Traffic Accident Blackspot Identification and Ambulance Fastest Route Mobilization Process for the City of Surakarta

Quickly and precisely treatment in traffic accident is one way to avoid the risk of death victims. Therefore, it's necessary to determine the fastest route from the traffic accident locations to the nearest hospital. The research objective was to determine the traffic accident blackspot of Surakarta city, the referral hospitals and the ambulance fastest route using GIS program. Determination of traffic accident blackspot used three methods, that are kernel density estimation, cluster and outlier analysis. Method of determining the fastest route mobilization is network analyst tool. Determination of the fastest route mobilization based on travel time. According to an analysis, there are 15 locations of traffic accident blackspots in Surakarta city. A referral hospitals in Surakarta city are Brayat Minulya, Dr. Moewardi, Dr. Oen, Kasih Ibu, Kustati, Panti Waluyo and PKU Muhammadiyah hospital. Mobilization route of the accidents victim has an average of travel time about 4.84 minutes

Individualized image-based lymph node irradiation for prostate cancer

Item does not contain fulltextControversy surrounds the benefit of whole pelvis radiotherapy (WPRT) over prostate-only radiotherapy (PORT) for intermediate-risk and high-risk patients with prostate cancer. In the PSA screening era, two large randomized trials as well as multiple retrospective studies comparing WPRT with PORT have been performed, albeit with contradictory results. Data regarding the use of WPRT in patients with biochemical recurrence after prostatectomy are scarce. As a consequence, the practice of WPRT varies worldwide. Advanced highly accurate imaging methods for the detection of lymph node metastases in patients with prostate cancer have been developed, such as PET, single photon emission computed tomography (SPECT), diffusion-weighted MRI and magnetic resonance lymphography (MRL). The use of these new imaging methods might improve nodal irradiation, as they can be used not only for selection of patients, but also for accurately determining the target volume to reduce geographical miss. Furthermore, these new techniques can enable dose escalation to involved lymph nodes

Imaging in prostate cancer staging: present role e future perspectives

Despite recent improvements in detection and treatment, prostate cancer continues to be the most common malignancy and the second leading cause of cancer-related mortality. Thus, although survival rate continues to improve, prostate cancer remains a compelling medical health problem. The major goal of prostate cancer imaging in the next decade will be more accurate disease characterization through the synthesis of anatomic, functional, and molecular imaging information in order to plan the most appropriate therapeutic strategy. No consensus exists regarding the use of imaging for evaluating primary prostate cancer. However, conventional and functional imaging are expanding their role in detection and local staging and, moreover, functional imaging is becoming of great importance in oncologic management and monitoring of therapy response. This review presents a multidisciplinary perspective on the role of conventional and functional imaging methods in prostate cancer staging