Choriorétinite extensive bilatérale révélant une infection par le virus de l’immunodéficience humaine (VIH)

Au cours de l'infection par le virus de l'immunodéficience humaine(VIH), Les atteintes oculaires sont  polymorphes, pouvant compromettre le pronostic fonctionnel. Nous rapportons l'observation d'un patient présentant une choriorétinite infectieuse sévère révélant une infection par le VIH. Patient âgé de 35 ans avec antécédent de tuberculose pulmonaire en 2007, consulte pour BAV bilatérale progressive depuis 6 mois. Une acuité visuelle à compte les doigts au niveau de l'oeil droit et à mouvement des doigts au niveau de l'oeil gauche, avec présence de foyers choriorétiniens diffus visualisés au fond d'oeil et à l'angiographie. Les  sérologies VIH, toxoplasmose et CMV sont positives. Le patient a été mis sous traitement anti-toxoplasmose (Sulfadiazine et pyriméthamine) et anti-CMV (Ganciclovir per os). L'évolution sous traitement a été marquée par une régression de la hyalite avec la persistance des foyers choriorétiniens évolutifs et une acuité visuelle réduite à perception lumineuse.Key words: Choriorétinite, virus de l´immunodéficience humaine(VIH), Sulfadiazine, pyriméthamine,  Ganciclovi

Research and Design of a Routing Protocol in Large-Scale Wireless Sensor Networks

无线传感器网络，作为全球未来十大技术之一，集成了传感器技术、嵌入式计算技术、分布式信息处理和自组织网技术，可实时感知、采集、处理、传输网络分布区域内的各种信息数据，在军事国防、生物医疗、环境监测、抢险救灾、防恐反恐、危险区域远程控制等领域具有十分广阔的应用前景。 本文研究分析了无线传感器网络的已有路由协议，并针对大规模的无线传感器网络设计了一种树状路由协议，它根据节点地址信息来形成路由，从而简化了复杂繁冗的路由表查找和维护，节省了不必要的开销，提高了路由效率，实现了快速有效的数据传输。 为支持此路由协议本文提出了一种自适应动态地址分配算——ADAR（AdaptiveDynamicAddre...As one of the ten high technologies in the future, wireless sensor network, which is the integration of micro-sensors, embedded computing, modern network and Ad Hoc technologies, can apperceive, collect, process and transmit various information data within the region. It can be used in military defense, biomedical, environmental monitoring, disaster relief, counter-terrorism, remote control of haz...学位：工学硕士院系专业：信息科学与技术学院通信工程系_通信与信息系统学号：2332007115216

A 100 ps TOF detection system for on-line range-monitoring in hadrontherapy

International audienceThe accuracy of hadrontherapy treatment is currently limited by ion-range uncertainties. In order to fully exploit the potential of this technique, we propose the development of a novel system for online control of particle therapy, based on TOF-resolved (time-of-flight) Prompt Gamma (PG) imaging with 100 ps time resolution. Our aim is to detect a possible deviation of the proton range with respect to treatment planning within the first few irradiation spots at the beginning of the session. The system consists of a diamond-based beam hodoscope for single proton tagging, operated in time coincidence with one or more gamma detectors placed downstream of the patient. The TOF between the proton time of arrival in the hodoscope and the PG detection time provides an indirect measurement of the proton range in the patient with a precision strictly related to the system time resolution. With a single ~38 cm 3 BaF 2 detector placed at 15 cm from a heterogeneous PMMA target, we obtained a coincidence time resolution of 101 ps (rms). This system allowed us to measure the thickness and position of an air cavity within a PMMA target, and the associated proton range shift: a 3 mm shift can be detected at 2s confidence level within a single large irradiation spot (~10 8 protons). We are currently conceiving a multi-channel PG timing [1],[2] detector with 3D target coverage. Each pixel of about 5×5 mm 2 detection surface will provide the PG detection time and its hit position, that can be used to reconstruct the longitudinal distribution of PG vertices in the patient. The number of PG detected in each channel is used to reconstruct the vertex in the transverse plane. Our approach does not require collimation and allows to dramatically increase the detection efficiency. Since both signal detection and background rejection are based on TOF, the constraints on energy resolution can be relaxed to further improve time resolution. The pixel detector technology is currently under tes

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

A Study of the Radiation Tolerance of CVD Diamond to 70 MeV Protons, Fast Neutrons and 200 MeV Pions

We measured the radiation tolerance of commercially available diamonds grown by the Chemical Vapor Deposition process by measuring the charge created by a 120 GeV hadron beam in a 50 μm pitch strip detector fabricated on each diamond sample before and after irradiation. We irradiated one group of samples with 70 MeV protons, a second group of samples with fast reactor neutrons (defined as energy greater than 0.1 MeV), and a third group of samples with 200 MeV pions, in steps, to (8.8±0.9) × 1015 protons/cm2, (1.43±0.14) × 1016 neutrons/cm2, and (6.5±1.4) × 1014 pions/cm2, respectively. By observing the charge induced due to the separation of electron–hole pairs created by the passage of the hadron beam through each sample, on an event-by-event basis, as a function of irradiation fluence, we conclude all datasets can be described by a first-order damage equation and independently calculate the damage constant for 70 MeV protons, fast reactor neutrons, and 200 MeV pions. We find the damage constant for diamond irradiated with 70 MeV protons to be 1.62±0.07(stat)±0.16(syst)× 10−18 cm2/(pμm), the damage constant for diamond irradiated with fast reactor neutrons to be 2.65±0.13(stat)±0.18(syst)× 10−18 cm2/(nμm), and the damage constant for diamond irradiated with 200 MeV pions to be 2.0±0.2(stat)±0.5(syst)× 10−18 cm2/(πμm). The damage constants from this measurement were analyzed together with our previously published 24 GeV proton irradiation and 800 MeV proton irradiation damage constant data to derive the first comprehensive set of relative damage constants for Chemical Vapor Deposition diamond. We find 70 MeV protons are 2.60 ± 0.29 times more damaging than 24 GeV protons, fast reactor neutrons are 4.3 ± 0.4 times more damaging than 24 GeV protons, and 200 MeV pions are 3.2 ± 0.8 more damaging than 24 GeV protons. We also observe the measured data can be described by a universal damage curve for all proton, neutron, and pion irradiations we performed of Chemical Vapor Deposition diamond. Finally, we confirm the spatial uniformity of the collected charge increases with fluence for polycrystalline Chemical Vapor Deposition diamond, and this effect can also be described by a universal curveWe measured the radiation tolerance of commercially available diamonds grown by the Chemical Vapor Deposition process by measuring the charge created by a 120 GeV hadron beam in a 50 μm pitch strip detector fabricated on each diamond sample before and after irradiation. We irradiated one group of samples with 70 MeV protons, a second group of samples with fast reactor neutrons (defined as energy greater than 0.1 MeV), and a third group of samples with 200 MeV pions, in steps, to (8.8±0.9) × 1015 protons/cm2, (1.43±0.14) × 1016 neutrons/cm2, and (6.5±1.4) × 1014 pions/cm2, respectively. By observing the charge induced due to the separation of electron–hole pairs created by the passage of the hadron beam through each sample, on an event-by-event basis, as a function of irradiation fluence, we conclude all datasets can be described by a first-order damage equation and independently calculate the damage constant for 70 MeV protons, fast reactor neutrons, and 200 MeV pions. We find the damage constant for diamond irradiated with 70 MeV protons to be 1.62±0.07(stat)±0.16(syst)× 10−18 cm2/(p μm), the damage constant for diamond irradiated with fast reactor neutrons to be 2.65±0.13(stat)±0.18(syst)× 10−18 cm2/(n μm), and the damage constant for diamond irradiated with 200 MeV pions to be 2.0±0.2(stat)±0.5(syst)× 10−18 cm2/(π μm). The damage constants from this measurement were analyzed together with our previously published 24 GeV proton irradiation and 800 MeV proton irradiation damage constant data to derive the first comprehensive set of relative damage constants for Chemical Vapor Deposition diamond. We find 70 MeV protons are 2.60 ± 0.29 times more damaging than 24 GeV protons, fast reactor neutrons are 4.3 ± 0.4 times more damaging than 24 GeV protons, and 200 MeV pions are 3.2 ± 0.8 more damaging than 24 GeV protons. We also observe the measured data can be described by a universal damage curve for all proton, neutron, and pion irradiations we performed of Chemical Vapor Deposition diamond. Finally, we confirm the spatial uniformity of the collected charge increases with fluence for polycrystalline Chemical Vapor Deposition diamond, and this effect can also be described by a universal curve