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NIBB, noninvasive image-guided breast brachytherapy

New technique, first report on 40 patients in Brachytherapy in 2014

Treatment is with breast compressed and immobilized sequentially in 2 orthogonal

axes for each fraction

RT delivered using collimated emission from a HDR Ir-192 source with specialized

applicators

Schematic applicator

Circular channel at the base of the

applicator allows for HDR Ir-192

source transit and dwell position

Hepel et al, Brachytherapy 2014