816 research outputs found
A GPU-based finite-size pencil beam algorithm with 3D-density correction for radiotherapy dose calculation
Targeting at the development of an accurate and efficient dose calculation
engine for online adaptive radiotherapy, we have implemented a finite size
pencil beam (FSPB) algorithm with a 3D-density correction method on GPU. This
new GPU-based dose engine is built on our previously published ultrafast FSPB
computational framework [Gu et al. Phys. Med. Biol. 54 6287-97, 2009].
Dosimetric evaluations against Monte Carlo dose calculations are conducted on
10 IMRT treatment plans (5 head-and-neck cases and 5 lung cases). For all
cases, there is improvement with the 3D-density correction over the
conventional FSPB algorithm and for most cases the improvement is significant.
Regarding the efficiency, because of the appropriate arrangement of memory
access and the usage of GPU intrinsic functions, the dose calculation for an
IMRT plan can be accomplished well within 1 second (except for one case) with
this new GPU-based FSPB algorithm. Compared to the previous GPU-based FSPB
algorithm without 3D-density correction, this new algorithm, though slightly
sacrificing the computational efficiency (~5-15% lower), has significantly
improved the dose calculation accuracy, making it more suitable for online IMRT
replanning
A transdiagnostic systematic review and meta-analysis of ketamine's anxiolytic effects
Background:Ketamine may be effective in treating symptoms of anxiety, but the time profile of ketamine’s anxiolytic effect is ill-defined. This systematic review and meta-analysis investigated the anxiolytic effect of ketamine at different time points across a range of clinical settings.Methods:Electronic databases were searched to capture randomised control trials measuring the anxiolytic effects of ketamine in contexts including mood disorders, anxiety disorders and chronic pain. Meta-analyses were conducted using a random-effects model. The correlations between (1) improvements in mean anxiety and depression scores, and (2) peak dissociation and improvements in mean anxiety scores were also assessed.Results:In all, 14 studies met inclusion criteria. Risk of bias was high in 11 studies. Ketamine significantly reduced anxiety scores compared to placebo at acute (<12 h; standard mean difference (SMD): −1.17, 95% confidence interval (CI) [−1.89, −0.44], p < 0.01), subacute (24 h; SMD: −0.44, 95% CI [−0.65, −0.22], p < 0.01) and sustained (7–14 days; SMD: −0.40, 95% CI [−0.63, −0.17], p < 0.01) time points. Exploratory analyses revealed improvements in anxiety and depression symptoms correlated at both subacute (R2 = 0.621, p = 0.035) and sustained time points (R2 = 0.773, p = 0.021). The relationship between peak dissociation and improvement in anxiety was not significant.Conclusions:Ketamine appears to offer rapid and sustained anxiety symptom relief across a range of clinical settings, with anxiolytic effects occurring within the first 12 h of administration and remaining effective for 1–2 weeks. Future studies could explore the effects of ketamine maintenance therapy on anxiety symptoms
Effect of Statistical Fluctuation in Monte Carlo Based Photon Beam Dose Calculation on Gamma Index Evaluation
The gamma-index test has been commonly adopted to quantify the degree of
agreement between a reference dose distribution and an evaluation dose
distribution. Monte Carlo (MC) simulation has been widely used for the
radiotherapy dose calculation for both clinical and research purposes. The goal
of this work is to investigate both theoretically and experimentally the impact
of the MC statistical fluctuation on the gamma-index test when the fluctuation
exists in the reference, the evaluation, or both dose distributions. To the
first order approximation, we theoretically demonstrated in a simplified model
that the statistical fluctuation tends to overestimate gamma-index values when
existing in the reference dose distribution and underestimate gamma-index
values when existing in the evaluation dose distribution given the original
gamma-index is relatively large for the statistical fluctuation. Our numerical
experiments using clinical photon radiation therapy cases have shown that 1)
when performing a gamma-index test between an MC reference dose and a non-MC
evaluation dose, the average gamma-index is overestimated and the passing rate
decreases with the increase of the noise level in the reference dose; 2) when
performing a gamma-index test between a non-MC reference dose and an MC
evaluation dose, the average gamma-index is underestimated when they are within
the clinically relevant range and the passing rate increases with the increase
of the noise level in the evaluation dose; 3) when performing a gamma-index
test between an MC reference dose and an MC evaluation dose, the passing rate
is overestimated due to the noise in the evaluation dose and underestimated due
to the noise in the reference dose. We conclude that the gamma-index test
should be used with caution when comparing dose distributions computed with
Monte Carlo simulation
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Ketamine: a tale of two enantiomers
The discovery of the rapid antidepressant effects of the dissociative anaesthetic ketamine, an uncompetitive N-Methyl-D-Aspartate receptor antagonist, is arguably the most important breakthrough in depression research in the last 50 years. Ketamine remains an off-label treatment for treatment-resistant depression with factors that limit widespread use including its dissociative effects and abuse potential. Ketamine is a racemic mixture, composed of equal amounts of (S)-ketamine and (R)-ketamine. An (S)-ketamine nasal spray has been developed and approved for use in treatment-resistant depression in the United States and Europe; however, some concerns regarding efficacy and side effects remain. Although (R)-ketamine is a less potent N-Methyl-D-Aspartate receptor antagonist than (S)-ketamine, increasing preclinical evidence suggests (R)-ketamine may have more potent and longer lasting antidepressant effects than (S)-ketamine, alongside fewer side effects. Furthermore, a recent pilot trial of (R)-ketamine has demonstrated rapid-acting and sustained antidepressant effects in individuals with treatment-resistant depression. Research is ongoing to determine the specific cellular and molecular mechanisms underlying the antidepressant actions of ketamine and its component enantiomers in an effort to develop future rapid-acting antidepressants that lack undesirable effects. Here, we briefly review findings regarding the antidepressant effects of ketamine and its enantiomers before considering underlying mechanisms including N-Methyl-D-Aspartate receptor antagonism, γ-aminobutyric acid-ergic interneuron inhibition, α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic receptor activation, brain-derived neurotrophic factor and tropomyosin kinase B signalling, mammalian target of rapamycin complex 1 and extracellular signal-regulated kinase signalling, inhibition of glycogen synthase kinase-3 and inhibition of lateral habenula bursting, alongside potential roles of the monoaminergic and opioid receptor systems
Religion, Partisanship, and Attitudes Toward Science Policy
We examine issues involving science which have been contested in recent public debate. These “contested science” issues include human evolution, stem-cell research, and climate change. We find that few respondents evince consistently skeptical attitudes toward science issues, and that religious variables are generally strong predictors of attitudes toward individual issues. Furthermore, and contrary to analyses of elite discourse, partisan identification is not generally predictive of attitudes toward contested scientific issues
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The opioid system in depression
Opioid receptors are widely distributed throughout the brain and play an essential role in modulating aspects of human mood, reward, and well-being. Accumulating evidence indicates the endogenous opioid system is dysregulated in depression and that pharmacological modulators of mu, delta, and kappa opioid receptors hold potential for the treatment of depression. Here we review animal and clinical data, highlighting evidence to support: dysregulation of the opioid system in depression, evidence for opioidergic modulation of behavioural processes and brain regions associated with depression, and evidence for opioidergic modulation in antidepressant responses. We evaluate clinical trials that have examined the safety and efficacy of opioidergic agents in depression and consider how the opioid system may be involved in the effects of other treatments, including ketamine, that are currently understood to exert antidepressant effects through non-opioidergic actions. Finally, we explore key neurochemical and molecular mechanisms underlying the potential therapeutic effects of opioid system engagement, that together provides a rationale for further investigation into this relevant target in the treatment of depression
GPU-based ultra fast dose calculation using a finite pencil beam model
Online adaptive radiation therapy (ART) is an attractive concept that
promises the ability to deliver an optimal treatment in response to the
inter-fraction variability in patient anatomy. However, it has yet to be
realized due to technical limitations. Fast dose deposit coefficient
calculation is a critical component of the online planning process that is
required for plan optimization of intensity modulated radiation therapy (IMRT).
Computer graphics processing units (GPUs) are well-suited to provide the
requisite fast performance for the data-parallel nature of dose calculation. In
this work, we develop a dose calculation engine based on a finite-size pencil
beam (FSPB) algorithm and a GPU parallel computing framework. The developed
framework can accommodate any FSPB model. We test our implementation on a case
of a water phantom and a case of a prostate cancer patient with varying beamlet
and voxel sizes. All testing scenarios achieved speedup ranging from 200~400
times when using a NVIDIA Tesla C1060 card in comparison with a 2.27GHz Intel
Xeon CPU. The computational time for calculating dose deposition coefficients
for a 9-field prostate IMRT plan with this new framework is less than 1 second.
This indicates that the GPU-based FSPB algorithm is well-suited for online
re-planning for adaptive radiotherapy.Comment: submitted Physics in Medicine and Biolog
Measurement of inclusive D*+- and associated dijet cross sections in photoproduction at HERA
Inclusive photoproduction of D*+- mesons has been measured for photon-proton
centre-of-mass energies in the range 130 < W < 280 GeV and a photon virtuality
Q^2 < 1 GeV^2. The data sample used corresponds to an integrated luminosity of
37 pb^-1. Total and differential cross sections as functions of the D*
transverse momentum and pseudorapidity are presented in restricted kinematical
regions and the data are compared with next-to-leading order (NLO) perturbative
QCD calculations using the "massive charm" and "massless charm" schemes. The
measured cross sections are generally above the NLO calculations, in particular
in the forward (proton) direction. The large data sample also allows the study
of dijet production associated with charm. A significant resolved as well as a
direct photon component contribute to the cross section. Leading order QCD
Monte Carlo calculations indicate that the resolved contribution arises from a
significant charm component in the photon. A massive charm NLO parton level
calculation yields lower cross sections compared to the measured results in a
kinematic region where the resolved photon contribution is significant.Comment: 32 pages including 6 figure
Measurement of Jet Shapes in Photoproduction at HERA
The shape of jets produced in quasi-real photon-proton collisions at
centre-of-mass energies in the range GeV has been measured using the
hadronic energy flow. The measurement was done with the ZEUS detector at HERA.
Jets are identified using a cone algorithm in the plane with a
cone radius of one unit. Measured jet shapes both in inclusive jet and dijet
production with transverse energies GeV are presented. The jet
shape broadens as the jet pseudorapidity () increases and narrows
as increases. In dijet photoproduction, the jet shapes have been
measured separately for samples dominated by resolved and by direct processes.
Leading-logarithm parton-shower Monte Carlo calculations of resolved and direct
processes describe well the measured jet shapes except for the inclusive
production of jets with high and low . The observed
broadening of the jet shape as increases is consistent with the
predicted increase in the fraction of final state gluon jets.Comment: 29 pages including 9 figure
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