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Monte Carlo simulations of x-ray energy spectra in kilovoltage radiotherapy using the PENELOPE code 使用 PENELOPE 代码对千伏放疗中的 X 射线能谱进行蒙特卡罗模拟
Pub Date : 2024-07-01 DOI: 10.15406/ijrrt.2024.11.00391
Aguirre E, de Almeida C.E
The Monte Carlo method was applied using the PENELOPE code to simulate the transport of particles in two different x-ray tubes. This method is considered the most important and accurate for simulations and calculations in different branches of science, including medical physics. The tubes were modeled according to the manufacturer’s specifications, and the simulations were divided into two stages due to the computational time. The scope of the work was to obtain in greater detail photon spectra of different qualities of beams in the orthovoltage range used in radiotherapy, since few works have, yet been developed for this energy range. A detailed analysis was carried out by comparing to the spectra results obtained using the SpekCalc software for the different qualities of radiation in the two stages. Mean energy values along with the first and second half-value layers (HVLs) of each energy were determined with the respective differences between them. Different discrepancies were found in most cases, and so it is vitally important to consider each situation independently. Finally, secondary electron energy spectra in the second stage of each quality were presented with their respective mean energies, an important parameter considered in the dose deposition of the different experimental geometries that use such qualities.
使用 PENELOPE 代码应用蒙特卡罗方法模拟粒子在两个不同 X 射线管中的传输。这种方法被认为是包括医学物理学在内的不同科学分支中最重要、最精确的模拟和计算方法。X射线管是根据制造商的规格建模的,由于计算时间的原因,模拟分为两个阶段。这项工作的范围是更详细地获取放射治疗中使用的正电压范围内不同质量光束的光子光谱,因为针对这一能量范围的工作还很少。通过比较使用 SpekCalc 软件获得的光谱结果,对两个阶段的不同辐射质量进行了详细分析。确定了平均能量值以及每种能量的第一和第二个半值层(HVL)以及它们之间的差异。在大多数情况下都发现了不同的差异,因此独立考虑每种情况是非常重要的。最后,每种质量第二阶段的二次电子能谱都有各自的平均能量,这是在使用这些质量的不同实验几何图形进行剂量沉积时需要考虑的一个重要参数。
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引用次数: 0
Assessment of symptomatic BI-RADS 4 in tertiary care hospitals of Bangladesh 孟加拉国三级医院症状性BI-RADS 4的评估
Pub Date : 2023-07-27 DOI: 10.15406/ijrrt.2023.10.00357
B. Bhowmik, Biva Chaudhary, M. Chaudhary, Leela Chaudhary, A. Datta
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引用次数: 0
Assessment of the risk of developing cerebrovascular complications in patients with type 2 diabetes mellitus on program hemodialysis 2型糖尿病患者程序性血液透析发生脑血管并发症的风险评估
Pub Date : 2023-07-11 DOI: 10.15406/ijrrt.2023.10.00356
Kholikov A Yu, Min Ji Kim, Urmanova Yu M
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引用次数: 0
Role of computed tomography for evaluation of headache without neurological deficit in tertiary care hospitals of Bangladesh 计算机断层扫描在评估孟加拉国三级医院无神经功能缺损头痛中的作用
Pub Date : 2023-06-19 DOI: 10.15406/ijrrt.2023.10.00355
Biva Chaudhary, B. Bhowmik, M. Chaudhary, Manmohan Bir Shrestha, P. Bala
Introduction: Headache is one of the most common complaints in patients pushing them for medical attention in the depart of emergency medicine and neurology clinic. Computed Tomography (CT) scan has a low yield value in patients with primary headaches without any neurological deficit. No national or international guidelines have been established yet for the clinical indication of neuroimaging. The main aim of our study is to determine the role of CT imaging in diagnosing a patient presented with a headache and evaluate the context of CT prescription in developing countries versus developed countries. Methodology: This study was a multicentric Retrospective study carried out from the data collected from Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) from 2017-2019 AD. A total of 2184 patients were included in the study who were requested for CT scans by their primary care physician. Collected data was entered and analyzed through the SPSS version 21 and Microsoft Excel 2021. Result: The total number of patients was 2184 with a predominance of females (63.02%) against males (36.98%) with a ratio of 1.7:1. CT scan findings were normal in 2060 cases which comprise 94.3 %, and positive in 124 cases accounting 5.7 % of the total study. The maximum number of cases was found in the age group between 21-30 years with 772 cases (35.3%) followed by the age group 31-40 years with 474 cases (21.7%), age group 11-20 years with 368 cases (16.8%), age group 41-50 years with 321 cases (14.67%), Age group 51-60 years with 131 cases (5.97%), age group 0-10 years with 83 cases (3.80%) and the least number of cases of 35 (1.67%) at the age group between 61-70 years. Conclusion: Computed Tomography y has a low yield value in the diagnostic evaluation of patients with headaches who had no focal neurological signs. Its overuse can cause a socio-economic burden on the patients including radiation hazards. Thus, it is not justifiable for patients with low to middle-income resource countries.
简介:头痛是急诊科和神经内科就诊患者最常见的主诉之一。计算机断层扫描(CT)在没有任何神经功能缺陷的原发性头痛患者中具有低成分率价值。目前还没有关于神经影像学临床指征的国家或国际指南。本研究的主要目的是确定CT成像在诊断头痛患者中的作用,并评估发展中国家与发达国家CT处方的背景。方法:本研究是一项多中心回顾性研究,收集了孟加拉国谢赫穆吉布医科大学(BSMMU)、孟加拉国糖尿病、内分泌和代谢疾病研究与康复研究所(BIRDEM) 2017-2019年AD期间的数据。共有2184名患者被纳入研究,他们的初级保健医生要求他们进行CT扫描。收集的数据通过SPSS version 21和Microsoft Excel 2021进行输入和分析。结果:患者总数2184例,女性占63.02%,男性占36.98%,比例为1.7:1。CT扫描结果正常2060例,占94.3%,阳性124例,占5.7%。以21 ~ 30岁年龄组最多,772例(35.3%),其次为31 ~ 40岁474例(21.7%)、11 ~ 20岁368例(16.8%)、41 ~ 50岁321例(14.67%)、51 ~ 60岁131例(5.97%)、0 ~ 10岁83例(3.80%),61 ~ 70岁年龄组最少,35例(1.67%)。结论:ct对无局灶性神经学征象的头痛患者的诊断评价价值低。它的过度使用会给患者造成包括辐射危害在内的社会经济负担。因此,对于中低收入资源国家的患者来说,这是不合理的。
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引用次数: 0
Peculiarities of MRI in patients with Charcot’s foot in the active stage 夏可氏足活动期患者的MRI特点
Pub Date : 2023-06-02 DOI: 10.15406/ijrrt.2023.10.00354
Kamalov Tt, Tojiboev Ss
Purpose of the study: Explore the role of MRI in the diagnosis of Charcot foot in patients with active diabetic osteoarthropathy. Material and methods research: 35 patients (prospectively) with type 2 diabetes mellitus and Charcot foot in the active phase were examined in the period 2022-2023 at the Acad. Y.H. Turakulova, in the department reconstructive plastic surgery of complications of diabetes mellitus. The control group consisted of 20 people with type 2 diabetes mellitus without Charcot foot in compensation. Of the 35 patients, there were 28 men and 7 women. Average age: men was 64.12 ± 5.8 years, women - 62.15 ± 4.6 years. The duration of type 2 diabetes mellitus ranged from 17 to 20 years. Research methods included: biochemical, hormonal and instrumental: ECG, MRI of the feet, ultrasound of the internal organs, DECA of the body, fundus. Research results: All patients were in a state of carbohydrate metabolism decompensation. In addition, pathological changes in bone tissue increased as the average values ​​of glycated hemoglobin increased. As the level of carbohydrate metabolism decompensation increased, the degree of bone tissue recovery decreased (inverse correlation). Conclusions: 1. An early symptom on MRI with Charcot foot was the presence ofconcavity of the articular surface of the talus against the background of sclerosis in the talonavicular joint. 2. Pathological changes in the bone tissue increased as the average values ​​of the level of glycated hemoglobin increased. 3. A direct correlation was found between the MRI parameters in Charcot foot and the HbA1c level: as the level of carbohydrate metabolism decompensation increased, the degree of bone tissue recovery decreased.
研究目的:探讨MRI在活动性糖尿病骨关节病Charcot足诊断中的作用。材料与方法研究:于2022-2023年在Turakulova医院糖尿病并发症重建整形外科对35例(前瞻性)2型糖尿病伴Charcot足活动期患者进行研究。对照组为20例2型糖尿病患者,无Charcot足代偿。35例患者中,男性28例,女性7例。平均年龄:男性64.12±5.8岁,女性- 62.15±4.6岁。2型糖尿病的病程为17 ~ 20年。研究方法包括:生化、激素、仪器:心电图、足部MRI、脏器超声、全身DECA、眼底。研究结果:所有患者均处于碳水化合物代谢失代偿状态。此外,骨组织的病理变化随着糖化血红蛋白平均值的增加而增加。随着碳水化合物代谢失代偿水平的升高,骨组织恢复程度降低(呈负相关)。结论:1。Charcot足的早期MRI表现为距骨关节面凹陷,背景为距骨舟关节硬化。2. 骨组织的病理变化随着糖化血红蛋白水平的平均值的增加而增加。3.Charcot足MRI参数与HbA1c水平直接相关:随着碳水化合物代谢失代偿水平的升高,骨组织恢复程度降低。
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引用次数: 0
The future of artificial intelligence in medical imaging: implications for radiographers and radiologists 人工智能在医学成像中的未来:对放射技师和放射科医生的影响
Pub Date : 2023-05-30 DOI: 10.15406/ijrrt.2023.10.00353
Rui Pedro Pereira de Almeida
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引用次数: 0
Nasal packing does not affect the dosimetry of sinonasal cancers treated with intensity-modulated radiotherapy or volumetric-modulated arc therapy 鼻腔填塞不影响接受调强放疗或调容弧线治疗的鼻窦癌的剂量测定
Pub Date : 2023-04-20 DOI: 10.15406/ijrrt.2023.10.00351
Paula Fotinopoulos, J. Corry, Sweet Ping Ng, Jonathan Dunning, B. Lyons, D. Xing
Introduction: To investigate the impact of nasal packing on radiotherapy dosimetry for nasal and paranasal sinus cancers treated with intensity modulate radiotherapy (IMRT) or volumetric modulated arc therapy (VMAT) technique. Methods: A prospective database identified all patients with primary nasal and paranasal sinus cancers treated with adjuvant radiotherapy. All patients were simulated using CT scanning with packing in the nasal cavity. For this study the nasal packing was contoured and assigned an electron density equivalent to air. The dose to the pre-operative gross tumour volume (GTV), planned tumour volume (PTV) and organs-at-risk (OAR) were re-calculated and compared to those with nasal packing, using both the Pinnacle (Collapsing Cone Convolution) and Monaco (Monte Carlo) planning systems. Results: 24 patients were identified, predominantly ethmoid (14) or maxillary (4) primaries. The predominant histology was SCC (12/24). The majority (22/24) were treated with curative intent. Using Collapsing Cone Convolution calculation, the median [range] coverage of 95% of prescribed dose to high-dose PTV (95.5% [92.2-98.5%] vs 95.2% [92.1-98.5%]; packing vs no packing, P=1.00) and low-dose PTV (95.8% [90.0-99.4%] vs 95.9% [91.1-99.7%]; packing vs no packing, P=1.00) were not impacted by packing the nasal cavity. There was also no impact by no packing on the maximal dose to the brainstem, optic nerves, optic chiasm nor lens. Conclusions: Packing of nasal cavity does not change the dose to the PTVs or critical OARs in patients with nasal and paranasal sinus cancers treated with adjuvant IMRT or VMAT radiotherapy and can be safely omitted.
前言:探讨鼻腔填充物对强度调节放疗(IMRT)或体积调节弧线治疗(VMAT)鼻窦癌放疗剂量测定的影响。方法:前瞻性数据库确定所有接受辅助放疗的原发性鼻窦和副鼻窦癌患者。所有患者均采用鼻腔填塞CT扫描模拟。在这项研究中,鼻填充物被勾画成轮廓,并被赋予相当于空气的电子密度。使用Pinnacle(塌锥卷积)和Monaco(蒙特卡洛)计划系统,重新计算剂量对术前总肿瘤体积(GTV)、计划肿瘤体积(PTV)和危险器官(OAR)的影响,并与鼻填充物进行比较。结果:确定了24例患者,主要是筛窦(14)或上颌(4)初级。主要组织学为鳞状细胞癌(12/24)。大多数患者(22/24)以治愈为目的进行治疗。使用塌锥卷积计算,95%的处方剂量对高剂量PTV的覆盖率中位数[范围]为95.5% [92.2-98.5%]vs 95.2% [92.1-98.5%];有包装vs无包装,P=1.00)和低剂量PTV (95.8% [90.0-99.4%] vs 95.9% [91.1-99.7%];填充与未填充,P=1.00)不受鼻腔填充的影响。无填塞对脑干、视神经、视交叉和晶状体的最大剂量也没有影响。结论:鼻腔填塞对辅助IMRT或VMAT治疗的鼻、鼻窦癌患者的pvt或关键OARs的剂量没有影响,可以安全省略。
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引用次数: 0
Cherenkov or cerencov phenomenon in medical applications Cherenkov或cerencov现象在医学上的应用
Pub Date : 2023-03-31 DOI: 10.15406/ijrrt.2023.10.00349
N. Tunçel
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引用次数: 0
Kilovoltage radiotherapy as a supportive treatment in locally advanced or metastatic breast cancer – a series of six case reports 电压放疗作为局部晚期或转移性乳腺癌的辅助治疗-一系列6例报告
Pub Date : 2023-02-22 DOI: 10.15406/ijrrt.2023.10.00348
M. Jovanović, Ranković Aleksandar, S. Stojanović, Nenad Milošević
Kilovoltage (kV) radiotherapy, also called superficial radiotherapy (SXT) or orthovoltage radiotherapy (DXT), is a well-known and effective treatment option for non-melanoma skin cancer and some benign skin and musculoskeletal conditions. Given its surface dose delivery, its use in radiation oncology beyond superficial skin cancers is generally limited, but it has also been shown to be extremely useful for specific palliative applications. Here, we describe the characteristics of kilovoltage radiotherapy and report on six cases of locally advanced and/or metastatic breast cancer in which kilovoltage radiotherapy was used as the primary modality or as supportive treatment to linac-based radiotherapy to gain local tumor control and improve the patient’s quality of life.
千伏(kV)放射治疗,也称为浅表放射治疗(SXT)或正电压放射治疗(DXT),是一种众所周知的有效治疗非黑色素瘤皮肤癌和一些良性皮肤和肌肉骨骼疾病的选择。鉴于其表面剂量传递,它在除浅表皮肤癌以外的放射肿瘤学中的应用通常有限,但它也被证明对特定的姑息治疗应用非常有用。在这里,我们描述了千伏放疗的特点,并报告了6例局部晚期和/或转移性乳腺癌,其中千伏放疗被用作主要方式或作为线性放射治疗的支持治疗,以获得局部肿瘤控制和改善患者的生活质量。
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引用次数: 0
Update on current and future developments in radiation protection of patients 病人放射防护的最新进展和未来发展
Pub Date : 2023-02-10 DOI: 10.15406/ijrrt.2023.10.00347
S. Biswas
Objectives: In this review, we look upon the current literature on the advances in radiation production and prospective future developments. Key Findings: PubMed was searched for all articles on the radiation protection of patients. These articles were reviewed and significant literature on the latest developments was included. Conclusion: Various new methods have evolved for radiation protection. These methods are discussed in detail in this article. Implications for practice: Radiologist should know the current updates on radiation protection to improve departmental safety.
目的:在这篇综述中,我们回顾了目前关于辐射产生的进展和展望未来的发展。主要发现:PubMed检索了所有关于患者辐射防护的文章。对这些文章进行了回顾,并包括了有关最新发展的重要文献。结论:辐射防护新方法层出不穷。本文对这些方法进行了详细的讨论。对实践的启示:放射科医生应了解最新的辐射防护,以提高部门安全。
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引用次数: 0
期刊
International Journal of Radiology & Radiation Therapy
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