Polish Journal of Medical Physics and Engineering最新文献

{"title":"Determination of effective source to surface distance and cutout factor in small fields in electron beam radiotherapy: A comparison of different dosimeters","authors":"M. Bayatiani, F. Fallahi, A. Aliasgharzadeh, M. Ghorbani, B. Khajetash, F. Seif","doi":"10.2478/pjmpe-2020-0028","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0028","url":null,"abstract":"Abstract Objective: The main purpose of this study is to calculate the effective source to surface distance (SSDeff) of small and large electron fields in 10, 15, and 18 MeV energies, and to investigate the effect of SSD on the cutout factor for electron beams a linear accelerator. The accuracy of different dosimeters is also evaluated. Materials and methods: In the current study, Elekta Precise linear accelerator was used in electron beam energies of 10, 15, and 18 MeV. The measurements were performed in a PTW water phantom (model MP3-M). A Semiflex and Advanced Markus ionization chambers and a Diode E detector were used for dosimetry. SSDeff in 100, 105, 110, 115, and 120 cm SSDs for 1.5 × 1.5 cm2 to 5 × 5 cm2 (small fields) and 6 × 6 cm2 to 20 × 20 cm2 (large fields) field sizes were obtained. The cutout factor was measured for the small fields. Results: SSDeff in small fields is highly dependent on energy and field size and increases with increasing electron beam energy and field size. For large electron fields, with some exceptions for the 20 × 20 cm2 field, this quantity also increases with energy. The SSDeff was increased with increasing beam energy and field size for all three detectors. Conclusion: The SSDeff varies significantly for different field sizes or cutouts. It is recommended that SSDeff be determined for each electron beam size or cutout. Selecting an appropriate dosimetry system can have an effect in determining cutout factor.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"63 1","pages":"235 - 242"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76046484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the effect of external heating in the human tissue: A finite element approach","authors":"Mridul Sannyal, A. Mukaddes, Md. Matiar Rahman, M. Mithu","doi":"10.2478/pjmpe-2020-0030","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0030","url":null,"abstract":"Abstract Thermal therapy which involves either raising or lowering tissue temperature to treat malignant cells needs precise acknowledgment of thermal history inside the biological system to ensure effective treatment. For this purpose, this study presents a two-dimensional unsteady finite element model (FEM) of the bioheat transfer problem based on Pennes bio-heat equation to analyze the thermal response of tissue subject to external heating. Crank-Nikolson scheme was used for the unsteady solution. A finite element code was developed using C language to calculate results. The obtained numerical result was compared with the analytical and other numerical results available in the literature. A good agreement was found from the comparison. Temperature distribution inside the human body due to constant and sinusoidal spatial and surface heating were analyzed. Response to point heating was also investigated. Moreover, a sensitivity analysis was carried out to know the effect of various parameters, i.e. blood temperature, thermal conductivity, and blood perfusion rate on tissue temperature. The outcome of this study will be helpful for the researchers and physicians involved in the thermal treatment of human tissue.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"29 1","pages":"251 - 262"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72932282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily patient geometry correction: application of NAL and eNAL protocols","authors":"A. Dabrowski, Sylwia Zielińska-Dąbrowska, T. Kuszewski, K. Lis","doi":"10.2478/pjmpe-2020-0021","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0021","url":null,"abstract":"Abstract Purpose: To test the NAL and eNAL correction protocols using daily patient setup displacements. Methods and material: In total, the analysis was performed for 749 and 797 kV CBCT images for gynecological and prostate patients, respectively, each of 30 patients. After the planning procedure, patients were set up on the treatment table in the treatment position every day. The on-line correction protocol was applied. KV CBCT images were acquired by means of x-ray lamp mounted orthogonally on Linac. Patient setup displacement was assigned. NAL and eNAL corrections protocols were simulated using daily data from online corrections for these two groups of patients. The overall systematic error and random error were calculated for each direction. Results: For the prostate group, the random errors for daily Raw data (no correction) in LAT, LONG, and VERT directions were 2.0 mm, 1.6 mm, and 3.2 mm, respectively. For NAL and eNAL protocols, they were in the range of 1.8 mm to 3.2 mm. For the gynecological group, the random errors were: for daily Raw data 2.2 mm, 1.7 mm, and 3.2 mm, respectively. For NAL and eNAL protocols, they were in the range of 2.0 to 3.4 mm. For the prostate group, values of systematic errors 1.8 mm, 1.8 mm, and 3.3 mm, respectively for Raw data. For NAL and eNAL protocols, these values were less than 1.8 mm. For the gynecological group, the systematic errors were 2.6 mm, 2.3 mm, and 2.8 mm, respectively, for Raw data. For NAL ana eNAL protocols less than 1.8 mm. For the gynecological group, for Raw data, 45% of the total displacement vectors exceeded 5 mm, whereas only 25% did after the NAL procedure and 29% after the eNAL procedure. For the prostate group, for Raw data, 34% of the total displacement vectors exceeded 5 mm, whereas only 22% did after NAL procedure and 28% after eNAL procedure Conclusions: For gynecological and prostate cancer patients, the NAL and eNAL correction protocols can be safely applied to substantially reduce setup errors.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"39 1","pages":"181 - 184"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90946097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of carbon fibre treatment couches in the XiO® and Monaco® Treatment Planning Systems","authors":"Christoffel Jacobus van Reenen, C. Trauernicht","doi":"10.2478/pjmpe-2020-0025","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0025","url":null,"abstract":"Abstract Purpose: Carbon fibre treatment couches on linear accelerators provide a strong, rigid framework for patient support. Patient safety is a priority, therefore the dosimetric properties of treatment couches need to be accurately incorporated in treatment plans, to minimize differences between planned and delivered dose. This study aims to determine the attenuation effect of treatment couches for 3-D Conformal Radiotherapy (3-D CRT) and to validate the implementation thereof in the XiO and Monaco treatment planning systems (TPS). Material and methods: Attenuation measurements were performed on the ELEKTA Connexion couches of the ELEKTA Precise and Synergy-Agility linear accelerators. Measurements were made at 10° intervals in RMI-457 Solid water (30 cm x 30 cm x 30 cm) using a PTW Farmer-type ionization chamber (TW30013) positioned at the accelerator’s isocentre. The percentage attenuation was calculated as the ratio of the electrometer readings for parallel-opposed fields. The Computed Tomography (CT) data sets of the set-ups were obtained on a Philips Big Bore 16-slice CT scanner and exported to the TPS. The individual couch structures were delineated and electron density (ED) values were assigned using the commissioned CT-to-ED curve. Test treatment plans were generated with 100MU per field at 10° gantry intervals. Results: The percentage attenuation was determined to be within 2% and 3% for beams perpendicular to the couch surface for XiO and Monaco, respectively. The maximum attenuation was observed for oblique fields which was significantly higher than the manufacturer specified values. TPS validation showed an agreement to 1% for XiO and Monaco. At extreme oblique angles, both planning systems overestimated this effect up to a maximum of 4%. Conclusions: Couch attenuation differs significantly with gantry angle and beam energy. As a result, the treatment couch models should be included in all treatment planning calculations.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"6 1","pages":"211 - 215"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85286329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automated determination of chest characteristics of Indonesians as the basis of chest dosimetrical phantom design","authors":"Heryani Heryani, C. Anam, H. Sutanto, A. D. Reskianto, G. Dougherty","doi":"10.2478/pjmpe-2020-0031","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0031","url":null,"abstract":"Abstract Purpose: The purpose of this study was to develop software to automatically measure the main areas of the chest, i.e. soft tissue, bone, and air and to implement it in Kraton Regional General Hospital for designing a specific dosimetrical phantom for chest digital radiography (DR) examination. Methods: This study was a retrospective study on all DR images from 2015 to 2019, and computed tomography (CT) images of 102 patients in Digital Imaging and Communications in Medicine (DICOM) format files scanned from January-December 2019 at the Kraton Regional General Hospital. We evaluated the number of basic DR chest examinations compared to all DR radiological examinations. We developed a MatLab graphical user interface (GUI) for automated measurement of the areas of the main chest components (soft tissue, bone, and air). We computed the areas of the main components of the chest in order to develop a specific chest phantom for DR in the hospital. In order to compute the areas of the main components, we used chest CT images of patients with clinical indications of chest tumors. Results: The basic DR chest examination comprised 59.5% of all DR examinations in the hospital during 2015-2019. The average areas of soft tissue, bone, and air within the chest in all patients were 331, 20, and 125 cm2, respectively, with values of 345, 23, and 139 cm2 for males, and 309, 15, and 103 cm2 for females. The areas were also dependent on age with values of 121, 10, 55 cm2 for patients aged 5-11 years, 371, 27, and 88 cm2 for patients aged 12-25 years, 322, 22, and 131 cm2 for patients aged 26-45 years, and 334, 19, and 126 cm2 for patients > 45 years old. Conclusion: A GUI for computing the main composition of the chest was successfully developed. The areas of chest male patients were greater than female patients. The areas of soft tissue, bone, and air were dependent on the patient’s age. Therefore, the design of dosimetrical DR phantom must consider the gender and age of the patient.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"99 1","pages":"263 - 268"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80252307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The dependence of inhomogeneity correction factors on photon beam quality index performed with the Anisotropic Analytical Algorithm","authors":"M. Akhtaruzzaman, P. Kukołowicz","doi":"10.2478/pjmpe-2020-0014","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0014","url":null,"abstract":"Abstract Purpose: The purpose of the study was to investigate the dependence of tissue inhomogeneity correction factors (ICFs) on the photon beam quality index (QI). Materials and Methods: Heterogeneous phantoms, comprising semi-infinite slabs of the lung (0.10, 0.20, 0.26 and 0.30 g/cm3), adipose tissue (0.92 g/cm3) and bone (1.85 g/cm3) in water, were constructed in the Eclipse treatment planning system. Several calculation models of 6 MV and 15 MV photon beams for quality index (TPR20,10) = 0.670±k*0.01 and TPR20,10 = 0.760±k*0.01, k = -3, -2, -1, 0, 1, 2, 3 respectively were built in the Eclipse. The ICFs were calculated with the anisotropic analytical algorithm (AAA) for several beam sizes and points lying at several depths inside of and below inhomogeneities of different thicknesses. Results: The ICFs increased for lung and adipose tissues with increasing beam quality (TPR20,10), while decreased for bone. Calculations with AAA predict that the maximum difference in ICFs of 1.0% and 2.5% for adipose and bone tissues, respectively. For lung tissue, changes of ICFs of a maximum of 9.2% (6 MV) and 13.8% (15 MV). For points where charged particle equilibrium exists, a linear dependence of ICFs on TPR20,10 was observed. If CPE doesn’t exist, the dependence became more complex. For points inside of the low-density inhomogeneity, the dependence of the ICFs on energy was not linear but the changes of ICFs were smaller than 3.0%. Measurements results carried out with the CIRS phantom were consistent with the calculation results. Conclusions: A negligible dependence of the ICFs on energy was found for adipose and bone tissue. For lung tissue, in the CPE region, the dependence of ICFs on different beam quality indexes with the same nominal energy may not be neglected, however, this dependence was linear. Where there is no CPE, the dependence of the ICFs on energy was more complicated.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"33 1","pages":"127 - 134"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88221878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis of amyotrophic lateral sclerosis (ALS) disorders based on electromyogram (EMG) signal analysis and feature selection","authors":"A. Mokdad, S. Debbal, F. Meziani","doi":"10.2478/pjmpe-2020-0018","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0018","url":null,"abstract":"Abstract Electromyogram signal (EMG) provides an important source of information for the diagnosis of neuromuscular disorders. In this study, we proposed two methods of analysis which concern the bispectrum and continuous wavelet transform (CWT) of the EMG signal then a comparison is made to select which one is the most suitable to identify an abnormality in biceps brachii muscle in the main purpose is to assess the pathological severity in bifrequency and time-frequency analysis applying respectively bispectrum and CWT. Then four time and frequency features are extracted and three popular machine learning algorithms are implemented to differentiate neuropathy and healthy conditions of the selected muscle. The performance of these time and frequency features are compared using support vector machine (SVM), linear discriminate analysis (LDA) and K-Nearest Neighbor (KNN) classifier performance. The results obtained showed that the SVM classifier yielded the best performance with an accuracy of 95.8%, precision of 92.59% and specificity of 92%. followed by respectively KNN and LDA classifier that achieved respectively an accuracy of 92% and 91.5%, precision of 92% and 85.4%, and specificity of 92% and 83%.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"224 1","pages":"155 - 160"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80038759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Point dose verification of Cranial Stereotactic Radiosurgery using micro Ionization Chamber and EBT3 film for 6MV FF and FFF beams in Varian TrueBeam® LINAC","authors":"Gopinath Mamballikalam, S. Senthilkumar, Basith P.M. Ahamed, Rohit Inipully, P. Jayadevan, C. O. Clinto, Bos R.C. Jaon","doi":"10.2478/pjmpe-2020-0015","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0015","url":null,"abstract":"Abstract Introduction: Achieving high positional and dosimetric accuracy in small fields is very challenging due to the imbalance of charged particle equilibrium (CPE), occlusion of the primary radiation source, and overlapping penumbra regions. These factors make the choice of the detector for Stereotactic Radiosurgery (SRS) patient-specific quality assurance (PSQA) difficult. The aim of the study is to compare the suitability of EBT3 Gafchromic film against CC01 pinpoint chamber for the purpose of SRS and stereotactic Radiotherapy (SRT) dose verification. Material and Method: EBT3 Gafchromic film was calibrated against Treatment Planning System (TPS) doses (1 Gy – 35 Gy). CC01 pinpoint chamber and EBT3 film was used to verify Patient-Specific point doses of 21 intracranial lesions each planned with Static, Dynamic Conformal Arc (DCA), and Volumetric Arc Therapy (VMAT) using Varian TrueBeam Accelerator 6MV Flattening Filter (FF) and 6MV Flattening Filter Free (FFF) beams. The lesion sizes varied from 0.4 cc to 2.9 cc. The lesions were categorized into <1cc, 1cc-2cc and 2cc-3cc. Results: High variations in measured doses from TPS calculated dose were observed with small lesion volumes irrespective of the dosimeter. As the sizes decreased high uncertainty was observed in ion chamber results. CC01 was observed under-responding to film in small lesion sizes (<1cc), where nearly 50% of results under-responded in comparison with Film results. Film results were more or less consistent for static and DCA plans. Static and DCA plans were consistent passing more than 73% of the plans of the smallest lesion size category. VMAT showed very poor PSQA agreement for all three volumes (32.1% for <1cc, 14.3% for 2cc-3cc and 39.3% for 2cc-3cc). No significant difference was observed between 6MVFF and 6MVFFF beams from the chi-squared test. Conclusion: EBT3 Film was observed to be a more suitable detector for small lesion sizes less than 1cc, compared to CC01. As the volume increases, the response of CC01 and EBT3 film have no significant difference in performing PSQA for intracranial SRS/SRT. VMAT techniques for intra cranial SRS shows deviation from TPS planned dose for both EBT3 film and CC01 and should not be preferred choice of verification tools.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"38 1","pages":"135 - 142"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79280752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of the continuous wavelet transform for the analysis of pathological severity degree of electromyograms (EMGs) signals","authors":"A. Mokdad, S. Debbal, F. Meziani","doi":"10.2478/pjmpe-2020-0017","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0017","url":null,"abstract":"Abstract The aim of this work was twofold: first, to propose signal processing methods for assessing the temporal and spectral changes of parameters (mean absolute value, the energy and standard deviation as temporal parameters, total and mean power as frequency parameters) of the surface myoelectric signal of the various patient groups like normal, myopathic and neuropathic during muscles contraction of biceps. Secondly, to analyze this electrical manifestation of neuromuscular disorders by the implementation of time-frequency analysis using continuous wavelet that allows us to qualify this method to evaluate, appreciate the pathology and determine its degree of severity which was unable by extracting mentioned parameters. Our results showed that this approach presents satisfactory performances especially to follow patients with the least severe pathology.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"49 1","pages":"149 - 154"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79780015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of gender and occupations on uranium concentration in human blood and soil samples collected from Babylon, Iraq","authors":"Ansam F. Showard, M. S. Aswood","doi":"10.2478/pjmpe-2020-0016","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0016","url":null,"abstract":"Abstract Uranium concentrations of human blood and soil samples have been studied at different ages and occupations in Babylon, Iraq. The technique of nuclear track detectors CR 39 with nuclear fission track analysis has been used to determine the uranium concentrations in this study. Results have shown that the concentrations of uranium ranged from 0.56 ± 0.06 to 1.24 ± 0.29 ppb with an average of 0.83 ± 0.18 ppb in blood samples. On the other hand, the concentrations of uranium in soil samples ranged from 0.93 ± 0.20 to 2.59 ± 0.15 ppm with an average of 1.72 ± 0.19 ppm. Moreover, the highest averages of concentration have been found in the city center of Babylon, reaching 1.09 ± 0.22 ppb and 2.10 ± 0.23 ppm in blood and soil samples, respectively. The results have further proved that gender and occupations have an effect in increasing the concentrations of uranium. In addition, the concentrations in blood samples are generally lower than the concentration in soil samples.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"56 1","pages":"143 - 148"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90671769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}