Dosimetric characterization of CVD diamonds irradiated with 62 MeV proton beams

Diamond is potentially a very suitable material for use as on-line radiation dosimeter. Recent advances in the synthesis of polycrystalline diamond by chemical vapor deposition (CVD) techniques have produced material with electronic properties suitable for dosimetry applications. In this work the possibility to use a segmented commercial CVD detector in the dosimetry of proton beams has been investigated. The response as function of dose, dose rate, the priming and the rise time have been investigated thoroughly. This study shows the suitability of CVD diamond for dosimetry of clinical 62 MeV proton beams. r 2005 Elsevier B.V. All rights reserved

Dosimetric characterization of CVD diamonds in photon, electron and proton beams

The purpose of this work is the characterization, in an on line configuration, of the dosimetric response of a commercial CVD diamond. The study shows the possibility of using CVD diamond for dosimetric purposes with clinical, high-energy electron (4-15 MeV), photon (6-15 MV) and proton (62 MeV) beams

Fissurectomy versus lateral internal sphincterotomy in the treatment of chronic anal fissures: no advantages in terms of post-operative incontinence

PurposeThe standard treatment for chronic anal fissures that have failed non-operative management is lateral internal sphincterotomy. Surgery can cause de novo incontinence. Fissurectomy has been proposed as a sphincter/saving procedure, especially in the presence of a deep posterior pouch with or without a crypt infection. This study investigated whether fissurectomy offers a benefit in terms of de novo post-operative incontinence.MethodsPatients surgically managed with fissurectomy or lateral internal sphincterotomy for chronic anal fissures from 2013 to 2019 have been included. Healing rate, changes in continence and patient satisfaction were investigated at long-term follow-up.ResultsOne hundred twenty patients (55 females, 65 males) were analysed: 29 patients underwent fissurectomy and 91 lateral internal sphincterotomy. Mean follow-up was 55 months [confidence interval (CI) 5-116 months]. Both techniques showed some rate of de novo post-operative incontinence (> +3 Vaizey score points): 8.9% lateral internal sphincterotomy, 17.8% fissurectomy (p = 0.338). The mean Vaizey score in these patients was 10.37 [standard deviation (sd) 6.3] after lateral internal sphincterotomy (LIS) and 5.4 (sd 2.3) after fissurectomy Healing rate was 97.8% in the lateral internal sphincterotomy group and 75.8% in the fissurectomy group (p = 0.001). In the lateral internal sphincterotomy group, patients with de novo post-op incontinence showed a statistically significant lower satisfaction rate (9.2 +/- 1.57 versus 6.13 +/- 3; p = 0.023) while no differences were present in the fissurectomy group (8.87 +/- 1.69 versus 7.4 +/- 1.14; p = 0.077).ConclusionsLateral internal sphincterotomy is confirmed as the preferred technique in term of healing rate. Fissurectomy did not offer a lower rate of de novo post-operative incontinence, but resulted in lower Vaizey scores in patients in whom this occurred. Satisfaction was lower in patients suffering a de novo post-operative incontinence after lateral internal sphincterotomy

CATANA protontherapy facility: The state of art of clinical and dosimetric experience

After nine years of activity, about 220 patients have been treated at the CATANA Eye Protontherapy facility. A 62MeV proton beam produced by a Superconducting Cyclotron is dedicated to radiotherapy of eye lesions, as uveal melanomas. Research and development work has been done to test different dosimetry devices to be used for reference and relative dosimetry, in order to achieve dose delivering accuracy. The follow-up results demonstrated the efficacy of proton beams and encouraged us in our activity in the fight against cancer

A 62 MeV proton beam for the treatment of ocular melanoma at Laboratori Nazionali del Sud-INFN (CATANIA)

At the Istituto Nazionale di Fisica Nucleare-Laboratori Nazionali del Sud (INFN-LNS) in Catania, Italy, the first Italian protontherapy facility, named Centro di AdroTerapia e Applicazioni Nucleari Avanzate (CATANA) has been built in collaboration with the University of Catania. It is based on the use of the 62-MeV proton beam delivered by the K=800 Superconducting Cyclotron installed and working at INFN-LNS since 1995. The facility is mainly devoted to the treatment of ocular diseases like uveal melanoma. A beam treatment line in air has been assembled together with a dedicated positioning patient system. The facility has been in operation since the beginning of 2002 and 66 patients have been successfully treated up to now. The main features of CATANA together with the clinical and dosimetric features will be extensively described; particularly, the proton beam line, that has been entirely built at LNS, with all its elements, the experimental transversal and depth dose distributions of the 62-MeV proton beam obtained for a final collimator of 25-mm diameter and the experimental depth dose distributions of a modulated proton beam obtained for the same final collimator. Finally, the clinical results over 1 yr of treatments, describing the features of the treated diseases will be reported

Cellular and molecular effects of protons: apoptosis induction and potential implications for cancer therapy.

Due to their ballistic precision, apoptosis induction by protons could be a strategy to specifically eliminate neoplastic cells. To characterize the cellular and molecular effects of these hadrons, we performed dose-response and time-course experiments by exposing different cell lines (PC3, Ca301D, MCF7) to increasing doses of protons and examining them with FACS, RT-PCR, and electron spin resonance (ESR). Irradiation with a dose of 10 Gy of a 26,7 Mev proton beam altered cell structures such as membranes, caused DNA double strand breaks, and significantly increased intracellular levels of hydroxyl ions, are active oxygen species (ROS). This modified the transcriptome of irradiated cells, activated the mitochondrial (intrinsic) pathway of apoptosis, and resulted in cycle arrest at the G2/M boundary. The number of necrotic cells within the irradiated cell population did not significantly increase with respect to the controls. The effects of irradiation with 20 Gy were qualitatively as well as quantitatively similar, but exposure to 40 Gy caused massive necrosis. Similar experiments with photons demonstrated that they induce apoptosis in a significantly lower number of cells and in a temporally delayed manner. These data advance our knowledge on the cellular and molecular effects of proton irradiation and could be useful for improving current hadrontherapy protocols

Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both

Background and objective: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) mutually increase the risk of being present in the same patient, especially if older. Whether or not this coexistence may be associated with a worse prognosis is debated. Therefore, employing data derived from the REPOSI register, we evaluated the clinical features and outcomes in a population of elderly patients admitted to internal medicine wards and having COPD, HF or COPD + HF. Methods: We measured socio-demographic and anthropometric characteristics, severity and prevalence of comorbidities, clinical and laboratory features during hospitalization, mood disorders, functional independence, drug prescriptions and discharge destination. The primary study outcome was the risk of death. Results: We considered 2,343 elderly hospitalized patients (median age 81 years), of whom 1,154 (49%) had COPD, 813 (35%) HF, and 376 (16%) COPD + HF. Patients with COPD + HF had different characteristics than those with COPD or HF, such as a higher prevalence of previous hospitalizations, comorbidities (especially chronic kidney disease), higher respiratory rate at admission and number of prescribed drugs. Patients with COPD + HF (hazard ratio HR 1.74, 95% confidence intervals CI 1.16-2.61) and patients with dementia (HR 1.75, 95% CI 1.06-2.90) had a higher risk of death at one year. The Kaplan-Meier curves showed a higher mortality risk in the group of patients with COPD + HF for all causes (p = 0.010), respiratory causes (p = 0.006), cardiovascular causes (p = 0.046) and respiratory plus cardiovascular causes (p = 0.009). Conclusion: In this real-life cohort of hospitalized elderly patients, the coexistence of COPD and HF significantly worsened prognosis at one year. This finding may help to better define the care needs of this population

Experimental investigation of the deep mantle melting properties

Au cours de la dernière phase d’accrétion, les planètes terrestres ont connu des impacts géants violents et très énergétiques. A la suite du chauffage causé par les impacts, la Terre primitive était partiellement ou totalement fondue, et un océan magmatique a été formé dans la couche externe de la Terre. Le refroidissement successif de l’océan magmatique a causé la cristallisation fractionnée du manteau primitif. Cependant, il reste beaucoup d’incertitudes à propos de l’accrétion de la Terre primitive, comme la profondeur et la durée de vie d’un (ou plusieurs) océan(s) magmatique(s), l’effet de la recristallisation du manteau sur la ségrégation chimique entre les différents réservoirs de la Terre et ainsi de suite. La connaissance des propriétés de fusion du manteau profond est important aussi pour examiner la possibilité d’une fusion partielle actuellement. L’objectif était d’aborder quelques problèmes concernant le manteau inférieur terrestre : Quelle est la séquence de fusion entre les phases dominantes dans le manteau inférieur ? Est-ce qu’on peut expliquer la zone à ultra-basse vélocité (ULVZ) avec la fusion partielle d’un manteau pyrolytique (ou chondritique) ? Quel est le partage du fer entre les phases silicatées liquides et solides dans le manteau profond ? Est-ce qu’on peut donner des informations nouvelles sur les propriétés d’un océan magmatique profond à partir des courbes de fusion du manteau primitif ? Dans cette étude les courbes de fusion et les relations de fusion ont été analysées en utilisant la cellule à enclume de diamant chauffé au laser (LH-DAC) pour des pressions entre 25 et 135 GPa et des températures jusqu’à plus que 4000 K, i.e. pour des conditions de P-T qui correspondent au manteau inférieur terrestre entier. Les compositions utilisées ont été le raccord entre MgO et MgSiO3 et une composition de type chondritique pour le manteau terrestre. J’ai utilisé deux techniques in-situ de radiation-synchrotron pour déduire les propriétés de fusion à hautes pressions ; la diffractométrie au rayons-X et la fluorescence au rayons-X. Les nouveaux résultats obtenus dans cette étude sont : (...)During the final stage of accretion, terrestrial planets experienced violent and highly energetic giant impacts. As a consequence of impact heating, the early Earth was partially or wholly molten, forming a magma ocean in the outer layer of Earth. Subsequent cooling of the magma ocean has led to fractional crystallization of the primitive mantle. Many unknowns remain about accretion of the early Earth, such as extension depth and life time of the magma ocean(s), role of mantle recrystallization on the chemical segregation between the different Earth reservoirs, and so on. The knowledge of melting properties of the deep mantle is also important to investigate the possibility of partial melting at the present time. The aim of this study was to tackle a few major questions concerning the Earth lower mantle : What is the melting sequence between the main lower mantle phases ? Can we explain the ultra-low-velocity zones (ULVZ) by partial melting of pyrolitic (or chondritic) mantle ? How does iron partition between liquid and solid silicate phases in the deep mantle ? Can we provide new information on the properties of the deep magma ocean based on the melting curve of the primitive mantle ? Melting curves and melting relations have been investigated using the laser-heated diamond anvil cell (LH-DAC) for pressure between 25 and 135 GPa and temperature up more than 4000 K, i.e. at P-T conditions corresponding to the entire Earth’s lower mantle. Compositions investigated were the join between MgO and MgSiO3 and a model chondritic-composition for the Earth mantle. Two different in situ synchrotron radiation techniques have been used to infer melting properties at high pressures ; X-ray diffraction and X-ray fluorescence spectroscopy. The new results obtained in this study include : (...

Etude expérimentale des propriétés de fusion du manteau inférieur

During the final stage of accretion, terrestrial planets experienced violent and highly energetic giant impacts. As a consequence of impact heating, the early Earth was partially or wholly molten, forming a magma ocean in the outer layer of Earth. Subsequent cooling of the magma ocean has led to fractional crystallization of the primitive mantle. Many unknowns remain about accretion of the early Earth, such as extension depth and life time of the magma ocean(s), role of mantle recrystallization on the chemical segregation between the different Earth reservoirs, and so on. The knowledge of melting properties of the deep mantle is also important to investigate the possibility of partial melting at the present time. The aim of this study was to tackle a few major questions concerning the Earth lower mantle : What is the melting sequence between the main lower mantle phases ? Can we explain the ultra-low-velocity zones (ULVZ) by partial melting of pyrolitic (or chondritic) mantle ? How does iron partition between liquid and solid silicate phases in the deep mantle ? Can we provide new information on the properties of the deep magma ocean based on the melting curve of the primitive mantle ? Melting curves and melting relations have been investigated using the laser-heated diamond anvil cell (LH-DAC) for pressure between 25 and 135 GPa and temperature up more than 4000 K, i.e. at P-T conditions corresponding to the entire Earth’s lower mantle. Compositions investigated were the join between MgO and MgSiO3 and a model chondritic-composition for the Earth mantle. Two different in situ synchrotron radiation techniques have been used to infer melting properties at high pressures ; X-ray diffraction and X-ray fluorescence spectroscopy. The new results obtained in this study include : (...)Au cours de la dernière phase d’accrétion, les planètes terrestres ont connu des impacts géants violents et très énergétiques. A la suite du chauffage causé par les impacts, la Terre primitive était partiellement ou totalement fondue, et un océan magmatique a été formé dans la couche externe de la Terre. Le refroidissement successif de l’océan magmatique a causé la cristallisation fractionnée du manteau primitif. Cependant, il reste beaucoup d’incertitudes à propos de l’accrétion de la Terre primitive, comme la profondeur et la durée de vie d’un (ou plusieurs) océan(s) magmatique(s), l’effet de la recristallisation du manteau sur la ségrégation chimique entre les différents réservoirs de la Terre et ainsi de suite. La connaissance des propriétés de fusion du manteau profond est important aussi pour examiner la possibilité d’une fusion partielle actuellement. L’objectif était d’aborder quelques problèmes concernant le manteau inférieur terrestre : Quelle est la séquence de fusion entre les phases dominantes dans le manteau inférieur ? Est-ce qu’on peut expliquer la zone à ultra-basse vélocité (ULVZ) avec la fusion partielle d’un manteau pyrolytique (ou chondritique) ? Quel est le partage du fer entre les phases silicatées liquides et solides dans le manteau profond ? Est-ce qu’on peut donner des informations nouvelles sur les propriétés d’un océan magmatique profond à partir des courbes de fusion du manteau primitif ? Dans cette étude les courbes de fusion et les relations de fusion ont été analysées en utilisant la cellule à enclume de diamant chauffé au laser (LH-DAC) pour des pressions entre 25 et 135 GPa et des températures jusqu’à plus que 4000 K, i.e. pour des conditions de P-T qui correspondent au manteau inférieur terrestre entier. Les compositions utilisées ont été le raccord entre MgO et MgSiO3 et une composition de type chondritique pour le manteau terrestre. J’ai utilisé deux techniques in-situ de radiation-synchrotron pour déduire les propriétés de fusion à hautes pressions ; la diffractométrie au rayons-X et la fluorescence au rayons-X. Les nouveaux résultats obtenus dans cette étude sont : (...