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This study aims at the estimation of skin doses during small field radiotherapy with 6 MV photons and analysis of beam spectra at skin surface. The EGSnrc Monte Carlo code was used for spectral analysis and dose scoring in a water phantom. Percent skin dose (PSD) was calculated at a depth of 70 µm (relative to 10 cm depth), and the effects of field size, collimation, source-to-surface distance, and tissue inhomogeneity (bone/air) below the skin were evaluated. Low-energy photons and contaminant electrons from the machine head or back-scattered from underlying tissue were found to be the major contributors to skin dose. As the field size was reduced, the beam hardened, while the photon and electron fluences at the skin decreased compared to those at the reference depth of 10 cm. This resulted in a PSD reduction for fields smaller than the reference field size. Multi leaf collimators increased the PSD (up to 4%) while variation in source-to-skin dose showed a negligible effect. A substantial increase in PSD has been observed (up to 6%) when high Z material like bone was placed below the skin. In contrast, air as underlying material decreased the skin dose. The skin dose varied considerably with various clinical and geometric parameters. It is concluded that, although the skin doses were low for small fields compared to those for the reference field, skin doses may become substantial when escalated target doses are delivered with multi leaf collimators. Moreover, the presence of high Z materials such as bones or metallic implants below the skin can result in significant enhancement of the skin dose.
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Fótons/uso terapêutico , Pele/metabolismo , Osso e Ossos , Simulação por Computador , Elétrons , Humanos , Método de Monte Carlo , Dosagem RadioterapêuticaRESUMO
In this study, the thermoluminescence characteristics of naturally occurring salt (NaCl) were assessed for the development of a radiation dosimeter. For this purpose, mined crystalline samples of salt were procured directly from Khewra salt mines in Pakistan. The samples were hand crushed, sieved, and compressed to pellets comparable in size to standard TLD chips, and irradiated to gamma radiation doses in the range of 5 mGy and 5000 mGy. Thermoluminescence (TL) response showed three main peaks in the glow curve around 115-130 °C, 150-170 °C, and 220-240 °C. A linear TL response was observed for the dose range of 5-100 mGy. The TL response became supra-linear for the dose ranges of 100-1000 mGy and 1000-5000 mGy. The Tm-Tstop method was applied to identify the overlapping peaks of the glow curve. Computerized glow curve deconvolution (CGCD) was then employed for the characterization of electron trap parameters such as frequency factor (s), activation energy (E), and the kinetic order (b), using General Order (GO) kinetics. The figure-of-merit (FOM) was found to be 1.08%, 0.94%, 0.77%, and 0.75%, at 500 mGy, 1 Gy, 2 Gy, and 5 Gy, respectively. The TL intensity faded by 20% within the first 24 h after irradiation and finally stabilized after two weeks. In addition, structural, morphological, and elemental analyses, were also performed using various analytical techniques. X-ray diffraction (XRD) showed that the salt crystallizes in a face-centered cubic structure. Scanning electron microscope (SEM) micrographs indicated that the crystallites are closely packed and cubic-shaped with non-uniform size, and mostly found in the agglomerated form. Similarly, the elemental analysis confirmed the presence of impurities such as Mg, Sr, S, K, O, and Ca, in the samples. The present study concludes that the pellets made from salt samples from Khewra mines have a potential for use as radiation dosimeters.
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Cloreto de Sódio , Dosimetria Termoluminescente , Raios gama , Medições Luminescentes , Microscopia Eletrônica de Varredura , Mineração , Paquistão , Temperatura , Difração de Raios XRESUMO
This study assesses the feasibility of using stereotactic field diode (SFD) as an alternate to gaf chromic films for field output factor (FF) measurement and further evaluating three new detectors for small field dosimetry. Varian 21EX linear accelerator was used to generate 6 and 10 MV beams of nominal square fields ranging from 0.5 × 0.5 cm2 to 10 × 10 cm2 . One passive (EBT3 films) and five active detectors including IBA RAZOR diode(RD), SFD, RAZOR nanochamber (RNC), pinpoint chamber (PTW31023), and semiflex chamber (PTW31010) were employed. FFs were measured using films and SFD while beam profiles and percentage depth dose (PDD) distribution were acquired with active detectors. Polarity (kpol ) and recombination (ks ) effects of ion chambers were determined and corrected for output ratio measurement. Correction factors (CF) of RD, RNC, and PTW31023 in axial and radial orientation were also measured. Stereotactic field diode measured FFs have shown good agreement with films (with difference of <1%). RD and RNC measured beam profiles were within 3% deviation from the SFD values. Variation in kpol with field size for RNC and PTW31023 was up to 4% and 0.4% (for fields ≥ 1 × 1 cm2 ), respectively, while variation in ks of PTW31023 was <0.2 %. The maximum values of CF have been calculated to be 5.2%, 2.0%, 13.6%, and 25.5% for RD, RNC, PTW31023-axial, and PTW31023-radial respectively. This study concludes that SFD with appropriate CFs as given in TRS 483 may be used for measuring FFs as an alternate to EBT3 films. Whereas RD and RNC may be used for beam profile and PDD measurement in small fields. Considering the limit of usability of 2%, RNC may be used without CF for FF measurement in the smallfields investigated in this study.
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Aceleradores de Partículas , Radiometria , Estudos de Viabilidade , Humanos , Imageamento Tridimensional , FótonsRESUMO
The objective of this study is to analyze small field photon beams acquired with commonly available detectors. Beam profiles of 6 MV photons from the Siemens Primus Linear Accelerator were measured with a micro ion chamber (IC CC01, IBA) and linear diode array (LDA-99SC, IBA). Data was acquired using a water phantom for small fields (0.5×0.5 cm2 to 4×4 cm2) at depth of maximum dose, 5âcm and 10âcm. Profiles were also generated with EGSnrc Monte Carlo code. Measured and simulated profiles were compared in terms of percentage difference of the area under the simulated and measured profiles (PD), ratio of the measured to simulated dose at the point of maximum deviation within the central region of profile (R), full width half maximum (FWHM) and penumbra. For field sizes ≥1×1 cm2, the maximum PD is 3.17 % and 2.87 % for IC and LDA respectively, whereas R is in the range of 0.95-1.05 for IC and 0.99-1.05 for LDA. LDA measured FWHM and penumbra are also in better agreement with the simulated results. This study demonstrated that LDA can be used for acquisition of beam profiles for field size as low as 1×1 cm2.
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Fótons , Radiometria/instrumentação , Método de Monte Carlo , Imagens de Fantasmas , Dosagem RadioterapêuticaRESUMO
The determination of detection efficiency and peak-to-total ratios has been performed for rectangular CdTe detectors for various x-ray and low-energy γ-ray source configurations including parallel beams, point, and cylindrical sources. The dependence of efficiency values on axial and off-axial distances, detector thickness and area, and source dimensions has been studied. The detector model developed in this work has been validated by comparing the Monte Carlo simulated values of detector efficiency for a parallel incident beam with the available published data and good agreement has been found with discrepancies remaining within 2% throughout the energy range. Geant4 simulations show nearly 100% photopeak and total efficiency with peak-to-total ratios approaching a maximum value of 1.0 for photons in the 4-70 keV energy range. Similar high values of detection efficiency have been obtained for brachytherapy I-125 seed sources having cylindrical geometries which indicates the suitability of CdTe detectors for the calibration of sources used in therapy. The logistic power curve was found excellent for empirically fitting the photopeak efficiency variations with axial displacement of the I-125 brachy source in the horizontal configuration. Geant4 simulations clearly show that small thicknesses, of the order of 0.5 mm, of CdTe material are sufficient for attaining almost 100% detection efficiency for low-energy photons having energies up to 100 keV.
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Compostos de Cádmio/análise , Radiometria/métodos , Telúrio/análise , Braquiterapia , Simulação por Computador , Processos EstocásticosRESUMO
In this study an open-source tool GCD Analyzer, based on Microsoft® Excel, for Computerized Glow Curve Deconvolution analysis (CGCD) of thermoluminescence (TL) glow peak has been developed using a more accurate rational approximation. It is capable of deconvolution of glow curves having discrete or continuous trap distribution and can be used for routine as well as emergency radiation dosimetric analysis. This tool has a unique feature of TL glow curve analysis by combining discrete and continuous energy distributions for crystalline, amorphous, and mixed materials. To obtain best values of trap parameters like activation energy (E), frequency factor (s), order of kinetics (b), GCD Analyzer has the capability of analyzing glow curve using selectable individual peak of various physical kinetic models i.e. FOK, SOK, GOK, MOK, and Continuous Traps Distribution (CTD) with subtraction of optional background signal. The residual graph gives a clear visual understanding of the Figure of Merit (F.O.M). A comparison of asymptotic and rational approximation to the built-in second order exponential integral function E2(E/KT) for E/KT < 600 is also presented. The results are verified by deconvolution of test synthetic glow curves with F.O.M up to 0.0005%, experimental glow curve for CTD with F.O.M of 0.9781%, and in the case of GLOWCANIN project glow curves, the F.O.M is comparable to the least values achieved by inter-comparison participants.
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Introduction The coronavirus disease 2019 (COVID-19) vaccination has been suggested for those with comorbidities, although there are concerns regarding the vaccine's safety. This study aimed to compare the severity and incidence of post-vaccination side effects in people with and without comorbidities. Another aim of this study was also to look for the effect of multimorbidity on adverse events. Methods This observational study was conducted from November 2021 to February 2022. Data were collected from all over Pakistan using a self-administered online questionnaire that inquired about the subject's demographic, clinical, and COVID-19 vaccination profiles. Data analysis was done by using SPSS software version 22.0. (Chicago, IL, IBM Corp.). Results A total of 421 participants were included in the study, and 31.4% of individuals had underlying comorbidity. The overall mean age was 33 years (range: 13-85 years). This study included recipients of all major types of COVID-19 vaccines being used in Pakistan. Only 67.4% of the subjects had only underlying comorbidity, and hypertension was the most common one out of all comorbidities. Participants with comorbidities were not at a greater risk to produce vaccine-related adverse events when compared to those with no comorbidities. Comorbidity was also found to be statistically non-significant to the severity of the side effects. Only one subject with comorbidity produced a side effect and required hospitalization. Multimorbidity was not associated with a greater incidence of side effects. Multimorbidity was not significantly linked with the severity of the adverse effects, except muscle pain (p<0.05) and breathlessness (p<0.05). Conclusion It can be concluded that comorbidities do not affect the COVID-19 vaccine's reactogenicity but studies on an extensive scale should be conducted regarding individuals with multiple pre-existing comorbidities.
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Thermoluminescence (TL), kinetic parameters and dosimetric features of Pakistani limestone (CaCO3) is reported in this study. Both compositional and structural analyses reveal that the material has a crystalline nature with rhombohedral structure and non-uniform crystallite size having major content of CaCO3. A powdered limestone sample of 30 mg is found to be the optimized weight for TL and other dosimetric studies. After irradiating the samples with a test dose of 100 Gy using a ß source three composite glow peaks termed as P1, P2 and P3 are visible at 100, 230 and 330 °C respectively using a linear heating rate of 1 °C/s during the TL readout. The Coefficient of Variation (COV) is found to be about 4%. Kinetic parameters (i.e., frequency factor (f), activation energy (E), and the kinetic order (b)) are estimated using both first and second Order of kinetics using an in-house Computerized Glow Curve Deconvolution (GCD) software. The figure-of-merit (FOM) is found to be 2.12%. The distribution of continuum traps with activation energy in the range of 0.77-2.59 eV is observed in the kinetic parameter analysis of the glow peaks of the sample. The TL response in the dose range of 1-5 Gy (not reported previously) and linearity in the dose response in the dose range of 1-10 Gy is observed in samples of Pakistani limestone. The Minimum Detectable Dose (MDD) is 1.01 Gy clearly resembling the experimentally linear fitted results. After a fading study for a period of thirty days, only the first peak i.e., P1 majorly fades while no major change is observed in the amplitude of peaks P2 and P3. In addition, P1 is the main contributor fading by 92% within the first 24 h of irradiation while P2 fades by 30 %. However, P3 shows stability with a very minor fading of 0.05% within 24 h of irradiation. This study concludes that Pakistani limestone can be further assessed as a potential radiation dosimeter for various applications.
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Carbonato de Cálcio , Dosimetria Termoluminescente , Cinética , Paquistão , Radiometria , Dosimetria Termoluminescente/métodosRESUMO
Although MUC13, a transmembrane mucin, is aberrantly expressed in pancreatic ductal adenocarcinoma (PDAC) and generally correlates with increased expression of HER2, the underlying mechanism remains poorly understood. Herein, we found that MUC13 co-localizes and interacts with HER2 in PDAC cells (reciprocal co-immunoprecipitation, immunofluorescence, proximity ligation, co-capping assays) and tissues (immunohistofluorescence). The results from this study demonstrate that MUC13 functionally interacts and activates HER2 at p1248 in PDAC cells, leading to stimulation of HER2 signaling cascade, including ERK1/2, FAK, AKT and PAK1 as well as regulation of the growth, cytoskeleton remodeling and motility, invasion of PDAC cells-all collectively contributing to PDAC progression. Interestingly, all of these phenotypic effects of MUC13-HER2 co-localization could be effectively compromised by depleting MUC13 and mediated by the first and second EGF-like domains of MUC13. Further, MUC13-HER2 co-localization also holds true in PDAC tissues with a strong functional correlation with events contributing to increased degree of disorder and cancer aggressiveness. In brief, findings presented here provide compelling evidence of a functional ramification of MUC13-HER2: this interaction could be potentially exploited for targeted therapeutics in a subset of patients harboring an aggressive form of PDAC.
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Carcinoma Ductal Pancreático/metabolismo , Mucinas/metabolismo , Neoplasias Pancreáticas/metabolismo , Receptor ErbB-2/metabolismo , Carcinoma Ductal Pancreático/genética , Carcinoma Ductal Pancreático/patologia , Linhagem Celular Tumoral , Progressão da Doença , Técnicas de Silenciamento de Genes , Humanos , Mucinas/genética , Neoplasias Pancreáticas/genética , Neoplasias Pancreáticas/patologia , Receptor ErbB-2/genética , Transdução de Sinais , TransfecçãoRESUMO
For nonlinear accelerating corrosion, calculation of activated corrosion products on inner surfaces of primary coolant pipes have been done in a typical pressurized water reactor (PWR) under flow rate perturbations. Computer program CPAIR-P (Corrosion Product Activity In Reactors) (Deeba et al., 1999) has been modified to accommodate for time-dependent corrosion rates. Results, for (24)Na, (56)Mn, (59)Fe, (58)Co, (60)Co and (99)Mo, show that the specific activity in primary loop approaches equilibrium value under normal operating conditions fairly rapidly. Predominant corrosion product activity during operation is due to (56)Mn, and cobalt isotopes dominate the activity after shutdown of reactor. Flow rate perturbations and different types of rising corrosion rates were introduced in the system and effects on saturation activity were studied. For a linear decrease in flow rate and a constant corrosion rate, the total coolant activity and activity on pipe scale approaches higher saturation values when compared to normal condition values. With a nonlinearly accelerating corrosion, the behavior of specific activity changes considerably. The flow rate perturbations on specific activity for pipe scale results in a new saturation value which depends on both the changes in flow rate (Delta w) and equilibrium corrosion rate (C(s)) values. However, the time taken to reach the saturation activity depends on the slope of corrosion rate. For a slow pump coastdown, the activity does not show an initial drop when flow rate starts decreasing. It monotonically rises and follows the slope of corrosion rate. The peak value and decay of activity after scram are strong functions of flow rate and removal efficiencies.
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Using anthropomorphic phantom in Geant4, determination of ß- and γ-absorbed fractions and energy absorbed per event due to (131)I activity in thyroid of individuals of various age groups and geometrical models, have been carried out. In the case of (131)I ß-particles, the values of the absorbed fraction increased from 0.88 to 0.97 with fetus age. The maximum difference in absorbed energy per decay for soft tissue and water is 7.2% for γ-rays and 0.4% for ß-particles. The new mathematical MIRD embedded in Geant4 (MEG) and two-lobe ellipsoidal models developed in this work have 4.3% and 2.9% lower value of S-factor as compared with the ORNL data.
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Envelhecimento/metabolismo , Antropometria/métodos , Radioisótopos do Iodo/farmacocinética , Modelos Biológicos , Radiometria/métodos , Software , Glândula Tireoide/metabolismo , Absorção de Radiação , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Simulação por Computador , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Especificidade de Órgãos , Doses de Radiação , Compostos Radiofarmacêuticos/farmacocinética , Adulto JovemRESUMO
Based on continuous release of fission product (FP) activity from fuel to the coolant and then to the containment, a kinetic model is developed for source term after a LOCA in a typical MTR type system. The time dependent source, re-suspension rate, decay of fission products, leakage, deposition on surfaces, and re-circulation of air through filters are employed with a partial prompt source plus a time varying source. Releases of different FP activities are simulated for various release rates.
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The proposed algorithm introduces a new and efficient hybrid diversification operator (HDO) in the evolution cycle to improve the tomographic image reconstruction and diversity in the population by using simulated annealing (SA), and the modified form of decreasing law of mutation probability. This evolutionary approach has been used for parallel-ray transmission tomography with the head and lung phantoms. The algorithm is designed to address the observation that the convergence of a genetic algorithm slows down as it evolves. The HDO is shown to yield a higher image quality as compared with the filtered back-projection (FBP), the multiscale wavelet transform, the SA, and the hybrid continuous genetic algorithm (HCGA) techniques. Various crossover operators including uniform, block, and image-row crossover operators have also been analyzed, and the latter has been generally found to give better image quality. The HDO is shown to yield improvements of up to 92% and 120% when compared with FBP in terms of PSNR, for 128 × 128 head and lung phantoms, respectively.