Effect of anode angle on photon beam spectra and depth dose characteristics for X-RAD320 orthovoltage unit

Background

In radiation therapy with orthovoltage units, the tube design has a crucial effect on its dosimetric features.

Aim

In this study, the effect of anode angle on photon beam spectra, depth dose and photon fluence per initial electron was studied for a commercial orthovoltage unit of X-RAD320 biological irradiator.

Materials and methods

The MCNPX MC code was used for modeling in the current study. We used the Monte Carlo method to model the X-RAD320 X-ray unit based on the manufacturer provided information. The MC model was validated by comparing the MC calculated photon beam spectra with the results of SpekCalc software. The photon beam spectra were calculated for anode angles from 15 to 35 degrees. We also calculated the percentage depth doses for some angles to verify the impact of anode angle on depth dose. Additionally, the heel effect and its relation with anode angle were studied for X-RAD320 irradiator.

Results

Our results showed that the photon beam spectra and their mean energy are changed significantly with anode angle and the optimum anode angle of 30 degrees was selected based on less heel effect and appropriate depth dose and photon fluence per initial electron.

Conclusion

It can be concluded that the anode angle of 30 degrees for X-RAD320 unit used by manufacturer has been selected properly considering the heel effect and dosimetric properties.     

Normoxic polymer gel dosimetry using less toxic monomer of N-isopropyl acrylamide and X-ray computed tomography for radiation therapy applications

Background

Polymer gel dosimetry has been used extensively in radiation therapy for its capability in depicting a three dimensional view of absorbed dose distribution. However, more studies are required to find less toxic and more efficient polymers for application in radiotherapy dosimetry.

Aim

The purpose of this work was to evaluate the N-isopropyl acrylamide (NIPAM) gel dosimetric characteristics and optimize the protocol for X-ray computed tomography (CT) imaging of gel dosimeters for radiation therapy application.

Material and methods

A polymer gel dosimeter based on NIPAM monomer was prepared and irradiated with ⁶⁰Co photons. The CT number changes following irradiation were extracted from CT images obtained with different sets of imaging parameters.

Results

The results showed the dose sensitivity of ΔN_CT (H) = 0.282 ± 0.018 (H Gy⁻¹) for NIPAM gel dosimeter. The optimized set of imaging exposure parameters was 120 kV_p and 200 mA with the 10 mm slice thickness. Results of the depth dose measurement with gel dosimeter showed a great discrepancy with the actual depth dose data.

Conclusion

According to the current study, NIPAM-based gel dosimetry with X-ray CT imaging needs more technical development and formulation refinement to be used for radiation therapy application.     

Intérêt de l’imagerie hybride TEMP-TDM dans l’histiocytose langerhansienne osseuse. À propos d’un cas

Langerhans’ cell histiocytosis is a non-malignant proliferative disease of unknown etiology. It is a rare illness affecting mainly children and young adults with a male predominance. It can affect one or many organs. The bone locations are the most frequent. We present one case of multifocal Langerhans’ cell histiocytosis in a 22-year-old male patient followed for diabetes insipidus with an enlargement of the pituitary stalk at the magnetic resonance imaging (MRI), and a lytic bone lesion revealed in lumbar spine (L2) by ^99mTc-HMDP scintigraphy conducted in planar mode, and then in Single Photon Emission Computed Tomography coupled to Computed Tomography (SPECT/CT) in hybrid mode. To this end, we propose to highlight diagnostic gain of SPECT/CT compared with SPECT and planar scintigraphy to characterize radiotracer uptake abnormalities in bone in Langerhans’ cell histiocytosis.     

Optical and NMR dose response of N-isopropylacrylamide normoxic polymer gel for radiation therapy dosimetry

Background

Application of less toxic normoxic polymer gel of N-isopropyl acrylamide (NIPAM) for radiation therapy has been studied in recent years.

Aim

In the current study the optical and NMR properties of NIPAM were studied for radiation therapy dosimetry application.

Materials and methods

NIPAM normoxic polymer gel was prepared and irradiated by 9 MV photon beam of a medical linac. The optical absorbance was measured using a conventional laboratory spectrophotometer in different wavelengths ranging from 390 to 860 nm. R₂ measurements of NIPAM gels were performed using a 1.5 T scanner and R₂–dose curve was obtained.

Results

Our results showed R₂ dose sensitivity of 0.193 ± 0.01 s⁻¹ Gy⁻¹ for NIPAM gel. Both R₂ and optical absorbance showed a linear relationship with dose from 1.5 to 11 Gy for NIPAM gel dosimeter. Moreover, absorbance–dose response varied considerably with light wavelength and highest sensitivity was seen for the blue part of the spectrum.

Conclusion

Our results showed that both optical and NMR approaches have acceptable sensitivity and accuracy for dose determination with NIPAM gel. However, for optical reading of the gel, utilization of an optimum optical wavelength is recommended.     

Carcinome papillaire de la thyroïde associé à deux autres carcinomes primitifs cutanés : approche épidémiologique et physiopathologique - À propos d’un cas

Nowadays multiple primary cancers is a clinical setting which has an increasing frequency, given the increased cure rate of the first cancer and the progress of the diagnostic and therapeutic techniques in oncology. Thereby, the coexistence of multiple primary cancers in a single patient has been described in oncology literature with a frequency varying from 5.5 to 8.5% for all cancers combined. The association of three primary cancers represents a very rare entity. The authors propose, through this work, to report the case of a patient suffering from a triple cancer, a cutaneous squamous cell carcinoma in the right cheek treated by surgical excision and external radiotherapy, an infiltrating basal cell carcinoma of the nose and then a well differentiated papillary thyroid carcinoma. Considering the literature data, the analysis of this observation has raised several issues for discussion, especially the possible pathophysiological involvement of several external and/or genetic factors in the genesis of these cancers. Also, it will be interesting, in this category of patients, to adopt a regular and an adequate strategy of monitoring these cancers already detected and to prevent the occurrence of a second or third cancer.     

Nutrient Sensing and Response Drive Developmental Progression in Caenorhabditis elegans

In response to nutrient limitation, many animals, including Caenorhabditis elegans, slow or arrest their development. This process requires mechanisms that sense essential nutrients and induce appropriate responses. When faced with nutrient limitation, C. elegans can induce both short and long-term survival strategies, including larval arrest, decreased developmental rate, and dauer formation. To select the most advantageous strategy, information from many different sensors must be integrated into signaling pathways, including target of rapamycin (TOR) and insulin, that regulate developmental progression. Here, how nutrient information is sensed and integrated into developmental decisions that determine developmental rate and progression in C. elegans is reviewed.     

Facial area and hairiness of pollinators visiting semi-natural grassland wild plants predict their facial pollen load

1. Consequences of a decline in pollination function in semi-natural ecosystems are largely unknown due to variability in pollinator effectiveness, that is, their contribution to pollen deposition alone. While pollination effectiveness has been shown to be related to body size and hairiness of pollinators for some crops, studies encompassing a wide diversity of pollinators interacting with wild plant communities are lacking. 2. Thus, the relationships between pollen load, which is a measurement of pollen transport ability and a proxy of pollinator effectiveness, and morphological traits of pollinators sampled in 16 grasslands in Moselle, France, were investigated. The area, hairiness, and pollen load of each pollinator's face were measured for 658 individuals from 127 bee and fly species interacting with 36 wild plant species. Pollinator dry mass was also measured on 543 individuals from 109 species. 3. Dry body mass and facial area of pollinators were positively linked. This study highlights that bees transported significantly more pollen grains on their face than flies. Furthermore, bees' faces were larger and hairier. We also found that pollinators' facial pollen load increased with facial area and hairiness when we considered all pollinators. However, hairiness is not significant within pollinator group (bees or flies), mirroring a potential phylogenetic signal. 4. Hence, this study shows a wide diversity of pollinator and plant species in which larger and hairier pollinators may transport more pollen grains, at least on their face. However, future studies involving other pollinator body parts are needed to generalise these relationships.