L'infirmier en réanimation

International audienc

L'infirmier en réanimation

International audienc

Solitary Fibrous Tumor of the Prostate: Case Report and Review of the Literature

Solitary fibrous tumor (SFT), usually described in the pleura, is exceedingly rare in the prostate. We report a 60-year-old man with prostatic SFT revealed by obstructive urinary symptoms, and detected by ultrasonography. Computed tomography (CT) and magnetic resonance imaging suggested a prostatic origin. CT-guided tumor biopsy diagnosed a SFT. A cystoprostatectomy was performed. Pathologic examination showed a 15-cm tumor arising from the prostate and showing histological criteria suggestive of aggressiveness. The surgical resection margins were tumor-free. The patient was then regularly monitored and is still alive in complete remission, 28 months after surgery. In conclusion, we report a new exceptional case of prostatic SFT. We review the literature and discuss the challenging issues of misdiagnosis, prognosis and treatment

Performance of CVD diamond detectors for single ion beam-tagging applications in hadrontherapy monitoring

14 pages, 9 figuresInternational audienceIn the context of online ion range verification in particle therapy, the CLaRyS collaboration is developing Prompt-Gamma (PG) detection systems. The originality in the CLaRyS approach is to use a beam-tagging hodoscope in coincidence with the gamma detectors to provide both temporal and spatial information of the incoming ions. The ion range sensitivity of such PG detection systems could be improved by detecting single ions with a 100 ps (sigma) time resolution, through a quality assurance procedure at low beam intensity at the beginning of the treatment session. This work presents the investigations led to assess the performance of Chemical Vapor Deposition (CVD) diamond detectors to fulfill these requirements. A 90Sr beta source, 68 MeV protons, 95 MeV/u carbon ions and a synchrotron X-ray pulsed beam were used to measure the time resolution, single ion detection efficiency and proton counting capability of various CVD diamond samples. An offline technique, based on double-sided readout with fast current preamplifiers and used to improve the signal-to-noise ratio, is also presented. The different tests highlighted Time-Of-Flight resolutions ranging from 13 ps (Sigma) to 250 ps (Sigma), depending on the experimental conditions. The single 68 MeV proton detection efficiency of various large area polycrystalline (pCVD) samples was measured to be >96% using coincidence measurements with a single-crystal reference detector. Single-crystal CVD (sCVD) diamond proved to be able to count a discrete number of simultaneous protons while it was not achievable with a polycrystalline sample. Considering the results of the present study, two diamond hodoscope demonstrators are under development: one based on sCVD, and one of larger size based on pCVD. They will be used for the purpose of single ion as well as ion bunches detection, either at reduced or clinical beam intensities