To assess the radiological properties of racemosa wooden dust (RWD) and Poly (methyl methacrylate) (PMMA) for design and fabrication of a thoracic phantom for radiation dose verification in megavoltage X-ray beam. The computed tomography images of RWD and PMMA were used to determine the radiological properties viz., Hounsfield units (HUs), relative electron density (RED) and mass density (MD). The estimated HUs, RED and MD were -828.2 +/- 11.9, 0.172 +/- 0.012, 0.150 +/- 0.012 g/cc and 108.5 +/- 7.3, 1.104 +/- 0.004, 1.088 +/- 0.005 g/cc for RWD and PMMA, respectively. The radiological properties of RWD and PMMA were in congruence with the value detailed in literature for lung tissue and muscle tissue of human body. Therefore, a phantom was design and fabricated using the combination of RWD and PMMA for radiation dose verification prior to radiation delivery to the cancer patients. The average deviation between dose computation engine and Ion-chamber estimations were within the stipulated tolerance (+/- 3%). Thus, it was culminated that RWD and PMMA can be utilized for design and fabrication of phantom, which vindicates precise information about the quality assurance program for thoracic cancer patient treated using mega-voltage X-ray beam. (c) 2020 Elsevier Ltd. All rights reserved. Selection and peer-review under responsibility of the scientific committee of the National Conference on Functional Materials: Emerging Technologies and Applications in Materials Science.
Aim: We aimed to evaluate the dosimetric influence of Acuros XB (AXB) dose-to-medium (Dm) and dose-to-water (Dw) reporting mode on carcinoma cervix using intensity-modulated radiation therapy (IMRT) and RapidArc (RA) technique. Materials and Methods: A cohort of thirty patients cared for carcinoma cervix was retrospectively selected for the study. Plans were computed using analytical anisotropic algorithm (AAA), AXB-Dm, and AXB-Dw algorithms for dosimetric comparison. A paired t-test and Pitman–Morgan dispersion test were executed to appraise the difference in mean values and the inter-patient variability of the differences. Results: The dose–volume parameters were higher for AXB-Dw in contrast to AAA for IMRT and RA plans, excluding D98%, minimum dose to planning target volume (PTV) and rectum mean dose (RA). There was no systematic trend observed in dose–volume parameters for PTV and organs at risk (OARs) between AXB-Dm and AXB-Dw for IMRT and RA plans. The dose–volume parameters for target were higher for AXB-Dm in comparison to AAA in IMRT and RA plans, except D98% and minimum dose to PTV. Analysis envisaged less inter-patient variability while switching from AAA to AXB-Dm in comparison to those switching from AAA to AXB-Dw. Conclusions: The present study reveals the important difference between AAA, AXB-Dm, and AXB-Dw computations for cervix carcinoma using IMRT and RA techniques. The inter-patient variability and systematic difference in dose–volume parameters computed using AAA, AXB-Dm, and AXB-Dw algorithms present the possible impact on the dose prescription to PTV and their relative constraints to OARs for IMRT and RA techniques. This may help in the decision-making in clinic while switching from AAA to AXB (Dm or Dw) algorithm for cervix carcinoma using IMRT and RA techniques.
Background Acuros XB (AXB) may predict better rectal toxicities and treatment outcomes in cervix carcinoma. The aim of the study was to quantify the potential impact of AXB computations on the cervix radiotherapy using the RapidArc (RA ) technique as compared to anisotropic analytical algorithm (AA) computations. Materials and methods A cohort of 30 patients previously cared for cervix carcinoma (stages II–IIIB) was selected for the present analysis. The RA plans were computed using AA and AXB dose computation engines under identical beam setup and MLC pattern. Results There was no significant (p > 0.05) difference in D95% and D98% to the planning target volume (PTV); moreover, a significant (p < 0.05) rise was noticed for mean dose to the PTV (0.26%), D50% (0.26%), D2% (0.80%) and V110% (44.24%) for AXB computation as compared to AA computations. Further, AXB estimated a significantly (p < 0.05) lower value for maximum and minimum dose to the PTV. Additionally, there was a significant (p < 0.05) reduction observed in mean dose to organs at risk (OARs) for AXB computation as compared to AA, though the reduction in mean dose was non-significant (p > 0.05) for the rectum. The maximum difference observed was 4.78% for the rectum V50Gy, 1.72%, 1.15% in mean dose and 2.22%, 1.48% in D2% of the left femur and right femur, respectively, between AA and AXB dose estimations. Conclusion For similar target coverage, there were significant differences observed between the AAA and AXB computations. AA underestimates the V50Gy of the rectum and overestimates the mean dose and D2% for femoral heads as compared to AXB. Therefore, the use of AXB in the case of cervix carcinoma may predict better rectal toxicities and treatment outcomes in cervix carcinoma using the RA technique.
Purpose: This study was designed to investigate the dosimetric difference between intensitymodulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT) in head and neck cancer (HNC).The study primarily focuses on low-dose spillage evaluation between these two techniques.Methods: This retrospective study involved 45 patients with HNC.The treatment plans were generated using the IMRT and VMAT techniques for all patients.Dosimetric comparisons were performed in terms of target coverage, organ-at-risk (OAR) sparing, and various parameters, including conformity index, uniformity index, homogeneity index, conformation number, low-dose volumes, and normal tissue integral dose (NTID).Results: No significant (P>0.05)difference in planning target volume coverage (D 95% ) was observed between IMRT and VMAT plans for supraglottic larynx, hard palate, and tongue cancers.A decrease in dose volumes ranging from 1 Gy to 30 Gy was observed for VMAT plans compared with those for IMRT plans, except for V 1Gy and V 30Gy for supraglottic larynx cancer and V 1Gy for tongue cancer.Moreover, decreases (P<0.05) in NTID were observed for VMAT plans compared with that for IMRT plans in supraglottic larynx (4.50%), hard palate (12.80%), and tongue (7.76%) cancers.In contrast, a slight increase in monitor units for VMAT compared with those for IMRT in supraglottic larynx (0.46%), hard palate (2.54%), and tongue (7.56%) cancers. Conclusions:For advanced-stage HNC, both IMRT and VMAT offer satisfactory clinical plans.VMAT offers a conformal and homogeneous dose distribution with comparable OAR sparing and higher dose falloff outside the target volume than IMRT, which provides an edge to reduce the risk of secondary malignancies for HNC over IMRT.
Introduction: To compare the dosimetric outcomes of 6 and 10 MV flattening filter free beam (FFFB) energies in gynaecological malignancies RapidArc (RA) planning. Material and Methods: The RA plans were generated for a cohort of 20 patients using 6 and 10 MV FFFBs. The plans aimed to deliver a dose of 50.4Gy in 28 fractions to planning target volume (PTV); moreover, planning objectives were kept as low as reasonably achievable for organs at risk (OARs). Dosimetric analysis was performed in terms of PTV coverage, conformity index (CI), homogeneity index (HI), dose to OAR’s, integral dose to normal tissue (NTID), and total number of monitor units (MU’s). Results: According to the results, volumes of PTV receiving prescription dose and CI values were 95.03±0.10% and 95.02±0.18%, as well as 1.018±0.028 and 1.024±0.027, respectively. Moreover, HI values were estimated at 1.063±0.008 and 1.068±0.010. Additionally, the corresponding values of mean NTID and MUs were 280.3±42.5 and 267.9±39.1 (liter-Gy), as well as 610.3±30.3 and 630.6±39.7 for FFFB using 6 and 10 MV, respectively. The 6 and 10 MV FFFBs were statistically similar in terms of mean dose to bladder, rectum and both femoral heads, while comparison yielded significant difference (p <0.05) in terms of HI, CI, MUs and NTID. Conclusion: The FFFB of 6MV was found superior, compared to 10MV, for RA planning in case of gynaecological malignancies. Moreover, it offers better HI and CI values, as well as fewer numbers of MUs (3.33%). In addition, it delivers more NTID (4.42%) for similar target coverage and OAR’s sparing.
Aim: To validate the Acuros® XB (AXB) algorithm in Eclipse treatment planning system (TPS) for RapidArc™ (RA) technique following the software upgrades. Materials and Methods: A Clinac-iX (2300CD) linear accelerator and Eclipse TPS (Varian Medical System, Inc., Palo Alto, USA) was used for commissioning of AXB algorithm using a 6 megavolts photon beam. Percentage depth dose (PDD) and profiles for field size 2 cm × 2 cm, 4 cm × 4 cm, 6 cm × 6 cm, 10 cm × 10 cm, 20 cm × 20 cm, 30 cm × 30 cm to 40 cm × 40 cm were taken. AXB calculated PDDs and profiles were evaluated against the measured and analytical anisotropic algorithm (AAA)-calculated PDDs and profiles. Test sites recommended by American Association of Physicists in Medicine task group (AAPM TG)-119 recommendation were used for RA planning and delivery verification using AXB algorithm. Results: Dosimetric analysis of AXB calculated data showed that difference between calculated and measured data for PDD curves were maximum <1% beyond the depth of dose maximum and computed profiles in central region matches with maximum <1% for all considered field sizes. Ion-chamber measurements showed that the average confidence limit (CLs) was 0.034 and 0.020 in high-gradient and 0.047 and 0.042 in low-gradient regions, respectively, for AAA and AXB calculated RA plans. Portal measurements show the average CLs were 2.48 and 2.58 for AAA and AXB-calculated RA plans, with gamma passing criteria of 3%/3 mm. Conclusions: AXB shows excellent agreement with measurements and AAA calculated data. The CLs were consistent with the baseline values published by TG-119. AXB algorithm has the potential to perform photon dose calculation with comparable fast calculation speed without negotiating the accuracy. AAPM TG-119 was successfully implemented to access the proper configuration of AXB algorithm following the TPS upgrade.
AIM:To investigate the impact of Acuros XB (AXB) algorithm in the deep-inspiration breath-hold (DIBH) technique used for treatment of left sided breast cancer.BACKGROUND:AXB may estimate better lung toxicities and treatment outcome in DIBH.MATERIALS AND METHODS:Treatment plans were computed using the field-in-field technique for a 6 MV beam in two respiratory phases - free breathing (FB) and DIBH. The AXB-calculations were performed under identical beam setup and the same numbers of monitor units as used for AAA-calculation.RESULTS:Mean Hounsfield units (HU), mass density (g/cc) and relative electron density were -782.1 ± 24.8 and -883.5 ± 24.9; 0.196 ± 0.025 and 0.083 ± 0.032; 0.218 ± 0.025 and 0.117 ± 0.025 for the lung in the FB and DIBH respiratory phase, respectively. For a similar target coverage (p > 0.05) in the DIBH respiratory phase between the AXB and AAA algorithm, there was a slight increase in organ at risk (OAR) dose for AXB in comparison to AAA, except for mean dose to the ipsilateral lung. AAA predicts higher mean dose to the ipsilateral lung and lesser V20Gy for the ipsilateral and common lung in comparison to AXB. The differences in mean dose to the ipsilateral lung were 0.87 ± 2.66 % (p > 0.05) in FB, and 1.01 ± 1.07% (p < 0.05) in DIBH, in V20Gy the differences were 1.76 ± 0.83% and 1.71 ± 0.82% in FB (p < 0.05), 3.34 ± 1.15 % and 3.24 ± 1.17 % in DIBH (p < 0.05), for the ipsilateral and common lung, respectively.CONCLUSION:For a similar target volume coverage, there were important differences between the AXB and AAA algorithm for low-density inhomogeneity medium present in the DIBH respiratory phase for left sided breast cancer patients. DIBH treatment in conjunction with AXB may result in better estimation of lung toxicities and treatment outcome.
The aim of this study was to validate Acuros XB (AXB) algorithm for photon dose calculation on an indigenously fabricated low-density heterogeneous phantom. Phantom was fabricated using poly (methyl methacrylate) (PMMA) and racemosa wood. The measured Hounsfield units, relative electron density, and mass density were 726.5, 0.273, and 0.212 g/cc and 201.8, 1.201, and 1.175 g/cc for racemosa and PMMA, respectively. AXB results were compared against anisotropic analytical algorithm (AAA) and ion chamber (IC) measured data for 3 cm × 3 cm and 10 cm × 10 cm field size of 6 megavolts beam. AXB results were in better agreement with IC measured data at all measuring points in comparison to AAA. The discrepancies between AXB and IC measured data were 1.3%–2.2% for 3 cm × 3 cm, −1.5%–−0.9% for 10 cm × 10 cm at low-density region, and −3.6%–−1.6% for 3 cm × 3 cm, and −1.4%–−0.8% for 10 cm × 10 cm at secondary buildup region, whereas discrepancies between AAA and measured data were 1.6%–3.6% for 3 cm × 3 cm, −4.6%–−3.4% for 10 cm × 10 cm at low-density region, and within −5.3%–−2.1% for 3 cm × 3 cm and −1.5%–1.0% for 10 cm × 10 cm at the secondary build-up region. Therefore, AXB is more appropriate in dealing with low-density heterogeneity in comparison to AAA.
Background: Metallic implant in radiotherapy leads to difficulty in tumor target and critical organ delineation. Four-field box technique is conventional approach to treat pelvic malignancies. Aim of the Study: The aim of study is to evaluate the dosimetric impact of calculation algorithms in the treatment of carcinoma cervix with metallic implants. Materials and Methods: A paraffin wax-coated iron rod was used to evaluate the beam characteristics under the influence of metallic implant. Beam characteristics such as tissue phantom ratio (TPR20,10) were measured and analyzed. 15 patients with and without metallic prosthesis of carcinoma cervix were compared in the study. Planning was done for the prescription dose of 45 Gy/25 fractions. Plans were calculated using AAA algorithm and recalculated using Acuros XB (AXB) and pencil beam convolution algorithms for the same monitor units. RTOG and Quantec Protocol were used for plan evaluation. Results: Transmission and TPR20,10increases with field size and beam energy. Surface dose Dsalso increases with field size. D98%and D2%of planning target volume showed a significant difference for AAA versus AXB. 4FN (AAA) are significantly better for all the 4F plans, calculated by three algorithms in case of V15Gyof small bowel. Analyzed data indicated the significant attenuation caused by high-Z material. Analyzed value of conformity index showed that value of index comes >1 in all the cases. Conclusion: The results indicate that when creating treatment plans for cervical cancer lesions with metallic prosthesis, the AAA algorithm would be a more appropriate choice.
To fabricate a cost effective low density heterogeneous phantom with the combination of racemosa wood and Poly (methyl methacrylate) (PMMA) for dose verification in the high energy photon beam. The use of solid tissue equivalent material for dose verification is a well accepted and common practice for dosimetric studies. The measured Hounsfield units (HU), relative electron density, mass density were -776.6 +/- 72.4, 0.223 +/- 0.072, 0.202 +/- 0.073 g/cc and 168.4 +/- 35.3, 1.133 +/- 0.017, 1.124 +/- 0.021 g/cc for racemosa and PMMA respectively. The measured mass density for racemosa and PMMA were comparable to the value reported in literature for lung density (0.2-0.5 g/cc) and muscle tissue (1.059 g/cc). Depth of isodose curves of 80%, 75% and 70% were less in the uniform density of PMMA phantom, in comparison to heterogeneous PMMA-Wood-PMMA (PWP) fabricated phantom, due to less attenuation of photon beam in racemosa wood. Average percentage difference between ion chamber measured dose and AAA calculated dose was within +/- 3%, but the difference was higher for low density PWP heterogeneous phantom in comparison to the uniform density PMMA homogeneous phantom for patient specific QA. Results indicate that PWP phantom warrant more precise information regarding the dose deposition. Therefore, based on the measured properties of racemosa/PMMA and dose deposition patterns of photon beam in PWP heterogeneous (low density) phantom, it was concluded that racemosa and PMMA can simulate the lung and muscle tissue of thoracic region in a human body. This phantom will certainly enhance the practice of patient specific QA for lung cancer patients, treated using high energy radiation beam.
To evaluate the feasibility of flattening filter free beam (FFFB) for the treatment of gastric tumors and to review their benefits over 6MV flatten beam (6MV_FFB).
Aim: This study validated the RapidArc (RA) delivery using a volumetric ArcCHECK phantom as per the guidelines proposed in Task Group Report 119 from the American Association of Physicists in Medicine Task group 119 (AAPM TG 119). This study also investigated the impact of the Acuros XB (AXB) algorithm in comparison to analytical anisotropic algorithm (AAA) on the RA dose calculations in the homogeneous medium of the ArcCHECK phantom. Materials and Methods: A volumetric ArcCHECK phantom along with AAPM TG 119 tests was used to evaluate the RA plans and verify the dose delivery for photon beam of 6 MV energy. Results: The RA planning results were comparable and satisfied the planning criteria stated in the TG 119 report for all test cases. The average percentage gamma passing rates for the AAA-calculated plans were 98.5 (standard deviation [SD]: 0.6), 98.5 (SD: 1.3), and 98.1 (SD: 2.0) and for the AXB-calculated plans were 95.1 (SD: 1.8), 96.1 (SD: 1.3), and 94.0 (SD: 0.9) for the Clinac-iX (6 MV) and TrueBeam (TB)-STx (6 MV_filtered beam [FB] and 6 MV_flattening filter-free beam [FFFB]), respectively. For ion chamber measurements, the average percentage dose differences for the AAA-calculated plans were 1.5 (SD: 2.5), 2.7 (SD: 1.4), and 1.4(SD: 2.7) and for AXB-calculated plans were 2.3 (SD: 1.6), 3.2 (SD: 1.5), and 2.3 (SD: 2.0) for Clinac-iX (6 MV) and TB-STx (6 MV_FB and 6 MV_FFFB), respectively. Conclusion: Thus, the ArcCHECK can successfully be utilized for the validation of the RA delivery. The AXB has potential to perform dose calculations comparable to those of the AAA for RA plans in the homogeneous medium of the ArcCHECK phantom.
While several potential applications of CuFeS2 quantum dots have already been reported, doubts regarding their optical and physical properties persist. In particular, it is unclear if the quantum dot material is metallic, a degenerately doped semiconductor, or else an intrinsic semiconductor material. Here we examine the physical properties of CuFeS2 quantum dots in order to address this issue. Specifically, we study the bump that is observed in the optical spectra of these quantum dots at ∼500 nm. Using a combination of structural and optical characterization methods, ultrafast spectroscopy, as well as electronic structure calculations, we ascertain that the unusual purple color of CuFeS2 quantum dots as well the golden luster of CuFeS2 films arise from the existence of a plasmon resonance in these materials. While the presence of free carriers causes this material to resemble gold, surface treatments are also described to suppress the plasmon resonance altogether.
Present paper describes the study of glass transition kinetics of Ge25-xSe75Sbx (x =12, 15 and 18) glassy alloys using Differential Scanning Calorimetery (DSC). The glassy alloys have been prepared by rapid quenching of melt technique. For structural characterization XRD and EDAX techniques have been used. DSC thermograms have been recorded at heating rates 5, 10, 15 and 20 K/min. from room temperature to 550 degrees C. Heating rate dependence of glass transition temperature has been studied by Lasocka's empirical relation. Dependence of glass transition temperature on Sb content in Ge-Se-Sb glassy alloys has also been discussed. Sb has been added at the cost of Ge in Ge-Se-Sb glassy series. Activation energy of glass transition has been evaluated by Kissinger Peak shift method. Glass transition temperature and activation energy of glass transition, both, show the dependence on composition of glassy samples. This has been accounted for band formation in the samples.
_____________________________________________________________________________________________________Gy in 28 fractions.Plans were evaluated based on the ability to meet the dose volume histogram.The homogeneity index (HI), conformity index (CI) of target volume, the dose of organs at risk, radiation delivery time and monitor units were also compared.Paired T-test model analysis was used to analyse the two sets of data. Results:The results showing that postoperative endometrial carcinoma can be implemented CDR-CAS-IMAT plans on conventional Varian 23EX Linac for smoothly and quickly at busy cancer center.Comparing with the IMRT techonology CDR-CAS-IMAT plans can meet the clinical demand(see Figure1), gives comparable OAR and improved CI of PTV (see.Table 1), can reduction treatment time ((84.6±7.8)sVs. (422.7±46.7)s),MU((787.5±78.5)MUVs.(927.4±79.1)MU)and high dose irradiated volume; while increase the low dose irradiated volume of healthy tissues and the volume of the bladder and bowel irradiated 40 Gy and 30Gy, respectively.This point needs to pay attention to implementation in clinical.There were no significant differences in other statistical index.Conclusion: Endometrial carcinoma patients with CDR-CAS-IMAT on Varian Clinical 23IX can get equivalent or superior dose distribution compared with the IMRT technology.CDR-CAS-IMAT have much less treatment time and MU can reduce the uncertainty factor and patient discomfort in treatment.
Using angle-resolved photoemission spectroscopy (ARPES), we studied the effect of the impurity potential on the electronic structure of FeTe0.5Se0.5 superconductor by substituting 10% of Ni for Fe, which leads to an electron doping of the system. We could resolve three hole pockets near the zone center and an electron pocket near the zone corner in the case of FeTe0.5Se0.5, whereas only two hole pockets near the zone center and an electron pocket near the zone corner are resolved in the case of Fe0.9Ni0.1Te0.5Se0.5, suggesting that the hole pocket having predominantly the xy orbital character is very sensitive to the impurity scattering. Upon electron doping, the size of the hole pockets decreases and the size of the electron pockets increases as compared to the host compound. However, the observed changes in the size of the electron and hole pockets are not consistent with the rigid-band model. Moreover, the effective mass of the hole pockets is reduced near the zone center and of the electron pockets is increased near the zone corner in the doped Fe0.9Ni0.1Te0.5Se0.5 as compared to FeTe0.5Se0.5. We refer these observations to the changes of the spectral function due to the effect of the impurity potential of the dopants.
Purpose: To validate the Acuros XB algorithm implemented in Eclipse Treatment planning system version 11 (Varian Medical System, Inc., Palo Alto, CA, USA) for photon dose calculation. Methods: Acuros XB is a Linear Boltzmann transport equation (LBTE) solver that solves LBTE equation explicitly and gives result equivalent to Monte Carlo. 6MV photon beam from Varian Clinac‐iX (2300CD) was used for dosimetric validation of Acuros XB. Percentage depth dose (PDD) and profiles (at dmax, 5, 10, 20 and 30 cm) measurements were performed in water for field size ranging from 2×2,4×4, 6×6, 10×10, 20×20, 30×30 and 40×40 cm 2 . Acuros XB results were compared against measurements and anisotropic analytical algorithm (AAA) algorithm. Results: Acuros XB result shows good agreement with measurements, and were comparable to AAA algorithm. Result for PDD and profiles shows less than one percent difference from measurements, and from calculated PDD and profiles by AAA algorithm for all field size. TPS calculated Gamma error histogram values, average gamma errors in PDD curves before dmax and after dmax were 0.28, 0.15 for Acuros XB and 0.24, 0.17 for AAA respectively, average gamma error in profile curves in central region, penumbra region and outside field region were 0.17, 0.21, 0.42 for Acuros XB and 0.10, 0.22, 0.35 for AAA respectively. Conclusion: The dosimetric validation of Acuros XB algorithms in water medium was satisfactory. Acuros XB algorithm has potential to perform photon dose calculation with high accuracy, which is more desirable for modern radiotherapy environment.