Dosimetric impact of gastrointestinal air column in radiation treatment of pancreatic cancer

OBJECTIVE: Dosimetric evaluation of air column in gastrointestinal (GI) structures in intensity modulated radiation therapy (IMRT) of pancreatic cancer. METHODS: Nine sequential patients were retrospectively chosen for dosimetric analysis of air column in the GI apparatus in pancreatic cancer using cone beam CT (CBCT). The four-dimensional CT (4DCT) was used for target and organs at risk (OARs) and non-coplanar IMRT was used for treatment. Once a week, these patients underwent CBCT for air filling, isocentre verification and dose calculations retrospectively. RESULTS: Abdominal air column variation was as great as ±80% between weekly CBCT and 4DCT. Even with such a large air column in the treatment path for pancreatic cancer, changes in anteroposterior dimension were minimal (2.8%). Using IMRT, variations in air column did not correlate dosimetrically with large changes in target volume. An average dosimetric deviation of mere -3.3% and a maximum of -5.5% was observed. CONCLUSION: CBCT revealed large air column in GI structures; however, its impact is minimal for target coverage. Because of the inherent advantage of segmentation in IMRT, where only a small fraction of a given beam passes through the air column, this technique might have an advantage over 3DCRT in treating upper GI malignancies where the daily air column can have significant impact. Advances in knowledge: Radiation treatment of pancreatic cancer has significant challenges due to positioning, imaging of soft tissues and variability of air column in bowels. The dosimetric impact of variable air column is retrospectively studied using CBCT. Even though, the volume of air column changes by ± 80%, its dosimetric impact in IMRT is minimum

Results from the Apollo passive seismic experiment

Recent results from the Apollo seismic network suggest that primitive differentiation occurred in the outer shell of the moon to a depth of approximately 300 km; and the central region of the moon is presently molten to a radius of between 200 and 300 km. If early melting to a depth of 300 to 400 km was a consequence of accretional energy, very short accretion times are required. The best model for the zone of original differentiation appears to be a crust 40 to 80 km thick, ranging in composition from anorthositic gabbro to gabbro; overlying an ultramafic cumulate (olivine-pyroxene) about 250 km thick. The best candidate for the molten core appears to be iron or iron sulphide. A new class of seismic signals has recently been identified that may correspond to shallow moonquakes. These are rare, but much more energetic than the more numerous, deep moonquakes

Loop quantum cosmology of Bianchi type IX models

The loop quantum cosmology "improved dynamics" of the Bianchi type IX model are studied. The action of the Hamiltonian constraint operator is obtained via techniques developed for the Bianchi type I and type II models, no new input is required. It is shown that the big bang and big crunch singularities are resolved by quantum gravity effects. We also present the effective equations which provide modifications to the classical equations of motion due to quantum geometry effects.Comment: 20 page