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Intra-operative electrons: ELIOT trial

ELIOT system : single dose 21Gy intra-operative electrons

immediately post-operatively pioneered in Milan

RCT of breast EBRT vs. ELIOT shows higher local cancer

recurrence with ELIOT

EBRT 5 year recurrence 0.4%

ELIOT 5 year recurrence 4.4%

Only recommended in clinical trials with small tumours

Veronesi et al. Lancet Oncology (2013) 14: 1269