Patient organ and effective dose estimation in CT: comparison of four software applications

Background: Radiation dose in computed tomography (CT) has become a topic of high interest due to the increasing numbers of CT examinations performed worldwide. Hence, dose tracking and organ dose calculation software are increasingly used. We evaluated the organ dose variability associated with the use of different software applications or calculation methods. Methods: We tested four commercial software applications on CT protocols actually in use in our hospital: CT-Expo, NCICT, NCICTX, and Virtual Dose. We compared dose coefficients, estimated organ doses and effective doses obtained by the four software applications by varying exposure parameters. Our results were also compared with estimates reported by the software authors. Results: All four software applications showed dependence on tube voltage and volume CT dose index, while only CT-Expo was also dependent on other exposure parameters, in particular scanner model and pitch caused a variability till 50%. We found a disagreement between our results and those reported by the software authors (up to 600%), mainly due to a different extent of examined body regions. The relative range of the comparison of the four software applications was within 35% for most organs inside the scan region, but increased over the 100% for organs partially irradiated and outside the scan region. For effective doses, this variability was less evident (ranging from 9 to 36%). Conclusions: The two main sources of organ dose variability were the software application used and the scan region set. Dose estimate must be related to the process used for its calculation

Spatial distribution modeling for invasive exotic trees in the Pre-Delta National Park (Entre Ríos, Argentina)

Se estudió la distribución espacial de árboles exóticos invasores (AEI) en el Parque Nacional Pre-Delta (PNPD-Entre Ríos, Argentina) mediante el empleo de técnicas de muestreo a distancia. Se modeló la distribución potencial mediante la técnica de interpolación Kriging. Se comparó la cartografía generada con un mapa de zonificación del PNPD y con cartografía de unidades ambientales identificadas en función de un gradiente topográfico. Se registraron datos estructurales del bosque, fenológicos de los árboles y de las acciones de control por parte del personal del PNPD, a fin de caracterizar los procesos de invasión. Se obtuvo cartografía de la distribución potencial de Melia azedarach L., Broussonetia papyrifera (L.) L'Hér. ex Vent., Ligustrum lucidum W.T. Aiton, Brachychiton populneus (Schott & Endl.) R. Br., Fraxinus sp. L. y Morus alba L. Esta última resultó ser dominante en el PNPD en los tres sectores estudiados (barrancas, islas y zona alta). En cuanto a las acciones de manejo de especies exóticas de los agentes del PNPD, cerca del 50% de los ejemplares de M. alba sujeto a aplicaciones de control mecánico (técnica de anillado) presentaron rebrotes, indicando su alta capacidad de supervivencia.Spatial distribution of alien trees was studied on Pre-Delta National Park (PNPD-Entre Ríos, Argentina), by distance sampling techniques. Potential distribution was modelled by Kriging interpolation technique. Generated maps were overlapped with PNPD zonification map and environmental units map. We recorded forest structural data, tree phenology and tree control management actions, in order to characterize the processes of invasion. We obtained maps of potential distribution of Melia azedrach, Broussonetia papyrifera, Ligustrum lucidum, Brachychiton populneus, Fraxinus sp. and Morus alba L. The latter was the dominant species in all studied sectors (cliffs, islands and highlands). As for the management actions carried out with trees of the PNPD, about 50% of the specimens of M. alba subjected to mechanical control (banding technique) showed regrowth, indicating its high survival capacity.Fil: Torresin, Jerónimo A.. Provincia de Misiones. Ministerio de Ecología; ArgentinaFil: Zamboni, L. Pamela. Universidad Autonoma de Entre Rios. Facultad de Ciencia y Tecnologia; ArgentinaFil: Sione, Walter F.. Universidad Autonoma de Entre Rios. Facultad de Ciencia y Tecnologia; Argentina. Universidad Nacional de Luján; ArgentinaFil: Rodriguez, Estela Elizabeth. Universidad Autonoma de Entre Rios. Facultad de Ciencia y Tecnologia; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones Científicas y Transferencia de Tecnología a la Producción; ArgentinaFil: Aceñolaza, Pablo Gilberto. Universidad Autonoma de Entre Rios. Facultad de Ciencia y Tecnologia; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro de Investigaciones Científicas y Transferencia de Tecnología a la Producción; Argentin

Temperature behavior of radiochromic poly(vinyl-alcohol)–glutaraldehyde Fricke gel dosimeters in practice

The use of synthetic gel matrices prepared with poly(vinyl-alcohol) (PVA) cross-linked by glutaraldehyde (GTA) contributed to enhance the interest toward radiochromic Fricke gel (FG) dosimeters. As it occurs in several chemical dosimeters, the response of PVA-GTA Fricke gels could be affected by temperature. Aim of this work is to study the dependence of the dosimetric properties of PVA-GTA Fricke gel dosimeters both on the irradiation temperature and on temperature changes possibly occurring between the irradiation and readout phases. Such effects were investigated by means of magnetic resonance imaging (MRI) and optical absorbance (OA) measurements. The results did not reveal any significant dependence of the sensitivity of the dosimeters on the irradiation temperature in the investigated interval 20\ub0C-35\ub0C. By contrast, auto-oxidation phenomena confirmed to be a critical aspect for FG dosimeters, also in case of use of PVA matrix. The extent such phenomena, that might impair the accuracy of dose estimations, proved to critically depend on the temperature at which FG dosimeters are subjected before and after irradiation, as well as on the duration of possible thermal-stress

The European Federation of Organisations for Medical Physics Policy Statement No. 10.1: Recommended Guidelines on National Schemes for Continuing Professional Development of Medical Physicists

Continuing Professional Development (CPD) is vital to the medical physics profession if it is to embrace the pace of change occurring in medical practice. As CPD is the planned acquisition of knowledge, experience and skills required for professional practice throughout one's working life it promotes excellence and protects the profession and public against incompetence. Furthermore, CPD is a recommended prerequisite of registration schemes (Caruana et al. 2014 [1]; [2]) and is implied in the Council Directive 2013/59/EURATOM (EU BSS) [3] and the International Basic Safety Standards (BSS) [4]. It is to be noted that currently not all national registration schemes require CPD to maintain the registration status necessary to practise medical physics. Such schemes should consider adopting CPD as a prerequisite for renewing registration after a set period of time. This EFOMP Policy Statement, which is an amalgamation and an update of the EFOMP Policy Statements No. 8 and No. 10, presents guidelines for the establishment of national schemes for CPD and activities that should be considered for CPD

Performance of three model-based iterative reconstruction algorithms using a CT task-based image quality metric

In this study we evaluated the task-based image quality of a low contrast clinical task for the abdomen protocol (e.g., pancreatic tumour) of three different CT vendors, exploiting three model-based iterative reconstruction (MBIR) levels. We used three CT systems equipped with a full, partial, advanced MBIR algorithms. Acquisitions were performed on a phantom at three dose levels. Acquisitions were reconstructed with a standard kernel, using filtered back projection algorithm (FBP) and three levels of the MBIR. The noise power spectrum (NPS), the normalized one (nNPS) and the task-based transfer function (TTF) were computed following the method proposed by the American Association of Physicists in Medicine task group report-233 (AAPM TG-233). Detectability index (d') of a small lesion (small feature; 100 HU and 5-mm diameter) was calculated using non-prewhitening with eye-filter model observer (NPWE).The nNPS, NPS and TTF changed differently depending on CT system. Higher values of d' were obtained with advanced-MBIR, followed by full-MBIR and partial-MBIR.Task-based image quality was assessed for three CT scanners of different vendors, considering a clinical question. Detectability can be a tool for protocol optimisation and dose reduction since the same dose levels on different scanners correspond to different d' values.Comment: 7 pages, 5 figures, 3 table

dropwise condensation on superhydrophobic nanostructured surfaces literature review and experimental analysis

It is well established that the dropwise condensation (DWC) mode can lead up to significant enhancement in heat transfer coefficients as compared to the filmwise mode (FWC). Typically, hydrophobic surfaces are expected to promote DWC, while hydrophilic ones induce FWC. To this end, superhydrophobic surfaces, where a combination of low surface energy and surface texturing is used to enhance the hydrophobicity, have recently been proposed as a promising approach to promote dropwise condensation. An attractive feature of using superhydrophobic surfaces is to facilitate easy roll-off of the droplets as they form during condensation, thus leading to a significant improvement in the heat transfer associated with the condensation process. High droplet mobility can be obtained acting on the surface chemistry, decreasing the surface energy, and on the surface structure, obtaining a micro- or nano- superficial roughness. The first part of this paper will present a literature review of the most relevant works about DWC on superhydrophobic nanotextured substrates, with particular attention on the fabrication processes. In the second part, experimental data about DWC on superhydrophobic nanotextured samples will be analyzed. Particular attention will be paid to the effect of vapour velocity on the heat transfer. Results clearly highlight the excellent potential of nanostructured surfaces for application in flow condensation applications. However, they highlight the need to perform flow condensation experiments at realistic high temperature and saturation conditions in order to evaluate the efficacy of superhydrophobic surfaces for practically relevant pure vapor condensation applications

Radiomics predicts response of individual HER2-amplified colorectal cancer liver metastases in patients treated with HER2-targeted therapy

The aim of our study was to develop and validate a machine learning algorithm to predict response of individual HER2-amplified colorectal cancer liver metastases (lmCRC) undergoing dual HER2-targeted therapy. Twenty-four radiomics features were extracted after 3D manual segmentation of 141 lmCRC on pretreatment portal CT scans of a cohort including 38 HER2-amplified patients; feature selection was then performed using genetic algorithms. lmCRC were classified as nonresponders (R−), if their largest diameter increased more than 10% at a CT scan performed after 3 months of treatment, responders (R+) otherwise. Sensitivity, specificity, negative (NPV) and positive (PPV) predictive values in correctly classifying individual lesion and overall patient response were assessed on a training dataset and then validated on a second dataset using a Gaussian naïve Bayesian classifier. Per-lesion sensitivity, specificity, NPV and PPV were 89%, 85%, 93%, 78% and 90%, 42%, 73%, 71% respectively in the testing and validation datasets. Per-patient sensitivity and specificity were 92% and 86%. Heterogeneous response was observed in 9 of 38 patients (24%). Five of nine patients were carriers of nonresponder lesions correctly classified as such by our radiomics signature, including four of seven harboring only one nonresponder lesion. The developed method has been proven effective in predicting behavior of individual metastases to targeted treatment in a cohort of HER2 amplified patients. The model accurately detects responder lesions and identifies nonresponder lesions in patients with heterogeneous response, potentially paving the way to multimodal treatment in selected patients. Further validation will be needed to confirm our findings

Surfactant status and respiratory outcome in premature infants receiving late surfactant treatment.

BACKGROUND:Many premature infants with respiratory failure are deficient in surfactant, but the relationship to occurrence of bronchopulmonary dysplasia (BPD) is uncertain. METHODS:Tracheal aspirates were collected from 209 treated and control infants enrolled at 7-14 days in the Trial of Late Surfactant. The content of phospholipid, surfactant protein B, and total protein were determined in large aggregate (active) surfactant. RESULTS:At 24 h, surfactant treatment transiently increased surfactant protein B content (70%, p < 0.01), but did not affect recovered airway surfactant or total protein/phospholipid. The level of recovered surfactant during dosing was directly associated with content of surfactant protein B (r = 0.50, p < 0.00001) and inversely related to total protein (r = 0.39, p < 0.0001). For all infants, occurrence of BPD was associated with lower levels of recovered large aggregate surfactant, higher protein content, and lower SP-B levels. Tracheal aspirates with lower amounts of recovered surfactant had an increased proportion of small vesicle (inactive) surfactant. CONCLUSIONS:We conclude that many intubated premature infants are deficient in active surfactant, in part due to increased intra-alveolar metabolism, low SP-B content, and protein inhibition, and that the severity of this deficit is predictive of BPD. Late surfactant treatment at the frequency used did not provide a sustained increase in airway surfactant