Phenol compounds for Electron Spin Resonance dosimetry in gamma and neutron field

The use of neutrons for cancer treatments has stimulated the research for beam characterization in order to optimize the therapy procedures in Neutron Capture Therapy (Altieri, 2008). Several research laboratories have shown an increasing interest aimed at extending the applicability of Electron Spin Resonance (ESR) dosimetry to radiotherapy with different types of radiation beams. In particular, ESR spectrometry provides absorbed dose measurements through the detection of the stable free radicals produced by ionizing radiations. The ESR dosimetric method has many advantages such as simple and rapid dose evaluation, the readout procedure is non-destructive, linear response of many organic and inorganic compounds (Baffa 2014). In this work we study the response of phenolic compounds with and without gadolinium addition for electron spin resonance (ESR) dosimetry exposed to a gamma and mixed (n, gamma) field mainly composed of thermal neutrons. The compound IRGANOX 1076 phenol gives a phenoxy radical stabilized by the presence of two bulky groups [3]. Moreover, its high molecular weight, the low volatility and the compatibility with the dosimeter binding material (paraffin) are advantages with respect to lower molecular weight phenols. In this work we report the ESR investigation of phenols pellets and thin films with and without Gd2O3 (5% by weight) exposed in the thermal column of the Triga Mark II reactor of LENA of Pavia. Thanks to their size, the phenolic films here presented are good devices for the dosimetry of beams with high dose gradient and which require accurate knowledge of the precise dose delivered. The choice of Gd as the additive nucleus has been made because we are interested in applications for mixed field (neutrons/photons) Gd-ESR dosimetry has an high neutron capture cross section and, furthermore, the high LET secondary particles release their energy entirely in the dosimeter. The low content of gadolinium guarantees a good tradeoff between the sensitivity to thermal neutrons. However, the use of gadolinium reduces or abolishes tissue equivalence because of its high atomic number (Marrale, 2015). The dosimetric features of these ESR dosimeters have been investigated. In particular, we analyzed the ESR spectra of these compounds and their dependence on microwave power and modulation amplitude, their response after gamma and neutron irradiations, the detection limits for both beam typologies, signal stability after irradiation. The results of ESR experiments are compared with Monte Carlo simulations aimed at obtaining information about the total dose measured by means of ESR dosimeters

Sialendoscopic management of autoimmune sialadenitis: a review of literature

Autoimmune diseases of major salivary glands include Sjögren's syndrome and a complex of disorders classified as immunoglobulin G4-related diseases. These pathologies are characterised by an autoimmune reaction mediated by T-helper lymphocytes that targets the ducts of exocrine glands in Sjögren's syndrome and glandular parenchyma in immunoglobulin G4-related diseases. Immunoglobulin G4-related diseases represent recently introduced multi-organ diseases that also involve the salivary glands. However, the morbid conditions once known as Mikulicz's disease and Kuttner's tumour were recently considered as two variants of immunoglobulin G4-related diseases affecting the major salivary glands ( immunoglobulin G4-related sialadenitis). This review briefly summarises the pathogenesis and clinical features of autoimmune diseases of the major salivary glands, focusing on the diagnostic and therapeutic role of sialendoscopy

How to classify the stylohyoid complex syndrome in the ICHD

We have read the International Classification of Headache Disorders, third edition (beta) (ICHD-3 beta), and for the first time headaches are attributed to inflammation of the stylohyoid ligament (SL). It is included among the secondary headaches in “Headache or facial pain attributed to disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure.

Collagen Derived from Fish Industry Waste: Progresses and Challenges

Fish collagen garnered significant academic and commercial focus in the last decades featuring prospective applications in a variety of health-related industries, including food, medicine, pharmaceutics, and cosmetics. Due to its distinct advantages over mammalian-based collagen, including the reduced zoonosis transmission risk, the absence of cultural-religious limitations, the cost-effectiveness of manufacturing process, and its superior bioavailability, the use of collagen derived from fish wastes (i.e., skin, scales) quickly expanded. Moreover, by-products are low cost and the need to minimize fish industry waste’s environmental impact paved the way for the use of discards in the development of collagen-based products with remarkable added value. This review summarizes the recent advances in the valorization of fish industry wastes for the extraction of collagen used in several applications. Issues related to processing and characterization of collagen were presented. Moreover, an overview of the most relevant applications in food industry, nutraceutical, cosmetics, tissue engineering, and food packaging of the last three years was introduced. Lastly, the fish-collagen market and the open technological challenges to a reliable recovery and exploitation of this biopolymer were discussed

Phenol compounds as new materials for Electron Paramagnetic Resonance dosimetry in clinical photon and electron beams,

In the last decades several research laboratories have shown an increasing interest aimed at extending the applicability of Electron Paramagnetic Resonance (EPR) dosimetry to radiotherapy with different types of radiation beams. EPR is a spectroscopic method for investigating the structure and dynamics of such paramagnetic species. Free radicals are known to be produced when a compound is irradiated with ionizing radiations. The concentration of radiation-induced free radicals is proportional to the energy released inside in the medium and this allows for dosimetric measurements through EPR technique. The use of alanine as a dosimetric material gave the possibility to apply EPR spectroscopy for high-dose standardization and dose control in radiation processing (Marrale 2016). The EPR dosimetric method has many advantages such as simple and rapid dose evaluation, the readout procedure is non-destructive, linear response of many organic and inorganic compounds. EPR detectors show a behavior that suggest possible applications for various kinds of beams used for radiation therapy. Nowadays, the most widely used organic compound as a dosimeter is the alanine. However, many researches are in progress with the aim at improving sensitivity of EPR dosimetry for doses much smaller than 1 Gy. More sensitive materials than alanine are needed to make the EPR dosimeter competitive with other dosimetry systems. Our research group has started an investigation of the EPR response of some phenols compounds for possible EPR dosimetric applications suitable features, such as high efficiency of radiation-matter energy transfer and radical stability at room temperature. Phenols are compounds possessing a benzene ring attached to a OH group. After irradiation the final product is a stable phenoxy radical. The stability of such radical can be improved by adding other alkyl chains which can be attached to the benzene ring. The phenol octadecyl-3-(3,5-di-tert.butyl-4-hydroxyphenyl)-propionate gave interesting results. Moreover, its high molecular weight, the low volatility and the compatibility with the dosimeter binding material (wax) are advantages with respect to lower molecular weight phenols. In this work we report the EPR investigation of phenols exposed to clinical photon and electron beams (Gallo, 2016). The dosimetric features of these EPR dosimeters (dependence on microwave power and modulation amplitude, their response after gamma and electron irradiations, dependence on beam type and energy, the detection limits for both beam typologies, signal stability after irradiation) were investigated and the results are reported

Sviluppo e Applicazioni di nuovi materiali per la dosimetria delle radiazioni ionizzanti

The Research Activities carried out during the Three-year International PhD Course in Applied Physics of the candidate Salvatore Gallo had two main topics related to dosimetry of ionizing radiations (IR): the analysis of 3D gel dosimeters and the analysis of solid state dosimeters through electron spin resonance. Both these activities are focused on a careful study of new materials for the IR Dosimetry, both in terms of physical characterization of these new materials and of the optimization of readout methods for dosimetric measurements. The study performed through various techniques such as UV-Vis absorption spectroscopy, NMR Relaxometry, Magnetic Resonance Imaging (MRI) and Electron Spin Resonance (ESR) spectroscopy. The materials studied are Fricke Xylenol Gels (FXGs) based on agarose for 3D dosimetry and for ESR dosimetry conventional and unconventional organic materials for solid state ESR dosimetry. The application of Fricke gels for ionizing radiation dosimetry is continuously increasing worldwide due to their many favorable properties. Fricke Xylenol Gels (FXGs) dosimetric system is based on the radiation induced oxidation of ferrous (Fe2+) to ferric (Fe3+) ions. The oxidation of ferrous ions also causes a reduction of the longitudinal nuclear magnetic relaxation time T1 which can be measured by means of Nuclear Magnetic Resonance Relaxometry (NMR) and Magnetic Resonance Imaging (MRI). The results here presented are related to an experimental investigations performed on Fricke Gels characterized by gelatinous matrix of agarose. This work describes the characterization of various Fricke-Agarose-Xylenol gels dosimeters using various techniques. The photon sensitivity of the FXGs was measured in terms of NMR relaxation rates; its dependence on radiation dose was determined as a function of ferrous ammonium sulfate contents (from 0.5 mM to 5 mM). Furthermore, the stability of the NMR signal was monitored over several days after irradiation. These measurements were aided by Magnetic Resonance Imaging (MRI) scans which allowed three-dimensional (3D) dose mapping. In order to maximize the MRI response, a systematic study was performed to optimize acquisition sequences and parameters. In particular, we analyzed the dependence of MRI signal on the repetition time TR and on the inversion time TI using inversion recovery sequences. The results are reported and discussed from the point of view of the dosimeter use in clinical radiotherapy. The dose calibration curves are reported and discussed from the point of view of the dosimeter use in clinical radiotherapy. This work highlights that the optimization of additive content inside gel matrix is fundamental for optimizing photon sensitivity of these detectors. We can conclude that FXG dosimeters with optimal ferrous ammonium sulfate content can be regarded as a valuable dosimetric tool to achieve fast information of spatial dose distribution. In parallel, studies through Electron Spin Resonance (ESR) spectroscopy on conventional and unconventional materials for solid state dosimetry were carried out. ESR is a spectroscopic method for investigating the structure and dynamics of such paramagnetic species. Free radicals are known to be produced when a compound is irradiated with ionizing radiations. The concentration of radiation-induced free radicals is proportional to the energy released inside the medium and this allows for dosimetric measurements through ESR technique which is able to quantitatively determine the concentration of free radicals. The use of alanine as a dosimetric material gave the possibility to apply ESR spectroscopy for high-dose measurements and dose control in radiation processing. The ESR dosimetric method has many advantages such as simple and rapid dose evaluation, the readout procedure is non-destructive, linear response of many organic and inorganic compounds. ESR detectors show a behavior that suggest possible applications for various kinds of beams used for radiation therapy. Nowadays, the most widely organic compound used as a dosimeter is the alanine. However, many researches are in progress with the aim at improving sensitivity of ESR dosimetry for doses much smaller than 1 Gy. More sensitive materials than alanine are needed to make the ESR dosimeter competitive with other dosimetry systems. In this work the results of an investigation of the ESR response of some phenols compounds (octadecyl-3-(3,5-di-tert.butyl-4-hydroxyphenyl)-propionate or commercial name IRGANOX 1076) ) for possible ESR dosimetric applications suitable features, such as high efficiency of radiationmatter energy transfer and radical stability at room temperature, are reported. The dosimetric features of these ESR dosimeters such as dependence on microwave power and modulation amplitude, their response after gamma and electron irradiations, dependence on beam type and energy, detection limits for various type beam typologies, signal stability after irradiation were investigated. The characteristics observed suggest these organic compounds as promising materials for ESR dosimetry. The Research Activities carried out in this work by the Candidate are part of the projects “Neutron dOsimetry and Radiation quality Measurements by ESR and TL” (NORMET) (Project Leader: Dr. Maurizio Marrale), supported by the Group V of the National Institute of Nuclear Physics (INFN) and Project of National Interest (PRIN) 2011 entitled “Development and application of new materials for dosimetry of ionizing radiations” (Project Leader: Prof. Francesco d’Errico) funded by the Ministry of Education (MIUR)

Electron Spin Resonance dosimetry using organic compounds (alanine and ammonium tartrate) for mixed neutron-gamma fields

Alongside with the development of Neutron Capture Therapy (NCT) and the use of thermal neutrons for radiotherapeutic purposes, many efforts have been devoted to the characterization of the beam in order to optimize therapy procedures. Reliable dose measurements should be able to determine the various (neutrons and photonic) components of the mixed beam usually employed for therapy. This paper studies the effect of additives such as boric and gadolinium nuclei on the sensitivity of neutron organic (alanine and ammonium tartrate) dosimeters analyzed through Electron Spin Resonance (ESR) technique (Marrale, 2014). These dosimeters were exposed to a mixed (neutron-gamma) field mainly composed of thermal neutrons. The choice of 10B and 64Gd as nuclei additives is due to their very high capture cross section for thermal neutrons. Also, after the nuclear reaction with thermal neutrons are emitted particles, which in turn release their energy in the vicinity of the reaction site (Marrale, 2008). The irradiation with mixed field (neutron-gamma) were performed within the thermal column of the TRIGA reactor, University of Pavia. Dosimeters readout was performed through the Electron Spin Resonance spectrometer Bruker ECS106 located at the Laboratory of Dosimetry ESR / TL of the Department of Physics and Chemistry - University of Palermo. We found that the addition of Gadolinium allows to largely increase the sensitivity of the dosimeters for thermal neutrons. In particular, a low concentration (5% by weight) of gadolinium oxide leads to an improvement of the sensitivity of neutrons more than 10 times. In addition, for this low content of gadolinium the photon tissue equivalence is not heavily reduced. This experimental analyses are compared with computational analyses carried out by means of Monte Carlo simulations performed with the MCNP (Monte Carlo N-Particle) transport code. A good agreement was observed for alanine dosimeters

Myringotomy and ventilation tube insertion with endoscopic or microscopic technique in adults: a pilot study

The purpose of this study is to assess the feasibility of endoscopic-assisted myringotomy and ventilation tube insertion in adults affected by chronic otitis media with effusion, comparing the outcomes of this approach with those obtained with the traditional microscopic technique. Twenty-four patients were enrolled in this trial and alternately assigned to 2 groups of 12 subjects each. In group A, patients underwent myringotomy and ventilation tube insertion under endoscopic view, whereas in group B, the same procedure was performed traditionally using a microscope. All cases were evaluated 1 week after surgery and then monthly until tube extrusion. Type A tympanogram was achieved in 10 of 13 ears in both groups (76.92%). No significant difference in operative times or complication rates was observed (P > .05). Endoscopic technique could be a viable alternative to the microscopic approach for myringotomy and ventilation tube positioning in adults affected by chronic otitis media with effusion

Comparison of EPR response of pure alanine and alanine with gadolinium dosimeters exposed to TRIGA Mainz reactor

The development of Neutron Capture Therapy (NCT) for cancer treatments has stimulated the research for beam characterization in order to optimize the therapy procedures. The NCT has found to be promising for treatments of tumours which hardly can be treated with other techniques, such as gliomas. Alongside with the improvements of this technique, the development of procedures for the beam characterization arouses great interest in order to optimize the therapy protocol by reliably determining the various (neutronic and photonic) components of the mixed beam usually employed for therapy. Electron Paramagnetic Resonance (EPR) dosimetry for electron and photon beams with alanine has attracted the attention of many research groups for dosimetric purposes. Furthermore, the applications of EPR dosimetry for high LET radiation beams, such as carbon ions and neutrons, are continuously increasing. This is because of the very good dosimetric features of alanine EPR detectors such as: tissue equivalence for photon beams, linearity of its dose-response over a wide range, high stability of radiation induced free radicals, no destructive read-out procedure, no need of sample treatment before EPR signal measurement and low cost of the dosimeters. Moreover, in order to improve the sensitivity to thermal neutrons of alanine dosimeters the addition of nuclei such as gadolinium oxidewas previously studied. The choice of Gd as additive nucleus is due to its very high capture cross section to thermal neutrons and to the possibility for secondary particles produced after interaction with thermal neutrons of releasing their energy in the neighbourhood of the reaction site. In particular, it was found that low concentration (i.e. 5% by weight) of gadolinium oxide brings about an neutron sensitivity enhancement of more than 10 times without heavily reducing tissue equivalence. We have studied the response of alanine pellets with and without gadolinium exposed to the thermal column of the TRIGA Mark II research reactor at the University of Mainz. Pure alanine dosimeters used were produced by Synergy Health (Germany) whereas the Gd-added dosimeters were produced at the University of Palermo. The irradiations were performed inside polyethylene holders to guarantee charged particles equilibrium conditions. The results of EPR experiments are compared to Monte Carlo (MC) simulations aimed at obtaining information about the contribution of the various components to the total dose measured by means of EPR dosimeters. For alanine dosimeters a good agreement between experimental data and MC simulation have been achieved

Tracheocutaneous fistula in patients undergoing supracricoid partial laryngectomy: the role of chronic aspiration

The aim of the present retrospective controlled study was to analyse and compare risk factors for tracheocutaneous fistula in patients who received tracheostomy after supracricoid partial laryngectomy with those who received tracheostomy for other causes. We enrolled 39 patients with tracheocutaneous fistulas who were divided into two groups. The first received temporary tracheostomy for supracricoid partial laryngectomies (n = 21), while the control group consisted of patients who received temporary tracheostomy for other causes (n = 18). Risk factors believed to play a role in the pathogenesis of tracheocutaneous fistula were examined including advanced age, cardiopathy, local infections, radiotherapy, elevated body mass index, malnutrition, decannulation time and aspiration grade. The Leipzig and Pearson scale score was significantly higher in the supracricoid partial laryngectomy group (p = 0.006 and 0.031 for univariate and multivariate analyses, respectively). The penetration/aspiration scale score was significantly higher in the supracricoid partial laryngectomy group as determined by univariate analysis (p = 0.014). The decannulation time was significantly lower in the supracricoid partial laryngectomy group (p = 0.004 and 0.0004 for univariate and multivariate analyses, respectively). The number of surgical closures for tracheocutaneous fistula was significantly higher in the supracricoid partial laryngectomy group by univariate analysis (p = 0.027). These results suggest that chronic aspiration and related cough may be important pathogenic factors for tracheocutaneous fistula and could be responsible for the significantly higher rates of closure failure in patients after supracricoid partial laryngectomy