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we do depend on our radiologist colleagues to show us the area we have to remove if we cant feel it some surgeons actually are comfortable with ultrasound in the operating room if its something that can be seen with ultrasound then the surgeon can use it as their guide to remove what they need to remove its very nice to be able to take out that tissue do what we need to do to get the proper technique to use the ultrasound while the patients asleep and say well that margin looks good and that margin looks good but this is basically the same as an x-ray or an ultrasound from the radiologist but we are at least saying this feels close lets put that ultrasound on that tumor and lets see how the margin looks the second thing is is that in some operating rooms we have what is a mini self-contained radiology device it is shielded so that no one in the room gets radiated like youre having a chest x-ray and everyones getting you know everyone hide youre going to have the radiation so