BaSO4 mixed with PBS is a good contrast agent in biodegradable polymer marker because of minimal artifacts in x-ray images and minimal dose reduction in proton therapy. The flexibility of the size is considered to be an advantage of this material over solid type fiducials.
Effectively exploring the efficacy of synchronous computer-mediated communication (SCMC) for pedagogical purposes can be achieved through the careful investigation of potentially beneficial, inherent attributes of SCMC. This study provides empirical evidence for the capacity of task-based SCMC to draw learner attention to linguistic forms by offering opportunities for corrective feedback and incidental recasts, highlighting learners' errors. The findings open up the discussion on the meaning of feedback considering learners' perceptions and the unique SCMC features. The findings indicate that learners do not attend to corrective feedback that promote "the corrector" and "the corrected" relationships. Rather, they benefit from incidental recasts that coincidentally contrast with their ill-formed L2 production. This study also challenges the previous assumptions regarding certain SCMC features believed to be beneficial to learners. Features like split turns increase learners' cognitive load and make it difficult for learners to follow the flow of the conversation. Considering split turns of SCMC and learners' different perceptions on tasks, this study calls for reframing recasts in SCMC and more sensitive research methods for investigating SCMC interaction.
Objectives This study evaluated the objective response to and toxicity of trans-arterial chemo-embolisation (TACE) followed by radiotherapy and hyperthermia (CERT) in hepatocellular carcinoma patients with portal vein tumour thrombosis. Methods The study design was a single-centre prospective phase II trial. Patients were first treated with TACE, with the first hyperthermia session 1 week later. Respiration-gated radiotherapy (RT) was delivered in 10 fractions of 3-5 Gy after another week. Six sessions of hyperthermia were delivered twice a week according to an energy escalation protocol. Response evaluation was planned at 1 month after RT completion using the modified Response Evaluation Criteria in Solid Tumors (RECIST). Toxicity was determined using the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. Results Interim analysis was conducted on patients enrolled from October 2013 to November 2014. During this period, 46 patients (90.2%) who received at least one hyperthermia session were eligible and enrolled. Median follow-up was 6.7 months (range 2.0-15.0 months). Complete response was observed in 10 (21.7%) patients and partial response in 27 (47.8%). Most toxicities were grade I or II. One death was related to severe pneumonia of unknown cause in the left lung and one patient could not complete planned treatment because of continuous elevation of bilirubin after TACE. Late, asymptomatic gastroduodenal toxicities were noticed in 13 (28.3%) patients. Conclusion Preliminary evaluation of CERT showed a promising response rate with acceptable toxicities.
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