Fractionated stereotactic radiotherapy for skull base tumors: analysis of treatment accuracy using a stereotactic mask fixation system

Background: To assess the accuracy of fractionated stereotactic radiotherapy (FSRT) using a stereotactic mask fixation system. Patients and Methods: Sixteen patients treated with FSRT were involved in the study. A commercial stereotactic mask fixation system (BrainLAB AG) was used for patient immobilization. Serial CT scans obtained before and during FSRT were used to assess the accuracy of patient immobilization by comparing the isocenter position. Daily portal imaging were acquired to establish day to day patient position variation. Displacement errors along the different directions were calculated as combination of systematic and random errors. Results: The mean isocenter displacements based on localization and verification CT imaging were 0.1 mm (SD 0.3 mm) in the lateral direction, 0.1 mm (SD 0.4 mm) in the anteroposterior, and 0.3 mm (SD 0.4 mm) in craniocaudal direction. The mean 3D displacement was 0.5 mm (SD 0.4 mm), being maximum 1.4 mm. No significant differences were found during the treatment (P = 0.4). The overall isocenter displacement as calculated by 456 anterior and lateral portal images were 0.3 mm (SD 0.9 mm) in the mediolateral direction, -0.2 mm (SD 1 mm) in the anteroposterior direction, and 0.2 mm (SD 1.1 mm) in the craniocaudal direction. The largest displacement of 2.7 mm was seen in the cranio-caudal direction, with 95% of displacements < 2 mm in any direction. Conclusions: The results indicate that the setup error of the presented mask system evaluated by CT verification scans and portal imaging are minimal. Reproducibility of the isocenter position is in the best range of positioning reproducibility reported for other stereotactic systems

Influence of firm size on the competencies required to management engineers in the Jordanian telecommunications sector

This is an Accepted Manuscript of an article published by Taylor & Francis in European Journal of Engineering Education on [13 jun 2016], available online:http://www.tandfonline.com/ doi/abs/10.1080/03043797.2016.1197890.[EN] The objective of this study is to identify the competencies required to achieve success in the transition from higher education to the labour market based on the perceptions of employers. This paper analyses the assessments made by a group of engineering company employers. An item-battery of 20 competencies was grouped into 3 dimensions by using factor analysis. Subsequently, respondents scores were also clustered into three groups and characterised through contingency tables. The competencies demanded by employers were grouped into business and finance, problem-solving and strategic planning. Significant differences were found between responses from employers working in medium and small companies, who placed more importance on competencies related to problem-solving and strategic planning, and employers in big companies, who were more concerned about the difficulties of finding well-trained graduates. The findings from this paper have important implications for research in the areas of higher education and organisations that usually employ graduate engineers.The authors would like to thank the Education, Audiovisual and Culture Executive Agency (EACEA) [Tempus program. Project number 511074] of the European Commission for providing funding for conducting this study. This publication reflects the views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein.Conchado Peiró, A.; Bas Cerdá, MDC.; Gharaibeh, KM.; Kaylani, H. (2016). 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NEW_ERDATA

Data from Rees et al. 2008 used to examine performance of multiple imputation in a meta-regression framework. Rees, E. E., Pond, B. A., Phillips, J. R., & Murray, D. (2008). Raccoon ecology database: a resource for population dynamics modelling and meta-analysis. Ecological Informatics, 3(1), 87-96

Think Fast!: Vervet Monkeys Assess the Risk of Being Displaced by a Dominant Competitor When Making Foraging Decisions

Foraging animals need to quickly assess the costs and benefits of different foraging decisions, including resource quantity, quality, preference, ease of access, dispersion, distance, and predation risk. Social animals also need to take social context into account and adapt foraging strategies that maximize net resource intake and minimize contest competition with conspecifics. We used an experimental approach to investigate how social context impacts wild vervet monkey (Chlorocebus pygerythrus) foraging decisions in a multi-destination pentagon array. We baited four platforms with less-preferred corn and one platform with a larger, preferred resource (half banana) that required handling time. We ran over 1,000 trials and found that when monkeys foraged alone, they usually took the path that minimized travel distance but prioritized the preferred-food platform when in competition. However, the foraging strategy chosen by low-ranking individuals depended on the handling skill of the decision maker (i.e., time it would take them to retrieve the banana), the relative rank of their audience members (i.e., who has priority-of-access to resources), and the distance audience members were from the experiment site (i.e., their travel time). When the risk of being displaced by a dominant competitor was low (because they were far away and/or because the decision-maker was skilled in retrieving the banana), low-ranking individuals chose a route that minimized travel costs. Conversely, when the risk of losing food to a dominant competitor was high, decision-makers rushed for the preferred-food platform at the onset of the trial. When the risk of displacement was moderate because a dominant audience member was at least 50 m away, low-ranking individuals partly prioritized the preferred-food platform but took the time to stop for one platform of corn on the way. This strategy increased the total amount of food obtained during the trial. These findings suggest that lower-ranking individuals, who experienced high contest competition at the foraging experiment, calculated the risk of being displaced by a dominant competitor when making foraging decisions. This experiment demonstrates that vervets go through a complex decision-making process that simultaneously considers the profitability of different foraging decisions and their social context.</jats:p

An In Vivo Model to Study the Use of Nanoparticles as a Radiosensitizer in Radiation Beams Generated From a Low Z Target

International audienc

Radiation dose enhancement using gold nanoparticles with a diamond linear accelerator target: a multiple cell type analysis

AbstractRadiotherapy (RT) is an effective cancer treatment modality, but standard RT often causes collateral damage to nearby healthy tissues. To increase therapeutic ratio, radiosensitization via gold nanoparticles (GNPs) has been shown to be effective. One challenge is that megavoltage beams generated by clinical linear accelerators are poor initiators of the photoelectric effect. Previous computer models predicted that a diamond target beam (DTB) will yield 400% more low-energy photons, increasing the probability of interacting with GNPs to enhance the radiation dose by 7.7-fold in the GNP vicinity. After testing DTB radiation coupled with GNPs in multiple cell types, we demonstrate decreased head-and-neck cancer (HNC) cell viability in vitro and enhanced cell-killing in zebrafish xenografts compared to standard RT. HNC cell lines also displayed increased double-stranded DNA breaks with DTB irradiation in the presence of GNPs. This study presents preclinical responses to GNP-enhanced radiotherapy with the novel DTB, providing the first functional data to support the theoretical evidence for radiosensitization via GNPs in this context, and highlighting the potential of this approach to optimize the efficacy of RT in anatomically difficult-to-treat tumors.</jats:p