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https://www.readbyqxmd.com/read/28095393/the-mechanism-of-computed-tomography-guided-125i-particle-in-treating-lung-cancer
#1
Jianzhong Cheng, Shaozeng Ma, Guanghua Yang, Lisen Wang, Wei Hou
BACKGROUND The incidence of malignant tumor has gradually increased. How to improve the survival and quality of life of patients who lose the opportunity for surgery or who are unwilling to receive surgery remains an obstacle. At present, 125I particle interstitial implant therapy has been applied in a variety of treatments of tumors. However, the mechanism of computed tomography (CT)-guided 125I particle therapy in lung cancer has not been fully elucidated. MATERIAL AND METHODS A total of 42 patients with advanced non-small cell lung cancer were retrospectively analyzed between January 2013 and December 2013, including 19 patients who received CT-guided 125I particle therapy and 23 patients who received chemotherapy...
January 17, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28090633/magnetic-field-effects-on-particle-beams-and-their-implications-for-dose-calculation-in-mr-guided-particle-therapy
#2
Hermann Fuchs, Philipp Moser, Martin Gröschl, Dietmar Georg
PURPOSE: To investigate and model effects of magnetic fields on proton and carbonion beams for dose calculation. METHODS: In a first step Monte Carlo simulations using Gate 7.1/Geant4.10.0.p03 were performed for proton and carbon ion beams in magnetic fields ranging from 0 to 3 T. Initial particle energies ranged from 60-250 MeV (protons) and 120-400 MeV/u (carbon ions), respectively. The resulting dose distributions were analyzed focusing on beam deflection, dose deformation as well as the impact of material het- erogeneities...
January 16, 2017: Medical Physics
https://www.readbyqxmd.com/read/28089762/long-terms-results-of-a-trial-of-concurrent-chemotherapy-and-escalating-doses-of-radiation-for-unresectable-non-small-cell-lung-cancer-ncctg-n0028-alliance
#3
Steven E Schild, Shauna L Hillman, Angelina D Tan, Helen J Ross, William L McGinnis, Yolanda A Garces, David L Graham, Alex A Adjei, James R Jett
INTRODUCTION OR HYPOTHESIS: This phase I/II trial was originally designed to determine the maximally tolerated dose(MTD) of thoracic radiotherapy(TRT) as part of a combined modality approach. This report includes the long-term outcome of patients treated on this study. The phase II portion was never completed as RTOG-0617 opened before it was concluded. METHODS: The MTD was defined as 74Gy in 37 fractions in this study. Twenty-five patients with unresectable non-small cell lung cancer(NSCLC) were treated with 2Gy daily fractions and concurrent weekly carboplatin and paclitaxel...
January 12, 2017: Journal of Thoracic Oncology
https://www.readbyqxmd.com/read/28066821/evaluation-of-receptor-ligand-mechanisms-of-dual-targeted-particles-to-an-inflamed-endothelium
#4
Catherine A Fromen, Margaret B Fish, Anthony Zimmerman, Reheman Adili, Michael Holinstat, Omolola Eniola-Adefeso
Vascular-targeted carriers (VTCs) are designed as leukocyte mimics, decorated with ligands that target leukocyte adhesion molecules (LAMs) and facilitate adhesion to diseased endothelium. VTCs require different design considerations than other targeted particle therapies; adhesion of VTCs in regions with dynamic blood flow requires multiple ligand-receptor (LR) pairs that provide particle adhesion and disease specificity. Despite the ultimate goal of leukocyte mimicry, the specificity of multiple LAM-targeted VTCs remains poorly understood, especially in physiological environments...
March 2016: Bioeng Transl Med
https://www.readbyqxmd.com/read/28048898/mo-fg-brc-03-design-and-construction-of-a-dielectiric-wall-accelerator
#5
D Westerly
Experimental research in medical physics has expanded the limits of our knowledge and provided novel imaging and therapy technologies for patients around the world. However, experimental efforts are challenging due to constraints in funding, space, time and other forms of institutional support. In this joint ESTRO-AAPM symposium, four exciting experimental projects from four different countries are highlighted. Each project is focused on a different aspect of radiation therapy. From the USA, we will hear about a new linear accelerator concept for more compact and efficient therapy devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048872/we-fg-bra-10-radiodosimetry-of-a-novel-alpha-particle-therapy-targeted-to-uveal-melanoma-absorbed-dose-to-organs-in-mice
#6
Christopher J Tichacek, Narges K Tafreshi, Mikalai M Budzevich, Epifanio Ruiz, Thaddeus J Wadas, Mark L McLaughlin, Eduardo G Moros, David L Morse
PURPOSE: The melanocortin-1 receptor (MC1R) is expressed in 94% of uveal melanomas and is described as an ideal target for this untreatable disease. MC1RL is a high affinity MC1R specific peptidomimetic ligand that can serve as a scaffold for therapeutic conjugates such as alpha particle emitting isotopes. The purpose of this study was to assess normal tissue distribution and risk as a result of using the DOTA chelator conjugated to MC1RL to deliver (225) Ac: MC1RL-DOTA-(225) Ac. METHODS: 17 non-tumor bearing BALB/c mice were intravenously injected with the novel MC1RL-DOTA-(225) Ac radiopharmaceutical with an average initial administered activity of 2...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048812/su-f-j-197-a-novel-intra-beam-range-detection-and-adaptation-strategy-for-particle-therapy
#7
M Chen, S Jiang, Y Shao, W Lu
PURPOSE: In-vivo range detection/verification is crucial in particle therapy for effective and safe delivery. The state-of-art techniques are not sufficient for in-vivo on-line range verification due to conflicts among patient dose, signal statistics and imaging time. We propose a novel intra-beam range detection and adaptation strategy for particle therapy. METHODS: This strategy uses the planned mid-range spots as probing beams without adding extra radiation to patients...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048635/su-f-t-184-3d-range-modulator-for-scanned-particle-therapy-development-monte-carlo-simulations-and-measurements
#8
Y Simeonov, P Penchev, T Printz Ringbaek, S Brons, U Weber, K Zink
PURPOSE: Active raster scanning in particle therapy results in highly conformal dose distributions. Treatment time, however, is relatively high due to the large number of different iso-energy layers used. By using only one energy and the so called 3D range-modulator irradiation times of a few seconds only can be achieved, thus making delivery of homogeneous dose to moving targets (e.g. lung cancer) more reliable. METHODS: A 3D range-modulator consisting of many pins with base area of 2...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048551/we-fg-brb-02-spatial-mapping-of-the-rbe-of-scanned-particle-beams
#9
D Grosshans
: The physical pattern of energy deposition and the enhanced relative biological effectiveness (RBE) of protons and carbon ions compared to photons offer unique and not fully understood or exploited opportunities to improve the efficacy of radiation therapy. Variations in RBE within a pristine or spread out Bragg peak and between particle types may be exploited to enhance cell killing in target regions without a corresponding increase in damage to normal tissue structures. In addition, the decreased sensitivity of hypoxic tumors to photon-based therapies may be partially overcome through the use of more densely ionizing radiations...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048504/th-c-204-00-medical-physics-workshop-an-update-on-the-journal-s-improvement-activities-and-guidance-on-writing-and-reviewing-papers
#10
Jeffrey Williamson
In this presentation, the Editors will outline our vision for the future of Medical Physics and review recent work-in-progress initiatives to implement this vision. Finally, we will close with guidance to authors on how to write a good Medical Physics paper. A major focus will be the transition to a new publisher in 2017 following a more than 40-year association with American Institute of Physics Publishing (AIPP). Vision for Medical Physics and status of current initiatives: Jeff Williamson, Editor-in-Chief The broad vision of Medical Physics is "to continue the Journal's tradition of publishing the very best science that propels our discipline forward and improves our contribution to patient care...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048419/th-cd-209-02-beam-angle-optimization-incorporating-anatomical-heterogeneities-for-pencil-beam-scanning-charged-particle-therapy
#11
C Toramatsu, T Inaniwa
PURPOSE: In charged particle therapy with pencil beam scanning (PBS), localization of the dose in the Bragg peak makes dose distributions sensitive to lateral tissue heterogeneities. Sensitivity of a PBS plan to lateral tissue heterogeneity can be reduced by selecting suitable beam angles. The purpose of this study is to establish a fast and accurate method of beam angle selection for PBS. METHODS: The lateral tissue heterogeneity surrounding the path of respective pencil beams at a given angle was quantified with the heterogeneity number using effective density data of patients...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048316/th-c-204-03-writing-good-scientific-papers-and-responding-to-critiques
#12
M Goodsitt
In this presentation, the Editors will outline our vision for the future of Medical Physics and review recent work-in-progress initiatives to implement this vision. Finally, we will close with guidance to authors on how to write a good Medical Physics paper. A major focus will be the transition to a new publisher in 2017 following a more than 40-year association with American Institute of Physics Publishing (AIPP). Vision for Medical Physics and status of current initiatives: Jeff Williamson, Editor-in-Chief The broad vision of Medical Physics is "to continue the Journal's tradition of publishing the very best science that propels our discipline forward and improves our contribution to patient care...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048285/su-g-tep1-12-random-repainting-as-mitigation-for-scanned-ion-beam-interplay-effects
#13
M Bach, J Wulff
PURPOSE: Interference of dose application in scanned beam particle therapy and organ motion may lead to interplay effects with distorted dose to target volumes. Interplay effects depend on the speed and direction of the scanning beam, leading to fringed field edges (scanning parallel to organ motion direction) or over- and under-dosed regions (both directions are orthogonal). Current repainting methods can mitigate interplay effects, but are susceptible to artefacts when only a limited number of repaints are applied...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048246/mo-fg-brc-04-ionacoustic-imaging-for-particle-range-verification
#14
K Parodi
Experimental research in medical physics has expanded the limits of our knowledge and provided novel imaging and therapy technologies for patients around the world. However, experimental efforts are challenging due to constraints in funding, space, time and other forms of institutional support. In this joint ESTRO-AAPM symposium, four exciting experimental projects from four different countries are highlighted. Each project is focused on a different aspect of radiation therapy. From the USA, we will hear about a new linear accelerator concept for more compact and efficient therapy devices...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048194/we-fg-brb-01-clinical-significance-of-rbe-variations-in-proton-therapy
#15
H Paganetti
: The physical pattern of energy deposition and the enhanced relative biological effectiveness (RBE) of protons and carbon ions compared to photons offer unique and not fully understood or exploited opportunities to improve the efficacy of radiation therapy. Variations in RBE within a pristine or spread out Bragg peak and between particle types may be exploited to enhance cell killing in target regions without a corresponding increase in damage to normal tissue structures. In addition, the decreased sensitivity of hypoxic tumors to photon-based therapies may be partially overcome through the use of more densely ionizing radiations...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048070/su-f-t-149-development-of-the-monte-carlo-simulation-platform-using-geant4-for-designing-heavy-ion-therapy-beam-nozzle
#16
Jae-Ik Shin, SeungHoon Yoo, Sungho Cho, Eun Ho Kim, Yongkeun Song, Won-Gyun Jung
PURPOSE: The significant issue of particle therapy such as proton and carbon ion was a accurate dose delivery from beam line to patient. For designing the complex delivery system, Monte Carlo simulation can be used for the simulation of various physical interaction in scatters and filters. In this report, we present the development of Monte Carlo simulation platform to help design the prototype of particle therapy nozzle and performed the Monte Carlo simulation using Geant4. Also we show the prototype design of particle therapy beam nozzle for Korea Heavy Ion Medical Accelerator (KHIMA) project in Korea Institute of Radiological and Medical Science(KIRAMS) at Republic of Korea...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048023/tu-fg-brb-09-thermoacoustic-range-verification-with-perfect-co-registered-overlay-of-bragg-peak-onto-ultrasound-image
#17
S Patch, M Kireeff Covo, A Jackson, Y Qadadha, K Campbell, R Albright, P Bloemhard, A Donoghue, C Siero, T Gimpel, S Small, B Ninemire, M Johnson, L Phair
PURPOSE: The potential of particle therapy has not yet been fully realized due to inaccuracies in range verification. The purpose of this work was to correlate the Bragg peak location with target structure, by overlaying thermoacoustic localization of the Bragg peak onto an ultrasound image. METHODS: Pulsed delivery of 50 MeV protons was accomplished by a fast chopper installed between the ion source and the inflector of the 88″ cyclotron at Lawrence Berkeley National Lab...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047853/su-c-204-03-dft-calculations-of-the-stability-of-dota-based-radiopharmaceuticals
#18
A R Khabibullin, A Karolak, M M Budzevich, L M Woods, M V Martinez, M L McLaughlin, D L Morse
PURPOSE: Application of the density function theory (DFT) to investigate the structural stability of complexes applied in cancer therapy consisting of the 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA) chelated to Ac225, Fr221, At217, Bi213, and Gd68 radio-nuclei. METHODS: The possibility to deliver a toxic payload directly to tumor cells is a highly desirable aim in targeted alpha particle therapy. The estimation of bond stability between radioactive atoms and the DOTA chelating agent is the key element in understanding the foundations of this delivery process...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047699/su-c-brc-03-development-of-a-novel-strategy-for-on-demand-monte-carlo-and-deterministic-dose-calculation-treatment-planning-and-optimization-for-external-beam-photon-and-particle-therapy
#19
Y M Yang, K Bush, B Han, L Xing
PURPOSE: Accurate and fast dose calculation is a prerequisite of precision radiation therapy in modern photon and particle therapy. While Monte Carlo (MC) dose calculation provides high dosimetric accuracy, the drastically increased computational time hinders its routine use. Deterministic dose calculation methods are fast, but problematic in the presence of tissue density inhomogeneity. We leverage the useful features of deterministic methods and MC to develop a hybrid dose calculation platform with autonomous utilization of MC and deterministic calculation depending on the local geometry, for optimal accuracy and speed...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047462/mo-fg-brc-00-joint-aapm-estro-symposium-advances-in-experimental-medical-physics
#20
Ross Berbeco, Dan Ionascu
Experimental research in medical physics has expanded the limits of our knowledge and provided novel imaging and therapy technologies for patients around the world. However, experimental efforts are challenging due to constraints in funding, space, time and other forms of institutional support. In this joint ESTRO-AAPM symposium, four exciting experimental projects from four different countries are highlighted. Each project is focused on a different aspect of radiation therapy. From the USA, we will hear about a new linear accelerator concept for more compact and efficient therapy devices...
June 2016: Medical Physics
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