Tumour shapes and fully automated range compensation for heavy charged particle radiotherapy

An idea of computer-controlled range-compensating system for heavy charged particle radiotherapy, the multibar compensator, is proposed. By stacking multiple energy-absorbing layers along the beam, each of which has structure and behaviour similar to those of a multileaf collimator, variable range compensation will be achieved. The analysis of the conventional range compensators actually used for treatment concluded that the proposed system would not seriously degrade the treatment quality for the most cases, except for tumours in head and neck region where 1-mm precision may be required.The system will even be able to coexist with the conventional range compensators to provide either method depending on clinical situations

A CT calibration method based on the polybinary tissue model for radiotherapy treatment planning

A method to establish the relationship between CT number and effective density for therapeutic radiations is proposed. We approximated body tissues to mixtures of muscle, air, fat, and bone. Consequently, the relationship can be calibrated only with a CT scan of their substitutes, for which we chose water, air, ethanol, and potassium phosphate solution, respectively. With simple and specific corrections for non-equivalencies of the substitutes, the calibration accuracy of 1% will be achieved. We tested the calibration method with some biological materials to verify that the proposed method would offer accuracy, simplicity, and specificity required for a standard in radiotherapy treatment planning, in particular, with heavy charged particles

Novel Treatment Criteria for Persistent Ductus Arteriosus in Neonates

BackgroundThe indications for ductus arteriosus ligation in very-low-birth-weight infants (VLBWIs) with persistent ductus arteriosus (PDA) are unclear. Increased left ventricular end-diastolic dimension (LVDd) is commonly found in patients with PDA. Here, the enlargement of LVDd in term and preterm neonates without congenital heart disease was estimated by two-dimensional echocardiography.MethodsThe value of the measured LVDd was divided by the normal LVDd as an index (LVDd ratio) to compare 30 patients who underwent PDA ligation with 30 patients treated with indomethacin and 30 patients who did not undergo radical therapy.ResultsAn LVDd ratio between 122% and 197% (mean, 142%) was considered to be an indication for the ligation procedure. The proportion of patients exceeding 130% in the LVDd ratio was 87% (26/30) in those patients who underwent ligation. Catecholamines and/or vasodilators were required in 83% patients for the treatment of low ejection fraction or hypertension after operations, suggesting that patients had been in preload and/or afterload remodeling failure during the operation. The percentage of patients with less than 115% in the LVDd ratio was 90% in the non-radical-therapy patients. The LVDd ratios of 130% and 115% were regarded as cut-off values for surgical ligation and indomethacin treatment.ConclusionThe LVDd ratio is a useful measure to determine the treatment of VLBWIs with PDA

Detection of the Far-infrared [O III] and Dust Emission in a Galaxy at Redshift 8.312: Early Metal Enrichment in the Heart of the Reionization Era

We present the Atacama Large Millimeter/submillimeter Array (ALMA) detection of the [O III] 88 $\mu$m line and rest-frame 90 $\mu$m dust continuum emission in a Y-dropout Lyman break galaxy (LBG), MACS0416_Y1, lying behind the Frontier Field cluster MACS J0416.1-2403. This [O III] detection confirms the LBG with a spectroscopic redshift of $z = 8.3118 \pm 0.0003$, making this object one of the furthest galaxies ever identified spectroscopically. The observed 850 $\mu$m flux density of $137 \pm 26$ $\mu$Jy corresponds to a de-lensed total infrared (IR) luminosity of $L_{\rm IR} = (1.7 \pm 0.3) \times 10^{11} L_{\odot}$ if assuming a dust temperature of $T_{\rm dust} = 50$ K and an emissivity index of $\beta = 1.5$, yielding a large dust mass of $4 \times 10^6 M_{\odot}$. The ultraviolet-to-far IR spectral energy distribution modeling where the [O III] emissivity model is incorporated suggests the presence of a young ($\tau_{\rm age} \approx 4$ Myr), star-forming (SFR $\approx 60 M_{\odot}$ yr$^{-1}$), moderately metal-polluted ($Z \approx 0.2 Z_{\odot}$) stellar component with a mass of $M_{\rm star} = 3 \times 10^8 M_{\odot}$. An analytic dust mass evolution model with a single episode of star-formation does not reproduce the metallicity and dust mass in $\tau_{\rm age} \approx 4$ Myr, suggesting a pre-existing evolved stellar component with $M_{\rm star} \sim 3 \times 10^9 M_{\odot}$ and $\tau_{\rm age} \sim 0.3$ Gyr as the origin of the dust mass.Comment: Accepted by ApJ. 18 pages, 10 figures, 5 table

ALMA Lensing Cluster Survey: Properties of Millimeter Galaxies Hosting X-ray Detected Active Galactic Nuclei

We report the multi-wavelength properties of millimeter galaxies hosting X-ray detected active galactic nuclei (AGNs) from the ALMA Lensing Cluster Survey (ALCS). ALCS is an extensive survey of well-studied lensing clusters with ALMA, covering an area of 133 arcmin$^2$ over 33 clusters with a 1.2 mm flux-density limit of ${\sim}$60 $\mathrm{\mu Jy}$ ($1\sigma$). Utilizing the archival data of Chandra, we identify three AGNs at $z=$1.06, 2.09, and 2.84 among the 180 millimeter sources securely detected in the ALCS (of which 155 are inside the coverage of Chandra). The X-ray spectral analysis shows that two AGNs are not significantly absorbed ($\log N_{\mathrm{H}}/\mathrm{cm}^{-2} < 23$), while the other shows signs of moderate absorption ($\log N_{\mathrm{H}}/\mathrm{cm}^{-2}\sim 23.5$). We also perform spectral energy distribution (SED) modelling of X-ray to millimeter photometry. We find that our X-ray AGN sample shows both high mass accretion rates (intrinsic 0.5--8 keV X-ray luminosities of ${\sim}10^{\text{44--45}}\,\mathrm{erg\ s^{-1}}$) and star-formation rates (${\gtrsim}100\,M_{\odot}\,\mathrm{yr}^{-1}$). This demonstrates that a wide-area survey with ALMA and Chandra can selectively detect intense growth of both galaxies and supermassive black holes (SMBHs) in the high-redshift universe.Comment: 14 pages, 3 figures, 2 table

Predicting the Biological Effects of Human Salivary Gland Tumour Cells for Scanned 4He-, 12C-, 16O-, and 20Ne-Ion Beams Using an SOI Microdosimeter

Experimental microdosimetry along with the microdosimetric kinetic (MK) model can be utilized to predict the biological effects of ions. To predict the relative biological effectiveness (RBE) of ions and the survival fraction (SF) of human salivary gland tumour (HSGc-C5) cells, microdosimetric quantities measured by a silicon-on-insulator (SOI) MicroPlus-mushroom microdosimeter along the spread-out Bragg peak (SOBP) delivered by pencil beam scanning of 4He, 12C, 16O, and 20Ne ions were used. The MK model parameters of HSGc-C5 cells were obtained from the best fit of the calculated SF for the different linear energy transfer (LET) of these ions and the formerly reported in vitro SF for the same LET and ions used for calculations. For a cube-shaped target of 10 × 10 × 6 cm3, treatment plans for 4He, 12C, 16O, and 20Ne ions were produced with proprietary treatment planning software (TPS) aiming for 10% SF of HSGc-C5 cells over the target volume and were delivered to a polymethyl methacrylate (PMMA) phantom. Afterwards, the saturation-corrected dose-mean lineal energy derived based on the measured microdosimetry spectra, along with the physical dose at various depths in PMMA phantoms, was used for the estimation of the SF, RBE, and RBE-weighted dose using the MK model. The predicted SF, RBE, and the RBE-weighted dose agreed with what was planned by the TPS within 3% at most depths for these ions.publishedVersio

Effects of loading a magnetic field longitudinal to the linear particle-beam track on yields of reactive oxygen species in water

The effects of a magnetic field longitudinal to the ion beam track on the generation of hydroxyl radicals (•OH) and hydrogen peroxide (H2O2) in water were investigated. A longitudinal magnetic field was reported to enhance the biological effects of the ion beam. However, the mechanism of the increased cell death by a longitudinal magnetic field has not been clarified. The local density of •OH generation was estimated by a method based on the EPR spin-trapping. A series of reaction mixtures containing varying concentrations (0.76‒2278 mM) of DMPO was irradiated by 16 Gy of carbon- or iron-ion beams at the Heavy-Ion Medical Accelerator in Chiba (HIMAC, NIRS/QST, Chiba, Japan) with or without a longitudinal magnetic field (0.0, 0.3, or 0.6 T). The DMPO-OH yield in the sample solutions was measured by X-band EPR and plotted versus DMPO density. O2-dependent and O2-independent H2O2 yields were measured. An aliquot of ultra-pure water was irradiated by carbon-ion beams with or without a longitudinal magnetic field. Irradiation experiments were performed under air or hypoxic conditions. H2O2 generation in irradiated water samples was quantified by an EPR spin-trapping, which measures •OH synthesized from H2O2 by UVB irradiation. Relatively sparse •OH generation caused by particle beams in water were not affected by loading a magnetic field on the beam track. O2-dependent H2O2 generation decreased and oxygen-independent H2O2 generation increased after loading a magnetic field parallel to the beam track. Loading a magnetic field to the beam track made •OH generation denser or made dense •OH more reactive

ALMA Lensing Cluster Survey: Full Spectral Energy Distribution Analysis of z ∼ 0.5–6 Lensed Galaxies Detected with millimeter Observations

Sub/millimeter galaxies are a key population for the study of galaxy evolution because the majority of star formation at high redshifts occurred in galaxies deeply embedded in dust. To search for this population, we have performed an extensive survey with Atacama Large Millimeter/submillimeter Array (ALMA), called the ALMA Lensing Cluster Survey (ALCS). This survey covers 133 arcmin2 area and securely detects 180 sources at z ∼ 0.5–6 with a flux limit of ∼0.2 mJy at 1.2 mm. Here, we report the results of multiwavelength spectral energy distribution analysis of the whole ALCS sample, utilizing the observed-frame UV to millimeter photometry. We find that the majority of the ALCS sources lie on the star-forming main sequence, with a smaller fraction showing intense starburst activities. The ALCS sample contains high infrared-excess sources ( IRX=log(Ldust/LUV)>1 ), including two extremely dust-obscured galaxies (IRX > 5). We also confirm that the ALCS sample probes a broader range in lower dust mass than conventional submillimeter galaxy samples in the same redshift range. We identify six heavily obscured active galactic nucleus (AGN) candidates that are not detected in the archival Chandra data in addition to the three X-ray AGNs reported by Uematsu et al. (2023). The inferred AGN luminosity density shows a possible excess at z = 2–3 compared with that determined from X-ray surveys below 10 keV