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Evaluation of Drug Abuse on Brain Function using Power Spectrum Analysis of Electroencephalogram Signals in Methamphetamine, Opioid, Cannabis, and Multi-Drug Abuser Groups. 甲基苯丙胺、阿片类药物、大麻和多种药物滥用人群脑电信号功率谱分析评价药物滥用对脑功能的影响
Q3 Medicine Pub Date : 2023-04-01 DOI: 10.31661/jbpe.v0i0.2210-1550
Nasimeh Marvi, Javad Haddadnia, Mohammad Reza Fayyazi Bordbar

Background: The effect of different types of substances on brain function is still challenging; however, many studies have shown the functional and structural damage to the brain under influence of substance abuse.

Objective: This study aimed to quantitatively compare the effect of opioid (Op), methamphetamine (Meth), cannabis (Can), and simultaneous methamphetamine and opioid (Multi-Drug (MD)) abuse on brain function. Furthermore, the impacts of pure Op and Meth abuse were considered with simultaneous substance abuse.

Material and methods: In this descriptive study, the electroencephalogram (EEG) signal was recorded from 52 participants in the Meth, Op, Can, and MD abusers, and the Healthy Control (HC) groups at rest state. EEG data were analyzed on the frequency domain with electrode-based, cortex-based, and hemisphere-based approaches.

Results: However, the power spectrum in the delta band in the Op group, the gamma band in the Can group, and the gamma and beta bands in the MD group more significantly increased compared to the HC group, the power spectrum values in the Meth group reduced in the alpha, beta, and gamma bands. Moreover, the power spectrum values in the MD group more significantly higher than the Meth and Op groups in the beta and gamma bands.

Conclusion: Since substance abuse in different types caused various changes in frequency components, the different power spectrum bands analysis in abusers can be reasonable to apply as a biomarker to detect the drug types.

背景:不同类型物质对脑功能的影响仍然具有挑战性;然而,许多研究表明,药物滥用会对大脑的功能和结构造成损害。目的:本研究旨在定量比较阿片类药物(Op)、甲基苯丙胺(Meth)、大麻(Can)以及同时滥用甲基苯丙胺和阿片类药物(MD)对脑功能的影响。此外,纯Op和冰毒滥用的影响考虑了同时滥用药物。材料和方法:在这项描述性研究中,记录了52名甲基安非他明、Op、Can和MD滥用者以及健康对照组(HC)在静息状态下的脑电图(EEG)信号。采用基于电极、皮层和半球的方法对EEG数据进行频域分析。结果:与HC组相比,Op组δ波段的功率谱、Can组γ波段的功率谱以及MD组γ和β波段的功率谱值均显著升高,而Meth组α、β和γ波段的功率谱值均降低。此外,MD组在β和γ波段的功率谱值显著高于甲基安非他明和Op组。结论:由于不同类型的药物滥用会引起不同频率成分的变化,因此滥用者不同功率谱带分析可以合理地作为检测药物类型的生物标志物。
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引用次数: 0
Eye Melanoma Diagnosis System using Statistical Texture Feature Extraction and Soft Computing Techniques. 基于统计纹理特征提取和软计算技术的眼部黑色素瘤诊断系统。
Q3 Medicine Pub Date : 2023-02-01 DOI: 10.31661/jbpe.v0i0.2101-1268
Ebenezer Obaloluwa Olaniyi, Temitope Emmanuel Komolafe, Oyebade Kayode Oyedotun, Tolulope Tofunmi Oyemakinde, Mohamed Abdelaziz, Adnan Khashman

Background: Eye melanoma is deforming in the eye, growing and developing in tissues inside the middle layer of an eyeball, resulting in dark spots in the iris section of the eye, changes in size, the shape of the pupil, and vision.

Objective: The current study aims to diagnose eye melanoma using a gray level co-occurrence matrix (GLCM) for texture extraction and soft computing techniques, leading to the disease diagnosis faster, time-saving, and prevention of misdiagnosis resulting from the physician's manual approach.

Material and methods: In this experimental study, two models are proposed for the diagnosis of eye melanoma, including backpropagation neural networks (BPNN) and radial basis functions network (RBFN). The images used for training and validating were obtained from the eye-cancer database.

Results: Based on our experiments, our proposed models achieve 92.31% and 94.70% recognition rates for GLCM+BPNN and GLCM+RBFN, respectively.

Conclusion: Based on the comparison of our models with the others, the models used in the current study outperform other proposed models.

背景:眼部黑色素瘤是一种眼部变形,在眼球中间层内的组织中生长和发展,导致眼睛虹膜部分出现黑斑,瞳孔大小、形状和视力发生变化。目的:本研究旨在利用灰度共生矩阵(GLCM)进行纹理提取和软计算技术对眼部黑色素瘤进行诊断,使疾病诊断更快、更省时,避免医生手工方法造成的误诊。材料与方法:本实验研究提出了两种用于眼部黑色素瘤诊断的模型:反向传播神经网络(backpropagation neural networks, BPNN)和径向基函数网络(radial basis functions network, RBFN)。用于训练和验证的图像来自眼癌数据库。结果:基于我们的实验,我们提出的模型对GLCM+BPNN和GLCM+RBFN的识别率分别达到92.31%和94.70%。结论:基于我们的模型与其他模型的比较,本研究中使用的模型优于其他提出的模型。
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引用次数: 1
Evaluation of Two Post-Processing Analysis Methods of Proton Magnetic Resonance Spectroscopy in Glioma Tumors. 胶质瘤质子磁共振波谱两种后处理分析方法的评价。
Q3 Medicine Pub Date : 2023-02-01 DOI: 10.31661/jbpe.v0i0.2001-1055
Erfan Saatchian, Sina Ehsani, Alireza Montazerabadi

Background: Magnetic resonance spectroscopy (MRS) is a non-invasive diagnostic and the neuroimaging method of choice for the noninvasive monitoring of brain metabolism in patients with glioma tumors. 1H-MRS is a reliable and non-invasive tool used to study glioma. However, the metabolite spectra obtained by 1H-MRS requires a specific quantification procedure for post-processing. According to our knowledge, no comparisons have yet been made between spectrum analysis software for quantification of gliomas metabolites.

Objective: Current study aims to evaluate the difference between this two common software in quantifying cerebral metabolites.

Material and methods: In this analytical study, we evaluate two post-processing software packages, java-based graphical for MR user interface packages (jMRUI) and totally automatic robust quantitation in NMR (TARQUIN) software. 1H-MRS spectrum from the brain of patients with gliomas tumors was collected for post-processing. AMARES algorithms were conducted to metabolite qualification on jMRUI software, and TARQUIN software were implemented with automated quantification algorithms. The study included a total of 30 subjects. For quantification, subjects were divided into a normal group (n=15) and group of gliomas (n=15).

Results: When calculated by TARQUIN, the mean metabolites ratio was typically lower than by jMRUI. While, the mean ratio of metabolites varied when quantified by jMRUI vs. TARQUIN, both methods apparent clinical associations.

Conclusion: TARQUIN and jMRUI are feasible choices for the post-processing of cerebral MRS data obtained from glioma tumors.

背景:磁共振波谱(MRS)是神经胶质瘤患者无创脑代谢监测的一种非侵入性诊断和神经影像学方法。1H-MRS是一种可靠的、无创的神经胶质瘤研究工具。然而,通过1H-MRS获得的代谢物光谱需要一个特定的定量程序进行后处理。据我们所知,还没有比较频谱分析软件定量胶质瘤代谢物。目的:本研究旨在评价这两种常用软件在量化脑代谢物方面的差异。材料和方法:在本分析研究中,我们评估了两个后处理软件包,基于java的图形化磁共振用户界面软件包(jMRUI)和全自动核磁共振鲁棒定量软件(TARQUIN)。采集脑胶质瘤患者的1H-MRS谱进行后处理。在jMRUI软件上使用AMARES算法进行代谢物鉴定,在TARQUIN软件上使用自动定量算法进行鉴定。该研究共包括30名受试者。为了量化,将受试者分为正常组(n=15)和胶质瘤组(n=15)。结果:TARQUIN计算的平均代谢物比值明显低于jMRUI。然而,当jMRUI和TARQUIN量化代谢物的平均比率时,两种方法都有明显的临床相关性。结论:TARQUIN和jMRUI是脑胶质瘤MRS数据后处理的可行选择。
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引用次数: 1
Evaluating the Effect of Jammer Radiation on Learning and Memory in Male Rats. 干扰辐射对雄性大鼠学习记忆影响的评价。
Q3 Medicine Pub Date : 2023-02-01 DOI: 10.31661/jbpe.v0i0.2001-1049
Mehrnaz Yazdanpanahi, Abasaleh Namazi, Manzar Banoo Shojaeifard, Samaneh Nematolahi, Saeedeh Pourahmad

Background: Previous studies shown that mobile phone can impairment of working memory in humans.

Objective: In this study, the effect of radiofrequency radiation emitted from common mobile jammers have been studied on the learning and memory of rats.

Material and methods: In this prospective study, 90 Sprague-Dawley rats, were divided into 9 groups (N=10): Control, Sham1st (exposed to a switched-off mobile jammer device at a distance of 50 or 100 cm/1 day, 2 hours), Sham2nd (similar to Sham1st, but for 14 days, 2 h/day), Experimental1st -50 cm/1 day &100 cm/1 day (exposed to a switched-on device at a distance of 50 or 100 cm for 2 hours), Experimental2nd (similar to experimental1st, but for 14 days, 2 h/day). The animals were tested for learning and memory the next day, by the shuttle box. The time that a rat took to enter the dark part was considered as memory.

Results: Mean short-term memory was shorter in the experimental- 50 cm/1 day than control and sham- 50 cm/1 day (P=0.034), long-term memory was similar. Mean short- and long-term memory were similar in the experimental- 100 cm/1 day, control and sham- 100 cm/1 day (P>0.05). Mean short-term memory was similar in experimental- 50 cm/14 days, control, and sham- 50 cm/14 days (P=0.087), but long-term learning memory was shorter in the radiated group (P=0.038). Mean short- and long-term were similar among experimental-100 cm/14 days, control or sham 100 cm/14 days (P>0.05).

Conclusion: Rats exposed to jammer device showed dysfunction in short- and long-term memory, which shown the unfavorable effect of jammer on memory and learning. Our results indicated that the distance from radiation source was more important than the duration.

背景:以往的研究表明,手机会损害人类的工作记忆。目的:研究普通移动干扰机射频辐射对大鼠学习记忆的影响。材料和方法:在这个前瞻性研究,90年Sprague-Dawley老鼠,被分成9组(N = 10):控制、Sham1st(暴露于关闭手机干扰机设备的距离50或100厘米/ 1天,2个小时),Sham2nd (Sham1st相似,但对于14天,2 h /天),Experimental1st -50厘米/ 1天&100厘米/ 1天(暴露于流行设备的距离50或100厘米2小时),Experimental2nd (Experimental1st相似,但对于14天,2 h /天)。第二天,通过穿梭箱对这些动物进行学习和记忆测试。老鼠进入黑暗区域的时间被认为是记忆。结果:实验组平均短期记忆为50 cm/1 d,短于对照组和假手术组平均50 cm/1 d (P=0.034),长时记忆差异无统计学意义。试验组平均短时记忆和长时记忆均为100 cm/1 d,对照组为100 cm/1 d,假手术组为100 cm/1 d (P>0.05)。试验组、对照组和假手术组的平均短期记忆与对照组(50 cm/14天)相似(P=0.087),但放射组的长期学习记忆较短(P=0.038)。试验组(100 cm/14)、对照组(100 cm/14)和假手术组(100 cm/14)的平均短期和长期差异无统计学意义(P>0.05)。结论:干扰器对大鼠的短期记忆和长期记忆均有影响,表明干扰器对大鼠的记忆和学习均有不利影响。我们的结果表明,距离辐射源比持续时间更重要。
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引用次数: 0
Evaluation of the Effect of Reduction Mammoplasty on Body Posture in Patients with Macromastia. 巨乳症患者缩乳术对体态影响的评价。
Q3 Medicine Pub Date : 2023-02-01 DOI: 10.31661/jbpe.v0i0.2109-1399
Afsoon Fazelzadeh, Aliakbar Mohammadi, Behdad Tahayori, Samaneh Ebrahimi, Fatemeh Khademi

Background: Breast hypertrophy is a significant health problem with both physiological and psychological impacts on the patients' lives. Patients with macromastia adopt a corrective posture due to the effect of the breast on the center of gravity and possibly in a subconscious effort to conceal their breasts.

Objective: This study aimed to evaluate whether the posture of patients with macromastia changed after the reduction of mammoplasty.

Material and methods: In this prospective study, patients with breast cup sizes C, D, and DD were scheduled for reduction mammoplasty in 3 Shiraz University Hospitals. Age, weight, height, and preoperative cup sizes of the breasts were recorded for every patient, and all patients underwent posture analysis with forceplate before and after reduction mammoplasty. Finally, the preoperative and postoperative data were compared.

Results: Mean age at the time of reduction mammaplasty was 43.57±9.1; the mean pre-operation, such as weight, height, and mean the body mass index (BMI) was 76.57±10 kg, 158.28±6 cm and 30.57±4.1, respectively. The average Anterior-posterior (AP) direction velocity before and after the surgery was 0.85±0.12 cm/s and 0.79±0.098, respectively. These values were 0.83±0.09 and 0.81±0.10 for the mediolateral direction. The Detrended Fluctuation Analysis (DFA) value for the AP direction was 1.63±0.3 and 1.60±0.2 for pre-and post-surgery, respectively, which was not statistically different. The DFA value for maximum likelihood (ML) direction was 1.65±0.2 and 1.48±0.2 in pre-op and post-op, respectively, which was statistically significantly different.

Conclusion: Reducing the weight of enlarged breasts can correct disturbed sagittal balance and postural sway.

背景:乳房肥大是一个严重的健康问题,对患者的生活产生生理和心理上的影响。由于乳房对重心的影响,可能是在潜意识中隐藏自己的乳房,患有巨大乳房症的患者采取纠正姿势。目的:探讨巨乳症患者缩乳后体位是否发生改变。材料和方法:在这项前瞻性研究中,计划在设拉子大学的3家医院对C、D和DD罩杯的患者进行缩小乳房成形术。记录每位患者的年龄、体重、身高和术前乳房罩杯大小,并在缩乳术前后用力板对所有患者进行体位分析。最后,比较术前和术后数据。结果:缩小乳房成形术时平均年龄43.57±9.1岁;术前平均体重、身高和平均体重指数(BMI)分别为76.57±10 kg、158.28±6 cm和30.57±4.1。手术前后平均前后方向速度分别为0.85±0.12 cm/s和0.79±0.098 cm/s。中外侧方向分别为0.83±0.09和0.81±0.10。术前和术后AP方向的DFA值分别为1.63±0.3和1.60±0.2,差异无统计学意义。术前和术后最大似然(ML)方向DFA值分别为1.65±0.2和1.48±0.2,差异有统计学意义。结论:减轻乳房肿大患者的体重可纠正矢状位平衡紊乱和体位摇摆。
{"title":"Evaluation of the Effect of Reduction Mammoplasty on Body Posture in Patients with Macromastia.","authors":"Afsoon Fazelzadeh,&nbsp;Aliakbar Mohammadi,&nbsp;Behdad Tahayori,&nbsp;Samaneh Ebrahimi,&nbsp;Fatemeh Khademi","doi":"10.31661/jbpe.v0i0.2109-1399","DOIUrl":"https://doi.org/10.31661/jbpe.v0i0.2109-1399","url":null,"abstract":"<p><strong>Background: </strong>Breast hypertrophy is a significant health problem with both physiological and psychological impacts on the patients' lives. Patients with macromastia adopt a corrective posture due to the effect of the breast on the center of gravity and possibly in a subconscious effort to conceal their breasts.</p><p><strong>Objective: </strong>This study aimed to evaluate whether the posture of patients with macromastia changed after the reduction of mammoplasty.</p><p><strong>Material and methods: </strong>In this prospective study, patients with breast cup sizes C, D, and DD were scheduled for reduction mammoplasty in 3 Shiraz University Hospitals. Age, weight, height, and preoperative cup sizes of the breasts were recorded for every patient, and all patients underwent posture analysis with forceplate before and after reduction mammoplasty. Finally, the preoperative and postoperative data were compared.</p><p><strong>Results: </strong>Mean age at the time of reduction mammaplasty was 43.57±9.1; the mean pre-operation, such as weight, height, and mean the body mass index (BMI) was 76.57±10 kg, 158.28±6 cm and 30.57±4.1, respectively. The average Anterior-posterior (AP) direction velocity before and after the surgery was 0.85±0.12 cm/s and 0.79±0.098, respectively. These values were 0.83±0.09 and 0.81±0.10 for the mediolateral direction. The Detrended Fluctuation Analysis (DFA) value for the AP direction was 1.63±0.3 and 1.60±0.2 for pre-and post-surgery, respectively, which was not statistically different. The DFA value for maximum likelihood (ML) direction was 1.65±0.2 and 1.48±0.2 in pre-op and post-op, respectively, which was statistically significantly different.</p><p><strong>Conclusion: </strong>Reducing the weight of enlarged breasts can correct disturbed sagittal balance and postural sway.</p>","PeriodicalId":38035,"journal":{"name":"Journal of Biomedical Physics and Engineering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a1/27/JBPE-13-99.PMC9923239.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10766762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Worrying Is the Impact of COVID-19 Pandemic on the Population Radiation Risk from Increased Number of CT-Scans? COVID-19大流行对ct扫描次数增加对人群辐射风险的影响有多令人担忧?
Q3 Medicine Pub Date : 2023-02-01 DOI: 10.31661/jbpe.v0i0.2212-1575
Seyed Mohammad Javad Mortazavi, Fatemeh Taleinejad, Masoud Haghani, Lembit Sihver
More than a decade before the COVID-19 crisis
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引用次数: 0
The Use of Cluster Analysis by Partitioning around Medoids (PAM) to Examine the Heterogeneity of Patients with Low Back Pain within Subgroups of the Treatment Based Classification System. 使用围绕中位分割的聚类分析(PAM)来检查基于治疗分类系统的亚组中腰痛患者的异质性。
Q3 Medicine Pub Date : 2023-02-01 DOI: 10.31661/jbpe.v0i0.2001-1047
Esmaeil Shokri, Mohsen Razeghi, Hadi Raeisi Shahraki, Reza Jalli, Alireza Motealleh

Background: Current evidence in low back pain (LBP) focuses on population averages and traditional multivariate analyses to find the significant difference between variables. Such a focus actively obscured the heterogeneity and increased errors. Cluster analysis (CA) addresses the mentioned shortcomings by calculating the degree of similarity among the relevant variables of the different objects.

Objective: This study aims to evaluate the agreement between the treatment-based classification (TBC) system and the equivalent 3 cluster typology created by partitioning around medoids (PAM) analysis.

Material and methods: In this cross-sectional study, a convenient sample of 90 patients with low back pain (50 males and 40 females) aged 20 to 65 years was included in the study. The patients were selected based on the 21 criteria of 2007 TBC system. An equivalent 3 cluster typology (C3) was applied using PAM method. Cohen's Kappa was run to determine if there was agreement between the TBC system and the equivalent C3 typology.

Results: PAM analysis revealed the evidence of clustering for a C3 cluster typology with average Silhouette widths of 0.12. Cohen's Kappa revealed fair agreement between the TBC system and C3 cluster typology (Percent of agreement 61%, Kappa=0.36, P<0.001). Selected criteria by PAM analysis were different with original TBC system.

Conclusion: Higher probability of chance agreement was observed between two classification methods. Significant inhomogeneity was observed in subgroups of the 2007 TBC system.

背景:目前关于腰痛(LBP)的证据主要集中在人群平均值和传统的多变量分析上,以发现变量之间的显著差异。这样的焦点积极地掩盖了异质性,增加了误差。聚类分析(CA)通过计算不同对象的相关变量之间的相似度来解决上述缺点。目的:本研究旨在评价基于治疗的分类(TBC)系统与通过围绕介质划分(PAM)分析建立的等效3聚类类型之间的一致性。材料与方法:在本横断面研究中,选取了90例年龄在20 - 65岁的腰痛患者(男性50例,女性40例)作为研究样本。根据2007 TBC系统的21项标准选择患者。采用PAM方法进行等效3聚类分类(C3)。Cohen的Kappa被用来确定TBC系统和等价的C3类型学之间是否存在一致性。结果:PAM分析显示C3聚类的证据,平均剪影宽度为0.12。Cohen’s Kappa揭示了TBC系统与C3簇类型之间的一致性(一致性百分比为61%,Kappa=0.36, p)。结论:两种分类方法之间的一致性概率较高。在2007 TBC系统的亚组中观察到显著的不均匀性。
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引用次数: 1
The Direction of Flow and Phase-encoding Schemes Effects on Signal Intensity in T1-weighted Inversion Recovery TurboFLASH Images. 流方向和相位编码对t1加权反演恢复图像信号强度的影响。
Q3 Medicine Pub Date : 2023-02-01 DOI: 10.31661/jbpe.v0i0.2203-1468
Mahmood Nazarpoor

Background: It is needed to minimize the effect of flow direction on the desired area, such as arterial input function (AIF) in magnetic resonance imaging (MRI).

Objective: The current study aimed to investigate the effect of flow direction on different velocities (0-80.39 cm/s) for the strength of the signal intensity (SI) at the linear phase-encoding (LPE) and the center out phase-encoding (COPE) schemes and to recommend the best flow direction in a selected slice and scheme for absolute perfusion measurement by inversion recovery T1-weighted turbo fast low-angle shot (TurboFLASH) MR images.

Material and methods: In this experimental study, the flow rates were measured using a flow phantom, and the signal intensity (SI) was measured at the two opposite flow directions in the Z-axis perpendicular to the coronal image at a concentration of 0.8 mmol/L of gadolinium-diethylenetriaminepantaacetic acid (Gd-DTPA) by using the LPE and COPE schemes.

Results: The increase in velocity along with the growth in SI and inflow affected the use of LPE and COPE acquisitions in both directions. The velocity of the arterial input function is needed to calculate the inflow correction factor by using two schemes in two opposite flow directions to investigate perfusion.

Conclusion: The COPE scheme was better than the LPE scheme in measuring perfusion since the velocity and direction of blood flow affect SI less.

背景:需要将血流方向对所需区域的影响最小化,例如磁共振成像(MRI)中的动脉输入功能(AIF)。目的:本研究旨在探讨不同流速(0-80.39 cm/s)下线性相位编码(LPE)和中心向外相位编码(COPE)方案下信号强度(SI)的方向影响,并为t1加权turbo快速低角度拍摄(TurboFLASH) MR图像反演恢复推荐最佳的流方向和绝对灌注测量方案。材料与方法:在本实验研究中,采用流动模体测量流速,并采用LPE和COPE方案,在浓度为0.8 mmol/L的钆-二乙烯三胺乙酸(Gd-DTPA)浓度下,在垂直于冠状像的z轴上测量两个相反流动方向上的信号强度(SI)。结果:随着SI和流入的增加,流速的增加在两个方向上影响了LPE和COPE的使用。采用两种方案在两个相反的流动方向上研究灌注情况,需要动脉输入函数的速度来计算流入校正因子。结论:COPE方案比LPE方案更适合于测量血流灌注,血流速度和方向对SI的影响较小。
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引用次数: 0
Quantification of Lung Tumor Motion and Optimization of Treatment. 肺肿瘤运动的量化与治疗的优化。
Q3 Medicine Pub Date : 2023-02-01 DOI: 10.31661/jbpe.v0i0.2102-1278
Milovan Savanović, Bojan Štrbac, Dražan Jaroš, Mauro Loi, Florence Huguet, Jean-Noël Foulquier

Background: Mobility of lung tumors is induced by respiration and causes inadequate dose coverage.

Objective: This study quantified lung tumor motion, velocity, and stability for small (≤5 cm) and large (>5 cm) tumors to adapt radiation therapy techniques for lung cancer patients.

Material and methods: In this retrospective study, 70 patients with lung cancer were included that 50 and 20 patients had a small and large gross tumor volume (GTV). To quantify the tumor motion and velocity in the upper lobe (UL) and lower lobe (LL) for the central region (CR) and a peripheral region (PR), the GTV was contoured in all ten respiratory phases, using 4D-CT.

Results: The amplitude of tumor motion was greater in the LL, with motion in the superior-inferior (SI) direction compared to the UL, with an elliptical motion for small and large tumors. Tumor motion was greater in the CR, rather than in the PR, by 63% and 49% in the UL compared to 50% and 38% in the LL, for the left and right lung. The maximum tumor velocity for a small GTV was 44.1 mm/s in the LL (CR), decreased to 4 mm/s for both ULs (PR), and a large GTV ranged from 0.4 to 9.4 mm/s.

Conclusion: The tumor motion and velocity depend on the tumor localization and the greater motion was in the CR for both lobes due to heart contribution. The tumor velocity and stability can help select the best technique for motion management during radiation therapy.

背景:肺肿瘤的移动性是由呼吸引起的,导致剂量覆盖不足。目的:本研究量化小(≤5cm)和大(> 5cm)肿瘤的运动、速度和稳定性,以适应肺癌患者的放射治疗技术。材料与方法:本研究纳入70例肺癌患者,其中GTV (gross tumor volume,总肿瘤体积)大小各50例和20例。为了量化肿瘤在中央区(CR)和外周区(PR)的上肺叶(UL)和下肺叶(LL)的运动和速度,使用4D-CT绘制了所有十个呼吸期的GTV轮廓。结果:左左肿瘤运动幅度大于左左,呈上下(SI)方向运动,大小肿瘤呈椭圆形运动。左、右肺的肿瘤运动在CR大于PR,左、右肺分别比左、右肺大63%和49%,而左、右肺分别为50%和38%。小GTV的最大肿瘤速度在LL (CR)为44.1 mm/s,在ULs (PR)为4 mm/s,而大GTV的范围为0.4 ~ 9.4 mm/s。结论:肿瘤的运动和速度取决于肿瘤的定位,由于心脏的贡献,两叶CR的运动更大。肿瘤的速度和稳定性可以帮助选择放射治疗期间运动管理的最佳技术。
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引用次数: 0
Bystander Response Following High-Dose X-irradiation; Time-dependent Nature of GammaH2AX Foci and Cell Death Consequences. 高剂量x射线照射后的旁观者反应GammaH2AX病灶的时间依赖性和细胞死亡后果。
Q3 Medicine Pub Date : 2023-02-01 DOI: 10.31661/jbpe.v0i0.2001-1053
Fatemeh Pakniyat, Hossein Mozdarani, Hassan Ali Nedaie, Aziz Mahmoudzadeh, Mahdieh Salimi, Somayeh Gholami

Background: The paradigm shifts in target theory could be defined as the radiation-triggered bystander response in which the radiation deleterious effects occurred in the adjacent cells.

Objective: This study aims to assess bystander response in terms of DNA damage and their possible cell death consequences following high-dose radiotherapy. Temporal characteristics of gH2AX foci as a manifestation of DNA damage were also evaluated.

Material and methods: In this experimental study, bystander response was investigated in human carcinoma cells of HeLa and HN5, neighboring those that received high doses. Medium transfer was performed from 10 Gy-irradiated donors to 1.5 Gy-irradiated recipients. GammaH2AX foci, clonogenic and apoptosis assays were investigated. The gH2AX foci time-point study was implemented 1, 4, and 24 h after the medium exchange.

Results: DNA damage was enhanced in HeLa and HN5 bystander cells with the ratio of 1.27 and 1.72, respectively, which terminated in more than two-fold clonogenic survival decrease, along with gradual apoptosis increase. GammH2AX foci temporal characterization revealed maximum foci scoring at the 1 h time-point in HeLa, and also 4 h in HN5, which remained even 24 h after the medium sharing in higher level than the control group.

Conclusion: The time-dependent nature of bystander-induced gH2AX foci as a DNA damage surrogate marker was highlighted with the persistent foci at 24 h. considering an outcome of bystander-induced DNA damage, predominant role of clonogenic cell death was also elicited compared to apoptosis. Moreover, the role of high-dose bystander response observed in the current work clarified bystander potential implications in radiotherapy.

背景:靶理论中的范式转移可以定义为辐射引发的旁观者反应,其中辐射有害效应发生在邻近细胞中。目的:本研究旨在评估高剂量放疗后DNA损伤及其可能的细胞死亡后果的旁观者反应。gH2AX灶的时间特征作为DNA损伤的表现也进行了评估。材料和方法:在本实验研究中,研究了HeLa和HN5在人癌细胞中的旁观者反应,邻近高剂量的人癌细胞。从10个放射供体到1.5个放射受体进行中等转移。研究了GammaH2AX病灶、克隆生成和凋亡检测。在介质交换后1、4和24 h进行gH2AX焦点时间点研究。结果:HeLa和HN5旁观细胞DNA损伤增强,损伤比分别为1.27和1.72,最终导致克隆存活减少2倍以上,细胞凋亡逐渐增加。GammH2AX病灶时间表征显示,HeLa和HN5的病灶评分最大值分别出现在1 h和4 h时间点,甚至在介质共享24 h后仍保持较高水平。结论:旁观者诱导的gH2AX灶作为DNA损伤替代标记物具有时间依赖性,在24小时内持续存在灶,考虑到旁观者诱导的DNA损伤的结果,与细胞凋亡相比,克隆源性细胞死亡也起主要作用。此外,本研究中观察到的高剂量旁观者反应的作用阐明了旁观者在放疗中的潜在影响。
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Journal of Biomedical Physics and Engineering
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