Performance Evaluation of the Dual Ring MAMMI breast PET

[Otros] MAMMI is a dedicated breast positron emission tomograph (PET) based on monolythic LYSO crystals, with a transaxial field of view (FOV) of 170 mm. It has been upgraded by adding a second ring of detectors that extends the axial FOV from 40 mm to 94.4 mm, in order to improve its sensitivity and reduce the acquisition time. In this work we present the performance evaluation of the dual ring MAMMI breast PET and a discussion about the contribution of the addition of a second ring of detectors, the compensation of the detector blur and the increase of the scintillator thickness. Experimental measurements suggested on NEMA NU 4-2008 and NEMA NU 2-2007 have been conveniently adapted to the dimensions of the MAMMI. The addition of the second ring of detectors leads to a rise of the sensitivity from 1.8% to 3.6%. The spatial resolution at one-fourth of the axial FOV (1.5 mm axial, 1.6 mm tangential, 1.7 mm radial) is slightly better than that measured at the axial center (1.9 mm axial, 1.8 mm tangential and radial), because of the 14 mm gap in between detection rings. The results obtained after the evaluation reflect a substantial performance improvement, specially in the absolute sensitivity, because of the changes introduced in the MAMMI PET.This work was supported in part bythe Spanish Plan Nacional de Investigacion Científica, Desarrollo e Innovación Tecnologica (I+D+I) under Grant No. FIS2010-21216-CO2-01 and Valencian Local Government under Grants PROMETEOII/2013/010 and ISIC 2011/013Soriano, A.; Sánchez, F.; Carrilero, V.; Pardo, A.; Vidal San Sebastian, LF.; Vazquez, C.; Barbera, J.... (2013). Performance Evaluation of the Dual Ring MAMMI breast PET. IEEE. 1-4. https://doi.org/10.1109/NSSMIC.2013.6829103S1

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

A Community-Based Energy Market Design Using Decentralized Decision-Making under Uncertainty

Moving to a user-centric approach is seen as a key change of paradigm in order to increase the efficiency and sustainability of energy systems. Massive integration of new economic agents such as prosumers and mobile or stationary storage will play a key role in the energy transition. In this paper, a design of a community-based local energy market (CB-LEM) is proposed where the members are allowed to trade energy among each other through a local pool. The price is set on a day-ahead basis under the coordination of a Community Manager (CM). The novel aspect of this work is that every agent takes part in the determination of the local market price while deciding its own scheduling problem under uncertainty concerning renewable-energy generation and storage. After day-ahead clearing, real time operation and ex-post settlement of the local market by the CM are also explained in order to complete the proposed design. A real case study in a neighbourhood in Amsterdam, The Netherlands, is used for testing the proposed framework. In addition, the performance of the ADMM-based clearing process is analyzed in terms of scalability and convergence.</p