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At least 487 records · Page 27Linked to original sources

Follow-up of differentiated thyroid cancer: comparison of multiple diagnostic tests.

The radioablation of thyroid remnants improves the prognosis of differentiated thyroid cancer. In our prospective study an activity of 3.7 GBq 131I failed to completely ablate the remnants in 46 out of 101 patients, but a 3-year follow-up period was uneventful. One other patient had a recurrence early after thyroidectomy. In view of possible stunning effects of 131I it might be advantageous to visualize such remnants by imaging modalities which do not emit beta-particles. Our data have revealed that neither magnetic resonance imaging (MRI), nor ultrasonography (US), nor 99Tcm-sestamibi scintigraphy, nor positron emission tomography could detect or reliably exclude minimal remnants. Such remnants did not produce thyroglobulin (Tg). A 123I and 131I uptake of> 10% after thyroidectomy was associated with about a 90% probability of persistent remnants. On the other hand, MRI was helpful in the patient group (n = 32) with Tg>4ng x ml(-1) at the second whole-body scintigraphy (TSH>30 mU x l(-1)) for planning the management of lymph node metastases (n = 15 patients): 12 patients had subsequent surgery and three patients radioiodine therapy. We recommend that MRI be used early in follow-up care when Tg is elevated. The decision of whether or not to treat persistent thyroid remnants should not be made on the basis of MRI, US or nonspecific scintigraphic methods. Complete ablation did not appear to have any clinical benefit in our study group.

Adolescent↗

Radiocolloids in the treatment of ovarian cancer.

Though radiocolloids have been used for over twenty years in the treatment of ovarian cancer, no comprehensive review of the literature exists. This review incorporates the historical development of radiocolloids, discusses the physical properties and physics of the two commonly used colloids, radioactive gold (Au-198) and radioactive phosphorus (P-32), discusses instillation and distribution of intraperitoneally administered P-32, and reviews result of treatment. The conclusions reached from this review are that Au-198 is a very different radiocolloid than P-32; that the dose of clinically used P-32 is determined from an empirically determined dose of Au-198; and that the dose of 100 mCi to 150 mCi of Au-198 yields significantly greater radiation than 10 mCi to 15 mCi of P-32. The complications associated with Au-198 are results of a possibly excessive dose, with a significant gamma component, delivered over a shorter period of time. It is clear that in greater than 99% of distintegrations each beta particle is associated with a gamma component. The review of the literature also shows that no propsective randomized well controlled study has indicated the effectiveness of P-32 over other treatment modalities. The clinical applicability of P-32 awaits prospective randomized trials and the ability to accurately determine dose and dose-distribution in-vivo.

Dose-Response Relationship, Radiation↗

Lattice location and stability of ion implanted Cu in Si

We report on the lattice location of ion implanted Cu in Si using the emission channeling technique. The angular distribution of beta(-) particles emitted by the radioactive isotope 67Cu was monitored following room temperature implantation into Si single crystals and annealing up to 600 degrees C. The majority of Cu was found close to substitutional sites, however, with a significant displacement, most likely 0.50(8) A along the <111> directions towards the bond center position. The activation energy for the dissociation of near-substitutional Cu is estimated to be 1.8-2.2 eV.

Journal Article↗

Two-proton radioactivity of 45Fe.

In an experiment at the SISSI-LISE3 facility of GANIL, the decay of the proton drip line nucleus 45Fe has been studied. Fragment-implantation events have been correlated with radioactive decay events in a 16x16 pixel silicon-strip detector. The decay-energy spectrum of 45Fe implants shows a distinct peak at (1.14+/-0.04) MeV with a half-life of T(1/2)=(4.7(+3.4)(-1.4)) ms. None of the events in this peak is in coincidence with beta particles. For a longer correlation interval, daughter decays of the two-proton daughter 43Cr can be observed after 45Fe implantation. The decay energy for 45Fe agrees nicely with several theoretical predictions for two-proton radioactivity.

Journal Article↗

Cell cycle kinetics of cultured human epidermal keratinocytes.

When stratified epithelia maintained in culture are used for autoradiographic studies of labeling index, the emulsion is usually placed over the uppermost strata of the culture. In many cases the distance from the basal cell nucleus to the emulsion exceeds the average pathlength of beta-particle emissions from 14C or 3H. We describe a technique for inverting the cultures so that the emulsion can be brought into close association with the basal cells. Attempts to label cultured human epidermal keratinocytes using a pulse of [3H]- or [14C]-thymidine produced labeling only at the periphery of the colonies. This was noted when emulsion was laid on top of the colonies but also when the emulsion was in close contact with the "basal cells" adhering to the plastic culture vessel. Continuous labeling of the cultures produced nearly 100% labeling of all the basal layer, i.e., central and peripheral, indicating that the central cells were also in rapid cell cycle. The results are interpreted as indicating the presence of an efficient barrier to free diffusion over the center of the colonies, presumably due to the presence of several layers of corneocytes. Percent labeled mitoses (PLM) studies produced an unusual PLM curve with a well-defined third peak which showed a higher PLM than the second peak. These results may indicate that the cultures contain discrete cell populations with different cell kinetic phase durations.

Autoradiography↗

A two emulsion autoradiographic technique and the discrimination of the three different types of labelling after double labelling with 3H- and 14C-thymidine.

The first part of the paper deals with a two emulsion autoradiographic technique for double labelling experiments with 3H- and 14C-thymidine which permits a clear discrimination of the different types of labelling. In the second part the application of this technique to cell kinetic studies is discussed. Accurate discrimination between the different types of labelling, namely purely 3H-, purely 14C- and double (3H + 14C) labelling, is only possible if the activity ratio of 3H- to 14C-thymidine is sufficiently high. This condition is necessary for a reliable distinction between those grains in the first emulsion which are due to true 3H-labelling and spurious grains which are simultaneously produced in the same emulsion by 14C-beta-particles. Experiments are described to determine the required activity ratio of 3H- to 14C-thymidine.

Animals↗

The discovery of glycogenin and the priming mechanism for glycogen biogenesis.

The biogenesis of glycogen in skeletal muscle requires a priming mechanism that has recently been elucidated. The first step is catalysed by a protein tyrosine glucosyltransferase and involves the formation of a novel glycosidic linkage, namely the covalent attachment of glucose to a single tyrosine residue (Tyr194) on a priming protein, termed glycogenin. The next stage is the extension of the glucan chain from Tyr194 and involves the sequential addition of up to seven further glucosyl residues. This reaction is brought about autocatalytically by glycogenin itself, which is a Mn2+/Mg(2+)-dependent UDP-Glc-requiring glucosyltransferase. The glucan primer is elongated by glycogen synthase, but only when glycogenin and glycogen synthase are complexed together. Glycogen synthase dissociates from glycogenin during the synthesis of a glycogen molecule, enabling glycogen molecules to reach their maximum theoretical size. Each mature glycogen beta particle in muscle contains one molecule of glycogenin attached covalently, and an average one glycogen synthase catalytic subunit bound non-covalently. As evidence accumulates that a priming protein may be a fundamental property of polysaccharide synthesis in general, the molecular details of mammalian glycogen biogenesis may serve as a useful model for other systems.

Amino Acid Sequence↗

Changes of the blood lymphocyte population following 32P treatment for polycythemia vera.

Orally administrated Na2 32PO4 mainly accumulates in bone marrow where it emits beta-particles which may damage cells. Previously, we showed that 32P treatment for polycythemia vera (PVC) increased the phytohemagglutinin reactivity and proportions of T cells in the blood. Now we have examined the effects of 32P treatment for PCV on natural killer (NK) and B-lymphocyte subsets which are considered to undergo their maturation in bone marrow. A mean isotope dose of 240 MBq given to 14 patients reduced the peripheral lymphocyte counts to 60% at 6 weeks. B cells and NK cells were reduced to the highest relative extent followed by HNK-1 cells and T cells. Although the proportion of NK cells was reduced to 50% there was no concomitant reduction of NK activity against K562 cells. Pokeweed mitogen-triggered secretion of IgM was significantly reduced, but not that of IgG or IgA. It is suggested that lymphocytes which mature in bone marrow may be affected to the highest extent by 32P treatment in PCV.

Adult↗

On the applicability of the AAPM TG-60/TG-43 dose calculation formalism to intravascular line sources: proposal for an adapted formalism.

Despite the widely recognized usefulness of the AAPM TG-43 brachytherapy dose calculation formalism, a straightforward application of this approach to describe the dose distribution about intravascular line sources as proposed by TG-60 may be difficult or even impossible, especially when these line sources emit low-energy photons or beta particles. The causes of these limitations are investigated and illustrated by means of some numerical examples. In order to solve the observed limitations an adapted formalism is proposed, intended specifically for the description of the dose rate distribution about line sources but conceptually similar to the TG-43/TG-60 formalism. Several examples are presented to illustrate the usefulness of the proposed line source dose calculation formalism.

Anisotropy↗

Chord distributions across 3D digital images of a human thoracic vertebra.

Radiation dose estimates to the trabecular region of the skeleton are of primary importance due to recent advancements in nuclear medicine. Establishing methods for accurately calculating dose in these regions is difficult due to the complex microstructure of this anatomic site and the typical ranges of beta-particles in both bone and marrow tissues. At the present time, models of skeletal dosimetry used in clinical medicine rely upon measured distributions of straight-line path lengths (chord lengths) through bone and marrow regions. This work develops a new three-dimensional, digital method for acquiring these distributions within voxelized images. In addition, the study details the characteristics of measuring chord distributions within digital images and provides a methodology for avoiding undesirable pixel or voxel effects. The improved methodology has been applied to a digital image (acquired via NMR microscopy) of the trabecular region of a human thoracic vertebra. The resulting chord-length distributions across both bone trabeculae and bone marrow cavities were found to be in general agreement with those measured in other studies utilizing different methods. In addition, this study identified that bone and marrow space chord-length distributions are not statistically independent, a condition implicitly assumed within all current skeletal dosimetry models of electron transport. The study concludes that the use of NMR microscopy combined with the digital measurement techniques should be used to further expand the existing Reference Man database of trabecular chord distributions to permit the development of skeletal dosimetry models which are more age and gender specific.

Bone Marrow↗

Verification of Ir-192 near source dosimetry using GAFCHROMIC film.

Intravascular brachytherapy treatments of in-stent restenosis have been performed extensively using Ir-192 ribbon. Task Group 60 of the American Association of Physicists in Medicine (AAPM) recommends a dose reference point at 2 mm from the source center for these treatments. However, it is known that the source can be as close as 0.5 mm to the arterial wall if not centered in the lumen. Therefore, the source dosimetry needs to be characterized at these close distances to accurately determine the amount of dose delivered for noncentered cases. In this paper, we report the verification of the dose distributions around Ir-192 seed sources at radial distances from 0.5 mm to 6 mm using GAFCHROMIC film. We evaluated an Ir-192 single seed source and a train of 6 seeds spaced 1 mm apart enclosed in a nylon ribbon. Each source was placed in a homogeneous solid water phantom directly below a stack of GAFCHROMIC films (MD-55-2). The calibration curve of the lot of films used in the experiment was established for Ir-192 by exposing a set of calibration films, one at a time, to an Ir-192 high dose rate (HDR) source. All films were scanned 5 or more days after exposure with a Lumisys Model 150 microdensitometer. The data were acquired and evaluated using RIT113 (Radiological Imaging Technology) software and analyzed using Excel and IDL (Interactive Data Language) software. Isodose curve plots in the plane containing the source's longitudinal axis and dose rate plots in the radial direction were obtained. For both configurations, the dose rates along the transverse axes agree to within the margin of error with previous Monte Carlo results. The isodose curve plots display hot spots near the seed ends, which is consistent with the leakage of beta particles and electrons from the unsealed seed ends as predicted with Monte Carlo calculations.

Brachytherapy↗

Treatment planning dosimetric parameters for 192Ir seed at short distances: effects of air channels and neighboring seeds based on Monte Carlo study.

The dose distributions around two different arrangements of a single radioactive 192Ir seed in water, (1) with air channels at the ends, and (2) surrounded by two nonactive ("dummy") seeds on both longitudinal ends, were calculated using MCNP4C Monte Carlo simulations at distances up to 1 cm. The contributions from beta particles and electrons emitted by 192Ir were included in the calculations. The effects of (a) the air channels at the seed ends and (b) the interference effect of the dummy seeds on the dose distribution were quantified and compared. It was found that the dummy seeds do not cause significant dose reduction for radial distances beyond 0.05 cm from the seed center. It is decided to report the dose rate values and the dosimetric parameters in TG43 format for a single seed with air channels for use in treatment planning computer systems. The dose rate constant (at 1 cm) of 192Ir seed, lambda, is 1.108 cGyU(-1) h(-1). The values of radial dose function, g(r), are within 1% from the TG43 recommended polynomial fit, except for distances within 0.08 cm. The anisotropy function, F(r, theta), attains large values near the seed ends and shallow angles (up to 8), as well as many values greater than 2 at the 20 degrees polar angle. Treatment planning systems involving intravascular brachytherapy do not compromise the accuracy for dosimetry of multiple seed trains by summing single seed values in water.

Air↗

Calibration of ophthalmic applicators at NIST: a revised approach.

A revised approach to the problem of measuring a surface-absorbed dose from beta-particle-emitting ophthalmic applicators is presented. The technique chosen employs an extrapolation chamber equipped with a 4-mm-diam collecting electrode to make current measurements at air gaps from 0.08 to 0.20 mm at 0.02-mm intervals. These data yield a linear relationship between current and air gap, the slope of which is used to determine average surface-absorbed-dose rate over the central area of the source. For additional information about the distribution of the activity over the source surface, autoradiographs using calibrated radiochromic dye films are analyzed to map the dose-rate profile across the surface of the applicator. Experiments varying several parameters of the extrapolation chamber measurement, including collecting electrode area, voltage gradient, range of air gaps used, and entrance foil material, are described. Also treated are calibrations of, and a description of the use of, radiochromic dye films for source profiling. Experiments for determining correction factors for the extrapolation chamber measurements are described, and an assessment of the uncertainties associated with these measurements is given.

Autoradiography↗

The spatial and energy dependence of bremsstrahlung production about beta point sources in H2O.

A Monte Carlo simulation was performed to characterize the spatial and energy distribution of bremsstrahlung radiation from beta point sources important to radioimmunotherapy (RIT). Using the EGS4 Monte Carlo code, the isotropic emission and transport of monoenergetic 0.1-, 0.5-, 1.0-, 2.0-, and 3.0-MeV electrons and 32P and 90Y beta particles was simulated in an infinite, homogeneous H2O phantom. The probability of bremsstrahlung production for each Monte Carlo-simulated electron step was accumulated in energy intervals not exceeding 5 keV and stored as a function of radial position. To validate this scheme, the EGS4 code was tested in the continuous slowing down approximation (csda) mode, with resulting radiation yields seen to agree with values in ICRU Report No. 37 (ICRU, Bethesda, MD, 1984) to better than 1.6%. The radiation yield calculated with the simulation of secondary particles is seen to be 3%-5% greater than the csda yield. The photon energy distributions are characterized by a typically broad bremsstrahlung spectrum with the probability of photon generation decreasing with radial distance. In the energy range 0.05-0.511 MeV, the probability for bremsstrahlung production from 90Y (2.76 x 10(-2) decay-1) is twice that from 32P (1.35 x 10(-2) decay-1). When passed through 10 cm of H2O and put upon a standard NaI scintillation camera, count rates of 2.3 x 10(-6) and 1.2 x 10(-6) counts s-1 Bq-1 are estimated from point sources of 90Y and 32P. These results predict the inherent spatial resolution limitation and provide the initial data required for modeling and analyzing the scatter, attenuation, and image formation processes in quantitative imaging of bremsstrahlung for RIT dosimetry.

Humans↗

Localized beta dosimetry of 131I-labeled antibodies in follicular lymphoma.

The purpose of this study is to assess the multicellular dosimetry of 131I-labeled antibody in follicular lymphoma based on histological measurements on human tumor biopsy tissue. Photomicrographs of lymph node specimens were analyzed by first-order treatment to determine the mean values and statistical variations of the radii of follicles (260 +/- 90 microns), interfollicular distances (740 +/- 160 microns), and the number density of follicles [60 +/- 18 in a volume of (2 X 1480 microns)3]. Based on these measurements, two geometrical models were developed for localized beta dosimetry. The first, a regular cubic lattice model, assumes no variation in follicular radius of follicles and interfollicular distance. The second, a randomized distribution model, is a more complicated but more realistic representation of observed histological specimens. In this model, Monte Carlo methods were used to reconstruct the spatial distribution of follicles by simulating the distribution of the radii of follicles, interfollicular distances, and the number density of follicles. Dose calculations were performed using Berger's point kernels for absorbed-dose distribution for beta particles in water, assuming the 131I-labeled antibodies as point sources. It was assumed that the activity concentration of the labeled antibody within the follicles was ten times the activity concentration in the interfollicular spaces. The spatial distribution of localized dose was calculated for a tumor having an average dose of 40 Gy. The localized dose was found to be highly nonuniform, ranging from 20 to 90 Gy, and varying by a factor of about 2 from the average tumor dose.(ABSTRACT TRUNCATED AT 250 WORDS)

Antibodies, Monoclonal↗

A simple magnetic spectrometer for radiotherapy electron beams.

A small, lightweight, single-focusing magnetic spectrometer was designed, assembled, and tested for analysis of electron beams from radiotherapy electron linacs. The objective was to develop a low cost, simple device that could be easily replicated in other medical centers, and to demonstrate the practicality of individual electron counting for precise analysis of electron spectra. Two methods of spectroscopy have been developed. One method consists of counting electrons individually as a function of magnetic field setting. Electrons are deflected through 90 degrees in the magnetic spectrometer, through an exit slit, and into a scintillation detector. A second method consists of recording the complete spectrum of electron energies from the accelerator on a strip of film at a single magnetic field setting. A critical design element is the 10-cm long collimator for electrons entering the magnet gap, with defining apertures and scraper slits. The spectrometer's cleanliness of transmission, energy calibration, and resolution were all tested at 10 and 16 MeV using the nearly monoenergetic electron beam of the accelerator at the National Research Council of Canada (NRCC). These accelerator tests, and also Monte Carlo trajectory simulations, both show that contamination of the transmitted spectrum due to scattered or knock-on electrons is negligible. Low-energy characteristics were tested using a 90Sr + 90Y beta-particle source. The energy calibration of the 90 degree spectrometer mode was based on mapping the magnetic field and also electron trajectory computer simulations. That calibration agrees with the NRCC's own calibrated scale to 0.8% for the single-particle counting method and to 1.3% for the film method. The energy resolution was measured to be 2% at 10 MeV, which is adequate for radiotherapy linac measurements. The acceptance half angle is 0.5 degrees or less, depending on the aperture size, which is adequate for electron angular distribution measurements within the forward cone of the electron beam. Used with film, the spectrometer is a simple, accurate, and highly transportable device for measuring radiotherapy electron energy spectra.

Biophysical Phenomena↗

Radiation dose from a phosphorous-32 impregnated wire mesh vascular stent.

The near field dose distribution of a realistic vascular stent impregnated with radioactive 32P is calculated employing the dose-point-kernel (DPK) method in a homogeneous and uniform medium. The cylindrical wire mesh geometry for the Palmaz-Schatz [Palmaz-Schatz is a tradename of Cordis (a Johnson & Johnson company)] stent is incorporated in the model calculation, and the dose distribution generated by the beta particles emitted from the decayed radioactive 32P is computed at distances ranging from 0.1 to 2 mm exterior to the stent surface. Dose measurements were obtained using radiochromic film dosimetry media on an actual Palmaz-Schatz half-stent impregnated with 32P using ion implantation, and compared to the DPK model predictions. The close agreement between the model calculation and the film dosimetry data confirms the validity of the model which can be adapted to a variety of different stent designs.

Angioplasty, Balloon, Coronary↗

The effect of contrast medium and balloon shape on dosimetry for arterial irradiation with 188Re.

The radiation dosimetry associated with the use of the beta particle emitter 188Re in an angioplasty balloon is investigated for the case when the balloon has an elliptical rather than circular cross section and when iodinated x-ray contrast medium is included inside the balloon. It is found that the elliptical cross section introduces significant dose corrections when the eccentricity of the ellipse is equal to or greater than 0.7. However, for cases where the artery is nearly circular in cross section, the corrections are likely to be small. As expected, the dose is reduced along the major axis of the ellipse and increased along the minor axis. The corrections are greatest at larger distances from the surface of the balloon. The effect on dose of contrast in the balloon is significant for 33% Omnipaque in saline. Since this is a typical concentration of contrast that is used for imaging the radiation-filled balloon, correction for the effects of contrast medium in the balloon should in general be applied. To enable corrections to be readily applied for other types and concentrations of contrast media, formulas have been derived that allow the dose correction to be calculated for a range of balloon diameters and at various distances from the surface of the balloon. To undertake this calculation, the elemental composition and density of the material in the balloon needs to be known.

Angioplasty, Balloon↗