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1.
Phys Rev Lett ; 128(2): 022502, 2022 Jan 14.
Artículo en Inglés | MEDLINE | ID: mdl-35089728

RESUMEN

Collinear laser spectroscopy is performed on the nickel isotopes ^{58-68,70}Ni, using a time-resolved photon counting system. From the measured isotope shifts, nuclear charge radii R_{c} are extracted and compared to theoretical results. Three ab initio approaches all employ, among others, the chiral interaction NNLO_{sat}, which allows an assessment of their accuracy. We find agreement with experiment in differential radii δ⟨r_{c}^{2}⟩ for all employed ab initio methods and interactions, while the absolute radii are consistent with data only for NNLO_{sat}. Within nuclear density functional theory, the Skyrme functional SV-min matches experiment more closely than the Fayans functional Fy(Δr,HFB).

2.
Opt Express ; 28(12): 17209-17218, 2020 Jun 08.
Artículo en Inglés | MEDLINE | ID: mdl-32679933

RESUMEN

Micromachining with high repetition rate femtosecond lasers and galvo scanners shows some limitations in the pulses positioning accuracy due to the galvo mirrors acceleration. This is particularly evident during scan speed or direction changes, resulting in a poor quality and overtreatment e.g. in corners. Several scanning approaches have been proposed to tackle these issues like the so-called skywriting (SW) and the pulse-on-demand (POD) being the last limited to ns lasers, moderate pulse repetition rates and scan speeds. Recently, POD approach has been extended to femtosecond laser sources with high power and high repetition rate. Here, for the first time, we explored the huge potential in laser micromachining of femtosecond POD technology associated to a fast galvo scanner. We tested an innovative set-up allowing for precise laser triggering at the requested time and position for MHz repetition rate and scan speed as high as 20 m/s. The pulse position accuracy of the system has been estimated to be ≤ 1µm whilst performances have been evaluated in comparison to conventional scanning and SW. Finally, we report the results of an engraving test on stainless steel. The advantages of the approach we propose are clearly shown in terms of machining quality and precision with respect to conventional scanning and reduction of the processing time by ≈ 40% with respect to SW.

3.
Phys Rev Lett ; 124(13): 132502, 2020 Apr 03.
Artículo en Inglés | MEDLINE | ID: mdl-32302185

RESUMEN

We present the first laser spectroscopic measurement of the neutron-rich nucleus ^{68}Ni at the N=40 subshell closure and extract its nuclear charge radius. Since this is the only short-lived isotope for which the dipole polarizability α_{D} has been measured, the combination of these observables provides a benchmark for nuclear structure theory. We compare them to novel coupled-cluster calculations based on different chiral two- and three-nucleon interactions, for which a strong correlation between the charge radius and dipole polarizability is observed, similar to the stable nucleus ^{48}Ca. Three-particle-three-hole correlations in coupled-cluster theory substantially improve the description of the experimental data, which allows to constrain the neutron radius and neutron skin of ^{68}Ni.

4.
Phys Rev Lett ; 122(19): 192502, 2019 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-31144969

RESUMEN

The change in mean-square nuclear charge radii δ⟨r^{2}⟩ along the even-A tin isotopic chain ^{108-134}Sn has been investigated by means of collinear laser spectroscopy at ISOLDE/CERN using the atomic transitions 5p^{2} ^{1}S_{0}→5p6 s^{1}P_{1} and 5p^{2} ^{3}P_{0}→5p6s ^{3}P_{1}. With the determination of the charge radius of ^{134}Sn and corrected values for some of the neutron-rich isotopes, the evolution of the charge radii across the N=82 shell closure is established. A clear kink at the doubly magic ^{132}Sn is revealed, similar to what has been observed at N=82 in other isotopic chains with larger proton numbers, and at the N=126 shell closure in doubly magic ^{208}Pb. While most standard nuclear density functional calculations struggle with a consistent explanation of these discontinuities, we demonstrate that a recently developed Fayans energy density functional provides a coherent description of the kinks at both doubly magic nuclei, ^{132}Sn and ^{208}Pb, without sacrificing the overall performance. A multiple correlation analysis leads to the conclusion that both kinks are related to pairing and surface effects.

5.
Klin Padiatr ; 227(5): 290-2, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26038962

RESUMEN

Mounier-Kuhn syndrome (MKS) or tracheobronchomegaly includes clinical and radiographic findings of tracheobronchial dilatation and recurrent respiratory infections. MKS is a very rare pathology, especially in the paediatric age group which makes it a diagnostic challenge. A 4-year-old girl suffered from dyspnea, recurrent respiratory infections and joint pain. Chest radiography detected peribronchial reinforcement and CT-scan revealed extended tracheal dilatation and bronchiectasis. In addition to MKS our patient was diagnosed with juvenile idiopathic arthritis (JIA) and scleroderma. MKS can be caused by congenital disorder or acquired aetiology. Several connective tissue diseases have been associated with MKS but no cases of JIA or scleroderma are described previously. Our case illustrates that patients who suffer from recurrent respiratory infections with unsatisfactory evolution and unspecific chest X-ray alteration, MKS always has to be considered in the differential diagnosis particularly in patients who suffer from connective tissue diseases.


Asunto(s)
Artritis Juvenil/complicaciones , Artritis Juvenil/epidemiología , Traqueobroncomegalia/complicaciones , Traqueobroncomegalia/epidemiología , Artralgia/etiología , Artritis Juvenil/diagnóstico , Preescolar , Diagnóstico Diferencial , Disnea/etiología , Femenino , Humanos , Recurrencia , Infecciones del Sistema Respiratorio/etiología , Esclerodermia Localizada/complicaciones , Esclerodermia Localizada/epidemiología , Tomografía Computarizada por Rayos X , Traqueobroncomegalia/diagnóstico
6.
Dalton Trans ; 52(45): 16841-16848, 2023 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-37909357

RESUMEN

This study focused on the solvothermal synthesis, characterization, and photocatalytic activities of two novel coordination polymers, namely [Zn(µ-HSeO3)2(bipy)]n (1) and [Zn(µ-HSeO3)2(phen)]n (2). These compounds represent the first organically linked ZnII hydrogenselenite coordination polymers. The synthesis of compounds 1 and 2 involved the addition of 2,2'-bipyridine and 1,10-phenanthroline, respectively, to SeO2 and ZnO in methanol as the solvent. The novel hydrogenselenite compounds were thoroughly characterized using spectroscopic and crystallographic methods. The photocatalytic solids (TiO2-1A and TiO2-2A) were prepared by immobilizing compounds 1-2 onto TiO2 through the sol-gel approach. These photocatalysts were then evaluated for hydrogen evolution via water splitting using a 300 W Hg/Xe lamp as the irradiation source. Among the newly synthesized photocatalytic materials, TiO2-1A demonstrated auspicious photocatalytic performance for hydrogen gas production. Its catalytic activity overcame the observed for the pure solid support TiO2 and Degussa P25 (commercial titania), making compound 1 a particularly attractive TiO2 photosensitizer. Additionally, TiO2-1A exhibited superior photocatalytic activity compared to TiO2-2A. The latter performed better than freshly prepared TiO2, approaching that of Degussa P25. These findings highlight the potential of compound 1 as an effective photosensitizer for TiO2-based photocatalysis, making it a promising candidate for applications in clean energy generation, specifically in hydrogen production by water splitting.

7.
Acta Crystallogr Sect E Struct Rep Online ; 68(Pt 7): o2008-9, 2012 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-22807837

RESUMEN

The title compound, C(16)H(14)Cl(2)O(2), is a chiral mitotane derivative that contains a dioxolane ring and crystallizes from methanol as a racemic mixture. It was obtained in high yield from mitotane and ethyl-eneglycol in alkaline medium, followed by neutralization with sulfuric acid and extraction with ethyl acetate. The mol-ecular structure is stabilized by an intra-molecular C- H⋯ O hydrogen bond. The dihedral angle between the aromatic rings is 80.1 (2)°. The dioxolane ring adopts a puckered envelope conformation with an O atom as the flap.

8.
Appl Radiat Isot ; 178: 109957, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34592693

RESUMEN

Ceramic fragments can provide an insight into the ancient culture and practices of groups of humans and their way of life (technology, cultural identity, social organization, habitation and economy). Scientific analysis can be used to obtain information on the ceramic production process, as well as the specificities of the material employed. In this research, all samples of archaeological potsherd from the Tupi-Guarani tradition were analyzed in order to identify and to characterize the structures, morphologies and the elemental composition by using by scanning electron microscopy (SEM-EDS) and multivariate statistical methods (PCA and HCA). FTIR spectroscopy revealed the presence of an organic residue in three samples along with carbonates, clay minerals, quartz and hematite. In addition, the presence of the stretching attributed to water molecules in crystalline systems was observed. Also, the presence of TiO2 in the anatase polymorphic form was detected using µ-Raman spectroscopy. These results indicate a firing temperature of between 800 and 1000 °C. In relation to the morphology, all samples revealed amorphous structures presenting isolated and heterogenic particles of different forms and sizes, and the EDS spectrum confirmed the elements present in the molecular structures elucidated by vibrational spectroscopy. The multivariate analysis has confirmed the correlation between the elemental compositions of ceramics collected from two different sites: a mountain region and a coastal area in Santa Catarina State, Brazil.

9.
Biochim Biophys Acta ; 618(2): 337-46, 1980 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-7378443

RESUMEN

Hydrolysis of cholesterol oleate and glycerol trioleate was measured in homogenates of human leucocytes at optimum pH of 4.0 and 5.25, respectively. Both enzyme activities appeared to reside in the 15,000 x g, 20-min fraction of mononuclear leucocytes. Solubilization of cholesterol ester hydrolase activity was strongly dependent on the detergent to protein ratio, showing optimal solubilization at weight ratios of 1.0 in cell homogenates and of 3.0 in the 15,000 x g, 20-min fraction, whereas solubilization of glycerol ester hydrolase was independent to protein ratio over the tested range of 0.3 to 5.8. Using a sequential solubilization procedure, about 60% of the granule proteins as well as 88% of glycerol ester hydrolase activity were solubilized at a detergent to protein ratio of 0.3, whereas cholesterol ester hydrolase activity was solubilized from the remaining membranes at a ratio of about 3.0. Thus, the acid glycerol ester hydrolase and acid cholesterol ester hydrolase were related to different proteins. Since solubilization of cholesterol ester hydrolase required drastic treatment, it is suggested that this enzyme is related to a protein within the lysosomal membrane.


Asunto(s)
Hidrolasas de Éster Carboxílico/sangre , Lipasa/sangre , Monocitos/enzimología , Esterol Esterasa/sangre , Plaquetas/enzimología , Humanos , Neutrófilos/enzimología , Polietilenglicoles , Solubilidad , Fracciones Subcelulares/metabolismo
10.
Biochim Biophys Acta ; 488(2): 294-304, 1977 Aug 24.
Artículo en Inglés | MEDLINE | ID: mdl-19082

RESUMEN

Hydrolysis of glycerol trioleate by human leucocytes was characterized and the enzymes responsible for this activity were obtained in a purified form by means of gel chromatography on Sephadex G-100 as well as by zonal ultracentrifugation followed by gel chromatography. The activity is localized in the granule fraction of leucocytes (15 000 X g, 20 min) and shows a sharp pH optimum at pH 5.25. As judged from the elution profile obtained by gel chromatography, two proteins are likely to contribute to the hydrolysis of glycerol trioleate. The approximate molecular weights of the two enzymes are 74 100 and 60 300, respectively. The activity is reduced in the presence of NaCl, KCl, CaCl2 as well as of p-hydroxymercuribenzoate. The enzymes are stable at -25 degrees C but loose about 50% of their activity within 48 h at 4 degrees C.


Asunto(s)
Leucocitos/enzimología , Lipasa , Gránulos Citoplasmáticos/enzimología , Activación Enzimática/efectos de los fármacos , Humanos , Concentración de Iones de Hidrógeno , Cinética , Lipasa/sangre , Lipasa/aislamiento & purificación , Polietilenglicoles/farmacología , Fracciones Subcelulares/enzimología , Trioleína
11.
Biochim Biophys Acta ; 434(2): 419-27, 1976 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-821525

RESUMEN

Two abnormal lipoproteins (LP-X1 and LP-X2) rich in free cholesterol and phospholipid have been isolated from the plasma of nine different patients with obstructive jaundice. As isolated, both lipoproteins were devoid of low density lipoproteins as judged by agar electrophoresis. In addition, they were free of apoB as judged by double immunodiffusion. However, LP-X1 exhibited a higher phospholipid to protein ratio and a lower hydrated density than LP-X2. The levels of LP-X1 and LP-X2 in plasma were measured in three patients studied for 14 days after corrective surgery for obstructive liver disease. The level of both these abnormal lipoproteins decreased after surgery until the twelfth day when they were completely absent from the plasma of these patients. The rates of this decrease for the two particles are significantly different. These differences in metabolic, chemical, and physical properties of LP-X1 and LP-X2, establish their identity as two distinct and unique lipoprotein particles.


Asunto(s)
Lipoproteínas , Adulto , Anciano , Enfermedades de las Vías Biliares/sangre , Electroforesis de las Proteínas Sanguíneas , Humanos , Inmunodifusión , Ictericia/sangre , Lipoproteínas/sangre , Lipoproteínas/aislamiento & purificación , Hepatopatías/sangre , Persona de Mediana Edad , Peso Molecular
12.
J Clin Oncol ; 19(11): 2812-20, 2001 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-11387352

RESUMEN

PURPOSE: To determine whether consolidation therapy with high-dose melphalan, etoposide, and total-body irradiation (TBI) with autologous stem-cell support would improve the prognosis for patients with newly diagnosed metastatic Ewing's sarcoma (ES). PATIENTS AND METHODS: Thirty-two eligible patients with newly diagnosed ES metastatic to bone and/or bone marrow were enrolled onto this study. Treatment was initially comprised of five cycles of induction chemotherapy (cyclophosphamide, doxorubicin, and vincristine alternating with ifosfamide and etoposide) and local control. Peripheral-blood stem-cell collection was performed after the second cycle of chemotherapy, with delay if the bone marrow was persistently involved. If patients had a good response to initial therapy, they proceeded to consolidation therapy with melphalan, etoposide, TBI, and stem-cell support. RESULTS: Of the 32 eligible patients, 23 proceeded to high-dose therapy consolidation. Of the nine patients who did not proceed to consolidation, four were secondary to progressive disease and two were secondary to toxicity. Three patients died from toxicity during the high-dose phase of the therapy. The majority of the patients who underwent high-dose consolidation therapy experienced relapse and died with progressive disease. Two-year event-free survival (EFS) for all eligible patients is 20%. The 2-year post-stem-cell reconstitution EFS for the subset of 23 patients who received consolidation therapy is 24%. Analysis of peripheral-blood stem-cell collections by molecular techniques for minimal residual disease showed contamination of at least some samples by tumor cells in all three patients with available data. CONCLUSION: Consolidation with high-dose melphalan, etoposide, TBI, and autologous stem-cell support failed to improve the probability of EFS in this cohort of patients with newly diagnosed metastatic ES.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias Óseas/terapia , Trasplante de Células Madre Hematopoyéticas , Sarcoma de Ewing/terapia , Irradiación Corporal Total , Adolescente , Adulto , Neoplasias Óseas/patología , Niño , Preescolar , Progresión de la Enfermedad , Relación Dosis-Respuesta a Droga , Etopósido/administración & dosificación , Femenino , Humanos , Lactante , Masculino , Melfalán/administración & dosificación , Metástasis de la Neoplasia , Pronóstico , Sarcoma de Ewing/patología , Trasplante Autólogo , Resultado del Tratamiento
13.
Diabetes Care ; 11(10): 761-8, 1988.
Artículo en Inglés | MEDLINE | ID: mdl-3073066

RESUMEN

In a prospective controlled trial, we studied the effect of tight metabolic control on the outcomes of 102 gestational diabetes mellitus (GDM) pregnancies compared with outcomes of 102 matched nondiabetic control pregnancies. Women with GDM were treated to achieve and maintain a blood glucose concentration of less than 130 mg/dl at 1 h after breakfast. Treatment consisted of a diet low in oligosaccharides and fat and, if necessary, once daily insulin. By the end of gestation, 88 of the 102 women with GDM received insulin at a mean dose of 18 U/day. Duration of insulin therapy ranged from 3 to 32 wk with a median of 11 wk. Perinatal outcome of GDM pregnancies under this management equaled that of control pregnancies. The full spectrum of excess morbidity from GDM was prevented, and normal distribution of birth weight and normal rates of macrosomia, dystrophy, hypoglycemia, hypocalcemia, hyperbilirubinemia, fetal acidosis, and low Apgar scores were achieved. No mortality was observed. In addition to the two main study groups, we also studied a third group of 24 women with GDM whose treatment lasted less than or equal to 5 wk due to late diagnosis. This suboptimally treated group demonstrated a significant (P less than .05) increase of macrosomia and umbilical artery acidosis compared with the well-treated GDM group. The study reported herein demonstrates that excess mortality and morbidity typically observed in GDM can be prevented by early institution of tight metabolic control, which required insulin in 86% of our patients.


Asunto(s)
Peso al Nacer , Dieta para Diabéticos , Resultado del Embarazo , Embarazo en Diabéticas/terapia , Glucemia/análisis , Femenino , Prueba de Tolerancia a la Glucosa , Humanos , Recién Nacido , Insulina/uso terapéutico , Preeclampsia/diagnóstico , Preeclampsia/prevención & control , Embarazo , Embarazo en Diabéticas/sangre , Embarazo en Diabéticas/dietoterapia , Valores de Referencia
14.
J Comp Neurol ; 263(2): 214-22, 1987 Sep 08.
Artículo en Inglés | MEDLINE | ID: mdl-3667977

RESUMEN

The anterograde transport of horseradish peroxidase following injections into the cervical, thoracic, or lumbosacral spinal cord was used to examine the organization of spinocervical tract terminations in the lateral cervical nucleus (LCN) of the cat. A somatotopic organization of the labeling originating from different spinal levels was observed in the mediolateral dimension. Cervical labeling generally occurred in the ventromedial portion and lumbosacral labeling in the dorsolateral portion of the LCN. Thoracic labeling occurred both in the middle and the most lateral edge of the nucleus. In all cases, labeling was distributed over most of the rostrocaudal extent of the LCN. In addition, distinct patches of labeling were present in the medialmost portion of the nucleus, regardless of the spinal level injected. These observations corroborate the topographical organization of the LCN described previously on the basis of physiological and retrograde labeling data, and support the identification of the medialmost part of the LCN as a distinct portion of the nucleus. Terminal labeling in the LCN always occurred in multiple, longitudinally distributed fields. The afferent input to each terminal field coursed in separate, loose bundles of fibers that descended from the superficial dorsolateral funiculus. Large injections resulted in more extensive, overlapping terminal fields. These observations indicate that collateral projections result in several discrete representations of a given portion of the skin over the longitudinal extent of the LCN, but that topographical relationships are longitudinally maintained. It is suggested that these multiple terminal fields are the anatomical correlate of the functionally selective convergence of spinocervical tract terminations, that has previously been postulated on physiological grounds to explain the generation of LCN receptive fields with homogenous receptor input within a somatotopic framework.


Asunto(s)
Gatos/anatomía & histología , Médula Espinal/anatomía & histología , Animales , Peroxidasa de Rábano Silvestre , Vías Nerviosas , Tractos Espinotalámicos/anatomía & histología , Tractos Espinotalámicos/fisiología
15.
Mech Ageing Dev ; 28(1): 123-38, 1984 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-6513612

RESUMEN

Chickens were studied in an attempt to demonstrate correlations between serum lipid levels and peripheral blood lymphocyte (PBL) plasma membrane fluidity and mitogen responsiveness: (a) in the laying hen; (b) during aging; and (c) following dietary manipulation of serum cholesterol of young and aged chickens. The membrane fluidity of PBL from laying hens was significantly greater than that of immature birds. However, no direct correlation was found between serum lipid levels, nor the serum free cholesterol/phospholipid (FC/Pl) mole composition and PBL membrane fluidity in any of the age-groups tested. Likewise, no correlation was found either between serum FC/Pl mole ratio or membrane fluidity and mitogen responsiveness of PBL from birds up to 5 years of age nor was there any evidence for a decline in mitogen responsiveness up to this age. Supplementation of diets with 1% cholesterol induced hypercholesterolemia, mainly in the very low density lipoprotein (VLDL) fraction, but membrane fluidity and mitogen responsiveness remained unaffected.


Asunto(s)
Envejecimiento , Colesterol/sangre , Linfocitos/fisiología , Fluidez de la Membrana , Mitógenos/farmacología , Animales , Membrana Celular/fisiología , Pollos/inmunología , Pollos/fisiología , Colesterol/farmacología , Femenino , Lípidos/sangre , Lipoproteínas/sangre , Linfocitos/efectos de los fármacos
16.
Atherosclerosis ; 21(3): 391-9, 1975.
Artículo en Inglés | MEDLINE | ID: mdl-1148032

RESUMEN

The plasma lipid and serum uric acid lowering effect of halofenate (MK-185, 1 g/day) was compared with the action of clofibrate (2 g/day) in a double-blind 1-yr study in 23 patients with Type 2, 3, 4, and 5 hyperlipoproteinemia. It could be demonstrated that clofibrate decreased the plasma cholesterol concentration significantly to 75% and the triglyceride concentration to 49% of the placebo period level. Halofenate produced no consistent effect on plasma cholesterol but ther was an average reduction of the plasma triglyceride concentration to 84%, which was, however, not significant. If only the Type 4 patients were taken into account, a mean significant decrease to 47% of the triglyceride concentration was observed during the second 24-week period of treatment. In contrast, halofenate lowered the serum uric acid concentration significatnly to 77% of the placebo period level, whereas the decreasing action of clofibrate was weaker (88%) and of lesser significance.


Asunto(s)
Clofibrato/farmacología , Glicolatos/farmacología , Halofenato/farmacología , Hiperlipidemias/metabolismo , Lípidos/sangre , Ácido Úrico/sangre , Adulto , Anciano , Electroforesis , Humanos , Hiperlipidemias/sangre , Persona de Mediana Edad , Sefarosa , Triglicéridos/sangre
17.
Int J Radiat Oncol Biol Phys ; 15(1): 43-52, 1988 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-3391827

RESUMEN

A retrospective review of 46 cases of Ewing's (43) and extraosseous Ewing's (3) sarcoma was performed to examine for prognostic factors. Follow-up ranged from 27 to 135 months with a mean of 77.6 months, 86% greater than 36 months. Nine (20%) patients presented with distant metastases, 98% received multiagent chemotherapy, and 98% received radiation therapy. Overall actuarial survival and local control at 5 years were .52 +/- .08 and .78 +/- .07, respectively. The freedom from relapse or treatment related mortality at 5 years was .46 +/- .08. In 12 (26%) patients, surgical resection of the involved bone or soft tissue was part of the initial treatment plan. Ninety-two percent (11/12) of these patients also received radiation therapy. In addition to surgical resection, tumor size (less than 500 cc vs. greater than or equal to 500 cc), primary site (central vs. other), and stage were also analyzed for prognostic significance, and where appropriate, were included in Cox multivariate analyses. Considering all patients, the 5-year actuarial survival was .92 +/- .08 vs. .37 +/- .09 for patients receiving and not receiving surgical resection, respectively (p = .001 by logrank, p = .02 by Cox). To make the groups more comparable, 8 patients with local failure and 5 patients with non-evaluable primary sites were excluded. After these exclusions, the presence or absence of surgical resection had decreased significance: .92 +/- .08 vs. .59 +/- .11, respectively; p = .01 by logrank, p = .07 by Cox. Only primary site remained statistically significant: .86 +/- .08 for noncentral sites vs. .38 +/- .16 for central sites, p less than .0002 by logrank, p = .0004 by Cox. Surgical resection when added to local irradiation has prognostic significance in this retrospective review. The reason for this is not clear, but may be related to a decrease in local failure after resection.


Asunto(s)
Neoplasias Óseas/cirugía , Sarcoma de Ewing/cirugía , Neoplasias de los Tejidos Blandos/cirugía , Adolescente , Adulto , Anciano , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Neoplasias Óseas/tratamiento farmacológico , Neoplasias Óseas/radioterapia , Niño , Preescolar , Terapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Estudios Retrospectivos , Sarcoma de Ewing/tratamiento farmacológico , Sarcoma de Ewing/radioterapia , Neoplasias de los Tejidos Blandos/tratamiento farmacológico , Neoplasias de los Tejidos Blandos/radioterapia
18.
Int J Radiat Oncol Biol Phys ; 35(1): 117-24, 1996 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-8641907

RESUMEN

PURPOSE: In clinical practice, physicians are constantly comparing multiple images taken at various times during the patient's treatment course. One goal of such a comparison is to accurately define the gross tumor volume (GTV). The introduction of three-dimensional treatment planning has greatly enhanced the ability to define the GTV, but there are times when the GTV is not visible on the treatment-planning computed tomography (CT) scan. We have modified our treatment-planning software to allow for interactive display of multiple, registered images that enhance the physician's ability to accurately determine the GTV. METHODS AND MATERIALS: Images are registered using interactive tools developed at the University of North Carolina at Chapel Hill (UNC). Automated methods are also available. Images registered with the treatment-planning CT scan are digitized from film. After a physician has approved the registration, the registered images are made available to the treatment-planning software. Structures and volumes of interest are contoured on all images. In the beam's eye view, wire loop representations of these structures can be visualized from all image types simultaneously. Each registered image can be seamlessly viewed during the treatment-planning process, and all contours from all image types can be seen on any registered image. A beam may, therefore, be designed based on any contour. RESULTS: Nineteen patients have been planned and treated using multimodality imaging from November 1993 through August 1994. All registered images were digitized from film, and many were from outside institutions. Brain has been the most common site (12), but the techniques of registration and image display have also been used for the thorax (4), abdomen (2), and extremity (1). The registered image has been an magnetic resonance (MR) scan in 15 cases and a diagnostic CT scan in 5 cases. In one case, sequential MRs, one before treatment and another after 30 Gy, were used to plan patient's initial fields and boost, respectively. Case illustrations are shown. CONCLUSIONS: We have successfully integrated multimodality imaging into our treatment-planning system, and its routine use is increasing. Multimodality imaging holds out the promise of improving treatment planning accuracy and, thus, takes maximum advantage of three dimensional treatment planning systems.


Asunto(s)
Planificación de la Radioterapia Asistida por Computador , Tomografía Computarizada por Rayos X , Humanos , Masculino , Persona de Mediana Edad
19.
Int J Radiat Oncol Biol Phys ; 21(3): 767-77, 1991 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-1869469

RESUMEN

If a head and neck cancer originates low in the neck with a primary site below the shoulders, a technical challenge to the radiation oncologist exists in that the entire neck needs treatment while avoiding overlap of multiple fields on the spinal cord. No standard solution to this problem exists. We have developed a 3-D treatment planning tool that can be used to develop and compare 3-D treatment plans and dose distributions. Using this tool, we have studied the following techniques for the postoperative treatment of carcinomas of the larynx and hypopharynx, tumors that often embody the problems discussed above: (a) the mini-mantle technique used at the Massachussetts General Hospital, (b) a 3-field technique used at the University of Florida at Gainesville (UF 3-field), (c) a 3-field technique used at our institution and at many others (standard 3-field), and (d) the kicked out lateral technique used at our institution and at others. The 3-D dose distributions from these plans are compared. With 100% delivered just anterior to the vertebral body at mid-neck, the mini-mantle technique results in large 120% hot spots laterally and anteriorly in the neck. Near the mastoid tips, however, the dose falls to 100%. The upper neck nodes may be underdosed since this is 20% cooler than the lateral-anterior neck dose (where a large 120% hot spot exists). The spinal cord is adequately blocked. The two 3-field techniques result in small hot spots at the junction of the lateral and anterior fields. Because different methods are used to prevent overlap at the spinal cord, these hot spots occur anteriorly in the standard 3-field technique and laterally in the UF 3-field technique. The spinal cord block results in untreated neck tissue which can be supplemented with electrons in the standard 3-field technique, but is left untreated in the UF 3-field technique. Both techniques result in a generous length of spinal cord which does not receive full dose. The kicked out lateral technique treats the entire neck and reconstructed pharynx without matching fields at midneck. The upper mid mediastinum is underdosed 10-20% despite being within the posterior inferior portion of the beam. This could be minimized by using a tissue compensator. Unless there is significant subglottic extension or significant risk of disease in the upper mediastinum, we favor treating these malignancies with the kicked out lateral technique, which avoids the problem of junctioning lateral and anterior fields and provides a fairly homogeneous dose distribution.


Asunto(s)
Neoplasias Hipofaríngeas/radioterapia , Neoplasias Laríngeas/radioterapia , Planificación de la Radioterapia Asistida por Computador , Terapia Combinada , Humanos , Neoplasias Hipofaríngeas/cirugía , Neoplasias Laríngeas/cirugía
20.
Int J Radiat Oncol Biol Phys ; 20(4): 843-51, 1991 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2004963

RESUMEN

We have developed a graphics-based three-dimensional treatment design system that permits the physician to easily understand which anatomy will be treated for any arbitrary beam orientation. Our implementation of this system differs from others in that the software (the Virtual Simulator) simulates the full functionality of a (physical) radiation therapy simulator allowing it to be easily used by physicians. The details of the of our initial clinical experience with virtual simulation are presented in this paper. Virtual simulation was attempted in 71 patients and completed in 65. In 41/71 patients (58%), the beam orientations chosen differed significantly from those traditionally used in our department. Although virtual simulation lead to traditional radiation portals in the remaining patients, in 23/71 (32%) secondary blocking was designed which was different from that which would have been conventionally employed. Thus, overall, virtual simulation lead to treatment changes in 64/71 (90%) of the patients in whom it was attempted. In 78% of evaluable patients the treatment designed with virtual simulation could be implemented on the physical simulator with a precision of +/- 5 mm (+/- 3 mm for brain and head and neck). Thus virtual simulation allowed both accurate planning and execution of treatment plans that would be difficult to achieve with conventional methods.


Asunto(s)
Neoplasias Encefálicas/radioterapia , Gráficos por Computador , Neoplasias de Cabeza y Cuello/radioterapia , Modelos Anatómicos , Neoplasias/radioterapia , Traumatismos por Radiación/prevención & control , Radioterapia/métodos , Humanos , Radioterapia/efectos adversos
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