Comparison of CT and integrated PET-CT based radiation therapy planning in patients with malignant pleural mesothelioma

<p>Abstract</p> <p>Background</p> <p>When combined with adequate tumoricidal doses, accurate target volume delineation remains to be the one of the most important predictive factors for radiotherapy (RT) success in locally advanced or medically inoperable malignant pleural mesothelioma (MPM) patients. Recently, 18-fluorodeoxyglucose positron emission tomography (PET) has demonstrated significant improvements in diagnosis and accurate staging of MPM. However, role of additional PET data has not been studied in RT planning (RTP) of patients with inoperable MPM or in those who refuse surgery. Therefore, we planned to compare CT with co-registered PET-CT as the basis for delineating target volumes in these patients group.</p> <p>Methods</p> <p>Retrospectively, the CT and co-registered PET-CT data of 13 patients with histologically proven MPM were utilized to delineate target volumes separately. For each patient, target volumes (gross tumor volume [GTV], clinical target volume [CTV], and planning target volume [PTV]) were defined using the CT and PET-CT fusion data sets. The PTV was measured in two ways: PTV1 was CTV plus a 1-cm margin, and PTV2 was GTV plus a 1-cm margin. We analyzed differences in target volumes.</p> <p>Results</p> <p>In 12 of 13 patients, compared to CT-based delineation, PET-CT-based delineation resulted in a statistically significant decrease in the mean GTV, CTV, PTV1, and PTV2. In these 12 patients, mean GTV decreased by 47.1% ± 28.4%, mean CTV decreased by 38.7% ± 24.7%, mean PTV1 decreased by 31.1% ± 23.1%, and mean PTV2 decreased by 40.0% ± 24.0%. In 4 of 13 patients, hilar lymph nodes were identified by PET-CT that was not identified by CT alone, changing the nodal status of tumor staging in those patients.</p> <p>Conclusion</p> <p>This study demonstrated the usefulness of PET-CT-based target volume delineation in patients with MPM. Co-registration of PET and CT information reduces the likelihood of geographic misses, and additionally, significant reductions observed in target volumes may potentially allow escalation of RT dose beyond conventional limits potential clinical benefits in tumor control rates, which needs to be tested in future studies.</p

Factors that Impact Susceptibility to Fiber-Induced Health Effects

Asbestos and related fibers are associated with a number of adverse health effects, including malignant mesothelioma (MM), an aggressive cancer that generally develops in the surface serosal cells of the pleural, pericardial, and peritoneal cavities. Although approximately 80% of individuals with MM are exposed to asbestos, fewer than 5% of asbestos workers develop MM. In addition to asbestos, other mineralogical, environmental, genetic, and possibly viral factors might contribute to MM susceptibility. Given this complex etiology of MM, understanding susceptibility to MM needs to be a priority for investigators in order to reduce exposure of those most at risk to known environmental carcinogens. In this review, the current body of literature related to fiber-associated disease susceptibility including age, sex, nutrition, genetics, asbestos, and other mineral exposure is addressed with a focus on MM, and critical areas for further study are recommended

A phase signature for detecting wet subsurface structures using polarimetric L-band SAR

International audienceIn this paper, we investigate the ability of L-band synthetic aperture radar (SAR) systems to penetrate soils to retrieve information about subsurface wet structures. Our experiment site, the Pyla dune, is a bare sandy area allowing high radar penetration and known to have large wet subsurface structures (paleosoils) at varying depths. Buried paleosoils, which act as moisture tanks, are detectable with radar, since they present a high permittivity due to their water content. By analyzing airborne polarimetric SAR data, we established that a phase signature is correlated to the buried wet palesoils: a phase difference of 23/spl deg/ between the horizontal (HH) and vertical (VV) channels was clearly observed. It allows detection of the paleosoil down to a larger depth (5.2 m) than when only considering HH and HV amplitude signals (3.5 m). In order to confirm this result, field measurements were performed that led to the same observed phase difference. We could fit our observations to the semiempirical model proposed by Oh and Sarabandi, and we reproduced the observed phenomenon using a two-layer integral equation method (IEM) model of the Pyla dune, which was completed by finite-difference time-domain (FDTD) numerical simulations. We show that the soil moisture significantly influences the radar response in terms of phase difference between the copolarized modes. Our study also shows that the single-scattering IEM model reproduces the observed phase difference fairly well for a natural outdoor site when combined to FDTD simulation results. This phase signature could be used as a new tool to map subsurface moisture in arid regions

Un exemple de transfert de technologie dans le domaine des polymères conducteurs : le projet “HYRA"

Le projet HYRA répond à des préoccupations régionales liées à des restructurations industrielles : les industries régionales fournissant les marchés militaires et spatiaux disposent de techniques très performantes mais coûteuses, en particulier dans le domaine des radars. Par ailleurs le développement des communications mobiles a besoin de dispositifs et de matériaux dans tout le domaine millimétrique (de 20 à 100 Ghz). Le projet HYRA a pour but le développement de matériaux à propriétés spécifiques - en particulier conducteurs - dans ce domaine de fréquence. Les résultats obtenus sur des composites thermoplastiques/polymères conducteurs sont présentés

Measurements of dielectric properties of tholins in a cyrogenic environment

International audienc

Scattering and coupling effects of electromagnetic waves in 3D networks of spheres

In this paper, the problem of electromagnetic scattering from a 3D system of spheres is considered and an iterative solution that accounts for multiple scattering is proposed. The Mie formalism used for a single sphere is extended to account for multiple scattered fields between several particles. The translational addition theorems for spherical wave functions are used to express the electromagnetic field scattered by a sphere Si in terms of an incident field for a sphere Sk in a spherical coordinates system attached to the sphere Sk. In this work, the numerical convergence of the method is discussed and associated computational times are given. Numerical computations including Radar Cross Section (RCS) and radiation patterns for various 3D configurations are presented. Some of them are compared with free-space measurements made in the 8 to 100 GHz frequency band using vectorial network analyzers

Measurements of dielectric properties of tholins in a cyrogenic environment

International audienc

Mechanism of the effect of sine-wave magnetic fields on the desensitization of the 5-HT1b serotonin receptor

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