Determination of consensus k Q values for megavoltage photon beams for the update of IAEA TRS-398.

The IAEA is currently coordinating a multi-year project to update the TRS-398 Code of Practice for the dosimetry of external beam radiotherapy based on standards of absorbed dose to water. One major aspect of the project is the determination of new beam quality correction factors, k Q , for megavoltage photon beams consistent with developments in radiotherapy dosimetry and technology since the publication of TRS-398 in 2000. Specifically, all values must be based on, or consistent with, the key data of ICRU Report 90. Data sets obtained from Monte Carlo (MC) calculations by advanced users and measurements at primary standards laboratories have been compiled for 23 cylindrical ionization chamber types, consisting of 725 MC-calculated and 179 experimental data points. These have been used to derive consensus k Q values as a function of the beam quality index TPR20,10 with a combined standard uncertainty of 0.6%. Mean values of MC-derived chamber-specific [Formula: see text] factors for cylindrical and plane-parallel chamber types in 60Co beams have also been obtained with an estimated uncertainty of 0.4%.

Gait characteristics during inadvertent obstacle contacts in young, middle-aged and older adults.

BACKGROUND: When stepping over obstacles, analyses have focused on the successful trials to understand adaptive gait. However, examination of the inadvertent trips that occasionally occur in the laboratory can provide a rich source of information regarding the gait characteristics underlying trip-related falls. RESEARCH QUESTION: What gait variables during obstacle crossing are associated with inadvertent obstacle contacts, and are these variables different across the lifespan? METHODS: Three age groups included: young adults (20-35 years, N = 20), middle-aged adults (50-64 years, N = 15), and older adults (65-79 years, N = 19). A stationary, visible obstacle (26 cm tall) was placed in the middle of a walkway. Foot trajectories and head angles were compared between contact and non-contact trials. RESULTS: Twelve participants contacted the obstacle: seven young adults (3.5% of young adult trials), two middle-aged adults (1.3%), and three older adults (1.6%). Young and middle-aged adults contacted primarily with the trail limb, while older adults contacted primarily with the lead limb. Contacts occurred for different reasons: Most young adult contact trials had appropriate foot placement, but inadequate elevation; middle-aged and older adults demonstrated inappropriate foot placement before the obstacle, leading to foot contact during the swing phase. SIGNIFICANCE: Lower contact rates in the middle-aged and older adults indicates that the cautious strategies adopted during obstacle crossing are effective. Higher contact rates in young adults may indicate trial-and-error exploratory behavior. Inappropriate foot placement in the middle-aged and older adults may indicate impaired ability to gather obstacle position information during the approach phase.

Changes in the control of obstacle crossing in middle age become evident as gait task difficulty increases.

BACKGROUND: Age-associated physiological changes result in modified gait, such as slower speed, for older adults. Identifying the onset of age-related gait changes will provide insight into the role of aging on locomotor control. It is expected that a more challenging gait task (obstacle crossing) puts more demands on physiological systems, and may reveal gait modifications in a middle-aged group that are not evident in an easier gait task (level walking). RESEARCH QUESTION: To identify the effect of advancing age on gait as a function of increasing locomotor challenge during an obstacle crossing task. METHODS: Three age groups (young, middle-aged, and older adults) stepped over an obstacle placed in a 15 m walkway. Task challenge ranged from low to high in four conditions: unobstructed gait, 3, 10, and 26 cm obstacles. Gait measures were calculated during the approach and crossing steps. RESULTS: Significant interactions were observed for gait speed (age by height by step, p < 0.01), foot placement variability (age by step, p < 0.01) and foot clearance (age by height, p = 0.05). Relative to young adults, older adults walked slower in all conditions and had higher foot clearances for the 10 and 26 cm obstacles. Middle-aged adults walked with speeds and foot clearances that were not different from young adults in the lower gait challenge conditions, and changed to values that were not different from older adults in the highest gait challenge conditions. Foot placement variability was greater for the middle-aged and older groups, but only in the last two steps before the obstacle. SIGNIFICANCE: Multiple gait changes were observed as early as middle-age, and changes in speed and foot clearance became more evident as task difficulty increased. The increased gait challenge placed more demands on the neuromuscular system, revealing age-related gait modifications that were not evident in the level walking gait task.

Small composite field correction factors for the CyberKnife radiosurgery system: clinical and PCSR plans.

A formalism has been proposed for small and non-standard photon fields in which [Formula: see text] correction factors are used to correct dosimeter response in small fields (indiviual or composite) relative to that in a larger machine-specific reference (MSR) field. For clinical plans consisting of several fields, a plan-class specific reference (PCSR) plan can also be defined, serving as an intermediate calibration field between the MSR and clinical plans within a certain plan-class. In this work, the formalism was applied in the calculation of [Formula: see text] for 21 clinical plans delivered by the [Formula: see text] radiosurgery system, each plan employing one or two of the smallest diameter collimators: 5 mm, 7.5 mm, and 10 mm. Three detectors were considered: the Exradin A16 and A26 micro chambers, and the W1 plastic scintillator. The clinical plans were grouped into 7 plan-classes according to commonly shared characteristics. The suitability of using a PCSR plan to represent the detector response of each plan within the plan-class was investigated. Total and intermediate correction factors were calculated using the [Formula: see text] Monte Carlo user code. The corrections for the micro chambers were large, primarily due to the presence of the low-density air cavity and the volume averaging effect. The correction for the scintillator was found to be close to unity for most plans, indicating that this detector may be used to measure small clinical plan correction factors in any plan except for those using the 5 mm collimator. The PCSR plan was shown to be applicable to plan-classes comprising isocentric plans only, with plan-classes divided according to collimator size. For non-isocentric plans, the variation of [Formula: see text] as a function of the point of measurement within a single plan, as well as the high inter-plan-class variability of the correction factor, precludes the use of a PCSR plan.

Peto's paradox and the hallmarks of cancer: constructing an evolutionary framework for understanding the incidence of cancer.

An evolutionary perspective can help unify disparate observations and make testable predictions. We consider an evolutionary model in relation to two mechanistic frameworks of cancer biology: multistage carcinogenesis and the hallmarks of cancer. The multistage model predicts that cancer risk increases with body size and longevity; however, this is not observed across species (Peto's paradox), but the paradox is resolved by invoking the evolution of additional genetic mechanisms to suppress cancer in large, long-lived species. It is when cancer cells overcome these defence mechanisms that they exhibit the hallmarks of cancer, driving the ongoing evolution of these defences, which in turn is expected to create the differences observed in the genetics of cancer across species and tissues. To illustrate the utility of an evolutionary model we examined some recently published data linking stem-cell divisions and cancer incidence across a range of tissues and show why the original analysis was faulty, and demonstrate that the data are consistent with a multistage model varying from three to seven mutational hits across different tissues. Finally, we demonstrate how an evolutionary model can both define patterns of inherited (familial) cancer and explain the prevalence of cancer in post-reproductive years, including the dominance of epithelial cancers.

Ion chamber absorbed dose calibration coefficients, N(D,w), measured at ADCLs: distribution analysis and stability.

PURPOSE: To analyze absorbed dose calibration coefficients, ND,w, measured at accredited dosimetry calibration laboratories (ADCLs) for client ionization chambers to study (i) variability among ND,w coefficients for chambers of the same type calibrated at each ADCL to investigate ion chamber volume fluctuations and chamber manufacturing tolerances; (ii) equivalency of ion chamber calibration coefficients measured at different ADCLs by intercomparing ND,w coefficients for chambers of the same type; and (iii) the long-term stability of ND,w coefficients for different chamber types by investigating repeated chamber calibrations. METHODS: Large samples of ND,w coefficients for several chamber types measured over the time period between 1998 and 2014 were obtained from the three ADCLs operating in the United States. These are analyzed using various graphical and numerical statistical tests for the four chamber types with the largest samples of calibration coefficients to investigate (i) and (ii) above. Ratios of calibration coefficients for the same chamber, typically obtained two years apart, are calculated to investigate (iii) above and chambers with standard deviations of old/new ratios less than 0.3% meet stability requirements for accurate reference dosimetry recommended in dosimetry protocols. RESULTS: It is found that ND,w coefficients for a given chamber type compared among different ADCLs may arise from differing probability distributions potentially due to slight differences in calibration procedures and/or the transfer of the primary standard. However, average ND,w coefficients from different ADCLs for given chamber types are very close with percent differences generally less than 0.2% for Farmer-type chambers and are well within reported uncertainties. CONCLUSIONS: The close agreement among calibrations performed at different ADCLs reaffirms the Calibration Laboratory Accreditation Subcommittee process of ensuring ADCL conformance with National Institute of Standards and Technology standards. This study shows that ND,w coefficients measured at different ADCLs are statistically equivalent, especially considering reasonable uncertainties. This analysis of ND,w coefficients also allows identification of chamber types that can be considered stable enough for accurate reference dosimetry.

Proactive gait strategies to mitigate risk of obstacle contact are more prevalent with advancing age.

The purposes of this study were to determine if healthy older adults adopt strategies to decrease the likelihood of obstacle contact, and to determine how these strategies are modified as a function of advancing age. Three age groups were examined: 20-25 yo (N = 19), 65-79 yo (N = 11), and 80-91 yo (N = 18). Participants stepped over a stationary, visible obstacle on a walkway. Step length and gait speed progressively decreased with advancing age; the shorter step length resulted in closer foot placement to the obstacle and an associated increased risk of obstacle contact. Lead (first limb to cross the obstacle) and trail (second) limb trajectories were examined for behavior that mitigated the risk of contact. (1) Consistent trail foot placement before the obstacle across all ages allowed space and time for the trail foot to clear the obstacle. (2) To avoid lead limb contact due to closer foot placement before and after the obstacle, the lead toe was raised more vertically after toe-off, and then the foot was extended beyond the landing position (termed lead overshoot) and retracted backwards to achieve the shortened step length. Lead overshoot progressively increased with advancing age. (3) Head angle was progressively lower with advancing age, an apparent attempt to gather more visual information during approach. Overall, a series of proactive strategies were adopted to mitigate risk of contact. However, the larger, more abrupt movements associated with a more vertical foot trajectory and lead overshoot may compromise whole body balance, indicating a possible trade-off between risk of contact and stability.

Monte Carlo calculations of electron beam quality conversion factors for several ion chamber types.

PURPOSE: To provide a comprehensive investigation of electron beam reference dosimetry using Monte Carlo simulations of the response of 10 plane-parallel and 18 cylindrical ion chamber types. Specific emphasis is placed on the determination of the optimal shift of the chambers' effective point of measurement (EPOM) and beam quality conversion factors. METHODS: The EGSnrc system is used for calculations of the absorbed dose to gas in ion chamber models and the absorbed dose to water as a function of depth in a water phantom on which cobalt-60 and several electron beam source models are incident. The optimal EPOM shifts of the ion chambers are determined by comparing calculations of R50 converted from I50 (calculated using ion chamber simulations in phantom) to R50 calculated using simulations of the absorbed dose to water vs depth in water. Beam quality conversion factors are determined as the calculated ratio of the absorbed dose to water to the absorbed dose to air in the ion chamber at the reference depth in a cobalt-60 beam to that in electron beams. RESULTS: For most plane-parallel chambers, the optimal EPOM shift is inside of the active cavity but different from the shift determined with water-equivalent scaling of the front window of the chamber. These optimal shifts for plane-parallel chambers also reduce the scatter of beam quality conversion factors, kQ, as a function of R50. The optimal shift of cylindrical chambers is found to be less than the 0.5 rcav recommended by current dosimetry protocols. In most cases, the values of the optimal shift are close to 0.3 rcav. Values of kecal are calculated and compared to those from the TG-51 protocol and differences are explained using accurate individual correction factors for a subset of ion chambers investigated. High-precision fits to beam quality conversion factors normalized to unity in a beam with R50 = 7.5 cm (kQ (')) are provided. These factors avoid the use of gradient correction factors as used in the TG-51 protocol although a chamber dependent optimal shift in the EPOM is required when using plane-parallel chambers while no shift is needed with cylindrical chambers. The sensitivity of these results to parameters used to model the ion chambers is discussed and the uncertainty related to the practical use of these results is evaluated. CONCLUSIONS: These results will prove useful as electron beam reference dosimetry protocols are being updated. The analysis of this work indicates that cylindrical ion chambers may be appropriate for use in low-energy electron beams but measurements are required to characterize their use in these beams.

Determination of relative ion chamber calibration coefficients from depth-ionization measurements in clinical electron beams.

A method is presented to obtain ion chamber calibration coefficients relative to secondary standard reference chambers in electron beams using depth-ionization measurements. Results are obtained as a function of depth and average electron energy at depth in 4, 8, 12 and 18 MeV electron beams from the NRC Elekta Precise linac. The PTW Roos, Scanditronix NACP-02, PTW Advanced Markus and NE 2571 ion chambers are investigated. The challenges and limitations of the method are discussed. The proposed method produces useful data at shallow depths. At depths past the reference depth, small shifts in positioning or drifts in the incident beam energy affect the results, thereby providing a built-in test of incident electron energy drifts and/or chamber set-up. Polarity corrections for ion chambers as a function of average electron energy at depth agree with literature data. The proposed method produces results consistent with those obtained using the conventional calibration procedure while gaining much more information about the behavior of the ion chamber with similar data acquisition time. Measurement uncertainties in calibration coefficients obtained with this method are estimated to be less than 0.5%. These results open up the possibility of using depth-ionization measurements to yield chamber ratios which may be suitable for primary standards-level dissemination.

Gait initiation: the first four steps in adults aged 20-25 years, 65-79 years, and 80-91 years.

Transitioning from standing to walking requires equilibrium to be maintained while a forward propulsive force is generated. The ability to manage these competing demands is compromised by the progressive sensory, neural and motor declines associated with aging. The purpose of this study was to establish the age-related changes in the first four steps of gait in three age groups: 20-25 years old (yo) (N=19), 65-79 yo (N=11), and 80-91 yo (N=18). Participants stood comfortably and then walked at a self-selected pace for 3.2m. Gait speed and step length (SL) both significantly decreased with each age category at each of the first four steps. However, the gait speed changes suggest that older groups control speed in a principled manner across the four steps, which was similar to the speed control of 20-25 yo. With successive steps, 20-25 yo demonstrated a progressive decrease in SL variability, but SL variability of the two older groups did not change. Step width (SW) did not change as a function of age, but SW variability was higher for the two older groups. Higher SL and SW variability may reflect more errors in foot placement and/or decreased center of mass control in the older groups. Further, it appears that AP COM control improves with successive steps in young adults while ML COM control decreases with successive steps in all age groups. When comparing the two older groups, healthy 80-91 yo walked slower with a shorter SL, but did not demonstrate changes associated with falls (SL and/or SW variability).

Monte Carlo calculations for reference dosimetry of electron beams with the PTW Roos and NE2571 ion chambers.

PURPOSE: To investigate recommendations for reference dosimetry of electron beams and gradient effects for the NE2571 chamber and to provide beam quality conversion factors using Monte Carlo simulations of the PTW Roos and NE2571 ion chambers. METHODS: The EGSnrc code system is used to calculate the absorbed dose-to-water and the dose to the gas in fully modeled ion chambers as a function of depth in water. Electron beams are modeled using realistic accelerator simulations as well as beams modeled as collimated point sources from realistic electron beam spectra or monoenergetic electrons. Beam quality conversion factors are calculated with ratios of the doses to water and to the air in the ion chamber in electron beams and a cobalt-60 reference field. The overall ion chamber correction factor is studied using calculations of water-to-air stopping power ratios. RESULTS: The use of an effective point of measurement shift of 1.55 mm from the front face of the PTW Roos chamber, which places the point of measurement inside the chamber cavity, minimizes the difference between R50, the beam quality specifier, calculated from chamber simulations compared to that obtained using depth-dose calculations in water. A similar shift minimizes the variation of the overall ion chamber correction factor with depth to the practical range and reduces the root-mean-square deviation of a fit to calculated beam quality conversion factors at the reference depth as a function of R50. Similarly, an upstream shift of 0.34 rcav allows a more accurate determination of R50 from NE2571 chamber calculations and reduces the variation of the overall ion chamber correction factor with depth. The determination of the gradient correction using a shift of 0.22 rcav optimizes the root-mean-square deviation of a fit to calculated beam quality conversion factors if all beams investigated are considered. However, if only clinical beams are considered, a good fit to results for beam quality conversion factors is obtained without explicitly correcting for gradient effects. The inadequacy of R50 to uniquely specify beam quality for the accurate selection of kQ factors is discussed. Systematic uncertainties in beam quality conversion factors are analyzed for the NE2571 chamber and amount to between 0.4% and 1.2% depending on assumptions used. CONCLUSIONS: The calculated beam quality conversion factors for the PTW Roos chamber obtained here are in good agreement with literature data. These results characterize the use of an NE2571 ion chamber for reference dosimetry of electron beams even in low-energy beams.

Beam quality conversion factors for parallel-plate ionization chambers in MV photon beams.

PURPOSE: To investigate the behavior of plane-parallel ion chambers in high-energy photon beams through measurements and Monte Carlo simulations. METHODS: Ten plane-parallel ion chamber types were obtained from the major ion chamber manufacturers. Absorbed dose-to-water calibration coefficients are measured for these chambers and k(Q) factors are determined. In the process, the behaviors of the chambers are characterized through measurements of leakage currents, chamber settling in cobalt-60, polarity and ion recombination behavior, and long-term stability. Monte Carlo calculations of the absorbed dose to the air in the ion chamber and absorbed dose to water are obtained to calculate k(Q) factors. Systematic uncertainties in Monte Carlo calculated k(Q) factors are investigated by varying material properties and chamber dimensions. RESULTS: Chamber behavior was variable in MV photon beams, especially with regard to chamber leakage and ion recombination. The plane-parallel chambers did not perform as well as cylindrical chambers. Significant differences up to 1.5% were observed in calibration coefficients after a period of eight months although k(Q) factors were consistent on average within 0.17%. Chamber-to-chamber variations in k(Q) factors for chambers of the same type were at the 0.2% level. Systematic uncertainties in Monte Carlo calculated k(Q) factors ranged between 0.34% and 0.50% depending on the chamber type. Average percent differences between measured and calculated k(Q) factors were - 0.02%, 0.18%, and - 0.16% for 6, 10, and 25 MV beams, respectively. CONCLUSIONS: Excellent agreement is observed on average at the 0.2% level between measured and Monte Carlo calculated k(Q) factors. Measurements indicate that the behavior of these chambers is not adequate for their use for reference dosimetry of high-energy photon beams without a more extensive QA program than currently used for cylindrical reference-class ion chambers.

Sci-Thur PM: YIS - 07: Monte Carlo simulations to obtain several parameters required for electron beam dosimetry.

When current dosimetry protocols were written, electron beam data were limited and had uncertainties that were unacceptable for reference dosimetry. Protocols for high-energy reference dosimetry are currently being updated leading to considerable interest in accurate electron beam data. To this end, Monte Carlo simulations using the EGSnrc user-code egs_chamber are performed to extract relevant data for reference beam dosimetry. Calculations of the absorbed dose to water and the absorbed dose to the gas in realistic ion chamber models are performed as a function of depth in water for cobalt-60 and high-energy electron beams between 4 and 22 MeV. These calculations are used to extract several of the parameters required for electron beam dosimetry - the beam quality specifier, R50 , beam quality conversion factors, kQ and kR50 , the electron quality conversion factor, k'R50 , the photon-electron conversion factor, kecal , and ion chamber perturbation factors, PQ . The method used has the advantage that many important parameters can be extracted as a function of depth instead of determination at only the reference depth as has typically been done. Results obtained here are in good agreement with measured and other calculated results. The photon-electron conversion factors obtained for a Farmer-type NE2571 and plane-parallel PTW Roos, IBA NACP-02 and Exradin A11 chambers are 0.903, 0.896, 0.894 and 0.906, respectively. These typically differ by less than 0.7% from the contentious TG-51 values but have much smaller systematic uncertainties. These results are valuable for reference dosimetry of high-energy electron beams.

Measured and Monte Carlo calculated K(Q) factors: accuracy and comparison.

PURPOSE: The journal Medical Physics recently published two papers that determine beam quality conversion factors, k(Q), for large sets of ion chambers. In the first paper [McEwen Med. Phys. 37, 2179-2193 (2010)], k(Q) was determined experimentally, while the second paper [Muir and Rogers Med. Phys. 37, 5939-5950 (2010)] provides k(Q) factors calculated using Monte Carlo simulations. This work investigates a variety of additional consistency checks to verify the accuracy of the k(Q) factors determined in each publication and a comparison of the two data sets. Uncertainty introduced in calculated k(Q) factors by possible variation of W/e with beam energy is investigated further. METHODS: The validity of the experimental set of k(Q) factors relies on the accuracy of the NE2571 reference chamber measurements to which k(Q) factors for all other ion chambers are correlated. The stability of NE2571 absorbed dose to water calibration coefficients is determined and comparison to other experimental k(Q) factors is analyzed. Reliability of Monte Carlo calculated k(Q) factors is assessed through comparison to other publications that provide Monte Carlo calculations of k(Q) as well as an analysis of the sleeve effect, the effect of cavity length and self-consistencies between graphite-walled Farmer-chambers. Comparison between the two data sets is given in terms of the percent difference between the k(Q) factors presented in both publications. RESULTS: Monitoring of the absorbed dose calibration coefficients for the NE2571 chambers over a period of more than 15 yrs exhibit consistency at a level better than 0.1%. Agreement of the NE2571 k(Q) factors with a quadratic fit to all other experimental data from standards labs for the same chamber is observed within 0.3%. Monte Carlo calculated k(Q) factors are in good agreement with most other Monte Carlo calculated k(Q) factors. Expected results are observed for the sleeve effect and the effect of cavity length on k(Q). The mean percent differences between experimental and Monte Carlo calculated k(Q) factors are -0.08, -0.07, and -0.23% for the Elekta 6, 10, and 25 MV nominal beam energies, respectively. An upper limit on the variation of W/e in photon beams from cobalt-60 to 25 MV is determined as 0.4% with 95% confidence. The combined uncertainty on Monte Carlo calculated k(Q) factors is reassessed and amounts to between 0.40 and 0.49% depending on the wall material of the chamber. CONCLUSIONS: Excellent agreement (mean percent difference of only 0.13% for the entire data set) between experimental and calculated k(Q) factors is observed. For some chambers, k(Q) is measured for only one chamber of each type--the level of agreement observed in this study would suggest that for those chambers the measured k(Q) values are generally representative of the chamber type.

The central electrode correction factor for high-Z electrodes in small ionization chambers.

PURPOSE: Recent Monte Carlo calculations of beam quality conversion factors for ion chambers that use high-Z electrodes [B. R. Muir and D. W. O. Rogers, Med. Phys. 37, 5939-5950 (2010)] have shown large deviations of kQ values from values calculated using the same techniques as the TG-51 and TRS-398 protocols. This report investigates the central electrode correction factor, Pcel, for these chambers. METHODS: Ionization chambers are modeled and Pcel is calculated using the EGSnrc user code egs_chamber for three cases: in photon and electron beams under reference conditions; as a function of distance from an iridium-192 point source in a water phantom; and as a function of depth in a water phantom on which a 200 kVp x-ray source or 6 MV beam is incident. RESULTS: In photon beams, differences of up to 3% between Pcel calculations for a chamber with a high-Z electrode and those used by TG-51 for a 1 mm diameter aluminum electrode are observed. The central electrode correction factor for a given value of the beam quality specifier is different depending on the amount of filtration of the photon beam. However, in an unfiltered 6 MV beam, Pcel, varies by only 0.3% for a chamber with a high-Z electrode as the depth is varied from 1 to 20 cm in water. The difference between Pcel calculations for chambers with high-Z electrodes and TG-51 values for a chamber with an aluminum electrode is up to 0.45% in electron beams. The central electrode correction, which is roughly proportional to the chambers absorbed dose sensitivity, is found to be large and variable as a function of distance for chambers with high-Z and aluminum electrodes in low-energy photon fields. CONCLUSIONS: In this work, ionization chambers that employ high-Z electrodes have been shown to be problematic in various situations. For beam quality conversion factors, the ratio of Pcel in a beam quality Q to that in a Co-60 beam is required; for some chambers, kQ is significantly different from current dosimetry protocol values because of central electrode effects. It would be best for manufacturers to avoid producing ion chambers that use high-Z electrodes.

Monte Carlo calculations of kQ, the beam quality conversion factor.

PURPOSE: To use EGSnrc Monte Carlo simulations to directly calculate beam quality conversion factors, kQ, for 32 cylindrical ionization chambers over a range of beam qualities and to quantify the effect of systematic uncertainties on Monte Carlo calculations of kQ. These factors are required to use the TG-51 or TRS-398 clinical dosimetry protocols for calibrating external radiotherapy beams. METHODS: Ionization chambers are modeled either from blueprints or manufacturers' user's manuals. The dose-to-air in the chamber is calculated using the EGSnrc user-code egs_chamber using 11 different tabulated clinical photon spectra for the incident beams. The dose to a small volume of water is also calculated in the absence of the chamber at the midpoint of the chamber on its central axis. Using a simple equation, kQ is calculated from these quantities under the assumption that W/e is constant with energy and compared to TG-51 protocol and measured values. RESULTS: Polynomial fits to the Monte Carlo calculated kQ factors as a function of beam quality expressed as %dd(10)x and TPR10(20) are given for each ionization chamber. Differences are explained between Monte Carlo calculated values and values from the TG-51 protocol or calculated using the computer program used for TG-51 calculations. Systematic uncertainties in calculated kQ values are analyzed and amount to a maximum of one standard deviation uncertainty of 0.99% if one assumes that photon cross-section uncertainties are uncorrelated and 0.63% if they are assumed correlated. The largest components of the uncertainty are the constancy of W/e and the uncertainty in the cross-section for photons in water. CONCLUSIONS: It is now possible to calculate kQ directly using Monte Carlo simulations. Monte Carlo calculations for most ionization chambers give results which are comparable to TG-51 values. Discrepancies can be explained using individual Monte Carlo calculations of various correction factors which are more accurate than previously used values. For small ionization chambers with central electrodes composed of high-Z materials, the effect of the central electrode is much larger than that for the aluminum electrodes in Farmer chambers.

Genetic parameters for a multiple-trait multiple-lactation random regression test-day model in Italian Holsteins.

The objectives of this study were to estimate variance components for test-day milk, fat, and protein yields and average daily SCS in 3 subsets of Italian Holsteins using a multiple-trait, multiple-lactation random regression test-day animal model and to determine whether a genetic heterogeneous variance adjustment was necessary. Data were test-day yields of milk, fat, and protein and SCS (on a log2 scale) from the first 3 lactations of Italian Holsteins collected from 1992 to 2002. The 3 subsets of data included 1) a random sample of Holsteins from all herds in Italy, 2) a random sample of Holsteins from herds using a minimum of 75% foreign sires, and 3) a random sample of Holsteins from herds using a maximum of 25% foreign sires. Estimations of variances and covariances for this model were achieved by Bayesian methods using the Gibbs sampler. Estimated 305-d genetic, permanent environmental, and residual variance was higher in herds using a minimum of 75% foreign sires compared with herds using a maximum of 25% foreign sires. Estimated average daily heritability of milk, fat, and protein yields did not differ among subsets. Heritability of SCS in the first lactation differed slightly among subsets and was estimated to be the highest in herds with a maximum of 25% foreign sire use (0.19 +/- 0.01). Genetic correlations across lactations for milk, fat, and protein yields were similar among subsets. Genetic correlations across lactations for SCS were 0.03 to 0.08 higher in herds using a minimum of 75% or a maximum of 25% foreign sires, compared with herds randomly sampled from the entire population. Results indicate that adjustment for heterogeneous variance at the genetic level based on the percentage of foreign sire use should not be necessary with a multiple-trait random regression test-day animal model in Italy.

Selection indices in Holstein cattle of various countries.

Fifteen countries, based on geographical representation, Interbull membership, and size of progeny testing programs, provided a brief description of national selection index and top bull listings from August 2003. Individual traits included in each selection index were grouped into 3 components as they related to production, durability, and health and reproduction. The relative emphasis for each component within the selection index, as well as the number of common bulls among top listings were compared across countries. Average relative emphasis for production, durability, and health and reproduction, across all countries, was 59.5, 28, and 12.5%, respectively. The main difference between selection indices in various countries was the relative emphasis on production. Overall, the Danish S-Index had the most balanced emphasis across the 3 components, with 34% on production, 29% on durability, and 37% on health and reproduction. Broadening of breeding goals through recent changes to selection indices decreased the similarities of top bull listings across the various countries, with a slightly greater commonality among sires of top bulls.

Genetic relationships between persistency and reproductive performance in first-lactation Canadian holsteins.

The main objective of this study was to estimate genetic relationships between lactation persistency and reproductive performance in first lactation. Relationships with day in milk at peak milk yield and estimated 305-d milk yield were also investigated. The data set contained 33,312 first-lactation Canadian Holsteins with first-parity reproductive, persistency, and productive information. Reproductive performance traits included age at first insemination, nonreturn rate at 56 d after first insemination as a virgin heifer and as a first-lactation cow, calving difficulty at first calving and calving interval between first and second calving. Lactation persistency was defined as the Wilmink b parameter for milk yield and was calculated by fitting lactation curves to test day records using a multiple-trait prediction procedure. An 8-trait genetic analysis was performed using the Variance Component Estimation package (VCE 5) via Gibbs sampling to estimate genetic parameters for all traits. Heritabilities of persistency, day in milk at peak milk yield and estimated 305-d milk yield were 0.18, 0.09 and 0.45, respectively. Heritabilities of reproduction were low and ranged from 0.03 to 0.19. The highest heritability was for age at first insemination. Heifer reproductive traits were lowly genetically correlated, whereas cow reproductive traits were moderately correlated. Heifers younger than average when first inseminated and/or conceived successfully at first insemination tended to have a more persistent first lactation. First lactation was more persistent if heifers had difficulty calving (r(g) = 0.43), or conceived successfully at first insemination in first lactation (r(g) = 0.32) or had a longer interval between first and second calving (r(g) = 0.17). Estimates of genetic correlations of reproductive performance with estimated 305-d milk yield were different in magnitude, but similar in sign to those with persistency (0.02 to 0.51).

The control of Staphylococcus epidermidis biofilm formation and in vivo infection rates by covalently bound furanones.

In order to overcome the continuing infection rate associated with biomaterials, the use of covalently bound furanones as an antibiofilm coating for biomaterials has been investigated. Furanones have previously been shown to inhibit growth of Gram-positive and Gram-negative bacteria. The aim of these studies were to covalently bind furanones to polymers and to test their efficacy for inhibiting biofilm formation of Staphylococcus epidermidis and in vivo infection rate. Two methods of covalent attachment of furanones were used. The first, a co-polymerisation with a styrene polymer, and second, a plasma-1-ethyl-3-(dimethylaminopropyl) carbodiimide (EDC) reaction to produce furanone-coated catheters. Biofilm formation by S. epidermidis in vitro was inhibited by 89% for polystryene-furanone disks and by 78% by furanone-coated catheters (p<0.01). In an in vivo sheep model we found furanones were effective at controlling infection for up to 65 days. Furanones have potential to be used as a coating for biomaterials to control infection caused by S. epidermidis.