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Intense low-noise terahertz generation by relativistic laser irradiating near-critical-density plasma
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作者 张世杰 周维民 +4 位作者 银燕 邹德滨 赵娜 谢端 卓红斌 《Chinese Physics B》 SCIE EI CAS CSCD 2023年第3期363-369,共7页
Low-noise terahertz(THz)radiation over 100 MV/cm generation by a linearly-polarized relativistic laser pulse interacting with a near-critical-density(NCD)plasma slab is studied by theory and particle-in-cell(PIC)simul... Low-noise terahertz(THz)radiation over 100 MV/cm generation by a linearly-polarized relativistic laser pulse interacting with a near-critical-density(NCD)plasma slab is studied by theory and particle-in-cell(PIC)simulations.A theoretical model is established to examine the dipole-like radiation emission.The THz radiation is attributed to the singlecycle low-frequency surface current,which is longitudinally constrained by the quasi-equilibrium established by the laser ponderomotive force and the ponderomotively induced electrostatic force.Through theoretical analysis,the spatiotemporal characteristics,polarization property of the THz radiation,and the relation between the radiation strength with the initial parameters of driving laser and plasma are obtained,which are in good consistence with the PIC simulation results.Furthermore,it is found by PIC simulations that the generation of thermal electrons can be suppressed within the appropriate parameter regime,resulting in a clear THz radiation waveform.The appropriate parameter region is given for generating a low-noise intense THz radiation with peak strength reaching 100 MV/cm,which could find potential applications in nonlinear THz physics. 展开更多
关键词 intense terahertz radiation relativistic laser–plasma interactions particle-in-cell simulation
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Prostate specific antigen bounce after intensity-modulated radiation therapy in an Asian population
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作者 Yu Guang Tan Weber Lau Kam On +1 位作者 Hong Hong Huang Terence Tan Wee Kiat 《Asian Journal of Urology》 2016年第2期59-63,共5页
Objective:Serum prostate specific antigen(PSA)is commonly used to evaluate treatment response after definitive radiation therapy(RT).However,PSA levels can temporarily rise without a clear reason,termed“PSA bounce”,... Objective:Serum prostate specific antigen(PSA)is commonly used to evaluate treatment response after definitive radiation therapy(RT).However,PSA levels can temporarily rise without a clear reason,termed“PSA bounce”,and often engender great anxiety for both patients and physicians.The present study aimed to determine the prevalence and factors that predict“PSA bounce”after intensity-modulated radiation therapy(IMRT),and the relevance to biochemical failure and cancer recurrence in an Asian population.Methods:We retrospectively reviewed 206 patients who received IMRT for prostate cancer from 2004 to 2012 in the National Cancer Centre Singapore.These patients were followed up with regular PSA monitoring.We defined“PSA bounce”as a rise of 0.1 ng/mL,followed by two consecutive falls.Patients with biochemical failure(PSA nadir t 2 ng/mL)were further evaluated for cancer recurrence.Results:Sixty-one patients(29.6%)experienced“PSA bounce”,at a median time of 16 months and lasted for 12 months.Age remained the most consistent predictor of the incidence,duration and extent of“PSA bounce”.Other contributory factors included baseline PSA,Gleason score and PSA nadir.Hormonal therapy and prostate volume did not affect this phenomenon.Sixteen patients(7.8%)developed biochemical recurrence,at median time of 32 months,of which 11 were confirmed to have metastatic disease.The median follow-up time was 71 months. 展开更多
关键词 Prostate specific antigen Prostate specific antigen bounce Prostate cancer Intensity modulated radiation therapy
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Helical tomotherapy and volumetric modulated arc therapy:New therapeutic arms in the breast cancer radiotherapy 被引量:7
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作者 Olivier Lauche Youlia M Kirova +8 位作者 Pascal Fenoglietto Emilie Costa Claire Lemanski Celine Bourgier Olivier Riou David Tiberi Francois Campana Alain Fourquet David Azria 《World Journal of Radiology》 CAS 2016年第8期735-742,共8页
AIM To analyse clinical and dosimetric results of helical tomotherapy(HT) and volumetric modulated arc therapy(VMAT) in complex adjuvant breast and nodes irradiation.METHODS Seventy-three patients were included(31 HT ... AIM To analyse clinical and dosimetric results of helical tomotherapy(HT) and volumetric modulated arc therapy(VMAT) in complex adjuvant breast and nodes irradiation.METHODS Seventy-three patients were included(31 HT and 42 VMAT). Dose were 63.8 Gy(HT) and 63.2 Gy(VMAT) in the tumour bed, 52.2 Gy in the breast, 50.4 Gy in supraclavicular nodes(SCN) and internal mammary chain(IMC) with HT and 52.2 Gy and 49.3 Gy in IMC and SCN with VMAT in 29 fractions. Margins to particle tracking velocimetry were greater in the VMAT cohort(7 mm vs 5 mm).RESULTS For the HT cohort, the coverage of clinical target volumes was as follows: Tumour bed: 99.4% ± 2.4%; breast: 98.4% ± 4.3%; SCN: 99.5% ± 1.2%; IMC:96.5% ± 13.9%. For the VMAT cohort, the coverage was as follows: Tumour bed: 99.7% ± 0.5%, breast: 99.3% ± 0.7%; SCN: 99.6% ± 1.4%; IMC: 99.3% ± 3%. For ipsilateral lung, Dmean and V20 were 13.6 ± 1.2 Gy, 21.1% ± 5%(HT) and 13.6 ± 1.4 Gy, 20.1% ± 3.2%(VMAT). Dmean and V30 of the heart were 7.4 ± 1.4 Gy, 1% ± 1%(HT) and 10.3 ± 4.2 Gy, 2.5% ± 3.9%(VMAT). For controlateral breast Dmean was 3.6 ± 0.2 Gy(HT) and 4.6 ± 0.9 Gy(VMAT). Acute skin toxicity grade 3 was 5% in the two cohorts.CONCLUSION HT and VMAT in complex adjuvant breast irradiation allow a good coverage of target volumes with an acceptable acute tolerance. A longer follow-up is needed to assess the impact of low doses to healthy tissues. 展开更多
关键词 Three-dimensional conformal radiotherapy Intensity modulated radiation therapy TOXICITY Helical tomotherapy Volumetric modulated arc therapy Breast cancer radiotherapy
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Theoretical and experimental study of the intensity distribution in biological tissues 被引量:2
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作者 许棠 张春平 +3 位作者 陈桂英 田建国 张光寅 赵承梅 《Chinese Physics B》 SCIE EI CAS CSCD 2005年第9期1813-1820,共8页
Based on the diffusion approximate theory (DA), a theoretical model about the distribution of the intensity of a narrow collimation beam illuminating on a semi-lnfinite biological tissue is developed. In order to ve... Based on the diffusion approximate theory (DA), a theoretical model about the distribution of the intensity of a narrow collimation beam illuminating on a semi-lnfinite biological tissue is developed. In order to verify the correctness of the model, a novel method of measuring the distributions of the intensity of light in Intralipid-10% suspension at 650 nm is presented and ts of the distributions of the distance-dependent intensity of scattering light in different directions are made. The investigations show that the results from our diffusion model are in good agreement with the experimental results beyond and in the areas around the light source, and the distance-dependent intensity in the incident direction attenuates approximately in the exponential form. Furthermore, our theoretic results indicate the anisotropic characteristics of the intensity in different directions of scattering light inside the biological tissue. 展开更多
关键词 biological tissue light distribution radiation intensity
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Hypersonic impact flash characteristics of a long-rod projectile collision with a thin plate target 被引量:1
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作者 Yi-jiang Xue Qing-ming Zhang +4 位作者 Dan-yang Liu Ren-rong Long Yang-yu Lu Tian-fei Ren Liang-fei Gong 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2021年第2期375-383,共9页
Impact flash occurs when objects collide at supersonic speeds and can be used for real-time damage assessment when weapons rely on kinetic energy to destroy targets.However,the mechanism of impact flash remains unclea... Impact flash occurs when objects collide at supersonic speeds and can be used for real-time damage assessment when weapons rely on kinetic energy to destroy targets.However,the mechanism of impact flash remains unclear.A series of impact flash experiments of flat-head long-rod projectiles impacting thin target plates were performed with a two-stage light gas gun.The impact flash spectra for 6061 aluminum at 1.3e3.2 km/s collision speeds were recorded with a high-speed camera,a photoelectric sensor,and a time-resolved spectrometer.The intensity of the impact flash exhibited a pulse characteristic with time.The intensity(I)increased with impact velocity(V0)according to IfVn 0,where n?4.41 for V0>2 km/s.However,for V0<2 km/s,n?2.21,and the intense flash duration is an order of magnitude less than that of higher V0.When V0>2 km/s,a continuous spectrum(thermal radiation background)was observed and increased in intensity with V0.However,for V0<2 km/s,only atomic line spectra were detected.There was no aluminum spectral lines for V0<2 km/s,which indicated that it had not been vaporized.The initial intense flash was emission from excited and ionized ambient gases near the impact surface,and had little relationship with shock temperature rise,indicating a new mechanism of impact flash. 展开更多
关键词 Hypersonic impact flash radiation intensity Impact flash mechanism Environmental luminescence
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Dose Distribution Verifications of IMRT for NPC 被引量:1
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作者 李勤 李良 +1 位作者 韩军 梁志文 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2009年第5期673-676,共4页
In order to explore a dose distribution verification procedure of intensity modulated radiation therapy (IMRT) for nasopharyngeal carcinoma (NPC) and establish its evaluation criteria, we performed 35 two-dimensio... In order to explore a dose distribution verification procedure of intensity modulated radiation therapy (IMRT) for nasopharyngeal carcinoma (NPC) and establish its evaluation criteria, we performed 35 two-dimensional (2D) patient-specific IMRT verifications over the year i006. The percent of pixels passing 7 and the normalized agreement test (NAT) index were mainly used to represent the agreement between the measured and computed dose distributions with three criteria (2%/2 mm, 3%/3 mm and 5%/3 mm) as recommended in the literature. The results were that all cases passed through verifications with three criteria except that the NAT index of one case was beyond the limitation, and the three tolerance levels of 2%/2mm, 3%/3 mm and 5%/3 mm produced similar clinical verification results but led to different percent of pixels passing Y and NAT index. Our data showed that the percent of pixels passing y and the NAT index were complementary to evaluate future IMRT verifications as two significant metrics. Due to the influence of the noise and the trait of the software, we considered an IMRT plan as acceptable in case of the percent ofpixels passing y 〉95% and the NAT index 〈5 with the 5%/3 mm criteria for IMRT patient-specific quality assurance (QA). 展开更多
关键词 dose distribution dose verification intensity modulated radiation therapy
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Research on the Properties of a Surface-Type Infrared Decoy and Effect of Multiple Launching 被引量:1
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作者 Zhengwei Wang Huijun Ning +2 位作者 Jinlong Wang Hao Wang Cheng Zhang 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2017年第2期72-79,共8页
To study the properties of a new surface-type infrared decoy,the numerical dispersion model and the infrared radiance model of the plates are established. In addition,the temperature of a single plate was measured dur... To study the properties of a new surface-type infrared decoy,the numerical dispersion model and the infrared radiance model of the plates are established. In addition,the temperature of a single plate was measured during combustion experiment,and the spatial position and infrared radiance of each plate are calculated in plate cloud by the two models respectively. Furthermore,the radar images of the plate cloud are simulated and analyzed in dependence of time and direction for single and multiple launching. The result shows that the surface-type infrared decoy can be a point source of interference when the missile is remote tracking. In the meanwhile,the plates cloud shelters the infrared characteristics of the plume and jets of aircraft when the missile is on IR imaging guidance mode. Moreover,With the analysis of the plate cloud dispersion at different intervals and the infrared radiation intensity in the case of different launching number,it can be concluded that a comfortable launching interval can maintain a continuous plate cloud,launching the decoys simultaneously increase the increment of the radiation intensity obviously,the multiple launching is an effective way to enhance the interference property of the decoy. 展开更多
关键词 ordnance science and technology surface-type infrared decoy radiation intensity multiple launching
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Treatment of Massive Low-Grade Chondrosarcoma of Nasal Septum with Helical Tomotherapy: A Case Report 被引量:1
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作者 Hamit Basaran Timur Koca +10 位作者 Sibel Karaca Ozlem Eser K&iota l&iota nc Fikriye Gul Karauc Okan Ö zdemir Ozan Kuduban Arzu Tatar Sare Ş ipal 《International Journal of Medical Physics, Clinical Engineering and Radiation Oncology》 2016年第4期263-269,共7页
Chondrosarcomas are malignant bone tumors which develop as a cartilaginous differentiation of primary mesenchymal cells and the second most frequently seen malignant tumor of the bone after osteosarcoma. These maligna... Chondrosarcomas are malignant bone tumors which develop as a cartilaginous differentiation of primary mesenchymal cells and the second most frequently seen malignant tumor of the bone after osteosarcoma. These malignancies are slowly growing non-epithelial tumors with unknown etiology and most frequently seen during the 4 decades of life. They are frequently localized on pelvis, ribs and long bones. Nasal septum CSs are very rarely seen malignancies. They originate from septal mucosa or cartilage and it is difficult to make a diagnosis unless they reach a certain size. A few cases of CSs with nasal septum have been reported in the literature. In cases of CSs, surgery is the gold standard treatment modality;however in surgically unresectable cases or close to margins, radiotherapy plays a significant role in primary and adjuvant treatment. Based on the position of the tumor in head and neck and extremely closeness of the tumor to vital organs as optic nerve, chiasm and brain, image guided-intensity modulated radiation therapy (IG-IMRT) becomes very effective and reliable modalities and may be a favorable treatment alternative. 展开更多
关键词 CHONDROSARCOMA Image Guided Intensity Modulated radiation Therapy
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STUDY ON LOCATION OF HOT SPOT AT TUBE WALL FOR FIRED CYLINDRICAL FURNACE COMBUSTION
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作者 WangTaiyong LuShizhong XüZhixue 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2004年第2期170-172,176,共4页
Based on the analysis of heat radiation intensity from flame, a new mathematical model ofthe tube-wall temperatmp of heated tubes is developed by taking down-fired, upright-tube cylindricalfurnace for example. The pro... Based on the analysis of heat radiation intensity from flame, a new mathematical model ofthe tube-wall temperatmp of heated tubes is developed by taking down-fired, upright-tube cylindricalfurnace for example. The proposed mathematical model can be employed to indicate both the positionand size of the hot spot at fire-facing wall of heated tube of combustion chamber, and is characteristicof simplicity and efficiency If coupled with thermoelectric couple or infrared viewer, the presentedlocation method of combustion hot spot can offer engineers very valuable proposal to keep furnacerunning more safely The same is true for any other type of tubular furnaces. 展开更多
关键词 Cylindrical fumace COMBUSTION Heat radiation intensity Tube-wall temperature Hot spot
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Axial Magnetic Field Effects on Xenon Short-Arc Lamps
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作者 王城 陈瑭 +2 位作者 李皖皖 查俊 夏维东 《Plasma Science and Technology》 SCIE EI CAS CSCD 2014年第12期1096-1099,共4页
The effect of an axial magnetic field (AMF) on an old xenon short-arc lamp is experimentally investigated in this work. As the AMF increases up to 18 roT, the visible radiation power and electric power ascend more t... The effect of an axial magnetic field (AMF) on an old xenon short-arc lamp is experimentally investigated in this work. As the AMF increases up to 18 roT, the visible radiation power and electric power ascend more than 80% and 70% respectively, and the radiation efficiency is improved by 23% for the best increment at 12 mT AMF. The measurement of radiation intensity shows that the increment of radiation intensity comes mostly from the plasma area close to the cathode tip, and partially from the other area of the arc column. Successive images of the arc indicate that the arc column not only rotates about its axis, but revolves around the axis of electrodes with the AMF. The arc column structure is constricted, distorted and elongated as the AMF increases. It is suggested that the improvements of the radiation intensity and radiation efficiency are attributed to the constriction of the arc column, which is mainly induced by the enhanced cathode jet. 展开更多
关键词 xenon lamp axial magnetic field (AMF) radiation intensity cathode jet
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Neoadjuvant chemoradiotherapy for locally advanced gastric cancer with bulky lymph node metastasis:Five case reports
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作者 Eiji Nomura Hajime Kayano +5 位作者 Takashi Machida Hideki Izumi Soichiro Yamamoto Akitomo Sugawara Masaya Mukai Terumitsu Hasebe 《World Journal of Clinical Cases》 SCIE 2020年第18期4177-4185,共9页
BACKGROUND Neoadjuvant chemoradiotherapy(NACRT)has not been accepted as a general therapy for gastric cancer because of its localized effect and toxicity for radiosensitive organs.However,if radiation therapy could co... BACKGROUND Neoadjuvant chemoradiotherapy(NACRT)has not been accepted as a general therapy for gastric cancer because of its localized effect and toxicity for radiosensitive organs.However,if radiation therapy could compensate for the limited or inadequate treatment choices available for elderly patients and/or those at high risk,the available therapeutic options for advanced gastric cancer might increase.From this perspective,we present our experiences of five patients with advanced gastric cancer in whom we used NACRT therapy with interesting results.CASE SUMMARY We admitted five patients with clinical Stage III gastric cancer and bulky lymph node metastasis or adjacent organ invasion at the time of diagnosis.A total of 50 Gy of preoperative intensity modulated radiation therapy was delivered to the patients in doses of 2.0 Gy/d,together with a regimen of concomitant chemotherapy comprising two courses of oral tegafur/gimeracil/oteracil(S-1;65 mg/m2 per day)for three consecutive weeks followed by two weeks of rest,starting at the same time as radiotherapy.All patients underwent no residual tumor resection and a pathological complete response of the primary tumors was achieved in two patients.The incidence of hematological toxicity was low,although the digestive toxicities of anorexia and diarrhea developed in three of the five patients,necessitating termination of radiation therapy at 30 Gy and S-1 at three weeks.However,even 30 Gy of irradiation and half the dose of S-1 resulted in sufficient downstaging,indicating that even a reduced amount of NACRT could confer considerable effects.CONCLUSION Slightly reduced NACRT might be useful and safe for patients with locally advanced gastric cancer. 展开更多
关键词 Advanced gastric cancer Neoadjuvant chemoradiotherapy Intensity modulated radiation therapy Tegafur/gimeracil/oteracil Curative resection Case report GASTRECTOMY
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Research Progress of Two-d imensional Matrix Detectors in IMRT Dose Verification
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作者 Yufen Shang Yuqing Xu Fang Wang 《Proceedings of Anticancer Research》 2021年第3期30-33,共4页
With the continuous development of science and technolog ies in China,radiotherapy technology in medical field has been very significant ly developing,and intensity modulated radiation therapy(IMRT)technology has been... With the continuous development of science and technolog ies in China,radiotherapy technology in medical field has been very significant ly developing,and intensity modulated radiation therapy(IMRT)technology has been the most widely used.This paper first introduces the components and types of two-dimensional matrix detector,two-dimensional ionization chamber matrix detector and two-dimensional semiconductor matrix detector,then analyzes the dosimetric characteristics of the two-dimensional matrix detector.In the end,the various applications of the two-dimensional matrix detector are analyzed and discussed in detail.The paper aims to promote the two-dimensional matrix detector’s development in the field of radiotherapy in China. 展开更多
关键词 Two dimensional matrix detector Intensity modulated radiation therapy technology Dose verification
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Influence of cryogenic permanent magnet undulator motion error on magnetic field error and radiation intensity loss
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作者 Shu-Chen Sun Wei-Fan Sheng +9 位作者 Hui-Hua Lu Xiao-Yu Li Shu-Tao Zhao Ling-Ling Gong Wan Chen Zhi-Qiang Li Lei Zhang Yu-Feng Yang Xiang-Zhen Zhang Ya-Jun Sun 《Radiation Detection Technology and Methods》 2018年第1期200-206,共7页
A cryogenic permanent magnet undulator prototype designed for Chinese High Energy Photon Source Test Facility(HEPSTF)at Institute of High Energy Physics is constructed and now commissioning.Motion precision of girders... A cryogenic permanent magnet undulator prototype designed for Chinese High Energy Photon Source Test Facility(HEPSTF)at Institute of High Energy Physics is constructed and now commissioning.Motion precision of girders is a significant parameter to guarantee gap error so as to avoid phase error and radiation intensity loss.In order to study and minimize girder parallelism errors,RADIA and SPECTRA are used to calculate qualified motion precision.Spring Modules and single motor closed-loop feedback are designed to compensate the errors.Magnetic field is finally tuned to reach specifications.Details of the study and analysis will be presented in this paper. 展开更多
关键词 Motion precision test Cryogenic permanent magnet undulator Phase error radiation intensity
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A Systematic Approach to Patient-Specific Quality Assurance for Volumetric Modulated Arc Therapy
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作者 SONG Yu-lin Ceferino Obcemea +1 位作者 Boris Mueller Borys Mychalczak 《Chinese Journal of Biomedical Engineering(English Edition)》 CSCD 2015年第2期58-65,共8页
We developed the first non-commercial treatment planning system for volumetric modulated arc therapy(VMAT) in the United States. Because VMAT involves multi-parameter modulations, it is imperative to develop a compreh... We developed the first non-commercial treatment planning system for volumetric modulated arc therapy(VMAT) in the United States. Because VMAT involves multi-parameter modulations, it is imperative to develop a comprehensive, rigorous and yet, practical procedure for routine patient-specific quality assurance(QA). In this paper, we presented our own approach as being currently implemented in our institution.Our patient-specific QA procedure involves multi-levels: pre-treatment QA,on-treatment QA, and posttreatment QA. The pre-treatment QA focuses on dosimetry verification, which is done with the commercial Map CHECK in Map PHAN mounted on an isocentric mounting fixture(IMF). This method is also referred to the fixed-gantry technique,i.e., the beams always remain perpendicular to the detector plane. The on-treatment QA involves in vivo optically stimulated luminescent dosimetry(OSLD).Prior to the treatment, two nano Dot TM OSLD dosimeters are placed on the patient abdomen under 1 cm bolus at the isocenter location. The irradiated dosimeters are then read by a nano Dot TM reader and the average reading of the two is calculated. The post-treatment QA involves the analysis of the Dyna Log and DLog files. The Dyna Log is a treatment log file that contains the planned and actual leaf positions at a given gantry angle. The DLog is a treatment log file that contains the planned segmented treatment table(STT) and the corresponding segment boundary samples, i.e., the actual delivered MU and gantry angle increment at each control point. 展开更多
关键词 volumetric modulated arc therapy(VMAT) quality assurance intensity modulated radiation therapy(IMRT) rapid arc
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The role of radiotherapy in the treatment of oral cavity cancer
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作者 Joaquín J.Cabrera-Rodríguez 《Plastic and Aesthetic Research》 2016年第1期158-166,共9页
Radiotherapy plays a critical role in the treatment of oral cavity squamous cell carcinoma as monotherapy in early stage cancer or combined with surgery and/or chemotherapy in advances ones.Recent developments in the ... Radiotherapy plays a critical role in the treatment of oral cavity squamous cell carcinoma as monotherapy in early stage cancer or combined with surgery and/or chemotherapy in advances ones.Recent developments in the imaging of cancer and radiation technology have allowed developing more precise delivery of treatment with recent data demonstrating improvement in survival and lessening of adverse toxics effects of radiation.This review will focus in the recent advances and current state-of-the-art in radiation oncology both external beam radiotherapy and brachytherapy.As complexity of cancer treatments increases a close coordination between head-neck surgeons and radiation oncologist is needed due to a significant proportion of patients will be treated with combined modality therapy. 展开更多
关键词 RADIOTHERAPY intensity modulated radiation therapy high dose rate low dose rate head neck cancer BRACHYTHERAPY
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Adaptive Dose-Compensation Technique for Image-Guided Radiotherapy of Prostate Cancer
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作者 WU Qiu-wen 《Chinese Journal of Biomedical Engineering(English Edition)》 2018年第2期74-80,共7页
Background: For image-guided radiotherapy(IGRT) of prostate cancer, the current standard is online image guidance which can effectively correct setup errors and inter-fraction rigid organ motion. However, planning mar... Background: For image-guided radiotherapy(IGRT) of prostate cancer, the current standard is online image guidance which can effectively correct setup errors and inter-fraction rigid organ motion. However, planning margins are still necessary for deformation and intra-fraction motion. Objective: This paper aims to investigate an adaptive planning technique incorporating offline dose feedback to manage interfraction motion and residuals from online corrections. Methods:Repeated CT scans from 28 patients were studied. Online IG was simulated by matching center-of-mass of prostate. A seven-beam IMRT plan with zero margins was designed for each patient. Dose distribution at each fraction was evaluated based on actual target and OARs from that fraction. Cumulative dose was calculated using deformable registration and compared to initial plan. If deviation exceeded pre-defined 2% threshold in prostate D99 an adaptive planning technique called dose compensation was invoked, in which cumulative dose was fed back to the planning system and dose deficit was made up through boost radiation in future fractions through IMRT. Results: If 2% under-dose was allowed at the end of course, then 11 patients failed. If the same criteria was assessed at the end of each week(every 5 fractions), then 14 patients failed. The average dose deficit for these 14 patients was4.4%. They improved to 2% after weekly compensation. 10(out of 14) patients passed criterion after weekly dose compensation; 3 failed marginally; 1 failed significantly(10% deficit). A more aggressive compensation frequency(every 3 fractions) could reduce the dose deficit to the acceptable level for this patient. The doses to OARs were not significantly different from online IG only without dose compensation.Conclusion: We demonstrated an offline dose compensation technique in prostate IGRT which can effectively account for residual uncertainties uncorrectable in online IG. Dose compensation allows further margin reduction and critical organs sparing. 展开更多
关键词 adaptive radiation therapy image-guided radiation therapy intensity modulated radiation therapy prostate inter-fraction motion
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