Intracranial application of IMRT based radiosurgery to treat multiple or large irregular lesions and verification of infra-red frameless localization system

We have employed a frameless localization system for intracranial radiosurgery, utilizing a custom biteblock with fiducial markers and an infra-red camera for set-up and monitoring patient position. For multiple brain metastases or large irregular lesions, we use a single-isocenter intensity-modulated approach. We report our quality assurance measurements and our experience using Intensity Modulated Radiosurgery (IMRS) to treat such intracranial lesions. A phantom with integrated targets and fiducial markers was utilized to test the positional accuracy of the system. The frameless localization system was used for patient setup and target localization as well as for motion monitoring during treatment. Inverse optimization planning gave satisfactory dose coverage and critical organ sparing. Patient setup was guided by the infrared camera through fine adjustment in three translational and three rotational degrees for isocenter localization and verified by orthogonal kilovoltage (kV) images, taken before treatment to ensure the accuracy of treatment. The relative localization of the camera based system was verified to be highly accurate along three translational directions of couch motion and couch rotation. After verification, we began treating patients with this technique. About 8–12 properly selected fixed beams with a single isocenter were sufficient to achieve good dose coverage and organ sparing. Portal dosimetry with an Electronic Portal Imaging Device (EPID) and kV images provided excellent quality assurance for the IMRS plan and patient setup. The treatment time was less than 60 min to deliver doses of 16–20 Gy in a single fraction. The camera-based system was verified for positional accuracy and was deemed sufficiently accurate for stereotactic treatments. Single isocenter IMRS treatment of multiple brain metastases or large irregular lesions can be done within an acceptable treatment time and gives the benefits of dose-conformity and organ-sparing, easy plan QA, and patient setup verification

Correlated Electrical and Chemical Nanoscale Properties in Potassium-Passivated, Triple-Cation Perovskite Solar Cells

Perovskite semiconductors are an exciting class of materials due to their promising performance outputs in photovoltaic devices. To boost their efficiency further, researchers introduce additives during sample synthesis, such as KI. However, it is not well understood how KI changes the material and, often, leaves precipitants. To fully resolve the role of KI, multiple microscopy techniques are applied and the electrical and chemical behavior of a Reference (untreated) and a KI‐treated perovskite are compared. Upon correlation between electrical and chemical nanoimaging techniques, it is discovered that these local properties are linked to the macroscopic voltage enhancement of the KI‐treated perovskite. The heterogeneity revealed in both the local electrical and chemical responses indicates that the additive partially migrates to the surface, yet surprisingly does not deteriorate the performance locally, rather, the voltage response homogeneously increases. The research presented within provides a diagnostic methodology, which connects the nanoscale electrical and chemical properties of materials, relevant to other perovskites, including multication and Pb‐free alternatives

Correlated Electrical and Chemical Nanoscale Properties in Potassium-Passivated, Triple-Cation Perovskite Solar Cells

Perovskite semiconductors are an exciting class of materials due to their promising performance outputs in optoelectronic devices. To boost their efficiency further, researchers introduce additives during sample synthesis, such as KI. However, it is not well understood how KI changes the material and, often, leaves precipitants. To fully resolve the role of KI, a multiple microscopy techniques is applied and the electrical and chemical behavior of a Reference (untreated) and a KI-treated perovskite are compared. Upon correlation between electrical and chemical nanoimaging techniques, it is discovered that these local properties are linked to the macroscopic voltage enhancement of the KI-treated perovskite. The heterogeneity revealed in both the local electrical and chemical responses indicates that the additive partially migrates to the surface, yet surprisingly; does not deteriorate the performance locally, rather, the voltage response homogeneously increases. The research presented within provides a diagnostic methodology, which connects the nanoscale electrical and chemical properties of materials, relevant to other perovskites, including multication and Pb-free alternatives.University of Maryland All-S.T.A.R. Fellowship Hulka Energy Research Fellowship National Science Foundation US Department of Energy The Royal Society Office of Naval Researc

Cross-imaging system comparison of backscatter coefficient estimates from a tissue-mimicking material

A key step toward implementing quantitative ultrasound techniques in a clinical setting is demonstrating that parameters such as the ultrasonic backscatter coefficient (BSC) can be accurately estimated independent of the clinical imaging system used. In previous studies, agreement in BSC estimates for well characterized phantoms was demonstrated across different laboratory systems. The goal of this study was to compare the BSC estimates of a tissue mimicking sample measured using four clinical scanners, each providing RF echo data in the 1-15 MHz frequency range. The sample was previously described and characterized with single-element transducer systems. Using a reference phantom for analysis, excellent quantitative agreement was observed across the four array-based imaging systems for BSC estimates. Additionally, the estimates from data acquired with the clinical systems agreed with theoretical predictions and with estimates from laboratory measurements using single-element transducers

Relativistic Effects in the Scalar Meson Dynamics

A separable potential formalism is used to describe the $\pi\pi$ and $K\overline{K}$ interactions in the scalar-isoscalar states in the energy range from the $\pi\pi$ threshold up to 1.4 GeV. Introduction of relativistic propagators into a system of Lippmann-Schwinger equations leads to a very good description of the data ($\chi^{2}=0.93$ per one degree of freedom). Three poles are found in this energy region: fo(500) ($M=506\pm 10$ MeV, $\Gamma=494\pm 5$ MeV), fo(975) ($M=973\pm 2$ MeV, $\Gamma=29\pm 2$ MeV) and fo(1400) ($M=1430\pm 5$ MeV, $\Gamma=145\pm 25$ MeV). The fo(975) state can be interpreted as a $K\overline{K}$ bound state. The fo(500) state may be associated with the often postulated very broad scalar resonance under the $K\overline{K}$ threshold (sometimes called $\sigma$ or $\epsilon$ meson). The scattering lengths in the $\pi\pi$ and $K\overline{K}$ channels have also been obtained. The relativistic approach provides qualitatively new results (e.g. the appearance of the fo(500)) in comparison with previously used nonrelativistic approach.Comment: 30 pages in LaTeX + 5 figures available on request. Preprint Orsay No IPNO/TH 93-3

Chromophobe renal cell cancer - review of the literature and potential methods of treating metastatic disease

Chromophobe renal cell carcinoma (ChRCC) is a subtype of renal cell carcinoma (RCC). ChRCC is diagnosed mainly in 6th decade of life. An incidence of ChRCC is similar in both men and woman. Eighty six percent of ChRCCs cases are diagnosed in stage 1 or 2. Prognosis of ChRCC is better than in other types of RCC. Five- and 10-year disease free survival (DFS) for ChRCC was 83.9% and 77.9%, respectively. Expression of immunohistological markers: cytokeratins (CK), vimentin, epithelial membrane antigen (EMA), CD10 could be potentially helpful in diagnosis of different subtypes of RCC. From all conventional RCC, CD 117 was detected (overexpression) in membrane of cells ChRCC