RESUMO
Objective: To discuss the influence of different computed tomography (CT) value assignment methods on dose calculation of intensity modulated radiotherapy (IMRT) plan which designed for nasopharyngeal carcinoma (NPC) and the value assignment methods of IMRT plan for NPC based on magnetic resonance (MR) images. Methods: Simulation CT and MR image of 32 NPC patients in Shandong Cancer Hospital from March 2018 to November 2018 were selected for this study. Populate CT values were obtained by contouring and analyzing the simulation CT of patients' tissue, including bone, air, brain, eyeball, optic-nerve, lens, parotid, masseter, skin. Pseudo-CT were generated by different CT value assignment methods: CT1: CT value of all tissues was set to 0HU; CT2: CT value of air cavity was set to populate CT value based on CT1; CT3: CT value of Bone was set to populate CT value based on CT2; CT4: CT value of each soft tissue were set to populate CT value based on CT3. The IMRT plan for NPC as Plan0 was designed base on simulation CT. Then Plan0 was transplanted to four pseudo-CT to recalculate the dose and obtain Plan1, Plan2, Plan3 and Plan4, the differences of dosimetric parameters were compared with Plan0. NPC-IMRT plan was designed base on MR images by using the assignment method with CT value of each tissue were set to populate CT value. Results: In the head and neck CT images, the average populate CT values of bone and cavity were 621 HU and -720 HU, respectively. The populate CT values of other soft tissue ranges from -20 HU to 70 HU. The differences of dosimetric indexes of Plan1, Plan2, Plan3, Plan4 decreased sequentially compare to Plan0, the difference of the dosimetry parameters of Plan4 and Plan0 was the smallest. The differences of PTV D(99), PTV D(95), isocenter dose, D(mean) of all tissues, D(max) of bilateral eye balls, D(max) of bilateral lens, D(max) of bilateral optic nerves, D(mean) of bilateral parotid, V(20) of bilateral parotid, D(50) of bilateral parotid, D(max) of spinal cord, D(max) of brainstem, D(5) of brainstem between Plan4 and Plan0 were all less than 1%. The difference of V(30) in bilateral parotid between Plan4 and Plan0 was less than 1.5%. In the comparison of the pixel dose distribution, the regions of dose distribution difference greater than 1% mainly distributed in the air cavity, bone periphery and the skin. The target area of the IMRT plan for NPC based on MR images met 95% of the prescribed dose, and the dose of each organ at risk was within the dose limit. Conclusions: The assignment method of each tissue and organs set to populate CT value compared with other methods has the least influence on the dose calculation of NPC-IMRT plan, which could meet the clinical requirements. Therefore, it should be the first choice of assignment method when designing NPC-IMRT plan based on MR image.
Assuntos
Neoplasias Nasofaríngeas , Radioterapia de Intensidade Modulada , Humanos , Carcinoma Nasofaríngeo/diagnóstico por imagem , Carcinoma Nasofaríngeo/radioterapia , Neoplasias Nasofaríngeas/diagnóstico por imagem , Neoplasias Nasofaríngeas/radioterapia , Dosagem Radioterapêutica , Planejamento da Radioterapia Assistida por ComputadorRESUMO
Objective: To investigate the regulatory effect and mechanism of interleukin-22 (IL-22) on the gingival epithelial barrier in the context of periodontal inflammation. Methods: IL-22 knockout (IL-22 KO) mice were constructed, and periodontitis mice models were established through oral gavage with polymicrobial inoculation. DNAs were extracted from the oral plaques of IL-22 KO periodontitis mice group (n=7) and their wild-type littermates periodontitis group (n=7) to establish a periodontitis-related oral microbiota database"PD-RiskMicroDB", determining the relationship between changes in oral microbiota and microbial function in two groups using 16S rRNA sequencing results. Gingival epithelial cells (GEC) were cultured by modified trypsinization method, and were stimulated with 100 µg/L IL-22, Porphyromonas gingivalis (Pg) (multiplicity of infection:100), separately or together for 3 and 12 hours. The experimental groups were as follows: control group (no stimulation), IL-22 group, Pg group and Pg+IL-22 group. The expression of barrier protein E-cadherin in each group at 3 h was detected by immunofluorescence, real-time fluorescence quantitative PCR (RT-qPCR) and Western blotting. Fluorescein isothiocyanate-dextran-mediated epithelial cell permeability experiment was conducted to clarify the changes in permeability of GEC in each group at 3 and 12 h. The mRNA expressions of E-cadherin in the gingival epithelium of wild-type littermates periodontitis group and IL-22 KO periodontitis group were detected by RT-qPCR. Fifteen C57BL/6 wild-type mice were randomly divided into control group (n=5), periodontitis group (n=5) and periodontitis+IL-22 treatment group (n=5). RT-qPCR and immunohistochemistry (IHC) staining were used to detect the expression level of E-cadherin in the gingival epithelium of each group. Results: 16S rRNA sequencing results showed that the composition of oral microbiota changed in IL-22 KO periodontitis group, of which the abundance of bacterial genera related to periodontal tissue invasion was significantly increased (linear discriminant analysis score: 2.22, P=0.009), compared with wild-type littermates periodontitis group. In vitro cell experiments showed that after Pg infection for 3 hours, the cell connections of GEC in Pg group were interrupted, and the fluorescence intensity of E-cadherin was reduced in Pg group compared with the control group. Meanwhile, the mRNA and protein expression levels of E-cadherin (mRNA: 0.69±0.12; protein: 0.60±0.12) were downregulated compared with the control group [mRNA: 1.00±0.00 (P=0.043); protein: 1.04±0.08 (P=0.003)], respectively. The fluorescence intensity of E-cadherin in the Pg+IL-22 group was enhanced compared with Pg group, and expression levels of E-cadherin mRNA (1.16±0.10) and protein (0.98±0.07) in Pg+IL-22 group showed a significant increase compared with Pg group [mRNA: 0.69±0.12 (P=0.005); protein: 0.60±0.12 (P=0.007)]. The result of epithelial permeability test showed that there was no statistical difference in epithelial permeability among control group, Pg group, IL-22 group and Pg+IL-22 group with treatment for 3 hours (F=0.20, P=0.893). While when the treatment time turned to be 12 hours, the epithelial barrier permeability showed a significant increase in Pg group (1.39±0.15) compared with control group (1.00±0.00, P=0.027), and a decrease in Pg+IL-22 group (1.02±0.18) compared with Pg group (1.39±0.15, P=0.034). In vivo, the mRNA expression of E-cadherin in the gingival epithelium of IL-22 KO periodontitis group decreased significantly (0.32±0.21) compared with wild-type littermates periodontitis group (1.01±0.01) (t=5.70, P=0.005). Moreover, RT-qPCR and IHC staining results showed that the mRNA expression level of E-cadherin (0.40±0.07) and absorbance value of E-cadherin positive expression (0.02±0.00) in gingival epithelial tissue of periodontitis group were both significantly down-regulated compared with control group [mRNA: 1.00±0.00 (P=0.005); absorbance value of E-cadherin positive expression: 0.04±0.01 (P=0.006)]. Meanwhile, the mRNA expression level of E-cadherin (1.06±0.24) and the absorbance value of E-cadherin positive expression (0.03±0.01) were both observed increase in periodontitis+IL-22 treatment group compared with periodontitis group (P=0.003, P=0.039). Conclusions: IL-22 may exert a protective effect on the gingival epithelial barrier in an inflammatory environment by regulating the invasiveness of oral microbiota and the expression of host barrier protein.
Assuntos
Caderinas , Gengiva , Interleucina 22 , Interleucinas , Camundongos Knockout , Microbiota , Periodontite , Porphyromonas gingivalis , Animais , Interleucinas/metabolismo , Caderinas/metabolismo , Gengiva/citologia , Gengiva/metabolismo , Gengiva/microbiologia , Camundongos , Periodontite/microbiologia , Periodontite/metabolismo , Células Epiteliais/metabolismo , RNA Ribossômico 16SRESUMO
OBJECTIVE: To achieve the optimized design of system operational parameters and system components in air ventilation and dehumidification of manned spacecraft. METHOD: Mathematical-physical model of air ventilation and dehumidification system was established. Through the design of optimal operational parameters for system performance, heat and moisture in the cabin of manned spacecraft could be removed effectively, dewing could be prevented, and the comfort demand of the astronauts could be met. Equivalent mass of the system in different operational parameters and system components was analyzed by calculation. RESULT: The dew point temperature and the comfortability depended on the temperature and humidity of the influx, ventilation rate, and evaporation of moisture in the cabin. There were two ways to control the operational parameters of air ventilation and dehumidification system. The method based on controlling temperature didn't use recuperative heat exchangers in the loop, and the system structure for the design was simple, but it didn't meet the requirement of dissipating moisture in some conditions. The other method was based on controlling the moisture, and it could steadily keep the dew point temperature in the cabin and control the occurrence of dew. But the system structure of this design was relatively complex. CONCLUSION: Mass and power consumption of the system could be reduced by selecting appropriate parameters and adopting the measures of optimization.
Assuntos
Ar Condicionado/métodos , Umidade , Sistemas de Manutenção da Vida/instrumentação , Voo Espacial/instrumentação , Ventilação/métodos , Ar Condicionado/instrumentação , Ambiente Controlado , Desenho de Equipamento , Humanos , Modelos Teóricos , Astronave/instrumentação , Temperatura , Ventilação/instrumentaçãoRESUMO
OBJECTIVE: To deal with the mass optimization of thermal control system as well as environmental control and life support system (ECLSS) of manned spacecraft. METHOD: The thermo-hydraulic network composed of coupled liquid dual-loop and gas loops was studied. Physical and mathematical models were established and used for flow, heat transfer and mass calculation in the network. The influences of various operational and structural parameters on the mass were analyzed. RESULT: There were optimal pipe diameters for internal loop and external loop; there existed an upper limit of flow rate in the internal loop and lower limit in the external loop; there were also optimal flow rates in the loops and optimal exit temperature of the radiator. CONCLUSION: Reasonable design of these parameters were very important for reducing the system mass.
Assuntos
Ar Condicionado/métodos , Ambiente Controlado , Temperatura Alta , Sistemas de Manutenção da Vida/instrumentação , Voo Espacial/instrumentação , Ar Condicionado/instrumentação , Desenho de Equipamento , Humanos , Matemática , Modelos Teóricos , Astronave/instrumentaçãoRESUMO
OBJECTIVE: To reduce the weight of manned spacecraft Environment Control and Life Support System (ECLSS). METHOD: Based on network analysis theory, the flow and thermo-hydraulic network composed of gas and liquid loops in manned spacecraft ECLSS was explored to reduce the weight of ECLSS. The physical models and mathematical models of flow, heat transfer and weight calculation in the network were established. The thermodynamic parameters and weight of the network were calculated on the bases of energy balance, heat transfer relation and the component weight relation. And influencing factors on the system weight were discussed. RESULT: (1) There is an optimal pipe diameter in the system and the diameter is influenced by flow rate to a large extent; (2) The weight can be reduced by raising inlet temperature properly; (3) The best heat exchange layout makes the weight lightest. CONCLUSION: The obtained results are of importance for reducing launching weight of manned spacecraft.
Assuntos
Ar Condicionado/instrumentação , Sistemas Ecológicos Fechados , Sistemas de Manutenção da Vida/instrumentação , Voo Espacial/instrumentação , Astronave/instrumentação , Desenho de Equipamento , Temperatura Alta , Modelos Teóricos , Ausência de PesoRESUMO
OBJECTIVE: To minimize in the system level the designed mass of Thermoelectric Integrated Membrane Evaporation Subsystem (TIMES) of Environment Control Life Support System (ECLSS) in manned spacecraft, when the requirement of the production rate of fresh water and its hygiene is fulfilled. METHOD: According to the characteristics of the operational process of TIMES, the physical and mathematical model for fluid flow, heat transfer and mass composition in its main parts were established to investigate numerically the relation between the system mass and those parameters associated with the structure and operation of the system. RESULT: The system mass depended not only on the structural parameters and operational parameters of TIMES, but also on the operational characteristics of power subsystem and thermal control subsystem. The relative mass covered a large part of the system mass. CONCLUSION: There existed an optimum of the number of thermoelectric cooling parts and flow rate of circular waste water of the TIMES when the designed system mass was minimum. Moreover, higher condensation pressure in the system contributed to lower system mass.