Polish Journal of Medical Physics and Engineering最新文献

{"title":"Evaluation of clinical implications in the use of dose to water versus dose to medium by using NTCP and TCP models for urinary bladder tumours","authors":"A. Bharati, S. Mandal, A. Srivastava, M. Rastogi, R. Khurana, R. Hadi, A. Gandhi, Lalatendu Mishra, S. Mishra","doi":"10.2478/pjmpe-2021-0003","DOIUrl":"https://doi.org/10.2478/pjmpe-2021-0003","url":null,"abstract":"Abstract Purpose: To analyze the dosimetric and radiobiological differences between dose to water versus dose to medium for patients with carcinoma of the urinary bladder. Materials and Methods: 15 patients with cancer of urinary bladder were selected for the study. VMAT plans were generated for each patient. The dose distributions were calculated in the modes dose to water and to medium with the Monaco treatment planning system. A dosimetric comparative analysis has been made between the two modes of planning in this study. Subsequently, NTCP and TCP were determined for OARs and targets respectively. Results: The mean dose to 2 cc of the rectum, small bowel, left and right femoral heads respectively was higher by 0.8, 1.2, 2.7, and 2.2% for the dose to water calculation. Similarly, the mean dose to D2, D50, and D98 for PTV was higher by 0.4, 0.3, and 0.3% for dose to water calculation. Such small dose differences had little effect on the values of TCP and NTCP. Conclusion: For patients with the urinary bladder there were very small differences between results between calculations carried out in dose to medium and dose to water modes.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"50 1","pages":"19 - 24"},"PeriodicalIF":0.4,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83190453","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":"Study of the impact of clicks and murmurs on cardiac sounds S1 and S2 through bispectral analysis","authors":"Y. N. Baakek, Imane Debbal, Hidayat Boudis, S. Debbal","doi":"10.2478/pjmpe-2021-0009","DOIUrl":"https://doi.org/10.2478/pjmpe-2021-0009","url":null,"abstract":"Abstract This paper presents a study of the impact of clicks, and murmurs on cardiac sound S1, and S2, and the measure of severity degree through synchronization degree between frequencies, using bispectral analysis. The algorithm is applied on three groups of Phonocardiogram (PCG) signal: group A represents PCG signals having a morphology similar to that of the normal PCG signal without click or murmur, group B represents PCG signals with a click (reduced murmur), and group C represent PCG signals with murmurs. The proposed algorithm permits us to evaluate and quantify the relationship between the two sounds S1 and S2 on one hand and between the two sounds, click and murmur on the other hand. The obtained results show that the clicks and murmurs can affect both the heart sounds, and vice versa. This study shows that the heart works in perfect harmony and that the frequencies of sounds S1, S2, clicks, and murmurs are not accidentally generated; but they are generated by the same generator system. It might also suggest that one of the obtained frequencies causes the others. The proposed algorithm permits us also to determine the synchronization degree. It shows high values in group C; indicating high severity degrees, low values for group B, and zero in group A. The algorithm is compared to Short-Time Fourier Transform (STFT) and continuous wavelet transform (CWT) analysis. Although the STFT can provide correctly the time, it can’t distinguish between the internal components of sounds S1 and S2, which are successfully determined by CWT, which, in turn, cannot find the relationship between them. The algorithm was also evaluated and compared to the energetic ratio. the obtained results show very satisfactory results and very good discrimination between the three groups. We can conclude that the three algorithms (STFT, CWT, and bispectral analysis) are complementary to facilitate a good approach and to better understand the cardiac sounds","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"528 1","pages":"63 - 72"},"PeriodicalIF":0.4,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79639035","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":"Determination of the CTV-PTV margin for prostate cancer radiotherapy depending on the prostate gland positioning control method","authors":"Aleksandra Sobajtis, P. Kukołowicz","doi":"10.2478/pjmpe-2020-0020","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0020","url":null,"abstract":"Abstract Objective: The objective of the study was to determine the correct CTV-PTV margin, depending on the method used to verify the PG position. In the study, 3 methods of CBCT image superimposition were assessed as based on the location of the prostate gland (CBCT images), a single gold marker, and pubic symphysis respectively. Materials and methods: The study group consisted of 30 patients undergoing irradiation therapy at the University Hospital in Zielona Góra. The therapy was delivered using the VMAT (Volumetric Modulated Arc Therapy) protocol. CBCT image-based superimposition (prostate-based alignment) was chosen as the reference method. The uncertainty of the PG positioning method was determined and the margin to be used was determined for the CBCT-based reference method. Then, changes in the position of the prostate gland relative to these determined using the single marker and pubic symphysis-based methods were determined. The CTV-PTV margin was calculated at the root of the sum of the squares for the doubled value of method uncertainty for the CBCT image-based alignment method and the value of the difference between the locations of planned and actual isocenters as determined using the method of interest and the CBCT-based alignment method for which the total number of differences accounted for 95% of all differences. Results: The CTV-PTV margins to be used when the prostate gland is positioned using the CBCT imaging, single marker, and pubic symphysis-based methods were determined. For the CBCT-based method, the following values were obtained for the Vrt, Lng, and Lat directions respectively: 0.43 cm, 0.48 cm, 0.29 cm. For the single marker-based method, the respective values were 0.7 cm, 0.88 cm, and 0.44 cm whereas for the pubic symphysis-based method these were 0.65 cm, 0.76 cm, and 0.46 cm. Conclusions: Regardless of the method, the smallest margin values were obtained for the lateral direction, with the CBCT-based method facilitating the smallest margins to be used. The largest margins were obtained using the single marker-based alignment method.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"111 1","pages":"169 - 179"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91358310","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 assessment of consecutive 4D-CT scans during simulation for lung stereotactic body radiation therapy patients","authors":"M. Savanović, B. Štrbac, D. Jaroš, J. Foulquier","doi":"10.2478/pjmpe-2020-0023","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0023","url":null,"abstract":"Abstract Purpose: To evaluate the breathing amplitude, tumor motion, patient positioning, and treatment volumes among consecutive four-dimensional computed tomography (4D-CT) scans, during the simulation for lung stereotactic body radiation therapy (SBRT). Material and methods: The variation and shape of the breathing amplitude, patient positioning, and treatment volumes were evaluated for 55 lung cancer patients after consecutive 4D-CT acquisitions, scanned at one-week intervals. The impact of variation in the breathing amplitude on lung tumor motion was determined for 20 patients. The gross tumor volume (GTV) was contoured from a free-breathing CT scan and at ten phases of the respiratory cycle, for both 4D-CTs (440 phases in total). Results: Breathing amplitude decreased by 3.6 (3.4-4.9) mm, tumor motion by 3.2 (0.4-5.0) mm while breathing period increased by 4 (2-6) s, inter-scan for 20 patients. Intra-scan variation was 4 times greater for the breathing amplitude, 5 times for the breathing period, and 8 times for the breathing cycle, comparing irregular versus regular breathing patterns for 55 patients. Using coaching, the breathing amplitude increases 3 to 8 mm, and the breathing period 2 to 6 s. Differences in the contoured treatment volumes were less than 10% between consecutive scans. Patient positioning remained stable, with a small inter-scan difference of 1.1 (0.6-1.4) mm. Conclusion: Decreasing the inter-scan breathing amplitude decreases the tumor motion reciprocally. When the breathing amplitude decreases, the breathing period increases at inter- and intra-scan, especially during irregular breathing. Coaching improves respiration, keeping the initial shape of the breathing amplitude. Contoured treatment volumes and patient positioning were reproducible through successive scans.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"16 3 1","pages":"193 - 199"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87082237","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":"Synthetic CT in assessment of anatomical and dosimetric variations in radiotherapy - procedure validation","authors":"A. Grządziel, Adam Gądek, B. Bekman, J. Wendykier, K. Slosarek","doi":"10.2478/pjmpe-2020-0022","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0022","url":null,"abstract":"Abstract Introduction: One of many procedures to control the quality of radiotherapy is daily imaging of the patient’s anatomy. The CBCT (Cone Beam Computed Tomography) plays an important role in patient positioning, and dose delivery monitoring. Nowadays, CBCT is a baseline for the calculation of fraction and total dose. Thus, it provides the potential for more comprehensive monitoring of the delivered dose and adaptive radiotherapy. However, due to the poor quality and the presence of numerous artifacts, the replacement of the CBCT image with the corrected one is desired for dose calculation. The aim of the study was to validate a method for generating a synthetic CT image based on deformable image registration. Material and methods: A Head & Torso Freepoint phantom, model 002H9K (Computerized Imaging Reference Systems, Norfolk, USA) with inserts was imaged with CT (Computed Tomography). Then, contouring and treatment plan were created in Eclipse (Varian Medical Systems, Palo Alto, CA, USA) treatment planning system. The phantom was scanned again with the CBCT. The planning CT was registered and deformed to the CBCT, resulting in a synthetic CT in Velocity software (Varian Medical Systems, Palo Alto, CA, USA). The dose distribution was recalculated based on the created CT image. Results: Differences in structure volumes and dose statistics calculated both on CT and synthetic CT were evaluated. Discrepancies between the original and delivered plan from 0.0 to 2.5% were obtained. Dose comparison was performed on the DVH (Dose-Volume Histogram) for all delineated inserts. Conclusions: Our findings suggest the potential utility of deformable registration and synthetic CT for providing dose reconstruction. This study reports on the limitation of the procedure related to the limited length of the CBCT volume and deformable fusion inaccuracies.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"2014 1","pages":"185 - 192"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86474186","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":"Fluence map optimisation for prostate cancer intensity modulated radiotherapy planning using iterative solution method","authors":"Pushpendra Singh, Supriya Tripathi, R. Tamrakar","doi":"10.2478/pjmpe-2020-0024","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0024","url":null,"abstract":"Abstract Here we projected a model-based IMRT treatment plan to produce the optimal radiation dosage by considering that the maximum amount of prescribed dose should be delivered to the target without affecting the surrounding healthy tissues especially the OARs. Fluence mapping is used for inverse planning. This suggested method can generate global minima for IMRT plans with reliable plan quality among diverse treatment planners and to provide better safety for significant parallel OARs in an effective way. The whole methodology is having the capability to handles various objectives and to generate effective treatment procedures as validated with illustrations on the CORT dataset. For the validation of our methodology, we have compared our result with the two other approaches for calculating the objectives based on dose-volume bounds and found that in our methodology dose across the prostate and lymph nodes is maximum and the time required for the convergence is minimum.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"181 1","pages":"201 - 209"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75094884","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":"Design of a dedicated circular coil for Magnetic Resonance Spectroscopy studies in small phantoms and animal acquisition with a 3 Tesla Magnetic Resonance clinical scanner","authors":"G. Giovannetti, A. Flori, D. De Marchi, D. Montanaro, F. Frijia","doi":"10.2478/pjmpe-2020-0032","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0032","url":null,"abstract":"Abstract Introduction: Magnetic Resonance Spectroscopy (MRS) is a very powerful tool to explore the tissue components, by allowing a selective identification of molecules and molecular distribution mapping. Due to intrinsic Signal-to-Noise Ratio limitations (SNR), MRS in small phantoms and animals with a clinical scanner requires the design and development of dedicated radiofrequency (RF) coils, a task of fundamental importance. In this article, the authors describe the simulation, design, and application of a 1H transmit/receive circular coil suitable for MRS studies in small phantoms and small animal models with a clinical 3T scanner. In particular, the circular coil could be an improvement in animal experiments for tumor studies in which the lesions are localized in specific areas. Material and methods: The magnetic field pattern was calculated using the Biot–Savart law and the inductance was evaluated with analytical calculations. Finally, the coil sensitivity was measured with the perturbing sphere method. Successively, a prototype of the coil was built and tested on the workbench and by the acquisition of MRS data. Results: In this work, we demonstrate the design trade-offs for successfully developing a dedicated coil for MRS experiments in small phantoms and animals with a clinical scanner. The coil designed in the study offers the potential for obtaining MRS data with a high SNR and good spectral resolution. Conclusions: The paper provides details of the design, modelling, and construction of a dedicated circular coil, which represents a low cost and easy to build answer for MRS experiments in small samples with a clinical scanner.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"83 1","pages":"269 - 276"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90295845","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":"Nanoscale dosimetric consequences around bismuth, gold, gadolinium, hafnium, and iridium nanoparticles irradiated by low energy photons","authors":"A. Mesbahi, E. Mansouri, M. Mohammadzadeh","doi":"10.2478/pjmpe-2020-0027","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0027","url":null,"abstract":"Abstract In the current study, nanoscale physical dose distributions around five potential nanoparticles were compared. Five potential nanoparticles including bismuth, gold, gadolinium, hafnium, and iridium nanoparticles in the form of a sphere with a diameter of 50 nm were simulated in a water medium. The MCNPX (2.7.0) Monte Carlo code with updated libraries was used for calculations of electron dose deposition and electron flux in water from 25 nm up to 4000 nm with a step of 25 nm. Also, secondary electron spectra after irradiation of nanoparticles with mono-energetic photons with energies of 30, 60, 100 keV were derived. The nano-scale distance-dose curves showed a very steep gradient with distance from nanoparticle surface up to 60 nm and after this point, a gradual decrease was seen. The dose deposition characteristics in the nano-scale were dependent on the type of nanoparticle as well as photon energy. Our results concluded that for each photon energy in the energy range of 30-100 keV, a suitable nanoparticle can be selected to boost the effect of energy deposition by low energy photon beams used in brachytherapy.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"11 1","pages":"225 - 234"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79651220","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":"Dose assessment in high dose rate brachytherapy with cobalt-60 source for cervical cancer treatment: a phantom study","authors":"B. K. Bour, S. Inkoom, S. Tagoe, J. Amuasi, E. Sasu, F. Hasford","doi":"10.2478/pjmpe-2020-0029","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0029","url":null,"abstract":"Abstract Transition from low dose rate brachytherapy to high dose rate brachytherapy at our department necessitated the performance of dose verification test, which served as an end-to-end quality assurance procedure to verify and validate dose delivery in intracavitary brachytherapy of the cervix and the vaginal walls based on the Manchester system. An in-house water phantom was designed and constructed from Perspex sheets to represent the cervix region of a standard adult patient. The phantom was used to verify the whole dose delivery chain such as calibration of the cobalt-60 source in use, applicator, and source localization method, the output of treatment planning with dedicated treatment planning system, and actual dose delivery process. Since the above factors would influence the final dose delivered, doses were measured with calibrated gafchromic EBT3 films at various points within the in-house phantom for a number of clinical implants that were used to treat a patient based on departmental protocol. The measured doses were compared to those of the treatment planning system. The discrepancies between measured doses and their corresponding calculated doses obtained with the treatment planning system ranged from -29.67 to 40.34% (mean of ±13.27%). These compared similarly to other studies.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"37 1","pages":"243 - 250"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87037690","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":"Monte Carlo characterization of the gold nanoparticles dose enhancement and estimation of the physical interactions weight in dose enhancement mechanism","authors":"M. Mohammadzadeh, Hosein Ghiasi","doi":"10.2478/pjmpe-2020-0026","DOIUrl":"https://doi.org/10.2478/pjmpe-2020-0026","url":null,"abstract":"Abstract Radiosensitization of the cancer cells by the heavy atoms of nanoparticles was the subject of some studies. But, the physical characterization to determine the weight of all interactions hasn’t been made numerically. The aim of this study was to calculate and compare the dose enhancement (DE) for different energies. The Monte Carlo simulation method was used in the current study. The influence of gold nanoparticles (GNP) size, beam quality, the GNP concentration, and dose inhomogeneity on the radiosensitization by DE was studied. A 35% increase in the photoelectric effect was observed while energy decreased from 18 MV to 300 kV. In the microscopic study which DE calculated in 30 µm from a single GNP, a 79% decreasing in DE within the first 1µm was seen and it declined to 2% in 30 µm from the GNP center. The effect was observed at small distances only. Our study revealed that the dose inhomogeneity around a nanoparticle is the main and very strong effect of DE on a macroscopic scale. In the location which 35% DE occurs most malignant cells survival will be effectively reduced. Our research indicates the need for further research.","PeriodicalId":53955,"journal":{"name":"Polish Journal of Medical Physics and Engineering","volume":"29 1","pages":"217 - 223"},"PeriodicalIF":0.4,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91229937","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}