried out remotely using videoconferencing, telephone and postal delivery considering the COVID-19 pandemic restrictions. Discussion This study is investigating whether participants using the Alpha-Stim AID device display a reduction in depressive symptoms that can be maintained over 8 weeks post-treatment. The findings will help to determine whether Alpha-Stim AID should be recommended, including being made available in the NHS for patients with depressive symptoms. Trial registration ISRTCN ISRCTN11853110. Registered on 14 August 2020
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Couespel S, Delaby N, Sorel S, Boutry C, Lafond C. EP-1694 Evaluation of a new portal dosimetry solution for dose quality control of Elekta and Varian linacs. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)32114-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Sors A, Dudouet P, Franck D, Macé M, Boucarut P, Boutry C. PO-0890: EPID for QA and pre-treatment verification of electron beams in absolute dose using EpiDream method. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31200-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Boutry C, Rizzo O, Cazaubon E, Godin JP, Horcajada MN, Membrez F, Breuillé D. OR09: Supplementation with Curcumin Improved Age-Related Loss of Muscle Function in Old Rats. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30778-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Fontaine J, Delpon G, Chiavassa S, Pin A, Dudouet P, Franck D, Boutry C. 31. Machine and patient quality controls by portal imaging using independent software. Phys Med 2016. [DOI: 10.1016/j.ejmp.2016.11.083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Sors A, Dudouet P, Franck D, Boutry C. 26. Evaluation of the EpiDream method for quality assurance (QA) of electron beams using a Varian electronic portal imaging device (EPID). Phys Med 2016. [DOI: 10.1016/j.ejmp.2016.11.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Boutry C, Delpon G, Fontaine J, Dudouet P, Franck D. EP-1574: EpiDream: “All-in-One” model for EPID based quality controls. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32824-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Marchesi V, Berger L, Boutry C, Dupuis P, Crespin S, François P. «Transit» in vivo dosimetry in external dosimetry: Recommendations from experts mandated by SFPM. Phys Med 2015. [DOI: 10.1016/j.ejmp.2015.10.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Boutry C, Dudouet P, Franck D. A new approach for calibrating high energy imaging systems (EPIDs) in absorbed dose to water. Phys Med 2015. [DOI: 10.1016/j.ejmp.2015.10.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Delpon G, Chiavassa S, Supiot S, Boutry C, Darréon J, Desrousseaux J, Lafay F, Leysalle A, de Crevoisier R. [Image-guided radiotherapy: Overview of devices and practice in France in 2015]. Cancer Radiother 2015; 19:501-7. [PMID: 26343032 DOI: 10.1016/j.canrad.2015.05.022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2015] [Revised: 05/22/2015] [Accepted: 05/28/2015] [Indexed: 10/23/2022]
Abstract
Image-guided radiation therapy consists in acquiring in-room images to improve patient and mainly tumour set up accuracy. Many devices based on ionising or non-ionising radiations were designed in recent years. The use of such devices is of major importance in the management of patient radiotherapy courses. Those imaging sessions require to clearly define procedures in each radiotherapy department (image modality, acquisition frequency, corrective action, staff training and tasks). A quick review of the different existing image-guided radiation therapy devices is presented. In addition, the results of a French national survey about image-guided radiation therapy are presented: the survey is about both equipment and procedures. A total of 57 radiotherapy departments have participated, representing more than 160 treatment devices. About three linear accelerators out of four are equipped with an image-guiding device. The most common equipment is the CBCT system. Most centres have set up training sessions for the technicians to allow them to analyse online daily images. The management of in-room imaging dose is still under investigation, but many centres use an accounting scheme. While the devices are used to adjust the positioning of patients, in more than half of the centres, the practice had an impact on the choice of clinical and planning target volume margins. This survey led to an inventory in 2015, and could be renewed in some years.
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Affiliation(s)
- G Delpon
- Département de physique médicale, institut de cancérologie de l'Ouest, centre René-Gauducheau, boulevard Jacques-Monod, 44805 Saint-Herblain, France.
| | - S Chiavassa
- Département de physique médicale, institut de cancérologie de l'Ouest, centre René-Gauducheau, boulevard Jacques-Monod, 44805 Saint-Herblain, France
| | - S Supiot
- Département de radiothérapie, institut de cancérologie de l'Ouest, centre René-Gauducheau, boulevard Jacques-Monod, 44805 Saint-Herblain, France
| | - C Boutry
- Groupe Oncorad, clinique du Pont-de-Chaume, 330, avenue Marcel-Unal, 82000 Montauban, France
| | - J Darréon
- Service de physique médicale, institut Paoli-Calmette, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France
| | - J Desrousseaux
- Service de radioprotection et de physique médicale, AP-HM La Timone, 264, rue Saint-Pierre, 13005 Marseille, France
| | - F Lafay
- Département de radiothérapie, centre régional de lutte contre le cancer Léon-Bérard, 28, promenade Léa-et-Napoléon-Bullukian, 69008 Lyon, France
| | - A Leysalle
- Département de radiothérapie, centre régional de lutte contre le cancer Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 2, France
| | - R de Crevoisier
- Département de radiothérapie, centre régional de lutte contre le cancer Eugène-Marquis, avenue de la Bataille-Flandres-Dunkerque, 35000 Rennes, France
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Octave N, Gingras L, Boutry C, Berry I, Beaulieu L. SU-E-J-121: Assessment of Different Approaches of Treatment Plan Selection in a Multiple Plans IGRT Strategy. Med Phys 2011. [DOI: 10.1118/1.3611889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Octave N, Boutry C, Dudouet P, Gingras L, Berry I, Beaulieu L. Continuous Offline Replanning, a New Adaptive IGRT Technique with Daily Cone Beam CT. Int J Radiat Oncol Biol Phys 2010. [DOI: 10.1016/j.ijrobp.2010.07.1719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Octave N, Boutry C, Dudouet P, Gingras L, Berry I, Beaulieu L. Sci-Sat AM(1): Planning - 07: A Novel and Efficient Offline Approach to Replanning Using Daily CBCT Imaging. Med Phys 2010. [DOI: 10.1118/1.3476207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Dudouet P, Boutry C, Mounié G, Latorzeff I, Thouveny F, Redon A. Système d’imagerie par tomographie conique de basse énergie (kV)de Varian™ : expérience de Montauban. Cancer Radiother 2009; 13:375-83. [DOI: 10.1016/j.canrad.2009.06.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2009] [Revised: 05/29/2009] [Accepted: 06/04/2009] [Indexed: 10/20/2022]
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Boutry C, Manens J, Croci S, Scarabin J, Chenal C. 152 New methodologic approach for irradiation parameters determination in stereotactic radiosurgery: Presentation of an optimization software. Eur J Cancer 1995. [DOI: 10.1016/0959-8049(95)95407-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Boutry C, Manens J, Croci S, Scarabin J. Semi-automatic determination of the optimum irradiation parameters in stereotactic radiosurgery. Radiother Oncol 1995. [DOI: 10.1016/0167-8140(96)80568-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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