Could pulmonary low-dose radiation therapy be an alternative treatment for patients with COVID-19 pneumonia? Preliminary results of a multicenter SEOR-GICOR nonrandomized prospective trial (IPACOVID trial).

PURPOSE: To evaluate the efficacy and safety of lung low-dose radiation therapy (LD-RT) for pneumonia in patients with coronavirus disease 2019 (COVID-19). MATERIALS AND METHODS: Inclusion criteria comprised patients with COVID-19-related moderate-severe pneumonia warranting hospitalization with supplemental O2 and not candidates for admission to the intensive care unit because of comorbidities or general status. All patients received single lung dose of 0.5 Gy. Respiratory and systemic inflammatory parameters were evaluated before irradiation, at 24 h and 1 week after LD-RT. Primary endpoint was increased in the ratio of arterial oxygen partial pressure (PaO2) or the pulse oximetry saturation (SpO2) to fractional inspired oxygen (FiO2) ratio of at least 20% at 24 h with respect to the preirradiation value. RESULTS: Between June and November 2020, 36 patients with COVID-19 pneumonia and a mean age of 84 years were enrolled. Seventeen were women and 19 were men and all of them had comorbidities. All patients had bilateral pulmonary infiltrates on chest X­ray. All patients received dexamethasone treatment. Mean SpO2 pretreatment value was 94.28% and the SpO2/FiO2 ratio varied from 255 mm Hg to 283 mm Hg at 24 h and to 381 mm Hg at 1 week, respectively. In those who survived (23/36, 64%), a significant improvement was observed in the percentage of lung involvement in the CT scan at 1 week after LD-RT. No adverse effects related to radiation treatment have been reported. CONCLUSIONS: LD-RT appears to be a feasible and safe option in a population with COVID-19 bilateral interstitial pneumonia in the presence of significant comorbidities.

Patterns of phase-dependent spiral wave attenuation in excitable media.

We show that introducing periodic planar fronts with long excitation duration can lead to spiral attenuation. The attenuation occurs periodically over cycles of several planar fronts, forming a variety of complex spatiotemporal patterns. We find that these attenuation patterns occur only at specific phases of the descending fronts relative to the rotational phase of the spiral. These patterns fall into two general classes, each defined by a specific expression for the number of attenuated spirals per cycle of planar fronts, and represented by a structured diagram in parameter space. The spiral attenuation patterns we observe remain stable in time and do not change during the evolution of the system.

System-size resonance in a binary attractor neural network.

System size resonance (SSR) is a phenomenon in which the response of a system is optimal for a certain finite size, but poorer as the size goes to zero or infinity. In order to show SSR effects in binary attractor neural networks, we study the response of a network, in the ferromagnetic phase, to an external, time-dependent stimulus. Under the presence of such a stimulus, the network shows SSR, as is demonstrated by the measure of the signal amplification both analytically and by simulation.

System size resonance in coupled noisy systems and in the Ising model.

We consider an ensemble of coupled nonlinear noisy oscillators demonstrating in the thermodynamic limit an Ising-type transition. In the ordered phase and for finite ensembles stochastic flips of the mean field are observed with the rate depending on the ensemble size. When a small periodic force acts on the ensemble, the linear response of the system has a maximum at a certain system size, similar to the stochastic resonance phenomenon. We demonstrate this effect of system size resonance for different types of noisy oscillators and for different ensembles---lattices with nearest neighbors coupling and globally coupled populations. The Ising model is also shown to demonstrate the system size resonance.