Comparative assessment of carbon sequestration potential of different types of wetlands in lower Gangetic basin of West Bengal, India.

Wetlands provide a great ecological service by accumulating and sequestering carbon in their soils and thus help in mitigating climate change caused due to global warming. However, the capacity and efficiency of different types of wetlands vary considerably depending upon the nature of the wetland, hydrology, biogeochemistry, climatic condition, and many other factors. In the present paper, we have studied the carbon accumulation and sequestration in three different wetlands, one sewage fed, and two floodplain oxbow lakes in the West Bengal state of India. The selected wetlands vary in terms of ecological regimes such as water volume, depth, link channel, agricultural runoffs, primary productivity, macrophyte coverage, and fishery. The carbon accumulation in the wetlands, which varied from 48.53 to 143.17 Mg/ha up to 30-cm depth of soil, was much higher than that in the corresponding upland sites. The difference was much higher in the floodplain wetlands. So the study revealed that wetlands are better carbon sinks than the corresponding reference sites and the carbon sequestration potential varies according to the type of wetlands. A positive correlation was also observed between macrophyte coverage and the amount of C stored in the wetlands.

Occurrence and Safety Evaluation of Antimicrobial Compounds Triclosan and Triclocarban in Water and Fishes of the Multitrophic Niche of River Torsa, India.

Personal care product (PCP) chemicals have a greater chance of accumulation in the aquatic environments because of their volume of use. PCPs are biologically active substances that can exert an adverse effect on the ecology and food safety. Information on the status of these substances in Indian open water ecosystems is scarce. In this paper, we report the incidence of two synthetic antimicrobials, triclosan (TCS), including its metabolite methyl-triclosan (Me-TCS) and triclocarban (TCC) in Torsa, a transboundary river flowing through India. In water TCS and TCC were detected at levels exceeding their respective PNEC (Predictive No Effect Concentration). Both the compounds were found to be bioaccumulative in fish. TCS concentration (91.1-589 µg/kg) in fish was higher than that of TCC (29.1-285.5 µg/kg). The accumulation of residues of the biocides varied widely among fishes of different species, ecological niche, and feeding habits. Me-TCS could be detected in fishes and not in water. The environmental hazard quotient of both TCS and TCC in water indicated a moderate risk. However, the health risk analysis revealed that fishes of the river would not pose any direct hazard to human when consumed. This is the first report of the occurrence of these PCP chemicals in a torrential river system of the eastern Himalayan region.

Status of pesticide residues in water, sediment, and fishes of Chilika Lake, India.

Chilika Lake is the largest coastal lagoon in Asia and the second largest in the world covering an area of 1100 km2 and spread over three districts of Odisha state of India. It is the first Indian wetland designated as a wetland of international importance under the Ramsar Convention in 1981. The lake ecosystem sustains large and diversified resources of plants and animals including fisheries. Pollution of the ecosystem caused by residues of pesticides originating from different sources was assessed through multiple sampling from 2012 to 2016 from three potential sites of contamination, viz., Palur Bridge, Daya River Estuary, and Makara River. Incidence of organochlorinated (OC) pesticide residues was noticed in about 25% water samples. HCH (α, γ&δ), DDD (op|), DDE (op|&pp.|) and heptachlor were the OCs detected in concentration varying from 0.025 to 23.4 µg/l. None of the eight targeted synthetic pyrethroid (SP) pesticides was found in water, but among the organophosphates (OP), chlorpyrifos (0.019-2.73 µg/l), and dichlorvos (0.647 µg/l) were recorded. In sediment samples, residues of OC or OP pesticides were not present, but one SP pesticide was recorded. Fish samples were contaminated to the extent of 55%, mostly with residues of OCs and OPs and less with SPs. However, their concentrations were below the permissible limit, so there was no direct threat of health hazards to humans.

Triclosan - an antibacterial compound in water, sediment and fish of River Gomti, India.

Triclosan (TCS), the antibacterial agent commonly used in personal care products is highly toxic to aquatic lives particularly algae, zooplankton and fish. It is bio-accumulative and has endocrine disruptive properties. In this present study, we monitored the occurrence of TCS in water, sediment and fish samples collected from stretch of about 450 km of River Gomti, a major tributary of River Ganga, in India. An isocratic reversed-phase HPLC method was standardized for determination of TCS in samples. In water, TCS was detected in the range of 1.1-9.65 µg/l while in sediments the level was 5.11-50.36 µg/kg. It was also found in fishes of different species in concentrations ranging from 13 to 1040 µg/kg on wet weight basis. However, estimated daily intake of TCS through contaminated fish was much below the acceptable daily intake (50 µg/kg body wt/day) and thus safe from human health hazard point of view.

Emission of greenhouse gases and soil carbon sequestration in a riparian marsh wetland in central Ohio.

Wetlands are a C sink, but they also account for a large natural source of greenhouse gases (GHG), particularly methane (CH4). Soils of wetlands play an important role in alleviating the global climate change regardless of the emission of CH4. However, there are uncertainties about the amount of C stored and emitted from wetlands because of the site specific factors. Therefore, the present study was conducted in a temperate riverine flow-through wetland, part of which was covered with emerging macrophyte Typhus latifolia in central Ohio, USA, with the objective to assess emissions of GHGs (CH4, CO2, N2O) and measure C and nitrogen (N) stocks in wetland soil in comparison to a reference upland site. The data revealed that CH4 emission from the open and vegetated wetland ranged from 1.03-0.51 Mg C/ha/y and that of CO2 varied from 1.26-1.51 Mg C/ha/y. In comparison, CH4 emission from reference upland site was negligible (0.01 Mg C/ha/y), but CO2 emission was much higher (3.24 Mg C/ha/y). The stock of C in wetland soil was 85 to 125 Mg C/ha up to 0.3 m depth. The average rate of emission was 2.15 Mg C/ha/y, but the rate of sequestration was calculated as 5.55 Mg C/ha/y. Thus, the wetland was actually a C sink. Emission of N2O was slightly higher in vegetated wetland (0.153 mg N2O-N/m2/h) than the open wetland and the reference site (0.129 mg N2O-N/m2/h). Effect of temperature on emission of GHGs from the systems was also studied.

Nutritional evaluation of organically grown fodders in lactating Murrah buffaloes (Bubalus bubalis).

A study was undertaken to evaluate the nutritional response of organically grown diets in buffaloes on nutrients utilization and nutrient efficiency for milk production. For this, ten milch Murrah buffaloes of average body weight (490.72 ± 6.65 kg), milk yield (8.13 ± 0.33 kg), and lactation stage (85 ± 5.28 days) were distributed in inorganic (InDg()) and organic dietary groups (OrDg) with five animals in each. Buffaloes of InDg and OgDg were fed sorghum hay-berseem fodder-concentrate mixture-based diets grown inorganically and organically, respectively. After 60 days of feeding, a digestion cum metabolism trial was conducted to assess feed intake, nutrient utilization, and N balance, while milk yield and composition were recorded fortnightly. DM, CP, digestible crude protein (DCP), and metabolizable energy (ME) intake (g/Kg w(0.75)) were similar in animals of InDg and OrDg. NDF, ADF, and hemicellulose digestibility were (P < 0.05) higher in animals on OrDg (59.20, 51.55, and 62.67) than InDg diet (54.57, 43.72, and 56.61 %), respectively. Urinary n loss (g/day) was (P < 0.05) lower in OrDg (67.23) than in InDg (83.55); however, milk N was comparable in animals of both dietary groups (47.36 vs 45.82 g/day). Nitrogen balance was higher in animals of OrDg (39.72) than in InDg (28.08). DCP, TDN, and ME values of both diets were similar. No effect of diet was observed on milk yield and its composition; however, increased lactation length decreased milk yield. Buffaloes on both diets had similar efficiency and conversion ratio of nutrients for milk production. Results revealed that diets (organically vs. inorganically grown) have no effect on milk yield and its composition; however, buffaloes on organic diet have higher fiber digestibility and low urinary N loss which did not affect the dietary nutrients efficiency and conversion ratio for milk production.

Emerging contaminant triclosan incites endocrine disruption, reproductive impairments and oxidative stress in the commercially important carp, Catla (Labeo catla): An insight through molecular, histopathological and bioinformatic approach.

Triclosan (TCS), a broad-spectrum antimicrobial agent is ubiquitous in aquatic ecosystems; however, the mechanisms regarding TCS-induced reproductive toxicity in the teleost still remains uncertain. In this context, Labeo catla were subjected to sub-lethal doses of TCS for 30 days and variations in expression of genes and hormones comprising the hypothalamic-pituitary-gonadal (HPG) axis along with alterations in sex steroids were evaluated. Moreover, manifestation of oxidative stress, histopathological alterations, in silico docking and the potential to bioaccumulate were also investigated. Exposure to TCS may lead to an inevitable onset of the steroidogenic pathway through its interaction at several loci along the reproductive axis: TCS stimulated synthesis of kisspeptin 2 (Kiss 2) mRNAs which in turn prompts the hypothalamus to secrete gonadotropin-releasing hormone (GnRH), resulting in elevated serum 17ß-estradiol (E2) as a consequence; TCS exposure increased aromatase synthesis by brain, which by converting androgens to oestrogens may raise E2 levels; Moreover, TCS treatment resulted in elevated production of GnRH and gonadotropins by the hypothalamus and pituitary, respectively resulting in the induction of E2. The elevation in serum E2 may be linked to abnormally elevated levels of vitellogenin (Vtg) with harmful consequences evident as hypertrophy of hepatocytes and increment in hepatosomatic indices. Additionally, molecular docking studies revealed potential interactions with multiple targets viz. Vtg and luteinizing hormone (LH). Furthermore, TCS exposure induced oxidative stress and caused extensive damage to tissue architecture. This study elucidated molecular mechanisms underlying TCS-induced reproductive toxicity and the need for regulated use and efficient alternatives which could suffice for TCS.

Endocrine disruptive toxicity of cypermethrin in Labeo catla: Involvement of genes and proteins related to the HPG axis.

Cypermethrin (CYP) is a synthetic pyrethroid abundantly used in agriculture and aquaculture. It is an established potent endocrine disruptor to fish, yet the molecular mechanism behind its reproductive toxicity remains unclear. In this study, fish Labeo catla (Catla) was exposed to environmentally relevant concentration of CYP (0.7 µg/L) and 0.14 µg/L for 30 days. The changes in circulating sex steroids, genes, and hormones linked to the hypothalamic-pituitary-gonadal (HPG) axis, stress response and associated histological alterations were studied. Significant decline (P < 0.05) in serum 17 beta (ß) estradiol (E2), 11 ketotestosterone (11-KT), and brain (FSH and GnRH) were observed in 0.7 µg/L dose of CYP. These effects may be due to the down-regulated expression of the upstream genes of the HPG axis i.e. Kiss 1 and Kiss 2, which further downregulates the expression of the GnRH gene. The decreased level of E2 and 11-KT also affects the vitellogenin (Vtg) gene expression, reducing the production of Vtg, a crucial protein for ovarian development. Principal component analysis (PCA) revealed the relationship between CYP and the biosynthesis of sex steroids. The toxic effect of CYP was also visible in antioxidant enzyme assay and related histological alterations. Overall, the study elucidated that long-term exposure to CYP, even at an environmentally relevant dose, may affect reproductive potential and fish recruitment. The study provides important insights into molecular mechanisms underlying CYP-induced endocrine disruption in fish, and it also raises questions about CYP's potential toxicity at environmentally relevant concentration in terms of understanding ecological risk.

Assessment of environmental and human health risk from pesticide residues in river Gomti, Northern India.

Rivers get polluted with diverse types of hazardous and toxic substances, pesticides being one of them. The water and sediment of rivers get contaminated with pesticide residues coming through the run-off of vast agricultural fields along the catchment area and also from domestic sewage water. The residues get bio-concentrated and bio-accumulated in different aquatic organisms and animals including fishes along the food chain. Fish, one of the important and chief sources of proteins, are consumed by humans. The presence of toxic substances like pesticides in any food item is undesirable for the fear of health hazards. We have monitored the status of pesticide residue in river Gomti, a tributary of River Ganga that passes through the Uttar Pradesh state of India. Water, sediment, and fish samples collected from the different locations along the river stretch were analyzed for 34 targeted pesticide compounds belonging to organochlorines (OC), organophosphates (OP), and synthetic pyrethroids (SP) groups. In 52% of water, 30% of sediment, and 43% of fish samples residues of OCs were detected while the OPs were present in 33%, 25%, and 39% of samples respectively. However, none of the SPs could be recorded in any sample. The concentrations of the pesticides in water indicate stress conditions to some extent to aquatic life, but based on the human health risk assessment it can be concluded that consumption of fishes from the river contaminated with different OC or OP residues would not pose any direct risk to the consumers.

Ameliorative effect of natural floating island as fish aggregating devices on heavy metals distribution in a freshwater wetland.

Growing human population and climate change are leading reasons for water quality deterioration globally; and ecologically important waterbodies including freshwater wetlands are in a vulnerable state due to increasing concentrations of pollutants like heavy metals. Given the declining health of these valuable resources, the present study was conducted to evaluate the effect of natural floating island in the form of fish aggregating devices (FADs) made of native weed mass on the distribution of heavy metals in the abiotic and bio compartments of a freshwater wetland. Lower concentrations of surface water heavy metals were observed inside the FADs with a reduction of 73.91%, 65.22% and 40.57-49.16% for Cd, Pb and other metals (viz. Co, Cr, Cu, Ni and Zn), respectively as compared to outside FAD. These led to 14.72-55.39% reduction in the heavy metal pollution indices inside the FAD surface water. The fish species inside the FADs were also found less contaminated (24.07-25.07% reduction) with lower health risk indices. The study signifies the valuable contribution of natural floating island as FADs in ameliorating the effect of heavy metals pollution emphasizing the tremendous role of the natural floating islands in sustainable maintenance of freshwater wetlands for better human health and livelihood.

Trophic transfer patterns of arsenic in freshwater ecosystem layers in arsenic-endemic Ganges Delta and its potential human health risk.

Arsenic (As) is a toxic environmental contaminant with global public health concern. In aquatic ecosystems, the quantification of total As is restricted chiefly to the individual organisms. The present study has quantified the total As in different trophic layers (sediment-water-phytoplankton-periphyton-zooplankton-fish-gastropod-hydrophytes) of lentic freshwater ecosystems. As transfer pathways quantifying the transmission rate across trophic-level compartmental route were delineated using a novel model-based approach along with its potential contamination risk to humans. Lentic water bodies from Indo-Gangetic region, a core area of groundwater As, were selected for the present investigation. The study revealed that among the lower biota, zooplankton were the highest accumulator of total As (5554-11,564 µg kg-1) with magnification (rate = 1.129) of the metalloid, followed by phytoplankton (2579-6865 µg kg-1) and periphytic biofilm (1075 to 4382 µg kg -1). Muscle tissue of zooplanktivore Labeo catla is found to store higher As (80-115 µg kg-1 w.w.) compared to bottom-dwelling omnivore Cirrhinus mrigala (58-92 µg kg-1 w.w.). Whereas, Amblypharyngodon mola has accumulated higher As (203-319 µg kg-1 w.w.) than Puntius sophore (30-98 µg kg-1 w.w.) that raised further concern. The hepatic concentration indicated arsenic-mediated stress based on As stress index (threshold value = 1). Mrigal and Mola showed significant biomagnification among fishes while biodiminution was observed in Catla, Bata, Rohu and Punti. All the studied fishes were under the arsenic mediated stress. In the 'sediment-water-periphytic biofilm-gastropod' compartment, the direct grazing accumulation was higher (rate = 0.618) than the indirect path (rate = 0.587). Stems of edible freshwater macrophytes accumulated lesser As (32-190 µg kg-1 d.w.) than roots (292-946 µg kg-1 d.w.) and leaves (62-231 µg kg-1 d.w.). The target cancer risk (TCR) revealed a greater concern for adults consuming edible macrophyte regularly. Similarly, the varied level of target hazard quotient and TCR for adults consuming fishes from these waterbodies further speculated significant health concerns. The trophic transfer rate of environmental As in soil-water-biota level at an increasing trophic guild and consumer risk analysis have been unravelled for the first time in the Indo-Gangetic plains, which will be helpful for the strategic mitigation of As contamination.

Sustainable biodiesel production from microalgae Graesiella emersonii through valorization of garden wastes-based vermicompost.

Biodiesel production from microalgae has gained significant interest recently due to the growing energy demand and non-renewable nature of petroleum. However, high cost of production and environmental health related issues like excess use of inorganic fertilizers, eutrophication are the major constraints in commercial-scale biodiesel production. Besides this, solid wastes (garden-based) management is also a global concern. In the present study, to overcome these limitations vermicompost extract was tested as nutrient source to enhance growth performance and lipid production from a freshwater microalga (Graesiella emersonii MN877773). Garden wastes were first converted into vermicompost manure and its extract (aerobic and anaerobically digested) was prepared. The efficacy of the extract was then tested in combination with BG11 medium. The mixotrophic cultivation of microalgae in anaerobically digested vermicompost extract at 50:50 combination with BG11 medium enhanced the cell biomass (0.64 g d. wt. L-1) and lipid productivity (3.18 mg L-1 day-1) of microalgae by two times. Moreover, the combination also improved the saturated (methyl palmitate) and monounsaturated fatty acids (oleic acid) content in the test algae. The quality of biodiesel also complies with all the properties of biodiesel standard provided by India, the USA, and Europe except the cold filter plugging property. The combination was also found to improve the cell biomass (0.041 g L-1) as compared to BG11 medium in mass-scale cultivation. Hence, the study proved that G. emersonii grown in media supplemented with garden waste-based vermicompost extract had significant potential for mass-scale biodiesel and bioproduct production.

Pharmacokinetics, bioavailability and withdrawal period of antibiotic oxytetracycline in catfish Pangasianodon hypophthalmus.

The antibiotic oxytetracycline (OTC) has been widely used for therapeutic and preventive management of bacterial diseases in finfish and shellfish. In the present study the bioavailability, pharmacokinetics, and withdrawal period of the OTC have been determined following in-feed administration in intensively cultured catfish Pangasianodon hypophthalmus. Furthermore, the pharmacokinetic parameters of oral route were also compared with parenteral route. Drug concentrations were measured in various tissues at different time intervals by LC-MS/MS. The study revealed the drug kinetics best followed the enterohepatic circulation model with very poor bioavailability and low blood concentration after oral administration. In the withdrawal study, after 10-days of in-feed administration at the therapeutic dose the drug reached very high concentrations in the liver and kidneys but did not attain minimum inhibitory concentrations (MICs) in blood or flesh. OTC concentration also did not exceed the recommended MRL value in flesh; however, considering high amounts of the chemical in the liver and kidneys a withdrawal period of 4 days (at 28 ± 1.5 oC) is recommended for consumer safety. Poor bioavailability and non-attainment of minimum therapeutic concentration in blood and flesh do not warrant in-feed administration of OTC for control of bacterial diseases in P. hypophthalmus. AVAILABILITY OF DATA AND MATERIALS: All data generated and analyzed during this study are included in this article. Raw data may be shared upon reasonable request.

Recommendations of the American Association of Physicists in Medicine on dosimetry, imaging, and quality assurance procedures for 90Y microsphere brachytherapy in the treatment of hepatic malignancies.

Yttrium-90 microsphere brachytherapy of the liver exploits the distinctive features of the liver anatomy to treat liver malignancies with beta radiation and is gaining more wide spread clinical use. This report provides a general overview of microsphere liver brachytherapy and assists the treatment team in creating local treatment practices to provide safe and efficient patient treatment. Suggestions for future improvements are incorporated with the basic rationale for the therapy and currently used procedures. Imaging modalities utilized and their respective quality assurance are discussed. General as well as vendor specific delivery procedures are reviewed. The current dosimetry models are reviewed and suggestions for dosimetry advancement are made. Beta activity standards are reviewed and vendor implementation strategies are discussed. Radioactive material licensing and radiation safety are discussed given the unique requirements of microsphere brachytherapy. A general, team-based quality assurance program is reviewed to provide guidance for the creation of the local procedures. Finally, recommendations are given on how to deliver the current state of the art treatments and directions for future improvements in the therapy.

Persistent organochlorine pesticide residues in animal feed.

Animal products like milk and meat are often found to be contaminated with residues of persistent pesticides and other toxic substances. The major source of entry of these compounds to animal body is the contaminated feed and fodder. So, unless the residues are managed at this stage, it is very difficult to prevent contamination in milk and meat. Therefore, the status of residue level of most persistent organochlorinated pesticides (OCP) in feed and fodder should be monitored regularly. The frequency of occurrence and contamination levels of OCP residues in different kinds of animal concentrate feed and straw samples collected from Bundelkhand region of India were determined. Out of 533 total samples, 301 i.e. 56.47% samples were positive containing residues of different OCPs like hexachlorocyclohexane (HCH) isomers, dichlorodiphenyltrichloroethane (DDT) complex, endosulfan and dicofol. Among different HCH isomers, the mean concentration of ß-HCH was highest, and total HCH varied from 0.01 to 0.306 mg kg(-1). In case of DDT complex, i.e. DDD, DDE and DDT, the concentration ranged between 0.016 and 0.118 mg kg(-1) and the pp(|) isomers were more frequently encountered than their op(|) counterparts. Endosulfan was also found in some samples in concentration ranging from 0.009 to 0.237 mg/kg, but dicofol could be recorded in very few samples. Although feed samples were found to contain OC residues, after comparing their levels in positive samples with the limiting values of respective pesticides, only very few were found to exceed the threshold level. Otherwise, they were mostly within safe limits.

Evaluation of Three Prokaryote Primers for Identification of Prokaryote Community Structure and Their Abode Preference in Three Distinct Wetland Ecosystems.

The ultimate role of prokaryote (bacteria and archaea), the decomposer of the wetland ecosystem, depends on its community structure and its interaction with the environment. The present study has used three universal prokaryote primers to compare prokaryote community structure and diversity of three distinctly different wetlands. The study results revealed that α-diversity indices and phylogenetic differential abundance patterns did not differ significantly among primers, but they did differ significantly across wetlands. Microbial community composition revealed a distinct pattern for each primer in each wetland. Overall comparison of prokaryote communities in sediments of three wetlands revealed the highest prokaryote richness and diversity in Bhomra (freshwater wetland) followed by Malencho (brackish-water wetland) and East Kolkata wetland (EKW) (sewage-fed wetland). Indicator genus analysis identified 21, 4, and 29 unique indicator genera, having preferential abode for Bhomra, EKW, and Malencho, respectively. Prediction of potential roles of these microbes revealed a preference for sulfate-reducing microbes in Malencho and methanogens in Bhomra. The distinct phylogenetic differential abundance pattern, microbial abode preference, and their potential functional role predict ecosystem variables shaping microbial diversity. The variation in community composition of prokaryotes in response to ecosystem variables can serve as the most sensitive bioindicator of wetland ecosystem assessment and management.

Occurrence, fate and removal of microplastics as heavy metal vector in natural wastewater treatment wetland system.

Microplastics pollution in aquatic ecosystems is of great concern; however, systemic investigations are still lacking in freshwater wetland systems used for wastewater treatment. The present study discusses such freshwater wetland system in Eastern India to understand its microplastics transport mechanism, heavy metals association and microplastics removal efficiency. Microplastics (63 µm - 5 mm) were heavily found in surface water and sediments of treatment ponds (7.87 to 20.39 items/L and 2124.84 to 6886.76 items/kg) and associated wastewater canals (30.46 to 137.72 items/L and 1108.78 to 34612.87 items/kg). A high content of toxic metals (As, Cd, Cr, Cu, Ni, Pb and Zn) were found on the microplastics with polyethylene terephthalate and polyethylene as major plastics types which were also found in fishes and macroinvertebrates of treatment ponds. Machine learning algorithm revealed a close association between microplastics content in fishes and surface water, indicating risk associated with floating microplastics to the aquatic biota. The study also revealed that microplastics were acting as heavy metals vector and potentially causing fish contamination. Surface water microplastics removing efficiency of the treatment ponds was estimated to be 53%. The study bespeaks about transport of microplastics through wastewater canals and their retention in treatment ponds emphasizing sustainability maintenance of natural wastewater treatment systems especially considering microplastics contamination to the aquatic biota of freshwater wetland systems.

Comparison of real-time intraoperative ultrasound-based dosimetry with postoperative computed tomography-based dosimetry for prostate brachytherapy.

PURPOSE: To evaluate whether real-time intraoperative ultrasound (US)-based dosimetry can replace conventional postoperative computed tomography (CT)-based dosimetry in prostate brachytherapy. METHODS AND MATERIALS: Between December 2001 and November 2002, 82 patients underwent (103)Pd prostate brachytherapy. An interplant treatment planning system was used for real-time intraoperative transrectal US-guided treatment planning. The dose distribution was updated according to the estimated seed position to obtain the dose-volume histograms. Postoperative CT-based dosimetry was performed a few hours later using the Theraplan-Plus treatment planning system. The dosimetric parameters obtained from the two imaging modalities were compared. RESULTS: The results of this study revealed correlations between the US- and CT-based dosimetry. However, large variations were found in the implant-quality parameters of the two modalities, including the doses covering 100%, 90%, and 80% of the prostate volume and prostate volumes covered by 100%, 150%, and 200% of the prescription dose. The mean relative difference was 38% and 16% for doses covering 100% and 90% of the prostate volume and 10% and 21% for prostate volumes covered by 100% and 150% of the prescription dose, respectively. The CT-based volume covered by 200% of the prescription dose was about 30% greater than the US-based one. Compared with CT-based dosimetry, US-based dosimetry significantly underestimated the dose to normal organs, especially for the rectum. The average US-based maximal dose and volume covered by 100% of the prescription dose for the rectum was 72 Gy and 0.01 cm(3), respectively, much lower than the 159 Gy and 0.65 cm(3) obtained using CT-based dosimetry. CONCLUSION: Although dosimetry using intraoperative US-based planning provides preliminary real-time information, it does not accurately reflect the postoperative CT-based dosimetry. Until studies have determined whether US-based dosimetry or postoperative CT-based dosimetry can better predict patient outcomes, the American Brachytherapy Society recommendation of CT-based postimplant dosimetry should remain the standard of care.

Recommendations for radioembolization of hepatic malignancies using yttrium-90 microsphere brachytherapy: a consensus panel report from the radioembolization brachytherapy oncology consortium.

PURPOSE: To standardize the indications, techniques, multimodality treatment approaches, and dosimetry to be used for yttrium-90 (Y90) microsphere hepatic brachytherapy. METHODS AND MATERIALS: Members of the Radioembolization Brachytherapy Oncology Consortium met as an independent group of experts in interventional radiology, radiation oncology, nuclear medicine, medical oncology, and surgical oncology to identify areas of consensus and controversy and to issue clinical guidelines for Y90 microsphere brachytherapy. RESULTS: A total of 14 recommendations are made with category 2A consensus. Key findings include the following. Sufficient evidence exists to support the safety and effectiveness of Y90 microsphere therapy. A meticulous angiographic technique is required to prevent complications. Resin microsphere prescribed activity is best estimated by the body surface area method. By virtue of their training, certification, and contribution to Y90 microsphere treatment programs, the disciplines of radiation oncology, nuclear medicine, and interventional radiology are all qualified to use Y90 microspheres. The panel strongly advocates the creation of a treatment registry with uniform reporting criteria. Initiation of clinical trials is essential to further define the safety and role of Y90 microspheres in the context of currently available therapies. CONCLUSIONS: Yttrium-90 microsphere therapy is a complex procedure that requires multidisciplinary management for safety and success. Practitioners and cooperative groups are encouraged to use these guidelines to formulate their treatment and dose-reporting policies.

American College of Radiology-American Brachytherapy Society practice parameter for electronically generated low-energy radiation sources.

BACKGROUND: This collaborative practice parameter technical standard has been created between the American College of Radiology and American Brachytherapy Society to guide the usage of electronically generated low energy radiation sources (ELSs). It refers to the use of electronic X-ray sources with peak voltages up to 120 kVp to deliver therapeutic radiation therapy. MAIN FINDINGS: The parameter provides a guideline for utilizing ELS, including patient selection and consent, treatment planning, and delivery processes. The parameter reviews the published clinical data with regard to ELS results in skin, breast, and other cancers. CONCLUSIONS: This technical standard recommends appropriate qualifications of the involved personnel. The parameter reviews the technical issues relating to equipment specifications as well as patient and personnel safety. Regarding suggestions for educational programs with regard to this parameter,it is suggested that the training level for clinicians be equivalent to that for other radiation therapies. It also suggests that ELS must be done using the same standards of quality and safety as those in place for other forms of radiation therapy.