Expanding the use of real-time electromagnetic tracking in radiation oncology.

In the past 10 years, techniques to improve radiotherapy delivery, such as intensity-modulated radiation therapy (IMRT), image-guided radiation therapy (IGRT) for both inter- and intrafraction tumor localization, and hypofractionated delivery techniques such as stereotactic body radiation therapy (SBRT), have evolved tremendously. This review article focuses on only one part of that evolution, electromagnetic tracking in radiation therapy. Electromagnetic tracking is still a growing technology in radiation oncology and, as such, the clinical applications are limited, the expense is high, and the reimbursement is insufficient to cover these costs. At the same time, current experience with electromagnetic tracking applied to various clinical tumor sites indicates that the potential benefits of electromagnetic tracking could be significant for patients receiving radiation therapy. Daily use of these tracking systems is minimally invasive and delivers no additional ionizing radiation to the patient, and these systems can provide explicit tumor motion data. Although there are a number of technical and fiscal issues that need to be addressed, electromagnetic tracking systems are expected to play a continued role in improving the precision of radiation delivery

Enhancement and suppression effects resulting from information structuring in sentences

Information structuring through the use of cleft sentences increases the processing efficiency of references to elements within the scope of focus. Furthermore, there is evidence that putting certain types of emphasis on individual words not only enhances their subsequent processing, but also protects these words from becoming suppressed in the wake of subsequent information, suggesting mechanisms of enhancement and suppression. In Experiment 1, we showed that clefted constructions facilitate the integration of subsequent sentences that make reference to elements within the scope of focus, and that they decrease the efficiency with reference to elements outside of the scope of focus. In Experiment 2, using an auditory text-change-detection paradigm, we showed that focus has similar effects on the strength of memory representations. These results add to the evidence for enhancement and suppression as mechanisms of sentence processing and clarify that the effects occur within sentences having a marked focus structure

The effects of bioturbation on the initiation of motion of intertidal sands

The results of laboratory flume experiments on initiation of sediment motion in natural marine sediments (fine sand) are reported. Sediment cores were taken from an intertidal region during all seasons of the year over a four-year period…

Covariability of dissolved oxygen with physical processes in the summertime Chesapeake Bay

Long, rapidly sampled time series measurements of dissolved oxygen, temperature, salinity, currents, winds, tides, and insolation were collected during the summer of 1987 across the mesohaline Chesapeake Bay. Analyses of the data show that short term variability of dissolved oxygen was both large and spatially heterogeneous. Time scales of variability ranged from the longest period fluctuations resolved (several days) to the sampling interval (several minutes). The largest variability was associated with large amplitude, wind and tide forced lateral internal oscillations of the pycnocline in the mainstem of the Bay. These resulted in advection of saline, hypoxic water from below the pycnocline onto the flanks of the Bay and into the lower reaches of the Choptank River, an adjoining tributary estuary. Advective variability at higher frequencies was likely due to internal waves, internal mixing, and/or spatial patchiness. Dissolved oxygen also responded to the daily cycle of insolation, but lagged insolation by at least 90° (6 h). Advective variability of dissolved oxygen is implicated as an important characteristic of the majority of summertime benthic environments in the mesohaline Chesapeake Bay and lower reaches of adjoining tributaries

The 2.5-5.0 micron spectra of Io: Evidence for H2S and H2O frozen in SO2

The techniques of low temperature spectroscopy are applied to identify the constituents of the ices covering the surface of Io, a satellite of Jupiter. Infrared spectra of Io in the 4000-2000 cm exp -1 region, including new observational data, are analyzed using laboratory studies of plausible surface ices

Orbital dynamics of Cygnus X-3

Orbital-phased-resolved infrared spectra of Cygnus X-3 in outburst and quiescence, including tomographic analysis, are presented. We confirm the phasing of broad HeII and NV lines in quiescence, such that maximum blue shift corresponds to the X-ray minimum at phase = 0.00 +/- 0.04. In outburst, double-peaked HeI structures show a similar phasing with two significant differences: (a) although varying in relative strength, there is continuous line emission in blue and red peaks around the orbit, and (b) an absorption component, ~1/4 of an orbit out of phase with the emission features, is discerned. Doppler tomograms of the double-peaked profiles are consistent with a disk-wind geometry, rotating at velocities of 1000 km/s. Regrettably, the tomography algorithm will produce a similar ring structure from alternative line sources if contaminated by overlying P Cygni profiles. This is certainly the case in the strong 2.0587 micron HeI line, leading to an ambiguous solution for the nature of double-peaked emission. The absorption feature, detected 1/4 of an orbit out of phase with the emission features, is consistent with an origin in the He star wind and yields for the first time a plausible radial velocity curve for the system. We directly derive the mass function of the system, 0.027 M_sun. If we assume a neutron star accretor and adopt a high orbital inclination, i > 60 degrees, we obtain a mass range for the He star of 5 M_sun < M_WR < 11 M_sun. Alternatively if the compact object is a black hole, we estimate M_BH < 10 M_sun. We discuss the implications of these masses for the nature and size of the binary system.Comment: Accepted for publication in ApJ main journa

A margin-based analysis of the dosimetric impact of motion on step-and-shoot IMRT lung plans

PURPOSE: Intrafraction motion during step-and-shoot (SNS) IMRT is known to affect the target dosimetry by a combination of dose blurring and interplay effects. These effects are typically managed by adding a margin around the target. A quantitative analysis was performed, assessing the relationship between target motion, margin size, and target dosimetry with the goal of introducing new margin recipes. METHODS: A computational algorithm was used to calculate 1,174 motion-encoded dose distributions and DVHs within the patient’s CT dataset. Sinusoidal motion tracks were used simulating intrafraction motion for nine lung tumor patients, each with multiple margin sizes. RESULTS: D(95%) decreased by less than 3% when the maximum target displacement beyond the margin experienced motion less than 5 mm in the superior-inferior direction and 15 mm in the anterior-posterior direction. For target displacements greater than this, D(95%) decreased rapidly. CONCLUSIONS: Targets moving in excess of 5 mm outside the margin can cause significant changes to the target. D(95%) decreased by up to 20% with target motion 10 mm outside the margin, with underdosing primarily limited to the target periphery. Multi-fractionated treatments were found to exacerbate target under-coverage. Margins several millimeters smaller than the maximum target displacement provided acceptable motion protection, while also allowing for reduced normal tissue morbidity