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dear ladies and gentlemen thank you very much for your participation at this meeting organized by extra and i will make the start with a talk on low-dose radiotherapy the state of the heart i want to show you in my opinion what is going on with lotus radiotherapy this is the device this is an extra device this is a device as we use it in our department in germany in alangen so i want to go um in the talk so seo maybe no low low-dose radiotherapy for benign conditions is controversial issue in some countries itamp;#39;s accepted for more than 100 years for example in germany in other countries itamp;#39;s regarded as harmful for example in the netherlands or the united states so what is why is it controversial this is i want to show it in the next minutes so what about the evidence for radiotherapy for benign inflammatory degenerative muscular skeletal conditions first of all i want to start with our own trial itamp;#39;s a randomized trial with more than 1 000 patients and i want to