Esophageal self-expandable stent material and mesh grid density are the major determining factors of external beam radiation dose perturbation: results from a phantom model.

BACKGROUND: Self-expandable esophageal stents are increasingly used for palliation or as an adjunct to chemoradiation for esophageal neoplasia. The optimal esophageal stent design and material to minimize dose perturbation with external beam radiation are unknown. We sought to quantify the deviation from intended radiation dose as a function of stent material and mesh density design. METHODS: A laboratory dosimetric film model was used to quantify perturbation of intended radiation dose among 16 different esophageal stents with varying material and stent mesh density design. RESULTS: Radiation dose enhancement due to stent backscatter ranged from 0 % to 7.3 %, collectively representing a standard difference from the intended mean radiation dose of 1.9 (95 % confidence interval [CI] 1.5 - 2.2). This enhancement was negligible for polymer-based stents and approached 0 % for the biodegradable stents. In contrast, all metal alloy stents had significant radiation backscatter; this was largely determined by the density of mesh design and not by the type of alloy used. CONCLUSIONS: Stent characteristics should be considered when selecting the optimal stent for treatment and palliation of malignant esophageal strictures, especially when adjuvant or neo-adjuvant radiotherapy is planned.

Enhanced host-guest electrochemical recognition of herbicide MCPA using a ß-cyclodextrin carbon nanotube sensor.

An electrochemical sensor for the determination of the chlorophenoxy herbicide MCPA has been developed, based on a combination of multi-walled carbon nanotubes with incorporated ß-cyclodextrin and a polyaniline film modified glassy carbon electrode. The proposed molecular host-guest recognition based sensor has a high electrochemical sensitivity for the determination of MCPA. The electrochemical behaviour of MCPA at the chemically modified electrode was investigated in detail by cyclic voltammetry. The results indicate that the ß-CD/MWCNT modified glassy carbon electrode exhibits efficient electrocatalytic oxidation of MCPA with high sensitivity, stability and lifetime. The analytical characteristics of this film were used for the quantitative determination of MCPA in natural waters. Cyclic voltammetry in phosphate buffer solution at pH 6.0, allowed the development of a method to determine MCPA, without any previous steps of extraction, clean-up, or derivatization, in the range of 10-100 µmol L(-1), with a detection limit of 0.99 µmol L(-1) in water. The results were statistically compared with those obtained through an established high-performance liquid chromatography technique, no significant differences having been found between the two methods.

Air-kerma strength determination of a 169Yb high dose rate brachytherapy source.

The increased demand for high dose rate (HDR) brachytherapy as an alternative to external beam radiotherapy has led to the introduction of a HDR brachytherapy isotope 169Yb. This source offers a dose rate similar to 192Ir HDR sources, at about one fourth the effective photon energy. This work presents the calibration of this source in terms of air-kerma strength, based on an adaptation of the current, National Institute of Standards and Technology traceable, in air measurement technique currently used for 192Ir HDR sources. Several additional measurement correction factors were required, including corrections for air scatter, air attenuation, and ion recombination. A new method 169Yb is introduced for determining the ion chamber calibration coefficient Nk(169Yb). An uncertainty analysis was also performed, indicating an overall measurement expanded uncertainty in the air-kerma strength (k=2) of 2.2%.