74 research outputs found
Accelerated partial breast irradiation: the case for current use
The treatment of early stage breast cancer is evolving from traditional breast conservation techniques, employing conventionally fractionated whole breast irradiation, to techniques in which partial breast irradiation is used in an accelerated fractionation scheme. A growing body of evidence exists, including favorable findings. Additional studies are under way that may ultimately prove equivalence. The logic behind this approach is reviewed, and the currently available data are presented to support the current use of carefully applied partial breast irradiation techniques in appropriately selected and informed patients
Doses to internal organs for various breast radiation techniques - implications on the risk of secondary cancers and cardiomyopathy
<p>Abstract</p> <p>Background</p> <p>Breast cancers are more frequently diagnosed at an early stage and currently have improved long term outcomes. Late normal tissue complications induced by adjuvant radiotherapy like secondary cancers or cardiomyopathy must now be avoided at all cost. Several new breast radiotherapy techniques have been developed and this work aims at comparing the scatter doses of internal organs for those techniques.</p> <p>Methods</p> <p>A CT-scan of a typical early stage left breast cancer patient was used to describe a realistic anthropomorphic phantom in the MCNP Monte Carlo code. Dose tally detectors were placed in breasts, the heart, the ipsilateral lung, and the spleen. Five irradiation techniques were simulated: whole breast radiotherapy 50 Gy in 25 fractions using physical wedge or breast IMRT, 3D-CRT partial breast radiotherapy 38.5 Gy in 10 fractions, HDR brachytherapy delivering 34 Gy in 10 treatments, or Permanent Breast <sup>103</sup>Pd Seed Implant delivering 90 Gy.</p> <p>Results</p> <p>For external beam radiotherapy the wedge compensation technique yielded the largest doses to internal organs like the spleen or the heart, respectively 2,300 mSv and 2.7 Gy. Smaller scatter dose are induced using breast IMRT, respectively 810 mSv and 1.1 Gy, or 3D-CRT partial breast irradiation, respectively 130 mSv and 0.7 Gy. Dose to the lung is also smaller for IMRT and 3D-CRT compared to the wedge technique. For multicatheter HDR brachytherapy a large dose is delivered to the heart, 3.6 Gy, the spleen receives 1,171 mSv and the lung receives 2,471 mSv. These values are 44% higher in case of a balloon catheter. In contrast, breast seeds implant is associated with low dose to most internal organs.</p> <p>Conclusions</p> <p>The present data support the use of breast IMRT or virtual wedge technique instead of physical wedges for whole breast radiotherapy. Regarding partial breast irradiation techniques, low energy source brachytherapy and external beam 3D-CRT appear safer than <sup>192</sup>Ir HDR techniques.</p
Surgical perspectives from a prospective, nonrandomized, multicenter study of breast conserving surgery and adjuvant electronic brachytherapy for the treatment of breast cancer
<p>Abstract</p> <p>Background</p> <p>Accelerated partial breast irradiation (APBI) may be used to deliver radiation to the tumor bed post-lumpectomy in eligible patients with breast cancer. Patient and tumor characteristics as well as the lumpectomy technique can influence patient eligibility for APBI. This report describes a lumpectomy procedure and examines patient, tumor, and surgical characteristics from a prospective, multicenter study of electronic brachytherapy.</p> <p>Methods</p> <p>The study enrolled 65 patients of age 45-84 years with ductal carcinoma or ductal carcinoma in situ, and 44 patients, who met the inclusion and exclusion criteria, were treated with APBI using the Axxent<sup>® </sup>electronic brachytherapy system following lumpectomy. The prescription dose was 34 Gy in 10 fractions over 5 days.</p> <p>Results</p> <p>The lumpectomy technique as described herein varied by site and patient characteristics. The balloon applicator was implanted by the surgeon (91%) or a radiation oncologist (9%) during or up to 61 days post-lumpectomy (mean 22 days). A lateral approach was most commonly used (59%) for insertion of the applicator followed by an incision site approach in 27% of cases, a medial approach in 5%, and an inferior approach in 7%. A trocar was used during applicator insertion in 27% of cases. Local anesthetic, sedation, both or neither were administered in 45%, 2%, 41% and 11% of cases, respectively, during applicator placement. The prescription dose was delivered in 42 of 44 treated patients.</p> <p>Conclusions</p> <p>Early stage breast cancer can be treated with breast conserving surgery and APBI using electronic brachytherapy. Treatment was well tolerated, and these early outcomes were similar to the early outcomes with iridium-based balloon brachytherapy.</p
The management of ductal intraepithelial neoplasia (DIN): open controversies and guidelines of the Istituto Europeo di Oncologia (IEO), Milan, Italy
MĂ–SSBAUER EFFECT STUDIES OF FINE ARTS
Dans le but de démontrer l'emploi de la Spectroscopie à Effet Mössbauer dans le domaine des beaux-arts, on a passé en revue les pigments contenant du fer, on a conçu et construit un détecteur à rétrodiffusion et l'on a étudié des statuettes en terre cuite. Ces résultats démontrent une haute possibilité de classifier les pigments contenant des oxydes de fer et utilisés par les artistes afin d'aider à leur identification ; ils montrent aussi que l'on peut obtenir de façon efficace et sans les endommager des spectres d'oeuvres d'art et que l'on peut résoudre certains genres de problèmes qui ont rapport aux différences entre statuettes en terre cuite.In an effort to demonstrate the application of Mössbauer Effect Spectroscopy in the field of Fine Arts, a survey of iron-bearing pigments was undertaken, a back-scattering detector was designed and constructed, and terra-cotta statuary was studied. These results show that there is great potential for classifying artists' pigments that contain iron oxides as an aid to identification, that spectra can be obtained on works of art efficiently and harmlessly, and that certain types of problems can be solved regarding differences in terra-cotta statues
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Independent verification of tank volume measurements by pressure-volume authentication
Brookhaven National Laboratory has developed a portable pressure-volume authenticator** as a standard and means of checking the functionality and quality of bubbler-probe volumetric devices. The pressure-volume authenticator (PVA) consists of an automated electromanometer system that is controlled by a laptop computer, and a transportable volumetric artifact. A portable pressure gage is connected, via a scanivalve, to the operator's bubbler-probe system and independently measures all bubbler probes. The transportable volumetric artifact is a one-meter high vessel equipped with bubble-probes, computer controlled air-purge rotameters, and platinum resistance (RTD) thermometer. High quality measurements are obtained by use of a fast sampling technique and sophisticated software developed under this program. The computer software performs the following functions: (a) instrument control, (b) data acquisition, (c) on-line graphical and numerical display of measurement data, and (d) detailed data analysis. The device also may provide hands-on training for inspectors and plant operators in high quality volumetric data collection and analysis. A field demonstration of the automated electromanometer system was conducted on the PETRA input accountancy tank, JRC-Ispra in November 1991
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Safeguards instrumentation: a computer-based catalog
The information contained in this catalog is needed to provide a data base for safeguards studies and to help establish criteria and procedures for international safeguards for nuclear materials and facilities. The catalog primarily presents information on new safeguards equipment. It also describes entire safeguards systems for certain facilities, but it does not describe the inspection procedures. Because IAEA safeguards do not include physical security, devices for physical protection (as opposed to containment and surveillance) are not included. An attempt has been made to list capital costs, annual maintenance costs, replacement costs, and useful lifetime for the equipment. For equipment which is commercially available, representative sources have been listed whenever available
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Temperature Effects in Dip-Tube Manometry
A simple mathematical treatment of the temperature dependence of manometric data for dip-tubes is described. It is shown that the pressure probe measurement is a function of the mass, temperature, and liquid level heights below and above the effective tip of the probe. The resulting equations explain why, for example, high- and low-level probes exhibit temperature sensitivity that is opposite in sign to one another. The derived equations are successful in the prediction of actual data obtained for two differently-shaped vessels containing two different liquids
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