Shireen Parsai
@SParsaiMD
Followers
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Following
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392
Radiation Oncologist in Columbus, OH. Tweets are my own.
Columbus, OH
Joined September 2016
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Thanks
@QuadShotNews
for highlighting our recently published Phase 1/2 first-in-human trial of Temporally Feathered Radiation Therapy.
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As we are concluding our mental and spiritual practice of fasting during Ramadan, here’s a reminder of the physical benefits of adopting a lifestyle of less. Here’s to the midday latte I’ve been craving all month, Eid Mubarak! 10.1056/NEJMra1905136
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Our TFRT trial is open to accrual! Let's improve quality of life for our head and neck patients!
@CancerConnector
@npjccf
@RichardLJQiuPhD
@PQiPhD
@JeremyDonaghue
@jc_atlantis
@ShlomoKoyfmanMD
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.
@RTendulkarMD
gave his residents “get out chart rounds free keys”! Love it! Model program director to promoting to residents’ well-being!
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I'm in awe of the beauty that people can create, as well as the ability of others, like Mohammad Reza Domiri Ganji, to capture and magnify it.
#Domiri
#NasirAlMulkMosque
#Shiraz
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Today’s the last interview day at the Cleveland Clinic! Happy to have met so many talented residency candidates. Looking forward to calling all of you colleagues soon!
#CleClinCancer
@ASTRO_org
@ARRO_org
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As a physician and a humanitarian, I stand with the people of Palestine. Trapping 2.2 million people in an open air prison, starving them, cutting off electricity, then telling them to leave when there is no way out is a global atrocity.
#FreeGaza
#FreePalestine
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Had a great day seeing kids beating cancer with my coresident
@ShaunaRadOnc
! St Jude Hospital is a special place.
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Congrats Dr. Kevin Stephans for being selected teacher of the year '17-18! You have shown dedication to teaching, from mentoring half the residency group on research projects to always being patient with our endless questions in the clinic.
@MdStephans
@DrJohnSuh
@RTendulkarMD
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This is my community. If I could do it all over again, I would still choose Rad Onc. For the Med Students, Rad Onc is where it’s at!
#ASTRO19
@CleClinicMD
#womenwhocurie
@DrJohnSuh
Thanks to everyone who attended our reception this evening especially the
#radonc
residents who trained over the past 20 years
@CleClinicMD
and former staff. It was wonderful to see everyone.
#CleClinicCancer
#ASTRO19
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Love this group of co-residents! Always great to celebrate happy moments in and out of the hospital! Asuman turns one!
@sarahkilicmd
#womenwhocurie
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Succinct summary of our first prospective trial of Temporally Feathered Radiation Therapy (TFRT). Check out the figures from our planning paper!
@CancerConnector
@RichardLJQiuPhD
@PQiPhD
@DrNikhilJoshiMD
We just finished our first-in-human trial of Temporally Feathered Radiation Therapy. Expect a pre-print in the coming weeks. tl;dr it is feasible :)
#radonc
#oncoalert
-- today the step-by-step guide to planning, led by
@SParsaiMD
is out! a THREAD (1/n)
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Our Dr. Videtic
@videtig
becomes a fellow of ASTRO. Thankful for my mentors at
#CleClinicCancer
.
#ASTRO18
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Chief emeritus,
@ajuloorimd
speaks about adjuvant immunotherapy after lung SBRT.
#ASTRO2018
@RTendulkarMD
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Eric Murray leading our dosimetry workshop on breast planning following the newly published "Strategies for Radiation Therapy Treatment Planning." Full with images of cold spots and techniques to reduce them!
@PhDpingxia
@AGodleyPhD
@CShahMD
@videtig
@DrJohnSuh
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My brother
@ShayanMusavi7
is an aspiring gardener and wants tips on how to turn his thumbs up into a green thumb
@geraldstratfor3
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Back in the saddle this morning in solidarity with
@CancerConnector
who’s riding the 2-day 200 miler in support of cancer research!
#VeloSano6
@CleClinicMD
@clevemetroparks
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Every morning I come in to a new book sitting on my desk! Thanks
@npjccf
! Great new study reference!
#CleClinicCancer
@ASTRO_org
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High energy educational session with Dr. Laura Dawson on GI malignancies! Happy to visit with an expert in the field.
@RTendulkarMD
@DrJohnSuh
#CleClinicCancer
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Inspiring afternoon discussion with visiting professor Dr. Haas-Kogan, rad onc chair at Dana Farber
#CleClinicCancer
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Do you know how to integrate artificial intelligence in the practice of radiation oncology? Great talk by Dr. Brock and Dr Dekker!
#ASTRO18
@CancerConnector
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Thanks Dr. Rupesh Kotecha for giving the residents a virtual talk, calling in from Miami Cancer Institute, to teach us about proton therapy and MR Linac!
#CleClinicCancer
#radonc
@DrJohnSuh
@RTendulkarMD
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Representing Cleveland Clinic at the Spring Clinical AAPM meeting
@CancerConnector
@jc_atlantis
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Six feet is the safe social distance out in the parks, but perhaps it should also be the new safe distance to pass a road biker!
@JuliaColemanMD
@clevemetroparks
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Last ride!
@DrJohnSuh
may beat me on the uphills, but I’ll beat him on the downhills! Wish I got my brakes checked sooner! 😱🚲
#VeloSano
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@drjamesgood
@davidbermudezi
@CancerConnector
@npjccf
@RichardLJQiuPhD
@PQiPhD
@JeremyDonaghue
@jc_atlantis
@ShlomoKoyfmanMD
Sure, the concept is rather simple. Our goal is to allow normal tissues more time to recover from sublethal damage induced by RT. Story short, we keep the tumor dose the same but rotate the dose to the nearby critical structures on a daily basis.
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Published results of SBRT for metastatic sarcoma
@CancerConnector
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Thank you visiting professor, Dr. Bob Timmerman, for sharing your insights in treating lung cancer, brain tumors, and SAbR techniques!
@UTSWNews
@utswcancer
#radonc
#clecliniccancer
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.
@Delta
how can we stock the in-flight medical kit with
@3MLittmann
stethoscopes? The current disposable set is insufficient to listen to heart sounds over the ambient cabin noise.
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Thank you
@RTendulkarMD
for sending me to the chief resident workshop! Dr. Peter Rea gave us a talk highlighting the 4G’s: Giver, Grit, Growth mindset, Gratitude.
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A page from
@MartinTomMD
's book chapter on Spine Ependymoma in the new textbook Adult CNS Radiation Oncology. Check it out!
@SamuelChaoMD
@DrEHBalagamwala
@DrJohnSuh
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Reducing Normal Tissue Toxicity in Cancer Treatment Using Temporally Feathered, Intensity-Modulated Radiation Therapy via
@CleClinicMD
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It’s October and the daffodils outside my office have been in full bloom since February. Is there cause for concern?
#plantsofradonc
@sarahkilicMD
@geraldstratfor3
@fumikochino
@ShaunaRadOnc
@nbn426
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Learning simulation set-ups this morning with
@DrOmarMian
! Thanks to
@SarahSittenfeld
for being our practice patient!
@RTendulkarMD
@DrJohnSuh
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Thank you Dr. Ahluwalia
@BrainTumorDoc
for giving us a 2 part series on systemic therapies for glioblastoma and brain tumors. The landscape is changing quickly with the optimization of immunotherapy!
#CleClinicCancer
#Radonc
@DrJohnSuh
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@MartinTomMD
@ErinMurphyMD
@ajuloorimd
@ManyamMD
@IAbuGhiedaMD
Woohoo! Beautiful night in San Antonio, thank you for joining us
@ErinMurphyMD
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@RTendulkarMD
@ShlomoKoyfmanMD
@SAmarnathMD
@ErinMurphyMD
@MdStephans
...while the attendings are smiling and eating cake in the clinic...
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@drjamesgood
@davidbermudezi
@CancerConnector
@npjccf
@RichardLJQiuPhD
@PQiPhD
@JeremyDonaghue
@jc_atlantis
@ShlomoKoyfmanMD
Previous modeling has demonstrated potential for reduced normal tissue complication probability by using this technique of planning.
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Our first year doing a dosimetry workshop series as part of our residency curriculum. Thanks
@RichardLJQiuPhD
for your dedication to these efforts! We designed a palliative set up to this sheep!
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We are looking forward to the next steps of a larger phase 2 study with an automated planning process! On brand for
@CancerConnector
for bringing together a team of physicists, dosimetrists, therapists, theoretical mathematicians and clinicians.
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@CancerConnector
@HIY_RadOnc_YCC
@changjeesuk1
@YONSEISnW
@NMeskoMD
@LNystromMD
Full manuscript coming soon!
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@SBRT_CR
@CancerConnector
@cd_fuller
@theheikman
@jc_atlantis
@npjccf
@CleClinicMD
@Rad_Nation
@AGodleyPhD
@PhysicsNews
@aapmHQ
Coming soon is our step-by-step planning guide! Thankful for our physicists who have been committed bring TFRT to fruition!
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@PhDpingxia
@LamaMossolly
@DrJohnSuh
@CShahMD
@AGodleyPhD
@videtig
@ClevelandClinic
The residents need to get a copy to add to our library. It will be a nice complement to the dosimetry workshop
@RichardLJQiuPhD
has diligently put together for us!
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We had an extraordinary team of physicists who made this all possible. See our how-to guide on planning here: . Special thanks to
@RichardLJQiuPhD
and
@PQiPhD
!
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@DGlaucomflecken
@james_t_webber
@rweichselbaum
would think Milo has made a great choice choosing radiation oncology
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My lovely neighbor made it to 💯!
#centenarian
#1921
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@DrJohnSuh
@kailin_yang
@ASCO
@CleClinicLCM
@CancerConnector
Kailin is a very deserving scientist and clinician! His work in CNS malignancies will continue to advance our field. Congrats
@kailin_yang
!
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@Anoopharidass1
@CancerConnector
@npjccf
@RichardLJQiuPhD
@PQiPhD
@JeremyDonaghue
@jc_atlantis
@ShlomoKoyfmanMD
Accrual is now complete, thanks to support from our head and neck team! Data to be reported soon!
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@DrewMoghanaki
My word to all: I denounce any act of violence and killing. There should be no lives lost. Be careful not to equate Palestinian civilians with Hamas or terrorists. The current genocide against Palestinians cannot be ignored.
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Only 3 days left to my bike race to FIGHT CANCER! Please help me reach my fundraising goal! DONATE HERE:
@bikeVeloSano
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@PottersMD
agreed, we prospectively review 100% of our definitive cases - both contours and plan. it allows for meaningful discussions that directly affect our patients.
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@SBalikPhD
@cd_fuller
@CleClinicMD
Also a big thanks to collaborators at CCF:
@RichardLJQiuPhD
@PQiPhD
@npjccf
@CancerConnector
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@fumikochino
Beautiful! My hand blown glass pumpkins are one of my favorite things! I hope yours brings you just as much joy!
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@ShaunaRadOnc
@EJeansMD
@XRT_GabrielleWP
@annalaucis
@akuczmarska
@jwitt9
@nbn426
@AnnaLeeMDMPH
@emily_merfeld
@ChristenElledge
@christinefeng
@DrChowdharyMD
@fumikochino
@JAMRadOnc
@VikramJairamMD
@Dr_TVThomasMD
@jryckman3
@KimCorbinMD
@drdavidpalma
@ProtonStorey
@SprakerMDPhD
@MartinTomMD
@jennamkahn
@ChelainG
@S_Dooley7
I pledge to oppose racism and hate through active allyship, learning, and listening. Nominating 5 others to do the same.
@sarahkilicmd
@ajuloorimd
@DrJohnnyRadOnc
@HElhalawaniMD
@JBroughmanMD
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@IMRiversideOH
@mustafabasree
@smalltownOMS
At Riverside, the interns go home sooner than the attendings!
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“your vanities are ugly; your delusions are laughable; your arrogance is condemnable; and human dignity is one and the same for all.” -Dr. Khaled Abou El Fadl
@usuliinstitute
@ShayanUsuli
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This article is a must-read about how we arrived to the current response to the pandemic, the forecast for the upcoming months, and the aftermath.
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@CancerConnector
@ProfAJChalmers
@npjccf
@ProfAJChalmers
, you are correct. The capability of the tissue to recover is built into our NTCP model. And the benefit of TFRT hinges on this. Though, at the moment we don’t have a good measure of tissue’s propensity to recover.
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Love the smart use of technology in developing teaching aids!
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@RTendulkarMD
@SAmarnathMD
@tjroycemd
@raphaelyechieli
@WCInvestor
Thankful for
@RTendulkarMD
and
@SAmarnathMD
for always working hard to make us well rounded rad oncs!
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@d_golden
@MKnoll_MD
@cd_fuller
@subatomicdoc
@SuzanneColeMD
Had a nice discussion with
@DrAndrewVassil
yesterday about prospective peer review and the importance of intervening at a time that meaningful change can be made. We have instated two-way prospective peer review with all of our regional rad onc departments.
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@CancerConnector
@sarahkilicMD
@geraldstratfor3
@fumikochino
@ShaunaRadOnc
@nbn426
@ajuloorimd
I’m so comforted to learn it’s not an immortal daffodil
0
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@DrewMoghanaki
@archpics
first clinical oncology congress being held this year in Iran. Can educate and sightsee!
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@ShaakirHasan
@drjamesgood
@davidbermudezi
@CancerConnector
@npjccf
@RichardLJQiuPhD
@PQiPhD
@JeremyDonaghue
@jc_atlantis
@ShlomoKoyfmanMD
We will be tracking time required for planning during the trial...as the physician, I like to consider it a “relatively simple”. Our physicists may not say the same, but were able to create plans within 2-3 days in our dosimetric studies.
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@CGlideHurst
@drjamesgood
@davidbermudezi
@CancerConnector
@npjccf
@RichardLJQiuPhD
@PQiPhD
@JeremyDonaghue
@jc_atlantis
@ShlomoKoyfmanMD
We’ve allowed for adaptive planning on the trial if needed. But it will be a bit of a race for our physicists to plan very quickly in that scenario.
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TFRT delivers tumoricidal doses to the target daily while spatiotemporally feathering dose to the surrounding OARs. Theoretically, this creates potential for increased normal tissue recovery & less OAR toxicity. See theory here special thx to
@jc_atlantis
:
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@SprakerMDPhD
@MHadziMD
@DrChowdharyMD
@nbn426
@RadoncUh
I used to be so anticolorwash, but I’ve come to realize the wisdom behind it!!
0
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@npjccf
@MichaelWellerMD
@DrJohnSuh
The residents will use it to study! We will need to get a copy for the resident library!
0
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@MKnoll_MD
@cd_fuller
@subatomicdoc
@d_golden
@SuzanneColeMD
What’s the proposed solution to bridge the gap? Not all physicians can work at large centers and similarly not all patients can travel to those centers
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@DrChowdharyMD
@CancerConnector
@brettcoxmd
@RadoncTables
@subatomicdoc
@DrSpratticus
@cpeedell
@DrAndrewLoblaw
@ErinGillespieMD
@NiuSanford
@AnushaKalbasiMD
@SprakerMDPhD
16 patients in our series, 30 Gy/ 5 fx on consecutive days, immediate surgery within 7 days. LC and toxicity have been favorable. Really shortens the preop course!
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@songye_cui
@CancerConnector
@npjccf
@RichardLJQiuPhD
@PQiPhD
@JeremyDonaghue
@jc_atlantis
@ShlomoKoyfmanMD
Yes that’s our original modeling paper. We also have a step-by-step planning guide which is written and will be submitted soon for publication!
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@CancerConnector
@KimpleRandall
@UWiscResearch
@KimpleRandall
thanks for spending time with the residents!
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@sarahkilicMD
@OH_Riverside
I’m gonna miss you
@sarahkilicMD
, Asuman, and
@suatkilicMD
a ton! It’s hard to leave Cleveland!
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@ParikhSimul
@AramModrek
While I see your point Simul, I think simplifying the complex practice of radiation oncology to drawing circles is problematic. We need highly analytical, thoughtful physicians diagnosing and treating patients. That’s what this is all about in the end.
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@HenningWillers
@rweichselbaum
@profOvergaard
@ELTravisPhD
@CancerConnector
@bradwouters
@MB01307
@BLoo_LT_SABR
@DrSpratticus
@ProfAJChalmers
@IBCradiation
Lifelong risk! The most extreme example is the pediatric patients we treat
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@tmprowell
How can we flatten the curve when those that need access to PCPs for testing and appropriate quarantine, don’t have it? At the individual hospital-level, people have started taking responsibility to offer free testing.
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@CancerConnector
@AmandaMaggiotto
@LNystromMD
@NMeskoMD
@gt_budd
@ShepardDale
@CShahMD
I want to attend journal club!
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Ever wonder why airplanes have flotation devices but no parachutes?? I did, and here is the answer!
0
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@d_golden
@RTendulkarMD
@CleClinicMD
@ajuloorimd
@UChicagoRadonc
@UChicagoMed
@UCCancerCenter
We certainly are going to miss him!
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@SprakerMDPhD
@TimothyKruserMD
@PhilosopherMD1
@bslotman
@XRT4U
@finn_corinne
@SalmaJabbour1
@ken4englewood
@DrAlexLouie
@drdavidpalma
@samsonpp
@DanTrifMD
It was an old paper by DeAngelis, published in the 1980s maybe
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