Early effects comparison of X-rays delivered at high-dose-rate pulses by a plasma focus device and at low dose rate on human tumour cells.

A comparative study has been performed on the effects of high-dose-rate (DR) X-ray beams produced by a plasma focus device (PFMA-3), to exploit its potential medical applications (e.g. radiotherapy), and low-DR X-ray beams produced by a conventional source (XRT). Experiments have been performed at 0.5 and 2 Gy doses on a human glioblastoma cell line (T98G). Cell proliferation rate and potassium outward currents (IK) have been investigated by time lapse imaging and patch clamp recordings. The results showed that PFMA-3 irradiation has a greater capability to reduce the proliferation rate activity with respect to XRT, while it does not affect IK of T98G cells at any of the dose levels tested. XRT irradiation significantly reduces the mean IK amplitude of T98G cells only at 0.5 Gy. This work confirms that the DR, and therefore the source of radiation, is crucial for the planning and optimisation of radiotherapy applications.

Soil gas radon assessment and development of a radon risk map in Bolsena, Central Italy.

Vulsini Volcanic district in Northern Latium (Central Italy) is characterized by high natural radiation background resulting from the high concentrations of uranium, thorium and potassium in the volcanic products. In order to estimate the radon radiation risk, a series of soil gas radon measurements were carried out in Bolsena, the principal urban settlement in this area NE of Rome. Soil gas radon concentration ranges between 7 and 176 kBq/m(3) indicating a large degree of variability in the NORM content and behavior of the parent soil material related in particular to the occurrence of two different lithologies. Soil gas radon mapping confirmed the existence of two different areas: one along the shoreline of the Bolsena lake, characterized by low soil radon level, due to a prevailing alluvial lithology; another close to the Bolsena village with high soil radon level due to the presence of the high radioactive volcanic rocks of the Vulsini volcanic district. Radon risk assessment, based on soil gas radon and permeability data, results in a map where the alluvial area is characterized by a probability to be an area with high Radon Index lower than 20 %, while probabilities higher than 30 % and also above 50 % are found close to the Bolsena village.

The effect of X-ray scattering by water in the irradiation of cell cultures for the dosimetric characterization of a new prototype of IORT (Intra-Operative Radiation Therapy) device: Monte Carlo simulation and experimental validation.

The electron beam emitted backward by plasma focus devices is being considered as a radiation source for Intra-Operative Radiation Therapy (IORT) applications. Radiobiological investigations have been conducted to assess the potential of this new prototype of IORT device. A standard x-ray beam, ISO-H60, was used for comparison, irradiating cell cultures in a holder filled with an aqueous solution. The influence of scattering by the culture water and by the walls of the holder was investigated to determine their influence on the dose delivered to the cell culture. MCNPX simulations were run and experimental measurements conducted. The effect of scattering by the holder was found to be negligible; scattering by the culture water was determined to give an increase in dose of the order of 10%.

A range-based method to calibrate a magnetic spectrometer measuring the energy spectrum of the backward electron beam of a plasma focus.

The electron beam emitted from the back of plasma focus devices is being studied as a radiation source for intraoperative radiation therapy applications. A plasma focus device is being developed for this purpose, and there is a need for characterizing its electron beam, particularly, insofar as the energy spectrum is concerned. The instrument used is a magnetic spectrometer. To calibrate this spectrometer, a procedure relying on the energy-range relation in Mylar® has been devised and applied. By measuring the transmission through increasing thicknesses of the material, electron energies could be assessed and compared to the spectrometer readings. Thus, the original calibration of the instrument has been extended to higher energies and also to better accuracy. Methods and results are presented.

Prediction of (89)Zr production using the Monte Carlo code FLUKA.

The widely used Monte Carlo simulation code FLUKA has been utilized to prototype a solid target for the production of (89)Zr by irradiation of a metallic (89)Y target foil in a 16.5MeV proton biomedical cyclotron, through the reaction (89)Y(p, n)(89)Zr. Simulations were performed with and without an Al energy degrader. In the setup of the geometry of the target, state of the art support tools, like SimpleGeo, were used for accurate, detailed modeling. The results permitted a quick assessment of all possible radionuclidic contaminants and confirmed that the use of an energy degrader avoids production of the most important impurity, (88)Zr. The estimated value for the activity produced in one hour of irradiation at 20µA is 384 ± 42MBq; this is encouraging, indicating possible production of clinically significant amounts of activity with the relatively simple target setup adopted. Initial experimental tests gave results in excellent agreement with simulations, confirming the usefulness and accuracy of FLUKA as a tool for the design and optimization of targets for the production of PET radionuclides.

Theoretical assessment of whole body counting performances using numerical phantoms of different gender and sizes.

A goal of whole body counting (WBC) is the estimation of the total body burden of radionuclides disregarding the actual position within the body. To achieve the goal, the detectors need to be placed in regions where the photon flux is as independent as possible from the distribution of the source. At the same time, the detectors need high photon fluxes in order to achieve better efficiency and lower minimum detectable activities. This work presents a method able to define the layout of new WBC systems and to study the behaviour of existing ones using both detection efficiency and its dependence on the position of the source within the body of computational phantoms.

Comparison of stretched and sitting configurations for partial-body measurements.

The partial-body counter currently installed at KIT is under redesign to add whole-body counting capabilities and replace the current phoswich detectors with HPGe ones, capable of detecting low energy photons ((210)Pb, (241)Am). Different configurations for the positioning of the subject have been tested with the aid of Monte Carlo simulations and the performances attainable with a sitting and a lying configuration were compared. The optimal placement of the detectors was also defined. The simulations were used to estimate the counting efficiencies and also to estimate the Compton scattering produced by (40)K, in turn used to calculate the minimum detectable activities.

A compact neutron beam generator system designed for prompt gamma nuclear activation analysis.

In this work a compact system was designed for bulk sample analysis using the technique of PGNAA. The system consists of (252)Cf fission neutron source, a moderator/reflector/filter assembly, and a suitable enclosure to delimit the resulting neutron beam. The moderator/reflector/filter arrangement has been optimised to maximise the thermal neutron component useful for samples analysis with a suitably low level of beam contamination. The neutron beam delivered by this compact system is used to irradiate the sample and the prompt gamma rays produced by neutron reactions within the sample elements are detected by appropriate gamma rays detector. Neutron and gamma rays transport calculations have been performed using the Monte Carlo N-Particle transport code (MCNP5).

Experimental monitoring of ozone production in a PET cyclotron facility.

Ozone produced from radiolytic processes was investigated as a possible health hazard in the working environment at the University Hospital "S.Orsola--Malpighi" PET facility. Intense radiation fields can generate ozone, known to be the most toxic gas produced by ionizing radiation around a particle accelerator. To evaluate ozone concentration in air, two different measurement campaigns were conducted with passive diffusion detectors. Comparison of the results with the concentration limits recommended by American Conference of Governmental Industrial Hygienists (ACGIH) demonstrated that ozone poses no health hazard to workers around a biomedical cyclotron.

Detailed dose distribution prediction of Cf-252 brachytherapy source with boron loading dose enhancement.

The purpose of this work is to evaluate the dose rate distribution and to determine the boron effect on dose rate distribution for (252)Cf brachytherapy source. This study was carried out using a Monte Carlo simulation. To validate the Monte Carlo computer code, the dosimetric parameters were determined following the updated TG-43 formalism and compared with current literature data. The validated computer code was then applied to evaluate the neutron and photon dose distribution and to illustrate the boron loading effect.

Radiation protection of PFMA-1, a plasma focus for medical applications.

A plasma focus is being developed for breeding short-lived radionuclides. The different radiation protection issues and concerns posed by the machine once in operation are analysed and discussed. Activation is shown to be totally negligible and likewise neutron emission is found to pose no concern at all. The only source of radiation risk is found to rest in the radionuclides produced, 18F and 15 O, generating a peak exposure of 1.114 Sv y(-1) at the distance of closest approach of 2.5 m. Shielding to protect against this hazard is calculated to be 5 cm Pb or 54 cm concrete for the operation area and 5.5 cm Pb for the transportation flask.

Monte Carlo simulation of neutron backscattering from concrete walls in the dense plasma focus laboratory of Bologna University.

Between 2001 and 2003 a 3.2 kJ dense plasma focus (DPF) device has been built at the Montecuccolino Laboratory of the Department of Energy, Nuclear and Environmental Control Engineering (DIENCA) of the University of Bologna. A DPF is a pulsed device in which deuterium nuclear fusion reactions can be obtained through the pinching effects of electromagnetic fields upon a dense plasma. The empirical scale law that governs the total D-D neutron yield from a single pulse of a DPF predicts for this machine a figure of approximately 10(7) fast neutrons per shot. The aim of the present work is to evaluate the role of backscattering of neutrons from the concrete walls surrounding the Montecuccolino DPF in total neutron yield measurements. The evaluation is performed by MCNP-5 simulations that are aimed at estimating the neutron spectra at a few points of interest in the laboratory, where neutron detectors will be placed during the experimental campaigns. Spectral information from the simulations is essential because the response of detectors is influenced by neutron energy. Comparisons are made with the simple r(-2) law, which holds for a DPF in infinite vacuum. The results from the simulations will ultimately be used both in the design and optimisation of the neutron detectors and in their final calibration and placement inside the laboratory.

Preliminary results on the production of short-lived radioisotopes with a Plasma Focus device.

An experimental campaign was conducted to assess the feasibility of short-lived radioisotope (SLR) production within the pulsed discharges of a Plasma Focus (PF) device. This so-called "endogenous production" technique rests on the exploitation of nuclear reactions for the creation of SLR directly within the plasma, rather than on irradiating an external target. Until now only one research group has published data relevant to PF endogenous production of SLR, and the data seem to confirm that the PF has the capability to breed SLR. The campaign demonstrated production of (15)O, (17)F and (13)N from the (14)N(d,n)(15)O, (12)C(d,n)(13)N and (16)O(d,n)(17)F reactions. A 7kJ, 17kV Mather-type PF was operated with natural nitrogen, oxygen, CO(2) and deuterium in the vacuum chamber. Results to date confirm that, with a PF of this type, up to 1microCi of SLRs per discharge can be obtained.

Successful use of central venous catheter as permanent hemodialysis access: 84-month follow-Up in lucania.

Cuffed tunneled venous access catheters are commonly used for temporary and permanent access in hemodialysis (HD) patients. These catheters serve an essential role in providing permanent access in subjects in whom all other access options have been exhausted. The predominant complications are catheter thrombosis, catheter fibrin sheating and infection. The aim of this study was to evaluate long-term survival and complications of permanent venous catheters (PVC) placed for the purpose of HD during the period from January 1992 to December 1998, at the Dialysis Units of Lucania (a southern Italian region). A total of 98 PVC were placed in 88 patients during this period. The catheters used were of three types: (a) 72 VasCath Soft Cell catheters (Bard Instrument Company, Toronto, Ont., Canada); (b) 22 PermCath catheters (Quinton Instrument Company, Seattle, Wash., USA), and (c) 4 Tesio catheters (Bellco SpA, Mirandola, Italy). Survival curves of catheters were calculated using the Kaplan-Meier product-limit estimator. The patient survival was 60% at the 78th month. Actually, 52 patients (27 males, 25 females) are still alive: 15 (26.9%) of these patients have diabetes mellitus and 1 has been transplanted. The actuarial survival rate of PVC was 89% in the whole population studied and 82% in subjects alive after 84 months. Twenty-five patients (28.4%) had PVC as the first reliable vascular access. Long-term complications occurred 27 times (1 episode every 44.81 month/patient) as: breakage (3.1%); thrombosis (10.2%); displacement (2.0%); subcutaneous tunnel bleeding (3.1%); inadequate blood flow (7.1%), and infection (10.2%). In conclusion, our data confirm that PVC might represent an effective long-term blood access route for HD. Again, PVC are getting the access of choice for selected patients (i.e., older subjects with cardiovascular diseases and cancer patients) and are enjoying a dramatic increase in use for subjects who are terrified of repetitive venopuncture.

[The Hartmann procedure in colorectal emergencies. Report of 76 cases]. / L'intervento di Hartmann nelle urgenze colo-rettali. Riflessioni su 76 casi.

The Hartmann procedure has, in emergency colo-rectal surgery, many implications. The decision is based on clinical, radiological, instrumental and pathological findings. The authors report the results of 76 Hartmann's procedures performed between 1986 and 1995 and compare their results with those found in the current medical literature on the topic. In particular, they draw attention to an increased use of this procedures in colo-rectal emergencies; the morbility and mortality rates confirm the severity of the clinical cases that can be treated with this operation. To improve results the authors propose a therapeutic plan that uses a score for stratification of the risk (MPI, APA-CHE II, SSI, Hinchey); so the surgeon can choose the best surgical operation. Finally, the authors underline the importance of the principles of oncology surgery in colo-rectal cancer.