Effect of dental metal artifact conversion volume on dose distribution in head‐and‐neck volumetric‐modulated arc therapy

Purpose: During treatment planning for head‐and‐neck volumetric‐modulated arc therapy (VMAT), manual contouring of the metal artifact area of artificial teeth is done, and the area is replaced with water computed tomography (CT) values for dose calculation. This contouring of the metal artifact areas, which is performed manually, is subject to human variability. The purpose of this study is to evaluate and analyze the effect of inter‐observer variation on dose distribution. Methods: The subjects were 25 cases of cancer of the oropharynx for which VMAT was performed. Six radiation oncologists (ROs) performed metal artifact contouring for all of the cases. Gross tumor volume, clinical target volume, planning target volume (PTV), and oral cavity were evaluated. The contouring of the six ROs was divided into two groups, small and large groups. A reference RO was determined for each group and the dose distribution was compared with those of the other radiation oncologists by gamma analysis (GA). As an additional experiment, we changed the contouring of each dental metal artifact area, creating enlarged contours (L), reduced contours (S), and undrawn contours (N) based on the contouring by the six ROs and compared these structure sets. Results: The evaluation of inter‐observer variation showed no significant difference between the large and small groups, and the GA pass rate was 100%. Similar results were obtained comparing structure sets L and S, but in the comparison of structure sets L and N, there were cases with pass rates below 70%. Conclusions: The results show that the artificial variability of manual artificial tooth metal artifact contouring has little effect on the dose distribution of VMAT. However, it should be noted that the dose distribution may change depending on the contouring method in cases where the overlap between PTV and metal artifact areas is large

MOLECULAR DISCRIMINATION BETWEEN INDIVIDUAL METACERCARIAE OF PARAGONIMUS HETEROTREMUS AND P. WESTERMANI OCCURRING IN THAILAND

Abstract. To accurately discriminate between individual metacercariae of Paragonimus heterotremus and P. westermani occurring in Thailand, polymerase chain reaction (PCR)-based molecular methods were established and subjected to an evaluation. We first amplified and sequenced the second internal transcribed spacer (ITS2) region of the nuclear ribosomal DNA of the two species. Based on their nucleotide differences, P. heterotremus and P. westermani were unequivocally discriminated from each other. These nucleotide differences were further utilized to select the ApaL1 endonuclease site for PCR-restriction fragment length polymorphism (PCR-RFLP) analyses and to design species-specific primers for multiplex PCR reactions. Both PCR-RFLP and multiplex PCR methods allowed a more rapid and labor-effective species discrimination. Furthermore, the multiplex PCR method enabled the most efficient discrimination because species identification involved a single round of PCR in a single tube. In Thailand, P. heterotremus is the only species affecting humans. Thus, the methods established in the present study can be used as reliable tools to identify the lung fluke metacercariae that cause human disease. primers. All of these methods utilize nucleotide differences in the second internal transcribed spacer (ITS2) of the nuclear ribosomal DNA (rDNA) for dicrimination between the two species. In the present study, we focused on the lung flukes occurring in Thailand and applied the methods for species discrimination between individual metacercariae of P. heterotremus and P. westermani. MATERIALS AND METHODS Parasite material and DNA isolation The metacercariae of P. heterotremus and P. westermani DNA amplification, restriction digestion and sequencing The rDNA region spanning the ITS2 from individual metacercariae of the two species was amplified by PCR using the primers, 3S (forward, 5'-GGTACCGGTGGATCACTCGGCTCGTG-3') and A28 (reverse, 5'-GGGATCCTGGTTAGTTTCTTTT CCTCCGC-3'). These primers were designed on the basis of the conserved rDNA sequences of the Schistosoma specie

Hardware Accelerators for Regular Expression Matching and Approximate String Matching

This paper introduces hardware accelerators for regular expression matching and approximate string matching. The hardware for regular expression matching accepts a subclass of regular expressions, and achieves a high throughput string matching for a wide range of patterns. In addition, since the hardware is pattern-independent, we can update patterns immediately without reconfiguring the hardware. Therefore, it is useful for applications that require quick pattern updating, such as network intrusion detection. The hardware for approximate string matching calculates the edit distance as a degree of similarity between two strings at high speed. Therefore, it accelerates processing for text retrieval in database, analysis of DNA, protein sequences in bioinformatics, and so on.APSIPA ASC 2009: Asia-Pacific Signal and Information Processing Association, 2009 Annual Summit and Conference. 4-7 October 2009. Sapporo, Japan. Panel session: Panel Discussion 3. Hardware Software Co-research for Efficient Information Processing (7 October 2009)