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Non-Invasive Breast Brachytherapy (NIBB) is a non-invasive approach (no catheters or needles) that combines real-time mammographic image-guidance with breast immobilization to allow the radiation oncologist to identify and treat the target tissue. Tungsten shielded applicators are connected to an HDR afterloader and radiation is delivered parallel to chest wall using what is referred to as a “4-field box” technique. Studies indicate this combination of features provide for a substantial reduction in radiation dose to the skin, chestwall, heart and lungs. [1] [2] Conformal radiation fields together with breast immobilization and mammographic imaging allow for notable reductions to the PTV. [3] [4] Currently, NIBB is being used for the delivery of either APBI or the “Boost” portion of Whole Breast Irradiation (WBI).
Ekimyenoom ( talk) 13:54, 4 May 2018 (UTC) Ekimyenoom ( talk) 15:06, 4 May 2018 (UTC)
References
I'll defer to @ Jytdog:'s judgment on this, if he's willing to have a look at it. spintendo 16:47, 4 May 2018 (UTC)