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Sample records for accelerated hypofractionated radiation

  1. Postmastectomy Hypofractionated and Accelerated Radiation Therapy With (and Without) Subcutaneous Amifostine Cytoprotection

    SciTech Connect

    Koukourakis, Michael I.

    2013-01-01

    Purpose: Postmastectomy radiation therapy (PMRT) provides major local control and survival benefits. More aggressive radiation therapy schemes may, however, be necessary in specific subgroups, provided they are safely administered. We report the tolerance and efficacy of a highly accelerated and hypofractionated regimen (HypoARC). Methods and Materials: One hundred twelve high-risk patients who had undergone mastectomy received 10 consecutive fractions of 3.5 Gy in 12 days (thoracic wall and axillary/supraclavicular areas). Two consecutive additional fractions of 4 Gy were given to the surgical scar area (electrons 8-10 MeV) and 1 3.5-Gy fraction to the axilla (in cases with extensive nodal involvement). A minimum follow-up of 24 months (median, 44 months) was allowed before analysis. Of 112 patients, 21 (18.7%) refused to receive amifostine, the remaining receiving tolerance-based individualized doses (500-1000 mg/day subcutaneously). Results: By use of a dose individualization algorithm, 68.1%, 11%, and 18.7% of patients received 1000 mg, 750 mg, and 500 mg/day of amifostine. Patchy moist skin desquamation outside and inside the booster fields was noted in 14 of 112 (12.5%) and 26 of 112 (23.2%) patients, respectively. No case of acute pneumonitis was recorded. High amifostine dose offered a significant skin protection. Within a median follow-up time of 44 months, moderate subcutaneous edema outside and within the booster thoracic area was noted in 5 of 112 (4.4%) and 8 of 112 (7.1%) cases, respectively. Intense asymptomatic radiographic findings of in field lung fibrosis were noted in 4 of 112 (3.6%) patients. Amifostine showed a significant protection against lung and soft tissue fibrosis. A 97% projected 5-year local relapse free survival and 84% 5-year disease-specific survival were recorded. Lack of steroid receptor expression, simple human epidermal growth factor 2 positivity, or triple negative phenotype defined higher metastasis rates but had no effect on

  2. Efficacy and toxicity of an accelerated hypofractionated radiation therapy protocol in cats with oral squamous cell carcinoma.

    PubMed

    Poirier, Valérie J; Kaser-Hotz, Barbara; Vail, David M; Straw, Rodney C

    2013-01-01

    Squamous cell carcinoma (SCC) is the most common feline oral tumor. Standard radiation protocols have been reported to achieve tumor control durations of 1.5-5.5 months (45-165 days). The purpose of this study was to describe the efficacy and toxicity of an accelerated hypofractionated radiation therapy protocol in cats with oral SCC. Twenty-one cats with histologically confirmed oral SCC and T1-3N0M0 were treated with 10 once-daily fractions (Monday-Friday) of 4.8 Gy. Seventeen cats had macroscopic disease and four were microscopic after incomplete excision. Acute toxicity consisted of grade 2 mucositis in all cats and this was effectively managed using esophageal or gastric tube feeding, pain medication, and antibiotics. Late toxicity effects for cats with available follow-up data included alopecia (4 cats), leukotricia (6), tongue ulceration (1), and oronasal fistula (1). Response could be assessed in 17 cats (seven complete response and five partial response). Four cats (19%) developed metastatic disease without evidence of local progression. The median progression-free survival (PFS) was 105 days (1 year PFS of 23%), median local progression-free survival (LPFS) was 219 days (1 year LPFS of 41%), and median overall survival (OS) was 174 days (1 year OS of 29%). Only tumor stage was prognostic, with T1 having a median PFS of 590 days. Findings indicated that this accelerated hypofractionated radiation therapy protocol was well tolerated in cats with oral SCC, with manageable adverse events. Tumor response was observed in most cats and long tumor control durations were achieved in some cats.

  3. Hypofractionated radiation therapy in the treatment of early-stage breast cancer.

    PubMed

    Freedman, Gary M

    2012-02-01

    Hypofractionated radiation refers to the use of fewer, larger-dose radiation treatments that are usually given over a shorter time period compared to conventional radiation fraction sizes. Randomized trials of hypofractionated whole breast irradiation (WBI) have demonstrated comparable outcomes as conventional fractionation. For a higher-risk population for local recurrence, a phase 3 trial by the Radiation Therapy Oncology Group (RTOG) is currently studying hypofractionated WBI with a concurrent tumor bed boost over 3 weeks. Accelerated partial breast irradiation limits radiation to the region of the tumor bed for 1-3 weeks and is the subject of an ongoing randomized trial by the National Surgical Breast and Bowel Project and RTOG. Questions remain for hypofractionation about optimal patient selection, radiation techniques, and the risk of late toxicity. But results from current trials could make hypofractionation more widely accepted for patients with early-stage breast cancer.

  4. Hypofractionation in radiation therapy and its impact

    SciTech Connect

    Papiez, Lech; Timmerman, Robert

    2008-01-15

    A brief history of the underlying principles of the conventional fractionation in radiation therapy is discussed, followed by the formulation of the hypothesis for hypofractionated stereotactic body radiation therapy (SBRT). Subsequently, consequences of the hypothesis for SBRT dose shaping and dose delivery techniques are sketched. A brief review of the advantages of SBRT therapy in light of the existing experience is then provided. Finally, the need for new technological developments is advocated to make SBRT therapies more practical, safer, and clinically more effective. It is finally concluded that hypofractionated SBRT treatment will develop into a new paradigm that will shape the future of radiation therapy by providing the means to suppress the growth of most carcinogen-induced carcinomas and by supporting the cure of the disease.

  5. Hypofractionated Radiation Therapy for Breast Ductal Carcinoma In Situ

    SciTech Connect

    Hathout, Lara; Hijal, Tarek; Théberge, Valérie; Fortin, Bernard; Vulpe, Horia; Hogue, Jean-Charles; Lambert, Christine; Bahig, Houda; and others

    2013-12-01

    Purpose: Conventional radiation therapy (RT) administered in 25 fractions after breast-conserving surgery (BCS) is the standard treatment for ductal carcinoma in situ (DCIS) of the breast. Although accelerated hypofractionated regimens in 16 fractions have been shown to be equivalent to conventional RT for invasive breast cancer, few studies have reported results of using hypofractionated RT in DCIS. Methods and Materials: In this multicenter collaborative effort, we retrospectively reviewed the records of all women with DCIS at 3 institutions treated with BCS followed by hypofractionated whole-breast RT (WBRT) delivered in 16 fractions. Results: Between 2003 and 2010, 440 patients with DCIS underwent BCS followed by hypofractionated WBRT in 16 fractions for a total dose of 42.5 Gy (2.66 Gy per fraction). Boost RT to the surgical bed was given to 125 patients (28%) at a median dose of 10 Gy in 4 fractions (2.5 Gy per fraction). After a median follow-up time of 4.4 years, 14 patients had an ipsilateral local relapse, resulting in a local recurrence-free survival of 97% at 5 years. Positive surgical margins, high nuclear grade, age less than 50 years, and a premenopausal status were all statistically associated with an increased occurrence of local recurrence. Tumor hormone receptor status, use of adjuvant hormonal therapy, and administration of additional boost RT did not have an impact on local control in our cohort. On multivariate analysis, positive margins, premenopausal status, and nuclear grade 3 tumors had a statistically significant worse local control rate. Conclusions: Hypofractionated RT using 42.5 Gy in 16 fractions provides excellent local control for patients with DCIS undergoing BCS.

  6. Role of hypofractionated radiotherapy in breast locoregional radiation.

    PubMed

    Caudrelier, J-M; Truong, P T

    2015-06-01

    Long-term results of randomised trials have confirmed the safety and efficacy of hypofractionated radiotherapy using approximately 2.6 Gy per fraction to lower total doses of 40-42.6 Gy delivered over 3 weeks, for postoperative treatment of early breast cancer. In these trials, hypofractionated radiotherapy was predominantly used for breast only treatment, while there are fewer trials that specifically examined hypofractionated radiotherapy to the breast plus regional nodes. Hypofractionated locoregional radiation is considered a standard of care in the United Kingdom and in some parts of Canada. We aim to review the radiobiology and normal tissue effects of hypofractionated locoregional radiation and to summarize available published clinical experiences using this treatment strategy as adjuvant therapy after breast conserving surgery or mastectomy for women with early breast cancer.

  7. Hypofractionated radiation therapy for prostate cancer: biologic and technical considerations

    PubMed Central

    Sanfilippo, Nicholas J; Cooper, Benjamin T

    2014-01-01

    The optimal radiation schedule for the curative treatment of prostate cancer is not known. The dose-response of tumors and normal tissues to fractionated irradiation can be described according to a parameter called the alpha-beta ratio (α/β). In the past several years numerous reports have been published that suggest that the alpha-beta ratio for prostate cancer may be quite low; between 1 and 3. If this hypothesis is true, then a radiation therapy schedule that employs less frequent and larger fractions, termed hypofractionation, may be more efficacious. Multiple randomized trials have been conducted comparing moderate (less than 5 Gy/day) hypofractionated radiation therapy and standard radiation therapy in men with prostate cancer. In the majority of these studies the moderate hypofractionated arm had equivalent efficacy with a similar or improved side effect profile. One area to use caution may be in patients with compromised (IPSS > 12) urinary function at baseline due to an increase in urinary toxicity observed in patients treated with hypofractionated radiation in one study. Extreme hypofractionation (greater than or equal to 5 Gy/day), is currently being compared in a randomized trial. Early prospectively collected data from multiple institutions demonstrates efficacy and toxicity that compares favorably with historical controls. The cost savings from hypofractionation could be profound on a national level and only increases the necessity of testing hypofractionated treatment schedules. Long term data and future trials will help radiation oncologists determine the ideal fractionation scheme based on cost, efficacy, and toxicity. PMID:25606574

  8. Phase 2 Study of Accelerated Hypofractionated Thoracic Radiation Therapy and Concurrent Chemotherapy in Patients With Limited-Stage Small-Cell Lung Cancer

    SciTech Connect

    Xia, Bing; Hong, Ling-Zhi; Cai, Xu-Wei; Zhu, Zheng-Fei; Liu, Qi; Zhao, Kuai-Le; Fan, Min; Mao, Jing-Fang; Yang, Huan-Jun; Wu, Kai-Liang; Fu, Xiao-Long

    2015-03-01

    Purpose: To prospectively investigate the efficacy and toxicity of accelerated hypofractionated thoracic radiation therapy (HypoTRT) combined with concurrent chemotherapy in the treatment of limited-stage small-cell lung cancer (LS-SCLC), with the hypothesis that both high radiation dose and short radiation time are important in this setting. Methods and Materials: Patients with previously untreated LS-SCLC, Eastern Cooperative Oncology Group performance status of 0 to 2, and adequate organ function were eligible. HypoTRT of 55 Gy at 2.5 Gy per fraction over 30 days was given on the first day of the second or third cycle of chemotherapy. An etoposide/cisplatin regimen was given to 4 to 6 cycles. Patients who had a good response to initial treatment were offered prophylactic cranial irradiation. The primary endpoint was the 2-year progression-free survival rate. Results: Fifty-nine patients were enrolled from July 2007 through February 2012 (median age, 58 years; 86% male). The 2-year progression-free survival rate was 49.0% (95% confidence interval [CI] 35.3%-62.7%). Median survival time was 28.5 months (95% CI 9.0-48.0 months); the 2-year overall survival rate was 58.2% (95% CI 44.5%-71.9%). The 2-year local control rate was 76.4% (95% CI 63.7%-89.1%). The severe hematologic toxicities (grade 3 or 4) were leukopenia (32%), neutropenia (25%), and thrombocytopenia (15%). Acute esophagitis and pneumonitis of grade ≥3 occurred in 25% and 10% of the patients, respectively. Thirty-eight patients (64%) received prophylactic cranial irradiation. Conclusion: Our study showed that HypoTRT of 55 Gy at 2.5 Gy per fraction daily concurrently with etoposide/cisplatin chemotherapy has favorable survival and acceptable toxicity. This radiation schedule deserves further investigation in LS-SCLC.

  9. SYSTEMATIC REVIEW OF HYPOFRACTIONATED RADIATION THERAPY FOR PROSTATE CANCER

    PubMed Central

    Zaorsky, Nicholas G; Ohri, Nitin; Showalter, Timothy N; Dicker, Adam P; Den, Robert B

    2013-01-01

    Prostate cancer is the second most prevalent solid tumor diagnosed in men in the United States and Western Europe. Conventionally fractionated external beam radiation therapy (1.8-2.0 Gy/fraction) is an established treatment modality for men in all disease risk groups. Emerging evidence from experimental and clinical studies suggests that the α/β ratio for prostate cancer may be as low as 1.5 Gy, which has prompted investigators around the world to explore moderately hypofractionated radiation therapy (2.1-3.5 Gy/fraction). We review the impetus behind moderate hypofractionation and the current clinical evidence supporting moderate hypofractionated radiation therapy for prostate cancer. Although hypofractionated radiation therapy has many theoretical advantages, there is no clear evidence from prospective, randomized, controlled trials showing that hypofractionated schedules have improved outcomes or lower toxicity than conventionally fractionated regimens. Currently, hypofractionated schedules should only be used in the context of clinical trials. High dose rate brachytherapy and stereotactic body radiation therapy (fraction size 3.5 Gy and greater) are alternative approaches to hypofractionation, but are beyond the scope of this report. PMID:23453861

  10. Hypofractionated radiation therapy of oral melanoma in five cats.

    PubMed

    Farrelly, John; Denman, David L; Hohenhaus, Ann E; Patnaik, Amiya K; Bergman, Philip J

    2004-01-01

    Five cats with melanoma involving the oral cavity were treated with hypofractionated radiation therapy (RT). Cobalt photons were used to administer three fractions of 8.0 Gray (Gy) for a total dose of 24 Gy. Four cats received radiation on days 0, 7, and 21 and one cat received radiation on days 0, 7, and 13. One of the cats received additional irradiation following the initial treatment course. Two cats received chemotherapy. Their age ranged from 11 to 15 years with a median age of 12 years. Three cats had a response to radiation, including one complete response and two partial responses. All five cats were euthanized due to progression of disease, with one cat having evidence of metastatic disease at the time of euthanasia. The median survival time for the five cats was 146 days (range 66-224 days) from the start of RT. The results of this study suggest that oral melanoma in cats may be responsive to hypofractionated RT, but response does not seem to be durable.

  11. Normal tissue toxicity after small field hypofractionated stereotactic body radiation

    PubMed Central

    Milano, Michael T; Constine, Louis S; Okunieff, Paul

    2008-01-01

    Stereotactic body radiation (SBRT) is an emerging tool in radiation oncology in which the targeting accuracy is improved via the detection and processing of a three-dimensional coordinate system that is aligned to the target. With improved targeting accuracy, SBRT allows for the minimization of normal tissue volume exposed to high radiation dose as well as the escalation of fractional dose delivery. The goal of SBRT is to minimize toxicity while maximizing tumor control. This review will discuss the basic principles of SBRT, the radiobiology of hypofractionated radiation and the outcome from published clinical trials of SBRT, with a focus on late toxicity after SBRT. While clinical data has shown SBRT to be safe in most circumstances, more data is needed to refine the ideal dose-volume metrics. PMID:18976463

  12. Hypofractionated Whole-Breast Radiation Therapy: Does Breast Size Matter?

    SciTech Connect

    Hannan, Raquibul; Thompson, Reid F.; Chen Yu; Bernstein, Karen; Kabarriti, Rafi; Skinner, William; Chen, Chin C.; Landau, Evan; Miller, Ekeni; Spierer, Marnee; Hong, Linda; Kalnicki, Shalom

    2012-11-15

    Purpose: To evaluate the effects of breast size on dose-volume histogram parameters and clinical toxicity in whole-breast hypofractionated radiation therapy using intensity modulated radiation therapy (IMRT). Materials and Methods: In this retrospective study, all patients undergoing breast-conserving therapy between 2005 and 2009 were screened, and qualifying consecutive patients were included in 1 of 2 cohorts: large-breasted patients (chest wall separation >25 cm or planning target volume [PTV] >1500 cm{sub 3}) (n=97) and small-breasted patients (chest wall separation <25 cm and PTV <1500 cm{sub 3}) (n=32). All patients were treated prone or supine with hypofractionated IMRT to the whole breast (42.4 Gy in 16 fractions) followed by a boost dose (9.6 Gy in 4 fractions). Dosimetric and clinical toxicity data were collected and analyzed using the R statistical package (version 2.12). Results: The mean PTV V95 (percentage of volume receiving >= 95% of prescribed dose) was 90.18% and the mean V105 percentage of volume receiving >= 105% of prescribed dose was 3.55% with no dose greater than 107%. PTV dose was independent of breast size, whereas heart dose and maximum point dose to skin correlated with increasing breast size. Lung dose was markedly decreased in prone compared with supine treatments. Radiation Therapy Oncology Group grade 0, 1, and 2 skin toxicities were noted acutely in 6%, 69%, and 25% of patients, respectively, and at later follow-up (>3 months) in 43%, 57%, and 0% of patients, respectively. Large breast size contributed to increased acute grade 2 toxicity (28% vs 12%, P=.008). Conclusions: Adequate PTV coverage with acceptable hot spots and excellent sparing of organs at risk was achieved by use of IMRT regardless of treatment position and breast size. Although increasing breast size leads to increased heart dose and maximum skin dose, heart dose remained within our institutional constraints and the incidence of overall skin toxicity was comparable

  13. Radiation therapy for feline cutaneous squamous cell carcinoma using a hypofractionated protocol.

    PubMed

    Cunha, Simone C S; Carvalho, Luis Alfredo V; Canary, Paulo Cesar; Reisner, Marcio; Corgozinho, Katia B; Souza, Heloisa J M; Ferreira, Ana Maria R

    2010-04-01

    The objective of this paper was to evaluate the efficacy of a hypofractionated radiation protocol for feline facial squamous cell carcinoma (SCC). Twenty-five histologically confirmed SCCs in 15 cats were treated with four fractions of 7.6-10Gy each, with 1 week intervals. The equipment used was a linear accelerator Clinac 2100 delivering electron beam of 4 or 6MeV, and a bolus of 5 or 10mm was used in all lesions. Of the lesions, 44% were staged as T4, 16% as T3, 8% as T2 and 32% as T1. Of the irradiated lesions, 40% had complete response, 12% had partial response and 48% had no response (NR) to the treatment. For T1 tumors, 62.5% had complete remission. Mean overall survival time was 224 days. Owners requested euthanasia of cats having NR to the treatment. Mean disease free time was 271 days. Side effects observed were skin erythema, epilation, ulceration and conjunctivitis, which were graded according to Veterinary Radiation Therapy Oncology Group (VRTOG) toxicity criteria. Response rates found in this study (52%) were lower when compared to other protocols, probably due to technique differences, such as fractionation schedule, bolus thickness and energy penetration depth. However, the hypofractionated radiation protocol was considered safe for feline facial SCC. Modifications of this protocol are being planned with the objective of improving the cure rates in the future.

  14. The Role of Hypofractionated Radiation Therapy with Photons, Protons, and Heavy Ions for Treating Extracranial Lesions

    PubMed Central

    Laine, Aaron Michael; Pompos, Arnold; Timmerman, Robert; Jiang, Steve; Story, Michael D.; Pistenmaa, David; Choy, Hak

    2016-01-01

    Traditionally, the ability to deliver large doses of ionizing radiation to a tumor has been limited by radiation-induced toxicity to normal surrounding tissues. This was the initial impetus for the development of conventionally fractionated radiation therapy, where large volumes of healthy tissue received radiation and were allowed the time to repair the radiation damage. However, advances in radiation delivery techniques and image guidance have allowed for more ablative doses of radiation to be delivered in a very accurate, conformal, and safe manner with shortened fractionation schemes. Hypofractionated regimens with photons have already transformed how certain tumor types are treated with radiation therapy. Additionally, hypofractionation is able to deliver a complete course of ablative radiation therapy over a shorter period of time compared to conventional fractionation regimens making treatment more convenient to the patient and potentially more cost-effective. Recently, there has been an increased interest in proton therapy because of the potential further improvement in dose distributions achievable due to their unique physical characteristics. Furthermore, with heavier ions the dose conformality is increased and, in addition, there is potentially a higher biological effectiveness compared to protons and photons. Due to the properties mentioned above, charged particle therapy has already become an attractive modality to further investigate the role of hypofractionation in the treatment of various tumors. This review will discuss the rationale and evolution of hypofractionated radiation therapy, the reported clinical success with initially photon and then charged particle modalities, and further potential implementation into treatment regimens going forward. PMID:26793619

  15. Adoption of Hypofractionated Radiation Therapy for Breast Cancer After Publication of Randomized Trials

    SciTech Connect

    Jagsi, Reshma; Falchook, Aaron D.; Hendrix, Laura H.; Curry, Heather; Chen, Ronald C.

    2014-12-01

    Purpose: Large randomized trials have established the noninferiority of shorter courses of “hypofractionated” radiation therapy (RT) to the whole breast compared to conventional courses using smaller daily doses in the adjuvant treatment of selected breast cancer patients undergoing lumpectomy. Hypofractionation is more convenient and less costly. Therefore, we sought to determine uptake of hypofractionated breast RT over time. Methods and Materials: In the Surveillance, Epidemiology, and End Results (SEER)-Medicare-linked database, we identified 16,096 women with node-negative breast cancer and 4269 with ductal carcinoma in situ (DCIS) who received lumpectomy followed by more than 12 fractions of RT between 2004 and 2010. Based on Medicare claims, we determined the number of RT treatments given and grouped patients into those receiving hypofractionation (13-24) or those receiving conventional fractionation (≥25). We also determined RT technique (intensity modulated RT or not) using Medicare claims. We evaluated patterns and correlates of hypofractionation receipt using bivariate and multivariable analyses. Results: Hypofractionation use was similar in patients with DCIS and those with invasive disease. Overall, the use of hypofractionation increased from 3.8% in 2006 to 5.4% in 2007, to 9.4% in 2008, and to 13.6% in 2009 and 2010. Multivariable analysis showed increased use of hypofractionation in recent years and in patients with older age, smaller tumors, increased comorbidity, higher regional education, and Western SEER regions. However, even in patients over the age of 80, the hypofractionation rate in 2009 to 2010 was only 25%. Use of intensity modulated RT (IMRT) also increased over time (from 9.4% in 2004 to 22.7% in 2009-2010) and did not vary significantly between patients receiving hypofractionation and those receiving traditional fractionation. Conclusions: Hypofractionation use increased among low-risk older US breast cancer patients with

  16. Exploiting sensitization windows of opportunity in hyper and hypo-fractionated radiation therapy

    PubMed Central

    Prasanna, Anish; Mohiuddin, Mohammed; Coleman, C. Norman

    2014-01-01

    In contrast to the conventional radiotherapy/chemoradiotherapy paradigms used in the treatment of majority of cancer types, this review will describe two areas of radiobiology, hyperfractionated and hypofractionated radiation therapy, for cancer treatment focusing on application of novel concepts underlying these treatment modalities. The initial part of the review discusses the phenomenon of hyper-radiation sensitivity (HRS) at lower doses (0.1 to 0.6 Gy), describing the underlying mechanisms and how this could enhance the effects of chemotherapy, particularly, in hyperfractionated settings. The second part examines the radiobiological/physiological mechanisms underlying the effects of high-dose hypofractionated radiation therapy that can be exploited for tumor cure. These include abscopal/bystander effects, activation of immune system, endothelial cell death and effect of hypoxia with re-oxygenation. These biological properties along with targeted dose delivery and distribution to reduce normal tissue toxicity may make high-dose hypofractionation more effective than conventional radiation therapy for treatment of advanced cancers. The novel radiation physics based methods that take into consideration the tumor volume to be irradiated and normal tissue avoidance/tolerance can further improve treatment outcome and post-treatment quality of life. In conclusion, there is enough evidence to further explore novel avenues to exploit biological mechanisms from hyper-fractionation by enhancing the efficacy of chemotherapy and hypo-fractionated radiation therapy that could enhance tumor control and use imaging and technological advances to reduce toxicity. PMID:24688774

  17. The radiation-induced changes in rectal mucosa: Hyperfractionated vs. hypofractionated preoperative radiation for rectal cancer

    SciTech Connect

    Starzewski, Jacek J.; Pajak, Jacek T.; Pawelczyk, Iwona; Lange, Dariusz; Golka, Dariusz . E-mail: dargolka@wp.pl; Brzeziska, Monika; Lorenc, Zbigniew

    2006-03-01

    Purpose: The purpose of the study was the qualitative and quantitative evaluation of acute radiation-induced rectal changes in patients who underwent preoperative radiotherapy according to two different irradiation protocols. Patients and Methods: Sixty-eight patients with rectal adenocarcinoma underwent preoperative radiotherapy; 44 and 24 patients underwent hyperfractionated and hypofractionated protocol, respectively. Fifteen patients treated with surgery alone served as a control group. Five basic histopathologic features (meganucleosis, inflammatory infiltrations, eosinophils, mucus secretion, and erosions) and two additional features (mitotic figures and architectural glandular abnormalities) of radiation-induced changes were qualified and quantified. Results: Acute radiation-induced reactions were found in 66 patients. The most common were eosinophilic and plasma-cell inflammatory infiltrations (65 patients), erosions, and decreased mucus secretion (54 patients). Meganucleosis and mitotic figures were more common in patients who underwent hyperfractionated radiotherapy. The least common were the glandular architectural distortions, especially in patients treated with hypofractionated radiotherapy. Statistically significant differences in morphologic parameters studied between groups treated with different irradiation protocols were found. Conclusion: The system of assessment is a valuable tool in the evaluation of radiation-induced changes in the rectal mucosa. A greater intensity of regenerative changes was found in patients treated with hyperfractionated radiotherapy.

  18. Role of the Technical Aspects of Hypofractionated Radiation Therapy Treatment of Prostate Cancer: A Review

    SciTech Connect

    Clemente, Stefania; Nigro, Roberta; Oliviero, Caterina; Marchioni, Chiara; Esposito, Marco; Giglioli, Francesca Romana; Mancosu, Pietro; Marino, Carmelo; Russo, Serenella; Stasi, Michele; Strigari, Lidia; Veronese, Ivan; Landoni, Valeria

    2015-01-01

    The increasing use of moderate (<35 fractions) and extreme (<5 fractions) hypofractionated radiation therapy in prostate cancer is yielding favorable results, both in terms of maintained biochemical response and toxicity. Several hypofractionation (HF) schemes for the treatment of prostate cancer are available, although there is considerable variability in the techniques used to manage intra-/interfraction motion and deliver radiation doses. We performed a review of the published studies on HF regimens as a topic of interest for the Stereotactic Ablative Radiotherapy working group, which is part of the Italian Association of Medical Physics. Aspects of organ motion management (imaging for contouring, target volume definition, and rectum/bladder preparation) and treatment delivery (prostate localization, image guided radiation therapy strategy and frequency) were evaluated and categorized to assess outcome relative to disease control and toxicity. Despite the heterogeneity of the data, some interesting trends that emerged from the review might be useful in identifying an optimum HF strategy.

  19. Evolution of Hypofractionated Accelerated Radiotherapy for Prostate Cancer – The Sunnybrook Experience

    PubMed Central

    Musunuru, Hima Bindu; Cheung, Patrick; Loblaw, Andrew

    2014-01-01

    Stereotactic ablative body radiotherapy (SABR) is a newer method of ultra hypo fractionated radiotherapy that uses combination of image-guided radiotherapy (IGRT) and intensity-modulated radiotherapy (IMRT) or volumetric modulated arc therapy (VMAT), to deliver high doses of radiation in a few fractions to a target, at the same time sparing the surrounding organs at risk (OAR). SABR is ideal for treating small volumes of disease and has been introduced in a number of disease sites including brain, lung, liver, spine, and prostate. Given the radiobiological advantages of treating prostate cancer with high doses per fraction, SABR is becoming a standard of care for low and intermediate-risk prostate cancer patients based upon the results from Sunnybrook and also the US-based prostate SABR consortium. This review examines the development of moderate and ultra hypo-fractionation schedules at the Odette Cancer centre, Sunnybrook Health Sciences. Moderate hypo-fractionation protocol was first developed in 2001 for intermediate-risk prostate cancer and from there on different treatment schedules including SABR evolved for all risk groups. PMID:25452934

  20. Choosing Wisely? Patterns and Correlates of the Use of Hypofractionated Whole-Breast Radiation Therapy in the State of Michigan

    SciTech Connect

    Jagsi, Reshma; Griffith, Kent A.; Heimburger, David; Walker, Eleanor M.; Grills, Inga S.; Boike, Thomas; Feng, Mary; Moran, Jean M.; Hayman, James; Pierce, Lori J.

    2014-12-01

    Purpose: Given evidence from randomized trials that have established the non-inferiority of more convenient and less costly courses of hypofractionated radiotherapy to the whole breast in selected breast cancer patients who receive lumpectomy, we sought to investigate the use of hypofractionated radiation therapy and factors associated with its use in a consortium of radiation oncology practices in Michigan. We sought to determine the extent to which variation in use occurs at the physician or practice level versus the extent to which use reflects individualization based on potentially relevant patient characteristics (such as habitus, age, chemotherapy receipt, or laterality). Methods and Materials: We evaluated associations between receipt of hypofractionated radiation therapy and various patient, provider, and practice characteristics in a multilevel model. Results: Of 1477 patients who received lumpectomy and whole-breast radiation therapy and were registered by the Michigan Radiation Oncology Quality Consortium (MROQC) from October 2011 to December 2013, 913 had T1-2, N0 breast cancer. Of these 913, 283 (31%) received hypofractionated radiation therapy. Among the 13 practices, hypofractionated radiation therapy use ranged from 2% to 80%. On multilevel analysis, 51% of the variation in the rate of hypofractionation was attributable to the practice level, 21% to the provider level, and 28% to the patient level. On multivariable analysis, hypofractionation was more likely in patients who were older (odds ratio [OR] 2.16 for age ≥50 years, P=.007), less likely in those with larger body habitus (OR 0.52 if separation between tangent entry and exit ≥25 cm, P=.002), and more likely without chemotherapy receipt (OR 3.82, P<.001). Hypofractionation use was not higher in the last 6 months analyzed: 79 of 252 (31%) from June 2013 to December 2013 and 204 of 661 (31%) from October 2011 to May 2013 (P=.9). Conclusions: Hypofractionated regimens of whole

  1. A Dosimetric Comparison between Conventional Fractionated and Hypofractionated Image-guided Radiation Therapies for Localized Prostate Cancer

    PubMed Central

    Li, Ming; Li, Gao-Feng; Hou, Xiu-Yu; Gao, Hong; Xu, Yong-Gang; Zhao, Ting

    2016-01-01

    Background: Image-guided radiation therapy (IGRT) is the preferred method for curative treatment of localized prostate cancer, which could improve disease outcome and reduce normal tissue toxicity reaction. IGRT using cone-beam computed tomography (CBCT) in combination with volumetric-modulated arc therapy (VMAT) potentially allows smaller treatment margins and dose escalation to the prostate. The aim of this study was to compare the difference of dosimetric diffusion in conventional IGRT using 7-field, step-and-shoot intensity-modulated radiation therapy (IMRT) and hypofractionated IGRT using VMAT for patients with localized prostate cancer. Methods: We studied 24 patients who received 78 Gy in 39 daily fractions or 70 Gy in 28 daily fractions to their prostate with/without the seminal vesicles using IMRT (n = 12) or VMAT (n = 12) for prostate cancer between November 2013 and October 2015. Image guidance was performed using kilovoltage CBCT scans equipped on the linear accelerator. Offline planning was performed using the daily treatment images registered with simulation computed tomography (CT) images. A total of 212 IMRT plans in conventional cohort and 292 VMAT plans in hypofractionated cohort were enrolled in the study. Dose distributions were recalculated on CBCT images registered with the planning CT scanner. Results: Compared with 7-field, step-and-shoot IMRT, VMAT plans resulted in improved planning target volume (PTV) D95% (7663.17 ± 69.57 cGy vs. 7789.17 ± 131.76 cGy, P < 0.001). VMAT reduced the rectal D25 (P < 0.001), D35 (P < 0.001), and D50 (P < 0.001), bladder V50 (P < 0.001), D25 (P = 0.002), D35 (P = 0.028), and D50 (P = 0.029). However, VMAT did not statistically significantly reduce the rectal V50, compared with 7-field, step-and-shoot IMRT (25.02 ± 5.54% vs. 27.43 ± 8.79%, P = 0.087). Conclusions: To deliver the hypofractionated radiotherapy in prostate cancer, VMAT significantly increased PTV D95% dose and decreased the dose of radiation

  2. Long-term Cardiac Mortality After Hypofractionated Radiation Therapy in Breast Cancer

    SciTech Connect

    Tjessem, Kristin Holm; Johansen, Safora; Reinertsen, Kristin V.; Danielsen, Turi; Fosså, Sophie D.; Fosså, Alexander

    2013-10-01

    Purpose: To explore very-long-term mortality from ischemic heart disease (IHD) after locoregional radiation therapy of breast cancer (BC) in relation to degree of hypofractionation and other treatment variables. Methods and Materials: Two hypofractionated regimens used for locoregional radiation therapy for BC from 1975 to 1991 were considered. Patients received 4.3 Gy × 2/week (10 fractions; target dose 43 Gy; n=1107) or 2.5 Gy × 5/week (20 fractions; target dose 50 Gy; n=459). To estimate cardiac doses, radiation fields were reconstructed in a planning system. Time to death from IHD was the endpoint, comparing the groups with each other and with age-matched, cancer-free control individuals, modeled with the Cox proportional hazards model. Results: Patients given 4.3 Gy × 10 had an increased risk of dying of IHD compared with both the 2.5 Gy group (hazard ratio [HR] = 2.37; 95% confidence interval [CI]: 1.06-5.32; P=.036) and the control group (HR = 1.59; 95% CI: 1.13-2.23; P=.008). Photon beams for parasternal fields gave an increased risk of dying of IHD compared with electron beams (HR = 2.56; 95% CI: 1.12-5.84; P=.025). Multivariate analysis gave an increased risk for the 4.3-Gy versus 2.5-Gy regimen with borderline significance (HR = 2.90; 95% CI: 0.97-8.79; P=.057) but not for parasternal irradiation. Conclusions: The degree of hypofractionation and parasternal photon beams contributed to increased cardiac mortality in this patient cohort. Differences emerged after 12 to 15 years, indicating the need of more studies with observation time of 2 decades.

  3. Hypofractionated Accelerated Radiotherapy With Concurrent Chemotherapy For Locally Advanced Squamous Cell Carcinoma of the Head and Neck

    SciTech Connect

    Sanghera, Paul; McConkey, Chris; Ho, Kean-Fatt; Glaholm, John; Hartley, Andrew . E-mail: andrew.hartley@uhb.nhs.uk

    2007-04-01

    Purpose: To investigate the tumor control rates in locally advanced head-and-neck cancer using accelerated hypofractionated radiotherapy with chemotherapy. Methods and Materials: The data from patients with squamous cell cancer of the larynx, oropharynx, oral cavity, and hypopharynx (International Union Against Cancer Stage II-IV), who received accelerated hypofractionated radiotherapy with chemotherapy between January 1, 1998, and April 1, 2005, were retrospectively analyzed. Two different chemotherapy schedules were used, carboplatin and methotrexate, both single agents administered on an outpatient basis. The endpoints were overall survival, local control, and disease-free survival. Results: A total of 81 patients were analyzed. The 2-year overall survival rate was 71.6% (95% confidence interval [CI], 61.5-81.8%). The 2-year disease-free survival rate was 68.6% (95% CI, 58.4-78.8%). The 2-year local control rate was 75.4% (95% CI, 65.6-85.1%). When excluding patients with Stage II oral cavity, larynx, and hypopharynx tumors, 68 patients remained. For these patients, the 2-year overall survival, local control, and disease-free survival rate was 67.6% (95% CI, 56.0-79.2%), 72.0% (95% CI, 61.0-83.0%), and 64.1% (95% CI, 52.6-75.7%), respectively. Conclusion: Accelerated hypofractionated radiotherapy and synchronous chemotherapy can achieve high tumor control rates while being resource sparing and should be the subject of prospective evaluation.

  4. Whole-Pelvic Nodal Radiation Therapy in the Context of Hypofractionation for High-Risk Prostate Cancer Patients: A Step Forward

    SciTech Connect

    Kaidar-Person, Orit; Roach, Mack; Créhange, Gilles

    2013-07-15

    Given the low α/β ratio of prostate cancer, prostate hypofractionation has been tested through numerous clinical studies. There is a growing body of literature suggesting that with high conformal radiation therapy and even with more sophisticated radiation techniques, such as high-dose-rate brachytherapy or image-guided intensity modulated radiation therapy, morbidity associated with shortening overall treatment time with higher doses per fraction remains low when compared with protracted conventional radiation therapy to the prostate only. In high-risk prostate cancer patients, there is accumulating evidence that either dose escalation to the prostate or hypofractionation may improve outcome. Nevertheless, selected patients who have a high risk of lymph node involvement may benefit from whole-pelvic radiation therapy (WPRT). Although combining WPRT with hypofractionated prostate radiation therapy is feasible, it remains investigational. By combining modern advances in radiation oncology (high-dose-rate prostate brachytherapy, intensity modulated radiation therapy with an improved image guidance for soft-tissue sparing), it is hypothesized that WPRT could take advantage of recent results from hypofractionation trials. Moreover, the results from hypofractionation trials raise questions as to whether hypofractionation to pelvic lymph nodes with a high risk of occult involvement might improve the outcomes in WPRT. Although investigational, this review discusses the challenging idea of WPRT in the context of hypofractionation for patients with high-risk prostate cancer.

  5. β1 integrin- and JNK-dependent tumor growth upon hypofractionated radiation

    PubMed Central

    Sayeed, Aejaz; Lu, Huimin; Liu, Qin; II, David Deming; Duffy, Alexander; McCue, Peter; Dicker, Adam P.; Davis, Roger J.; Gabrilovich, Dmitry; Rodeck, Ulrich; Altieri, Dario C.; Languino, Lucia R.

    2016-01-01

    Radiation therapy is an effective cancer treatment modality although tumors invariably become resistant. Using the transgenic adenocarcinoma of mouse prostate (TRAMP) model system, we report that a hypofractionated radiation schedule (10 Gy/day for 5 consecutive days) effectively blocks prostate tumor growth in wild type (β1wt /TRAMP) mice as well as in mice carrying a conditional ablation of β1 integrins in the prostatic epithelium (β1pc-/- /TRAMP). Since JNK is known to be suppressed by β1 integrins and mediates radiation-induced apoptosis, we tested the effect of SP600125, an inhibitor of c-Jun amino-terminal kinase (JNK) in the TRAMP model system. Our results show that SP600125 negates the effect of radiation on tumor growth in β1pc-/- /TRAMP mice and leads to invasive adenocarcinoma. These effects are associated with increased focal adhesion kinase (FAK) expression and phosphorylation in prostate tumors in β1pc-/- /TRAMP mice. In marked contrast, radiation-induced tumor growth suppression, FAK expression and phosphorylation are not altered by SP600125 treatment of β1wt /TRAMP mice. Furthermore, we have reported earlier that abrogation of insulin-like growth factor receptor (IGF-IR) in prostate cancer cells enhances the sensitivity to radiation. Here we further explore the β1/IGF-IR crosstalk and report that β1 integrins promote cell proliferation partly by enhancing the expression of IGF-IR. In conclusion, we demonstrate that β1 integrin-mediated inhibition of JNK signaling modulates tumor growth rate upon hypofractionated radiation. PMID:27438371

  6. Prostate Hypofractionated Radiation Therapy With Injection of Hyaluronic Acid: Acute Toxicities in a Phase 2 Study

    SciTech Connect

    Chapet, Olivier; Decullier, Evelyne; Bin, Sylvie; Faix, Antoine; Ruffion, Alain; Jalade, Patrice; Fenoglietto, Pascal; Udrescu, Corina; Enachescu, Ciprian; Azria, David

    2015-03-15

    Purpose: Hypofractionated radiation therapy (RT) in prostate cancer can be developed only if the risk of rectal toxicity is controlled. In a multicenter phase 2 trial, hypofractionated irradiation was combined with an injection of hyaluronic acid (HA) to preserve the rectal wall. Tolerance of the injection and acute toxicity rates are reported. Methods and Materials: The study was designed to assess late grade 2 toxicity rates. The results described here correspond to the secondary objectives. Acute toxicity was defined as occurring during RT or within 3 months after RT and graded according to the Common Terminology Criteria for Adverse Events version 4.0. HA tolerance was evaluated with a visual analog scale during the injection and 30 minutes after injection and then by use of the Common Terminology Criteria at each visit. Results: From 2010 to 2012, 36 patients with low-risk to intermediate-risk prostate cancer were included. The HA injection induced a mean pain score of 4.6/10 ± 2.3. Thirty minutes after the injection, 2 patients still reported pain (2/10 and 3/10), which persisted after the intervention. Thirty-three patients experienced at least 1 acute genitourinary toxicity and 20 patients at least 1 acute gastrointestinal toxicity. Grade 2 toxicities were reported for 19 patients with urinary obstruction, frequency, or both and for 1 patient with proctitis. No grade 3 or 4 toxicities were reported. At the 3-month visit, 4 patients described grade 2 obstruction or frequency, and no patients had any grade 2 gastrointestinal toxicities. Conclusions: The injection of HA makes it possible to deliver hypofractionated irradiation over 4 weeks with a dose per fraction of > 3 Gy, with limited acute rectal toxicity.

  7. Response of Human Prostate Tissue to Hypofractionated Ionizing Radiation

    DTIC Science & Technology

    2012-05-01

    Institute, Aspen CO. American Brachytherapy Society Seattle Prostate Fellowship Research Program: Grants: In Preparation: Sroka TC and Cress... Plus HGF) for 18 hours prior to irradiation. Residual DNA damage was detected 48 hours post radiation by quantifying the percentage of nuclei

  8. Hypofractionation vs Conventional Radiation Therapy for Newly Diagnosed Diffuse Intrinsic Pontine Glioma: A Matched-Cohort Analysis

    SciTech Connect

    Janssens, Geert O.; Jansen, Marc H.; Nowak, Peter J.; Oldenburger, Foppe R.; Bouffet, Eric; Kamphuis-van Ulzen, Karin; Lindert, Erik J. van; Schieving, Jolanda H.; Boterberg, Tom; Kaspers, Gertjan J.; Gidding, Corrie E.; Hargrave, Darren

    2013-02-01

    Purpose: Despite conventional radiation therapy, 54 Gy in single doses of 1.8 Gy (54/1.8 Gy) over 6 weeks, most children with diffuse intrinsic pontine glioma (DIPG) will die within 1 year after diagnosis. To reduce patient burden, we investigated the role of hypofractionation radiation therapy given over 3 to 4 weeks. A 1:1 matched-cohort analysis with conventional radiation therapy was performed to assess response and survival. Methods and Materials: Twenty-seven children, aged 3 to 14, were treated according to 1 of 2 hypofractionation regimens over 3 to 4 weeks (39/3 Gy, n=16 or 44.8/2.8 Gy, n=11). All patients had symptoms for {<=}3 months, {>=}2 signs of the neurologic triad (cranial nerve deficit, ataxia, long tract signs), and characteristic features of DIPG on magnetic resonance imaging. Twenty-seven patients fulfilling the same diagnostic criteria and receiving at least 50/1.8 to 2.0 Gy were eligible for the matched-cohort analysis. Results: With hypofractionation radiation therapy, the overall survival at 6, 9, and 12 months was 74%, 44%, and 22%, respectively. Progression-free survival at 3, 6, and 9 months was 77%, 43%, and 12%, respectively. Temporary discontinuation of steroids was observed in 21 of 27 (78%) patients. No significant difference in median overall survival (9.0 vs 9.4 months; P=.84) and time to progression (5.0 vs 7.6 months; P=.24) was observed between hypofractionation vs conventional radiation therapy, respectively. Conclusions: For patients with newly diagnosed DIPG, a hypofractionation regimen, given over 3 to 4 weeks, offers equal overall survival with less treatment burden compared with a conventional regimen of 6 weeks.

  9. Combined Hypofractionated Radiation and Hormone Therapy for the Treatment of Intermediate-Risk Prostate Cancer

    SciTech Connect

    Yassa, Michael; Fortin, Bernard; Fortin, Marie-Andree; Lambert, Carole; Van Nguyen, Thu; Bahary, Jean-Paul

    2008-05-01

    Purpose: Because of the low alpha/beta value of prostate cancer, a therapeutic gain may be possible with a hypofractionated radiation scheme, and this gain may be further increased with the adjunct of hormone therapy. A Phase II study was undertaken to study the toxicity of such a treatment. Methods and Materials: Forty-two patients with intermediate-risk prostate cancer were recruited for this study. Neoadjuvant and concomitant hormone therapy consisted of one injection of leuprolide acetate (4-month preparation) and 1 month of oral nonsteroidal, anti-androgen medication starting on the day of the injection. Radiation treatment was started 8 weeks after the injection and patients received 57 Gy in 19 fractions. Results: Median follow-up was 46 months. The treatment was well tolerated and no interruptions occurred. The majority (59%) had Grade 0 or 1 acute genitourinary (GU) toxicity, whereas 36% had Grade 2 and 5% had Grade 3 acute GU toxicity. Only Grade 1 or 2 gastrointestinal toxicity was seen. All chronic toxicity was of Grade 1 or 2 except for 3 patients (8%) with Grade 3 toxicity. Sixty-eight percent (68%) of patients had no long-term side effects from the treatment. At time of analysis, 79% showed no sign of treatment failure. Conclusions: Hypofractionated radiation with neoadjuvant and concomitant hormone therapy is well tolerated with no significant short- or long-term morbidity. Control for this risk group is good, and comparative Phase III studies should be undertaken to determine whether this treatment is superior to new evolving treatments.

  10. Hypofractionated Dose-Painting Intensity Modulated Radiation Therapy With Chemotherapy for Nasopharyngeal Carcinoma: A Prospective Trial

    SciTech Connect

    Bakst, Richard L.; Lee, Nancy; Pfister, David G.; Zelefsky, Michael J.; Hunt, Margie A.; Kraus, Dennis H.; Wolden, Suzanne L.

    2011-05-01

    Purpose: To evaluate the feasibility of dose-painting intensity-modulated radiation therapy (DP-IMRT) with a hypofractionated regimen to treat nasopharyngeal carcinoma (NPC) with concomitant toxicity reduction. Methods and Materials: From October 2002 through April 2007, 25 newly diagnosed NPC patients were enrolled in a prospective trial. DP-IMRT was prescribed to deliver 70.2 Gy using 2.34-Gy fractions to the gross tumor volume for the primary and nodal sites while simultaneously delivering 54 Gy in 1.8-Gy fractions to regions at risk of microscopic disease. Patients received concurrent and adjuvant platin-based chemotherapy similar to the Intergroup 0099 trial. Results: Patient and disease characteristics are as follows: median age, 46; 44% Asian; 68% male; 76% World Health Organization III; 20% T1, 52% T2, 16% T3, 12% T4; 20% N0, 36% N1, 36% N2, 8% N3. With median follow-up of 33 months, 3-year local control was 91%, regional control was 91%, freedom from distant metastases was 91%, and overall survival was 89%. The average mean dose to each cochlea was 43 Gy. With median audiogram follow-up of 14 months, only one patient had clinically significant (Grade 3) hearing loss. Twelve percent of patients developed temporal lobe necrosis; one patient required surgical resection. Conclusions: Preliminary findings using a hypofractionated DP-IMRT regimen demonstrated that local control, freedom from distant metastases, and overall survival compared favorably with other series of IMRT and chemotherapy. The highly conformal boost to the tumor bed resulted low rates of severe ototoxicity (Grade 3-4). However, the incidence of in-field brain radiation necrosis indicates that 2.34 Gy per fraction is not safe in this setting.

  11. Radiation Pneumonitis After Hypofractionated Radiotherapy: Evaluation of the LQ(L) Model and Different Dose Parameters

    SciTech Connect

    Borst, Gerben R.; Ishikawa, Masayori; Nijkamp, Jasper

    2010-08-01

    Purpose: To evaluate the linear quadratic (LQ) model for hypofractionated radiotherapy within the context of predicting radiation pneumonitis (RP) and to investigate the effect if a linear (L) model in the high region (LQL model) is used. Methods and Materials: The radiation doses used for 128 patients treated with hypofractionated radiotherapy were converted to the equivalent doses given in fractions of 2 Gy for a range of {alpha}/{beta} ratios (1 Gy to infinity) according to the LQ(L) model. For the LQL model, different cut-off values between the LQ model and the linear component were used. The Lyman model parameters were fitted to the events of RP grade 2 or higher to derive the normal tissue complication probability (NTCP). The lung dose was calculated as the mean lung dose and the percentage of lung volume (V) receiving doses higher than a threshold dose of xGy (V{sub x}). Results: The best NTCP fit was found if the mean lung dose, or V{sub x}, was calculated with an {alpha}/{beta} ratio of 3 Gy. The NTCP fit of other {alpha}/{beta} ratios and the LQL model were worse but within the 95% confidence interval of the NTCP fit of the LQ model with an {alpha}/{beta} ratio of 3 Gy. The V{sub 50} NTCP fit was better than the NTCP fit of lower threshold doses. Conclusions: For high fraction doses, the LQ model with an {alpha}/{beta} ratio of 3 Gy was the best method for converting the physical lung dose to predict RP.

  12. [Hypofractionated radiation therapy for the treatment of malignant melanoma and squamous cell carcinoma in dogs and cats].

    PubMed

    Kinzel, Sylvia; Hein, Sven; Stopinski, Thaddeus; Koch, Johannes; Buecker, Arno; Treusacher, Hans-Peter; Schmachtenberg, Axel; Jansen, Thomas; Eble, Michael; Küpper, Wernen

    2003-01-01

    This study describes the experience with hypofractionated radiation therapy of squamous cell carcinoma and melanoma in dogs and cats. A total dose of 32-48 Gray (Gy) was delivered once a week in 8 Gy fractions. 34 animals in which a complete surgical excision was impossible were treated. There was no tumor detectable macroscopically in 14 patients at the beginning of radiation therapy. In 20 animals the median volume of the tumor was 9.9 cm3. The median survival times and the local tumor control of squamous cell carcinoma of the oral and nasal cavities and of the body are comparable to results which were reached with a Monday-Wednesday-Friday scheme. For the treatment of Melanoma the hypofractionated radiation therapy is first choice. There are no significant side effects. Late side effects did not occur. 88% of the owners are satisfied with this kind of treatment and would choose it again.

  13. Hypofractionated Versus Standard Radiation Therapy With or Without Temozolomide for Older Glioblastoma Patients

    SciTech Connect

    Arvold, Nils D.; Aizer, Ayal A.; Chiocca, E. Antonio

    2015-06-01

    Purpose: Older patients with newly diagnosed glioblastoma have poor outcomes, and optimal treatment is controversial. Hypofractionated radiation therapy (HRT) is frequently used but has not been compared to patients receiving standard fractionated radiation therapy (SRT) and temozolomide (TMZ). Methods and Materials: We conducted a retrospective analysis of patients ≥65 years of age who received radiation for the treatment of newly diagnosed glioblastoma from 1994 to 2013. The distribution of clinical covariates across various radiation regimens was analyzed for possible selection bias. Survival was calculated using the Kaplan-Meier method. Comparison of hypofractionated radiation (typically, 40 Gy/15 fractions) versus standard fractionation (typically, 60 Gy/30 fractions) in the setting of temozolomide was conducted using Cox regression and propensity score analysis. Results: Patients received SRT + TMZ (n=57), SRT (n=35), HRT + TMZ (n=34), or HRT (n=9). Patients receiving HRT were significantly older (median: 79 vs 69 years of age; P<.001) and had worse baseline performance status (P<.001) than those receiving SRT. On multivariate analysis, older age (adjusted hazard ratio [AHR]: 1.06; 95% confidence interval [CI]: 1.01-1.10, P=.01), lower Karnofsky performance status (AHR: 1.02; 95% CI: 1.01-1.03; P=.01), multifocal disease (AHR: 2.11; 95% CI: 1.23-3.61, P=.007), and radiation alone (vs SRT + TMZ; SRT: AHR: 1.72; 95% CI: 1.06-2.79; P=.03; HRT: AHR: 3.92; 95% CI: 1.44-10.60, P=.007) were associated with decreased overall survival. After propensity score adjustment, patients receiving HRT with TMZ had similar overall survival compared with those receiving SRT with TMZ (AHR: 1.10, 95% CI: 0.50-2.4, P=.82). Conclusions: With no randomized data demonstrating equivalence between HRT and SRT in the setting of TMZ for glioblastoma, significant selection bias exists in the implementation of HRT. Controlling for this bias, we observed similar overall

  14. Prostate Hypofractionated Radiation Therapy: Injection of Hyaluronic Acid to Better Preserve The Rectal Wall

    SciTech Connect

    Chapet, Olivier; Udrescu, Corina; Devonec, Marian; Tanguy, Ronan; Sotton, Marie-Pierre; Enachescu, Ciprian; Colombel, Marc; Azria, David; Jalade, Patrice; Ruffion, Alain

    2013-05-01

    Purpose: The aim of this study was to evaluate the contribution of an injection of hyaluronic acid (HA) between the rectum and the prostate for reducing the dose to the rectal wall in a hypofractionated irradiation for prostate cancer. Methods and Materials: In a phase 2 study, 10 cc of HA was injected between the rectum and prostate. For 16 patients, the same intensity modulated radiation therapy plan (62 Gy in 20 fractions) was optimized on 2 computed tomography scans: CT1 (before injection) and CT2 (after injection). Rectal parameters were compared: dose to 2.5 cc (D2.5), 5 cc (D5), 10 cc (D10), 15 cc (D15), and 20 cc (D20) of rectal wall and volume of rectum covered by the 90% isodose line (V90), 80% (V80), 70% (V70), 60% (V60), and 50% (V50). Results: The mean V90, V80, V70, V60, and V50 values were reduced by 73.8% (P<.0001), 55.7% (P=.0003), 43.0% (P=.007), 34% (P=.002), and 25% (P=.036), respectively. The average values of D2.5, D5, D10, D15, and D20 were reduced by 8.5 Gy (P<.0001), 12.3 Gy (P<.0001), 8.4 Gy (P=.005), 3.7 Gy (P=.026), and 1.2 Gy (P=.25), respectively. Conclusions: The injection of HA significantly limited radiation doses to the rectal wall.

  15. Hematopoietic Stem and Progenitor Cell Migration After Hypofractionated Radiation Therapy in a Murine Model

    SciTech Connect

    Kane, Jonathan; Krueger, Sarah A.; Dilworth, Joshua T.; Torma, John T.; Wilson, George D.; Marples, Brian; Madlambayan, Gerard J.

    2013-12-01

    Purpose: To characterize the recruitment of bone marrow (BM)-derived hematopoietic stem and progenitor cells (HSPCs) within tumor microenvironment after radiation therapy (RT) in a murine, heterotopic tumor model. Methods and Materials: Lewis lung carcinoma tumors were established in C57BL/6 mice and irradiated with 30 Gy given as 2 fractions over 2 days. Tumors were imaged with positron emission tomography/computed tomography (PET/CT) and measured daily with digital calipers. The HSPC and myelomonocytic cell content was assessed via immunofluorescent staining and flow cytometry. Functionality of tumor-associated HSPCs was verified in vitro using colony-forming cell assays and in vivo by rescuing lethally irradiated C57BL/6 recipients. Results: Irradiation significantly reduced tumor volumes and tumor regrowth rates compared with nonirradiated controls. The number of CD133{sup +} HSPCs present in irradiated tumors was higher than in nonirradiated tumors during all stages of regrowth. CD11b{sup +} counts were similar. PET/CT imaging and growth rate analysis based on standardized uptake value indicated that HSPC recruitment directly correlated to the extent of regrowth and intratumor cell activity after irradiation. The BM-derived tumor-associated HSPCs successfully formed hematopoietic colonies and engrafted irradiated mice. Finally, targeted treatment with a small animal radiation research platform demonstrated localized HSPC recruitment to defined tumor subsites exposed to radiation. Conclusions: Hypofractionated irradiation resulted in a pronounced and targeted recruitment of BM-derived HSPCs, possibly as a mechanism to promote tumor regrowth. These data indicate for the first time that radiation therapy regulates HSPC content within regrowing tumors.

  16. Estimation of Errors Associated With Use of Linear-Quadratic Formalism for Evaluation of Biologic Equivalence Between Single and Hypofractionated Radiation Doses: An In Vitro Study

    SciTech Connect

    Iwata, Hiromitsu Shibamoto, Yuta; Murata, Rumi; Tomita, Natsuo; Ayakawa, Shiho; Ogino, Hiroyuki; Ito, Masato

    2009-10-01

    Purpose: To investigate the reliability of the linear-quadratic (LQ) formalism and the magnitude of errors associated with its use in assessing biologic equivalence between single, high radiation doses and hypofractionated radiation doses. Methods and Materials: V79 and EMT6 single cells received single doses of 2-12 Gy or two or three fractions of 4 or 5 Gy, each at 4-h intervals. Single and fractionated doses to actually reduce the cell survival to the same level were determined by a colony assay. The {alpha}/{beta} ratio was obtained from the cell survival curves. Using the {alpha}/{beta} ratio and the LQ formalism, equivalent single doses for the hypofractionated doses were calculated. They were then compared with the actually determined equivalent single doses for the hypofractionated doses. The V79 spheroids received single doses of 5-26 Gy or two to five fractions of 5-12 Gy at 2 or 4-h interval, and then were assayed for cell survival. Next, equivalent single doses for the hypofractionated doses were determined, as were done for the single cells. Results: The {alpha}/{beta} ratio was 5.1 Gy for the V79 single cells and 0.36 Gy for EMT6. In V79, the equivalent single doses for the hypofractionated doses calculated using the LQ formalism were 12-19% lower than the actually measured biologically equivalent single doses. In the EMT6 cells, this trend was also seen, but the differences were not significant. In the V79 spheroids, the calculated doses were 18-30% lower than the measured doses. Conclusion: Conversion of hypofractionated radiation doses to single doses using the LQ formalism could underestimate the effect of hypofractionated radiation by {<=}30%.

  17. Hypofractionated Intensity Modulated Radiation Therapy in Combined Modality Treatment for Bladder Preservation in Elderly Patients With Invasive Bladder Cancer

    SciTech Connect

    Turgeon, Guy-Anne; Souhami, Luis; Cury, Fabio L.; Faria, Sergio L.; Duclos, Marie; Sturgeon, Jeremy; Kassouf, Wassim

    2014-02-01

    Purpose/Objective(s): To review our experience with bladder-preserving trimodality treatment (TMT) using hypofractionated intensity modulated radiation therapy (IMRT) for the treatment of elderly patients with muscle-invasive bladder cancer. Methods and Materials: Retrospective study of elderly patients treated with TMT using hypofractionated IMRT (50 Gy in 20 fractions) with concomitant weekly radiosensitizing chemotherapy. Eligibility criteria were as follows: age ≥70 years, a proven diagnosis of muscle-invasive transitional cell bladder carcinoma, stage T2-T3N0M0 disease, and receipt of TMT with curative intent. Response rate was assessed by cystoscopic evaluation and bladder biopsy. Results: 24 patients with a median age of 79 years were eligible. A complete response was confirmed in 83% of the patients. Of the remaining patients, 1 of them underwent salvage cystectomy, and no disease was found in the bladder on histopathologic assessment. After a median follow-up time of 28 months, of the patients with a complete response, 2 patients had muscle-invasive recurrence, 1 experienced locoregional failure, and 3 experienced distant metastasis. The overall and cancer-specific survival rates at 3 years were 61% and 71%, respectively. Of the surviving patients, 75% have a disease-free and functioning bladder. All patients completed hypofractionated IMRT, and 19 patients tolerated all 4 cycles of chemotherapy. Acute grade 3 gastrointestinal or genitourinary toxicities occurred in only 4% of the patients, and acute grade 3 or 4 hematologic toxicities, liver toxicities, or both were experienced by 17% of the cohort. No patient experienced grade 4 gastrointestinal or genitourinary toxicity. Conclusions: Hypofractionated IMRT with concurrent radiosensitizing chemotherapy appears to be an effective and well-tolerated curative treatment strategy in the elderly population and should be considered for patients who are not candidates for cystectomy or who wish to avoid

  18. SHARE: a French multicenter phase III trial comparing accelerated partial irradiation versus standard or hypofractionated whole breast irradiation in breast cancer patients at low risk of local recurrence.

    PubMed

    Belkacemi, Yazid; Bourgier, Céline; Kramar, Andrew; Auzac, Guillaume; Dumas, Isabelle; Lacornerie, Thomas; Mége, Jean-Pierre; Mijonnet, Sylvie; Lemonnier, Jerôme; Lartigau, Eric

    2013-02-01

    The standard treatment for breast cancer patients at low risk of recurrence is based on conservative surgery followed by radiation therapy delivered to the whole breast. The accelerated partial breast irradiation (APBI) concept, developed more than 15 years ago, could be an option in selected patients. However, the ideal patient profile for APBI is still not clearly identified. Recent reports from the American Society for Radiation Oncology (ASTRO) and the Groupe Européen de Curiethérapie-European Society for Therapeutic Radiology and Oncology (GEC-ESTRO) have suggested selection criteria for "suitable patients" who could receive APBI outside of clinical trials. Currently, there are 6 ongoing phase III trials. All are characterized by a significant heterogeneity regarding inclusion criteria and stratification factors. The French UNICANCER trial (SHARE; ClinicalTrials.gov identifier NCT01247233) will randomize 2,800 patients in 3 arms: APBI (1 week) using 3-dimensional (3D) conformal radiotherapy, standard radiotherapy (6.5 weeks), and hypofractionated radiotherapy (3 weeks). In this article, we review the reported retrospective studies as well as older randomized trials. We will also describe the differences between the 6 ongoing phase III trials and the particularities of the French SHARE trial.

  19. Hypofractionated Stereotactic Radiation Therapy in Recurrent High-Grade Glioma: A New Challenge

    PubMed Central

    Navarria, Pierina; Ascolese, Anna Maria; Tomatis, Stefano; Reggiori, Giacomo; Clerici, Elena; Villa, Elisa; Maggi, Giulia; Bello, Lorenzo; Pessina, Federico; Cozzi, Luca; Scorsetti, Marta

    2016-01-01

    Purpose The aim of this study was to evaluate outcomes of hypofractionated stereotactic radiation therapy (HSRT) in patients re-treated for recurrent high-grade glioma. Materials and Methods From January 2006 to September 2013, 25 patients were treated. Six patients underwent radiation therapy alone, while 19 underwent combined treatment with surgery and/or chemotherapy. Only patients with Karnofsky Performance Status (KPS) > 70 and time from previous radiotherapy greater than 6 months were re-irradiated. The mean recurrent tumor volume was 35 cm3 (range, 2.46 to 116.7 cm3), and most of the patients (84%) were treated with a total dose of 25 Gy in five fractions (range, 20 to 50 Gy in 5-10 fractions). Results The median follow-up was 18 months (range, 4 to 36 months). The progression-free survival (PFS) at 1 and 2 years was 72% and 34% and the overall survival (OS) 76% and 50%, respectively. No severe toxicity was recorded. In univariate and multivariate analysis extent of resection at diagnosis significantly influenced PFS and OS (p < 0.01). Patients with smaller recurren tumor volume treated had better local control and survival. Indeed, the 2-year PFS was 40% (≤ 50 cm3) versus 11% (p=0.1) and the 2-year OS 56% versus 33% (> 50 cm3), respectively (p=0.26). Conclusion In our experience, HSRT could be a safe and feasible therapeutic option for recurrent high grade glioma even in patients with larger tumors. We believe that a multidisciplinary evaluation is mandatory to assure the best treatment for selected patients. Local treatment should also be considered as part of an integrated approach. PMID:25761491

  20. A pilot study of intensity modulated radiation therapy with hypofractionated stereotactic body radiation therapy (SBRT) boost in the treatment of intermediate- to high-risk prostate cancer.

    PubMed

    Oermann, Eric K; Slack, Rebecca S; Hanscom, Heather N; Lei, Sue; Suy, Simeng; Park, Hyeon U; Kim, Joy S; Sherer, Benjamin A; Collins, Brian T; Satinsky, Andrew N; Harter, K William; Batipps, Gerald P; Constantinople, Nicholas L; Dejter, Stephen W; Maxted, William C; Regan, James B; Pahira, John J; McGeagh, Kevin G; Jha, Reena C; Dawson, Nancy A; Dritschilo, Anatoly; Lynch, John H; Collins, Sean P

    2010-10-01

    Clinical data suggest that large radiation fractions are biologically superior to smaller fraction sizes in prostate cancer radiotherapy. The CyberKnife is an appealing delivery system for hypofractionated radiosurgery due to its ability to deliver highly conformal radiation and to track and adjust for prostate motion in real-time. We report our early experience using the CyberKnife to deliver a hypofractionated stereotactic body radiation therapy (SBRT) boost to patients with intermediate- to high-risk prostate cancer. Twenty-four patients were treated with hypofractionated SBRT and supplemental external radiation therapy plus or minus androgen deprivation therapy (ADT). Patients were treated with SBRT to a dose of 19.5 Gy in 3 fractions followed by intensity modulated radiation therapy (IMRT) to a dose of 50.4 Gy in 28 fractions. Quality of life data were collected with American Urological Association (AUA) symptom score and Expanded Prostate Cancer Index Composite (EPIC) questionnaires before and after treatment. PSA responses were monitored; acute urinary and rectal toxicities were assessed using Common Toxicity Criteria (CTC) v3. All 24 patients completed the planned treatment with an average follow-up of 9.3 months. For patients who did not receive ADT, the median pre-treatment PSA was 10.6 ng/ml and decreased in all patients to a median of 1.5 ng/ml by 6 months post-treatment. Acute effects associated with treatment included Grade 2 urinary and gastrointestinal toxicity but no patient experienced acute Grade 3 or greater toxicity. AUA and EPIC scores returned to baseline by six months post-treatment. Hypofractionated SBRT combined with IMRT offers radiobiological benefits of a large fraction boost for dose escalation and is a well tolerated treatment option for men with intermediate- to high-risk prostate cancer. Early results are encouraging with biochemical response and acceptable toxicity. These data provide a basis for the design of a phase II clinical

  1. Radiation-Induced Rib Fractures After Hypofractionated Stereotactic Body Radiation Therapy: Risk Factors and Dose-Volume Relationship

    SciTech Connect

    Asai, Kaori; Shioyama, Yoshiyuki; Nakamura, Katsumasa; Sasaki, Tomonari; Ohga, Saiji; Nonoshita, Takeshi; Yoshitake, Tadamasa; Ohnishi, Kayoko; Terashima, Kotaro; Matsumoto, Keiji; Hirata, Hideki; Honda, Hiroshi

    2012-11-01

    Purpose: The purpose of this study was to clarify the incidence, the clinical risk factors, and the dose-volume relationship of radiation-induced rib fracture (RIRF) after hypofractionated stereotactic body radiation therapy (SBRT). Methods and Materials: One hundred sixteen patients treated with SBRT for primary or metastatic lung cancer at our institution, with at least 6 months of follow-up and no previous overlapping radiation exposure, were included in this study. To determine the clinical risk factors associated with RIRF, correlations between the incidence of RIRF and the variables, including age, sex, diagnosis, gross tumor volume diameter, rib-tumor distance, and use of steroid administration, were analyzed. Dose-volume histogram analysis was also conducted. Regarding the maximum dose, V10, V20, V30, and V40 of the rib, and the incidences of RIRF were compared between the two groups divided by the cutoff value determined by the receiver operating characteristic curves. Results: One hundred sixteen patients and 374 ribs met the inclusion criteria. Among the 116 patients, 28 patients (46 ribs) experienced RIRF. The estimated incidence of rib fracture was 37.7% at 3 years. Limited distance from the rib to the tumor (<2.0 cm) was the only significant risk factor for RIRF (p = 0.0001). Among the dosimetric parameters used for receiver operating characteristic analysis, the maximum dose showed the highest area under the curve. The 3-year estimated risk of RIRF and the determined cutoff value were 45.8% vs. 1.4% (maximum dose, {>=}42.4 Gy or less), 51.6% vs. 2.0% (V40, {>=}0.29 cm{sup 3} or less), 45.8% vs. 2.2% (V30, {>=}1.35 cm{sup 3} or less), 42.0% vs. 8.5% (V20, {>=}3.62 cm{sup 3} or less), or 25.9% vs. 10.5% (V10, {>=}5.03 cm{sup 3} or less). Conclusions: The incidence of RIRF after hypofractionated SBRT is relatively high. The maximum dose and high-dose volume are strongly correlated with RIRF.

  2. Four-Week Course of Radiation for Breast Cancer Using Hypofractionated Intensity Modulated Radiation Therapy With an Incorporated Boost

    SciTech Connect

    Freedman, Gary M. . E-mail: Gary.Freedman@FCCC.edu; Anderson, Penny R.; Goldstein, Lori J.; Ma Changming; Li Jinsheng; Swaby, Ramona F.; Litwin, Samuel; Watkins-Bruner, Deborah; Sigurdson, Elin R.; Morrow, Monica

    2007-06-01

    Purpose: Standard radiation for early breast cancer requires daily treatment for 6 to 7 weeks. This is an inconvenience to many women, and for some a barrier for breast conservation. We present the acute toxicity of a 4-week course of hypofractionated radiation. Methods and Materials: A total of 75 patients completed radiation on a Phase II trial approved by the hospital institutional review board. Eligibility criteria were broad to include any patient normally eligible for standard radiation: age {>=}18 years, invasive or in situ cancer, American Joint Committee on Cancer Stage 0 to II, breast-conserving surgery, and any systemic therapy not given concurrently. The median age was 52 years (range, 31-81 years). Of the patients, 15% had ductal carcinoma in situ, 67% T1, and 19% T2; 71% were N0, 17% N1, and 12% NX. Chemotherapy was given before radiation in 44%. Using photon intensity-modulated radiation therapy and incorporated electron beam boost, the whole breast received 45 Gy and the lumpectomy bed 56 Gy in 20 treatments over 4 weeks. Results: The maximum acute skin toxicity by the end of treatment was Grade 0 in 9 patients (12%), Grade 1 in 49 (65%) and Grade 2 in 17 (23%). There was no Grade 3 or higher skin toxicity. After radiation, all Grade 2 toxicity had resolved by 6 weeks. Hematologic toxicity was Grade 0 in most patients except for Grade 1 neutropenia in 2 patients, and Grade 1 anemia in 11 patients. There were no significant differences in baseline vs. 6-week posttreatment patient-reported or physician-reported cosmetic scores. Conclusions: This 4-week course of postoperative radiation using intensity-modulated radiation therapy is feasible and is associated with acceptable acute skin toxicity and quality of life. Long-term follow-up data are needed. This radiation schedule may represent an alternative both to longer 6-week to 7-week standard whole-breast radiation and more radically shortened 1-week, partial-breast treatment schedules.

  3. Feasibility and Acute Toxicity of Hypofractionated Radiation in Large-breasted Patients

    SciTech Connect

    Dorn, Paige L.; Corbin, Kimberly S.; Al-Hallaq, Hania; Hasan, Yasmin; Chmura, Steven J.

    2012-05-01

    Purpose: To determine the feasibility of and acute toxicity associated with hypofractionated whole breast radiation (HypoRT) after breast-conserving surgery in patients excluded from or underrepresented in randomized trials comparing HypoRT with conventional fractionation schedules. Methods and Materials: A review was conducted of all patients consecutively treated with HypoRT at University of Chicago. All patients were treated to 42.56 Gy in 2.66 Gy daily fractions in either the prone or supine position. Planning was performed in most cases using wedges and large segments or a 'field-in-field' technique. Breast volume was estimated using volumetric measurements of the planning target volume (PTV). Dosimetric parameters of heterogeneity (V105, V107, V110, and maximum dose) were recorded for each treatment plan. Acute toxicity was scored for each treated breast. Results: Between 2006 and 2010, 78 patients were treated to 80 breasts using HypoRT. Most women were overweight or obese (78.7%), with a median body mass index of 29.2 kg/m{sup 2}. Median breast volume was 1,351 mL. Of the 80 treated breasts, the maximum acute skin toxicity was mild erythema or hyperpigmentation in 70.0% (56/80), dry desquamation in 21.25% (17/80), and focal moist desquamation in 8.75% (7/80). Maximum acute toxicity occurred after the completion of radiation in 31.9% of patients. Separation >25 cm was not associated with increased toxicity. Breast volume was the only patient factor significantly associated with moist desquamation on multivariable analysis (p = 0.01). Patients with breast volume >2,500 mL experienced focal moist desquamation in 27.2% of cases compared with 6.34% in patients with breast volume <2,500 mL (p = 0.03). Conclusions: HypoRT is feasible and safe in patients with separation >25 cm and in patients with large breast volume when employing modern planning and positioning techniques. We recommend counseling regarding expected increases in skin toxicity in women with a PTV

  4. Dosimetric characterization of hypofractionated Gamma Knife radiosurgery of large or complex brain tumors versus linear accelerator-based treatments.

    PubMed

    Dong, Peng; Pérez-Andújar, Angélica; Pinnaduwage, Dilini; Braunstein, Steve; Theodosopoulos, Philip; McDermott, Michael; Sneed, Penny; Ma, Lijun

    2016-12-01

    OBJECTIVE Noninvasive Gamma Knife (GK) platforms, such as the relocatable frame and on-board imaging, have enabled hypofractionated GK radiosurgery of large or complex brain lesions. This study aimed to characterize the dosimetric quality of such treatments against linear accelerator-based delivery systems that include the CyberKnife (CK) and volumetric modulated arc therapy (VMAT). METHODS Ten patients treated with VMAT at the authors' institution for large brain tumors (> 3 cm in maximum diameter) were selected for the study. The median prescription dose was 25 Gy (range 20-30 Gy) in 5 fractions. The median planning target volume (PTV) was 9.57 cm(3) (range 1.94-24.81 cm(3)). Treatment planning was performed using Eclipse External Beam Planning V11 for VMAT on the Varian TrueBeam system, Multiplan V4.5 for the CyberKnife VSI System, and Leksell GammaPlan V10.2 for the Gamma Knife Perfexion system. The percentage of the PTV receiving at least the prescription dose was normalized to be identical across all platforms for individual cases. The prescription isodose value for the PTV, conformity index, Paddick gradient index, mean and maximum doses for organs at risk, and normal brain dose at variable isodose volumes ranging from the 5-Gy isodose volume (V5) to the 15-Gy isodose volume (V15) were compared for all of the cases. RESULTS The mean Paddick gradient index was 2.6 ± 0.2, 3.2 ± 0.5, and 4.3 ± 1.0 for GK, CK, and VMAT, respectively (p < 0.002). The mean V15 was 7.5 ± 3.7 cm(3) (range 1.53-13.29 cm(3)), 9.8 ± 5.5 cm(3) (range 2.07-18.45 cm(3)), and 16.1 ± 10.6 cm(3) (range 3.58-36.53 cm(3)) for GK, CK, and VMAT, respectively (p ≤ 0.03, paired 2-tailed t-tests). However, the average conformity index was 1.18, 1.12, and 1.21 for GK, CK, and VMAT, respectively (p > 0.06). The average prescription isodose values were 52% (range 47%-69%), 60% (range 46%-68%), and 88% (range 70%-94%) for GK, CK, and VMAT, respectively, thus producing significant variations in

  5. Randomized Trial of a Hypofractionated Radiation Regimen for the Treatment of Localized Prostate Cancer.

    PubMed

    Catton, Charles N; Lukka, Himu; Gu, Chu-Shu; Martin, Jarad M; Supiot, Stéphane; Chung, Peter W M; Bauman, Glenn S; Bahary, Jean-Paul; Ahmed, Shahida; Cheung, Patrick; Tai, Keen Hun; Wu, Jackson S; Parliament, Matthew B; Tsakiridis, Theodoros; Corbett, Tom B; Tang, Colin; Dayes, Ian S; Warde, Padraig; Craig, Tim K; Julian, Jim A; Levine, Mark N

    2017-03-15

    Purpose Men with localized prostate cancer often are treated with external radiotherapy (RT) over 8 to 9 weeks. Hypofractionated RT is given over a shorter time with larger doses per treatment than standard RT. We hypothesized that hypofractionation versus conventional fractionation is similar in efficacy without increased toxicity. Patients and Methods We conducted a multicenter randomized noninferiority trial in intermediate-risk prostate cancer (T1 to 2a, Gleason score ≤ 6, and prostate-specific antigen [PSA] 10.1 to 20 ng/mL; T2b to 2c, Gleason ≤ 6, and PSA ≤ 20 ng/mL; or T1 to 2, Gleason = 7, and PSA ≤ 20 ng/mL). Patients were allocated to conventional RT of 78 Gy in 39 fractions over 8 weeks or to hypofractionated RT of 60 Gy in 20 fractions over 4 weeks. Androgen deprivation was not permitted with therapy. The primary outcome was biochemical-clinical failure (BCF) defined by any of the following: PSA failure (nadir + 2), hormonal intervention, clinical local or distant failure, or death as a result of prostate cancer. The noninferiority margin was 7.5% (hazard ratio, < 1.32). Results Median follow-up was 6.0 years. One hundred nine of 608 patients in the hypofractionated arm versus 117 of 598 in the standard arm experienced BCF. Most of the events were PSA failures. The 5-year BCF disease-free survival was 85% in both arms (hazard ratio [short v standard], 0.96; 90% CI, 0.77 to 1.2). Ten deaths as a result of prostate cancer occurred in the short arm and 12 in the standard arm. No significant differences were detected between arms for grade ≥ 3 late genitourinary and GI toxicity. Conclusion The hypofractionated RT regimen used in this trial was not inferior to conventional RT and was not associated with increased late toxicity. Hypofractionated RT is more convenient for patients and should be considered for intermediate-risk prostate cancer.

  6. Hypo-Fractionated Conformal Radiation Therapy to the Tumor Bed after Segmental Mastectomy

    DTIC Science & Technology

    2007-07-01

    skin changes after RT completion. If it were feasible to identify these patients prospectively before the start of RT, they could be spared the risk...Biol ielat Stud Phys Chem Med 1985;47:319-339. Turesson I. Thames HD. Repair capacity and kinetics of luman skin during fractionated radiotherapy ...grant proposal tested the feasibility of a regimen of conformal hypofractionated radiotherapy (5 fractions in 2 weeks)directed to the original tumor

  7. Dose painting to treat single-lobe prostate cancer with hypofractionated high-dose radiation using targeted external beam radiation: Is it feasible?

    SciTech Connect

    Amini, Arya; Westerly, David C.; Waxweiler, Timothy V.; Ryan, Nicole; Raben, David

    2015-10-01

    Targeted focal therapy strategies for treating single-lobe prostate cancer are under investigation. In this planning study, we investigate the feasibility of treating a portion of the prostate to full-dose external beam radiation with reduced dose to the opposite lobe, compared with full-dose radiation delivered to the entire gland using hypofractionated radiation. For 10 consecutive patients with low- to intermediate-risk prostate cancer, 2 hypofractionated, single-arc volumetric-modulated arc therapy (VMAT) plans were designed. The first plan (standard hypofractionation regimen [STD]) included the entire prostate gland, treated to 70 Gy delivered in 28 fractions. The second dose painting plan (DP) encompassed the involved lobe treated to 70 Gy delivered in 28 fractions, whereas the opposing, uninvolved lobe received 50.4 Gy in 28 fractions. Mean dose to the opposing neurovascular bundle (NVB) was considerably lower for DP vs STD, with a mean dose of 53.9 vs 72.3 Gy (p < 0.001). Mean penile bulb dose was 18.6 Gy for DP vs 19.2 Gy for STD (p = 0.880). Mean rectal dose was 21.0 Gy for DP vs 22.8 Gy for STD (p = 0.356). Rectum V{sub 70} (the volume receiving ≥70 Gy) was 2.01% for DP vs 2.74% for STD (p = 0.328). Bladder V{sub 70} was 1.69% for DP vs 2.78% for STD (p = 0.232). Planning target volume (PTV) maximum dose points were 76.5 and 76.3 Gy for DP and STD, respectively (p = 0.760). This study demonstrates the feasibility of using VMAT for partial-lobe prostate radiation in patients with prostate cancer involving 1 lobe. Partial-lobe prostate plans appeared to spare adjacent critical structures including the opposite NVB.

  8. [The hypofractionated radiotherapy in the treatment of the prostate cancer: radiate less to treat more].

    PubMed

    Boissier, R; Gross, E

    2010-05-01

    The principle of the hypofractionation in radiotherapy is to deliver a higher dose by session and to reduce the duration of treatment. In the particular case of the cancer of prostate, a hypofractionned protocol allows to deliver an equivalent radiobiological dose identical even higher than a standard plan of irradiation. The hypofractionation is presented as a solution to improve the access to the care (fewer processing times by patient, more patients treated by machine) while increasing the quality of the care: better carcinologic control, less radiotoxicity. The objective of this article is to make a clarification on the hypofractionned radiotherapy in first intention in the treatment of the localized prostate cancer. We count three studies on large cohorts, comparing standard plans to 1.8-2 Gy/session and hypofractionned plans (2.5-3 Gy/session). The inferior carcinologic results of the two first comparative studies with regard to the study of phase I/II of the Cleveland clinic were owed to a sub-dosage of hypofractionned plans. The administered equivalent biological doses were lower than the at present recommended total doses and lower than the theoretical doses, calculated on the bases of an erroneous evaluation of the radiosensibility of the prostate cancer. In the comparative study of Arcangeli, the rate of survival without biological recurrence in 4 years (82%) was significantly to the advantage of the hypofractionned group, while reducing the duration of treatment of 3 weeks. Four comparative studies reported aigues/late toxicity, gastrointestinal (GI)/genito-urinary acceptable (GU) even lower with a hypofractionned plan. The hypofractionation is potentially the future of the radiotherapy in the treatment of the localized prostate cancer thanks to the technological innovation, but for all that does not constitute at present a standard.

  9. Image Guided Hypofractionated 3-Dimensional Radiation Therapy in Patients With Inoperable Advanced Stage Non-Small Cell Lung Cancer

    SciTech Connect

    Osti, Mattia Falchetto; Agolli, Linda; Valeriani, Maurizio; Falco, Teresa; Bracci, Stefano; De Sanctis, Vitaliana; Enrici, Riccardo Maurizi

    2013-03-01

    Purpose: Hypofractionated radiation therapy (HypoRT) can potentially improve local control with a higher biological effect and shorter overall treatment time. Response, local control, toxicity rates, and survival rates were evaluated in patients affected by inoperable advanced stage non-small cell lung cancer (NSCLC) who received HypoRT. Methods and Materials: Thirty patients with advanced NSCLC were enrolled; 27% had stage IIIA, 50% had stage IIIB, and 23% had stage IV disease. All patients underwent HypoRT with a prescribed total dose of 60 Gy in 20 fractions of 3 Gy each. Radiation treatment was delivered using an image guided radiation therapy technique to verify correct position. Toxicities were graded according to Radiation Therapy Oncology Group morbidity score. Survival rates were estimated using the Kaplan-Meier method. Results: The median follow-up was 13 months (range, 4-56 months). All patients completed radiation therapy and received the total dose of 60 Gy to the primary tumor and positive lymph nodes. The overall response rate after radiation therapy was 83% (3 patients with complete response and 22 patients with partial response). The 2-year overall survival and progression-free survival rates were 38.1% and 36%, respectively. Locoregional recurrence/persistence occurred in 11 (37%) patients. Distant metastasis occurred in 17 (57%) patients. Acute toxicities occurred consisting of grade 1 to 2 hematological toxicity in 5 patients (17%) and grade 3 in 1 patient; grade 1 to 2 esophagitis in 12 patients (40%) and grade 3 in 1 patient; and grade 1 to 2 pneumonitis in 6 patients (20%) and grade 3 in 2 patients (7%). Thirty-three percent of patients developed grade 1 to 2 late toxicities. Only 3 patients developed grade 3 late adverse effects: esophagitis in 1 patient and pneumonitis in 2 patients. Conclusions: Hypofractionated curative radiation therapy is a feasible and well-tolerated treatment for patients with locally advanced NSCLC. Randomized

  10. Precision Hypofractionated Radiation Therapy in Poor Performing Patients With Non-Small Cell Lung Cancer: Phase 1 Dose Escalation Trial

    SciTech Connect

    Westover, Kenneth D.; Loo, Billy W.; Gerber, David E.; Iyengar, Puneeth; Choy, Hak; Diehn, Maximilian; Hughes, Randy; Schiller, Joan; Dowell, Jonathan; Wardak, Zabi; Sher, David; Christie, Alana; Xie, Xian-Jin; Corona, Irma; Sharma, Akanksha; Wadsworth, Margaret E.; Timmerman, Robert

    2015-09-01

    Purpose: Treatment regimens for locally advanced non-small cell lung cancer (NSCLC) give suboptimal clinical outcomes. Technological advancements such as radiation therapy, the backbone of most treatment regimens, may enable more potent and effective therapies. The objective of this study was to escalate radiation therapy to a tumoricidal hypofractionated dose without exceeding the maximally tolerated dose (MTD) in patients with locally advanced NSCLC. Methods and Materials: Patients with stage II to IV or recurrent NSCLC and Eastern Cooperative Oncology Group performance status of 2 or greater and not candidates for surgical resection, stereotactic radiation, or concurrent chemoradiation were eligible. Highly conformal radiation therapy was given to treat intrathoracic disease in 15 fractions to a total of 50, 55, or 60 Gy. Results: Fifty-five patients were enrolled: 15 at the 50-Gy, 21 at the 55-Gy, and 19 at the 60-Gy dose levels. A 90-day follow-up was completed in each group without exceeding the MTD. With a median follow-up of 12.5 months, there were 93 grade ≥3 adverse events (AEs), including 39 deaths, although most AEs were considered related to factors other than radiation therapy. One patient from the 55- and 60-Gy dose groups developed grade ≥3 esophagitis, and 5, 4, and 4 patients in the respective dose groups experienced grade ≥3 dyspnea, but only 2 of these AEs were considered likely related to therapy. There was no association between fraction size and toxicity (P=.24). The median overall survival was 6 months with no significant differences between dose levels (P=.59). Conclusions: Precision hypofractionated radiation therapy consisting of 60 Gy in 15 fractions for locally advanced NSCLC is generally well tolerated. This treatment regimen could provide patients with poor performance status a potent alternative to chemoradiation. This study has implications for the cost effectiveness of lung cancer therapy. Additional studies of long

  11. A Pilot Study of Hypofractionated Stereotactic Radiation Therapy and Sunitinib in Previously Irradiated Patients With Recurrent High-Grade Glioma

    SciTech Connect

    Wuthrick, Evan J.; Curran, Walter J.; Camphausen, Kevin; Lin, Alexander; Glass, Jon; Evans, James; Andrews, David W.; Axelrod, Rita; Shi, Wenyin; Werner-Wasik, Maria; Haacke, E. Mark; Hillman, Gilda G.; Dicker, Adam P.

    2014-10-01

    Purpose/Objective(s): Angiogenic blockade with irradiation may enhance the therapeutic ratio of radiation therapy (RT) through vascular normalization. We sought to determine the safety and toxicity profile of continuous daily-dosed sunitinib when combined with hypofractionated stereotactic RT (fSRT) for recurrent high-grade gliomas (rHGG). Methods and Materials: Eligible patients had malignant high-grade glioma that recurred or progressed after primary surgery and RT. All patients received a minimum of a 10-day course of fSRT, had World Health Organization performance status of 0 to 1, and a life expectancy of >3 months. During fSRT, sunitinib was administered at 37.5 mg daily. The primary endpoint was acute toxicity, and response was assessed via serial magnetic resonance imaging. Results: Eleven patients with rHGG were enrolled. The fSRT doses delivered ranged from 30 to 42 Gy in 2.5- to 3.75-Gy fractions. The median follow-up time was 40 months. Common acute toxicities included hematologic disorders, fatigue, hypertension, and elevated liver transaminases. Sunitinib and fSRT were well tolerated. One grade 4 mucositis toxicity occurred, and no grade 4 or 5 hypertensive events or intracerebral hemorrhages occurred. One patient had a nearly complete response, and 4 patients had stable disease for >9 months. Two patients (18%) remain alive and progression-free >3 years from enrollment. The 6-month progression-free survival was 45%. Conclusions: Sunitinib at a daily dose of 37.5 mg given concurrently with hypofractionated stereotactic reirradiation for rHGG yields acceptable toxicities and an encouraging 6-month progression-free survival.

  12. Radiation from violently accelerated bodies

    NASA Astrophysics Data System (ADS)

    Gerlach, Ulrich H.

    2001-11-01

    A determination is made of the radiation emitted by a linearly uniformly accelerated uncharged dipole transmitter. It is found that, first of all, the radiation rate is given by the familiar Larmor formula, but it is augmented by an amount which becomes dominant for sufficiently high acceleration. For an accelerated dipole oscillator, the criterion is that the center of mass motion become relativistic within one oscillation period. The augmented formula and the measurements which it summarizes presuppose an expanding inertial observation frame. A static inertial reference frame will not do. Secondly, it is found that the radiation measured in the expanding inertial frame is received with 100% fidelity. There is no blueshift or redshift due to the accelerative motion of the transmitter. Finally, it is found that a pair of coherently radiating oscillators accelerating (into opposite directions) in their respective causally disjoint Rindler-coordinatized sectors produces an interference pattern in the expanding inertial frame. Like the pattern of a Young double slit interferometer, this Rindler interferometer pattern has a fringe spacing which is inversely proportional to the proper separation and the proper frequency of the accelerated sources. The interferometer, as well as the augmented Larmor formula, provide a unifying perspective. It joins adjacent Rindler-coordinatized neighborhoods into a single spacetime arena for scattering and radiation from accelerated bodies.

  13. Dynamics of Radiation Pressure Acceleration

    SciTech Connect

    Macchi, A.; Benedetti, C.; Pegoraro, F.; Veghini, S.

    2010-02-02

    We describe recent theoretical results on Radiation Pressure Acceleration of ions by ultraintense, circularly polarized laser pulses, giving an insight on the underlying dynamics and suggestions for the development of applications. In thick targets, we show how few-cycle pulses may generate single ion bunches in inhomogeneous density profiles. In thin targets, we present a refinement of the simple model of the accelerating mirror and a comparison of its predictions with simulation results, solving an apparent paradox.

  14. SU-E-J-183: Quantification of Motion During Hypo-Fractionated Prostate Cancer Radiation Therapy

    SciTech Connect

    Ravindranath, B; Zhang, P; Xiong, J; Mageras, G; Hunt, M

    2015-06-15

    Purpose: To quantify patient motion during hypo-fractionated prostate cancer treatment as tracked by Calypso™ 4D localization system. Methods: 50 prostate cancer patients with implanted Calypso beacons underwent hypofractionated IMRT treatment. Typical fraction size was 5 with doses of 5–8 Gy/fraction. 213 traces from the 50 patients were analyzed to quantify the probability of motion vs time starting from beam-on. Couch corrections applied by therapists were undone to obtain the natural course of patient motion. The Calypso data was used to identify vector displacements greater than 2 mm from the starting position. The direction of this vector was classified into one of the 26 directions (combinations of L/R, A/P, S/I). The probability of motion >2mm was estimated by computing the fraction of traces that exceed the 2mm threshold at each time point. The violating motion points were also binned by direction in order to identify specific directions that were more prone to movement. Results: The overall probability of motion greater than 2 mm at 5 and 10 minutes from beam-on were 27 % and 50% respectively. The primary directions in which motion occurred were Posterior-Inferior (PI) and Inferior (I) with a probability of 8.5% and 4% at 5 minutes and 10% for both at 10 minutes. Motion was classified into the following bins: 0–2, 2–3, 3–4, 4–5, 5–6, 6–7, 7–8 and greater than 8 mm. It is observed that motion < 2mm decreases from the first 5 minutes to the next while the higher magnitude components increase with time. Conclusion: The probability of prostate motion increases with time. The trend seen in the PI and I directions can be attributed to physiological factors like bladder filling. This probability can be factored in for scheduling intrafraction imaging and used to compare dosimetric impact of VMAT vs. IMRT plans. This work is supported in part by Varian Medical Systems.

  15. Risk of Late Toxicity in Men Receiving Dose-Escalated Hypofractionated Intensity Modulated Prostate Radiation Therapy: Results From a Randomized Trial

    SciTech Connect

    Hoffman, Karen E. Voong, K. Ranh; Pugh, Thomas J.; Skinner, Heath; Levy, Lawrence B.; Takiar, Vinita; Choi, Seungtaek; Du, Weiliang; Frank, Steven J.; Johnson, Jennifer; Kanke, James; Kudchadker, Rajat J.; Lee, Andrew K.; Mahmood, Usama; McGuire, Sean E.; Kuban, Deborah A.

    2014-04-01

    Objective: To report late toxicity outcomes from a randomized trial comparing conventional and hypofractionated prostate radiation therapy and to identify dosimetric and clinical parameters associated with late toxicity after hypofractionated treatment. Methods and Materials: Men with localized prostate cancer were enrolled in a trial that randomized men to either conventionally fractionated intensity modulated radiation therapy (CIMRT, 75.6 Gy in 1.8-Gy fractions) or to dose-escalated hypofractionated IMRT (HIMRT, 72 Gy in 2.4-Gy fractions). Late (≥90 days after completion of radiation therapy) genitourinary (GU) and gastrointestinal (GI) toxicity were prospectively evaluated and scored according to modified Radiation Therapy Oncology Group criteria. Results: 101 men received CIMRT and 102 men received HIMRT. The median age was 68, and the median follow-up time was 6.0 years. Twenty-eight percent had low-risk, 71% had intermediate-risk, and 1% had high-risk disease. There was no difference in late GU toxicity in men treated with CIMRT and HIMRT. The actuarial 5-year grade ≥2 GU toxicity was 16.5% after CIMRT and 15.8% after HIMRT (P=.97). There was a nonsignificant numeric increase in late GI toxicity in men treated with HIMRT compared with men treated with CIMRT. The actuarial 5-year grade ≥2 GI toxicity was 5.1% after CIMRT and 10.0% after HIMRT (P=.11). In men receiving HIMRT, the proportion of rectum receiving 36.9 Gy, 46.2 Gy, 64.6 Gy, and 73.9 Gy was associated with the development of late GI toxicity (P<.05). The 5-year actuarial grade ≥2 GI toxicity was 27.3% in men with R64.6Gy ≥ 20% but only 6.0% in men with R64.6Gy < 20% (P=.016). Conclusions: Dose-escalated IMRT using a moderate hypofractionation regimen (72 Gy in 2.4-Gy fractions) can be delivered safely with limited grade 2 or 3 late toxicity. Minimizing the proportion of rectum that receives moderate and high dose decreases the risk of late rectal toxicity after this

  16. Patterns of Failure After Concurrent Bevacizumab and Hypofractionated Stereotactic Radiation Therapy for Recurrent High-Grade Glioma

    SciTech Connect

    Shapiro, Lauren Q.; Beal, Kathryn; Goenka, Anuj; Karimi, Sasan; Iwamoto, Fabio M.; Yamada, Yoshiya; Zhang, Zhigang; Lassman, Andrew B.; Abrey, Lauren E.; Gutin, Philip H.

    2013-03-01

    Purpose: Concurrent bevacizumab with hypofractionated stereotactic radiation therapy (HSRT) is safe and effective for the treatment of recurrent high-grade gliomas (HGG). The objective of this study was to characterize the patterns of failure after this treatment regimen. Methods and Materials: Twenty-four patients with recurrent enhancing HGG were previously treated on an institutional review board-approved protocol of concurrent bevacizumab and reirradiation. Patients received 30 Gy in 5 fractions to the recurrent tumor with HSRT. Brain magnetic resonance imaging (MRI) was performed every 2 cycles, and bevacizumab was continued until clinical or radiographic tumor progression according to the criteria of Macdonald et al. MRI at the time of progression was fused to the HSRT treatment plan, and the location of recurrence was classified on the basis of volume within the 95% isodose line. Outcomes based on patient characteristics, tumor grade, recurrence pattern, and best response to treatment were analyzed by the Kaplan-Meier method. Results: Twenty-two patients experienced either clinical or radiographic progression. Recurrent tumor was enhancing in 15 (71.4%) and nonenhancing in 6 (28.6%) patients. Eleven patients (52.4%) had recurrence within the radiation field, 5 patients (23.8%) had marginal recurrence, and 5 patients had recurrence outside the radiation field. Pattern of enhancement and location of failure did not correlate with overall survival or progression-free survival. Radiographic response was the only variable to significantly correlate with progression-free survival. Conclusions: Despite the promising initial response seen with the addition of HSRT to bevacizumab as salvage treatment for recurrent HGG, approximately half of patients ultimately still experience failure within the radiation field. The rate of local failure with the addition of HSRT seems to be lower than that seen with bevacizumab alone in the salvage setting. Our data underscore the

  17. Stereotactic Hypofractionated Radiation Therapy as a Bridge to Transplantation for Hepatocellular Carcinoma: Clinical Outcome and Pathologic Correlation

    SciTech Connect

    Katz, Alan W.; Chawla, Sheema; Qu, Zhenhong; Kashyap, Randeep; Milano, Michael T.; Hezel, Aram F.

    2012-07-01

    Purpose: We sought to determine efficacy, safety, and outcome of stereotactic hypofractionated radiation therapy (SHORT) as a suitable bridging therapy for patients awaiting liver transplantation (LT) for hepatocellular carcinoma (HCC). We also examined histological response to radiation in the resected or explanted livers. Methods and Materials: Between August 2007 and January 2009, 18 patients with 21 lesions received SHORT. A median total dose of 50 Gy was delivered in 10 fractions. Three patients underwent either chemoembolization (n = 1) or radiofrequency ablation (n = 2) prior to SHORT. Radiographic response was based on computed tomography evaluation at 3 months after SHORT. Histological response as a percentage of tumor necrosis was assessed by a quantitative morphometric method. Results: Six of 18 patients were delisted because of progression (n = 3) or other causes (n = 3). Twelve patients successfully underwent major hepatic resection (n = 1) or LT (n = 11) at a median follow-up of 6.3 months (range, 0.6-11.6 months) after completion of SHORT. No patient developed gastrointestinal toxicity Grade {>=}3 or radiation-induced liver disease. Ten patients with 11 lesions were evaluable for pathological response. Two lesions had 100% necrosis, three lesions had {>=}50% necrosis, four lesions had {<=}50% necrosis, and two lesions had no necrosis. All patients were alive after LT and/or major hepatic resection at a median follow-up of 19.6 months. Conclusions: SHORT is an effective bridging therapy for patients awaiting LT for HCC. It provides excellent in-field control with minimal side effects, helps to downsize or stabilize tumors prior to LT, and achieves good pathological response.

  18. Optimizing Timing of Immunotherapy Improves Control of Tumors by Hypofractionated Radiation Therapy

    PubMed Central

    Baird, Jason R.; Savage, Talicia; Cottam, Benjamin; Friedman, David; Bambina, Shelly; Messenheimer, David J.; Fox, Bernard; Newell, Pippa; Bahjat, Keith S.; Gough, Michael J.; Crittenden, Marka R.

    2016-01-01

    The anecdotal reports of promising results seen with immunotherapy and radiation in advanced malignancies have prompted several trials combining immunotherapy and radiation. However, the ideal timing of immunotherapy with radiation has not been clarified. Tumor bearing mice were treated with 20Gy radiation delivered only to the tumor combined with either anti-CTLA4 antibody or anti-OX40 agonist antibody. Immunotherapy was delivered at a single timepoint around radiation. Surprisingly, the optimal timing of these therapies varied. Anti-CTLA4 was most effective when given prior to radiation therapy, in part due to regulatory T cell depletion. Administration of anti-OX40 agonist antibody was optimal when delivered one day following radiation during the post-radiation window of increased antigen presentation. Combination treatment of anti-CTLA4, radiation, and anti-OX40 using the ideal timing in a transplanted spontaneous mammary tumor model demonstrated tumor cures. These data demonstrate that the combination of immunotherapy and radiation results in improved therapeutic efficacy, and that the ideal timing of administration with radiation is dependent on the mechanism of action of the immunotherapy utilized. PMID:27281029

  19. Hypofractionated High-Dose Radiation Therapy for Prostate Cancer: Long-Term Results of a Multi-Institutional Phase II Trial

    SciTech Connect

    Fonteyne, Valerie; Soete, Guy; Arcangeli, Stefano; De Neve, Wilfried; Rappe, Bernard; Storme, Guy; Strigari, Lidia; Arcangeli, Giorgio; De Meerleer, Gert

    2012-11-15

    Purpose: To report late gastrointestinal (GI) and genitourinary (GU) toxicity, biochemical and clinical outcomes, and overall survival after hypofractionated radiation therapy for prostate cancer (PC). Methods and Materials: Three institutions included 113 patients with T1 to T3N0M0 PC in a phase II study. Patients were treated with 56 Gy in 16 fractions over 4 weeks. Late toxicity was scored using Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer criteria extended with additional symptoms. Biochemical outcome was reported according to the Phoenix definition for biochemical failure. Results: The incidence of late GI and GU toxicity was low. The 3-year actuarial risk of developing late GU and GI toxicity of grade {>=}2 was 13% and 8% respectively. Five-year biochemical non-evidence of disease (bNED) was 94%. Risk group, T stage, and deviation from planned hormone treatment were significant predictive factors for bNED. Deviation from hormone treatment remained significant in multivariate analysis. Five-year clinical non evidence of disease and overall survival was 95% and 91% respectively. No patient died from PC. Conclusions: Hypofractionated high-dose radiation therapy is a valuable treatment option for patients with PC, with excellent biochemical and clinical outcome and low toxicity.

  20. Hypofractionated Radiation Therapy (66 Gy in 22 Fractions at 3 Gy per Fraction) for Favorable-Risk Prostate Cancer: Long-term Outcomes

    SciTech Connect

    Patel, Nita; Faria, Sergio; Cury, Fabio; David, Marc; Duclos, Marie; Shenouda, George; Ruo, Russell; Souhami, Luis

    2013-07-01

    Purpose: To report long-term outcomes of low- and intermediate-risk prostate cancer patients treated with high-dose hypofractionated radiation therapy (HypoRT). Methods and Materials: Patients with low- and intermediate-risk prostate cancer were treated using 3-dimensional conformal radiation therapy to a dose of 66 Gy in 22 daily fractions of 3 Gy without hormonal therapy. A uniform 7-mm margin was created around the prostate for the planning target volume, and treatment was prescribed to the isocenter. Treatment was delivered using daily ultrasound image-guided radiation therapy. Common Terminology Criteria for Adverse Events, version 3.0, was used to prospectively score toxicity. Biochemical failure was defined as the nadir prostate-specific antigen level plus 2 ng/mL. Results: A total of 129 patients were treated between November 2002 and December 2005. With a median follow-up of 90 months, the 5- and 8-year actuarial biochemical control rates were 97% and 92%, respectively. The 5- and 8-year actuarial overall survival rates were 92% and 88%, respectively. Only 1 patient died from prostate cancer at 92 months after treatment, giving an 8-year actuarial cancer-specific survival of 98%. Radiation therapy was well tolerated, with 57% of patients not experiencing any acute gastrointestinal (GI) or genitourinary (GU) toxicity. For late toxicity, the worst grade ≥2 rate for GI and GU toxicity was 27% and 33%, respectively. There was no grade >3 toxicity. At last follow-up, the rate of grade ≥2 for both GI and GU toxicity was only 1.5%. Conclusions: Hypofractionation with 66 Gy in 22 fractions prescribed to the isocenter using 3-dimensional conformal radiation therapy produces excellent biochemical control rates, with moderate toxicity. However, this regimen cannot be extrapolated to the intensity modulated radiation therapy technique.

  1. Hypo-Fractionated Conformal Radiation Therapy to the Tumor Bed After Segmental Mastectomy

    DTIC Science & Technology

    2004-07-01

    volume-based IMRT [] Whole- Breast Radiation are the increased length of time to deliver the treatment and the labor- intensive dosimetric planning, mak...underuti- performance liquid chromatography, a powerful technique in lization of breast conservation treatment . J Cancer Educ 2001; 16:29-32.detecting...Conference on the treatment of patients with early stage invasive breast carcinoma . Cancer 1999; 86:628-637. Most novel approaches to postoperative RT as

  2. Investigation of Linac-Based Image-Guided Hypofractionated Prostate Radiotherapy

    SciTech Connect

    Pawlicki, Todd . E-mail: tpaw@stanford.edu; Kim, Gwe-Ya; Hsu, Annie; Cotrutz, Cristian; Boyer, Arthur L.; Xing Lei; King, Christopher R.; Luxton, Gary

    2007-07-01

    A hypofractionation treatment protocol for prostate cancer was initiated in our department in December 2003. The treatment regimen consists of a total dose of 36.25 Gy delivered at 7.25 Gy per fraction over 10 days. We discuss the rationale for such a prostate hypofractionation protocol and the need for frequent prostate imaging during treatment. The CyberKnife (Accuray Inc., Sunnyvale, CA), a linear accelerator mounted on a robotic arm, is currently being used as the radiation delivery device for this protocol, due to its incorporation of near real-time kV imaging of the prostate via 3 gold fiducial seeds. Recently introduced conventional linac kV imaging with intensity modulated planning and delivery may add a new option for these hypofractionated treatments. The purpose of this work is to investigate the use of intensity modulated radiotherapy (IMRT) and the Varian Trilogy Accelerator with on-board kV imaging (Varian Medical Systems Inc., Palo Alto, CA) for treatment of our hypofractionated prostate patients. The dose-volume histograms and dose statistics of 2 patients previously treated on the CyberKnife were compared to 7-field IMRT plans. A process of acquiring images to observe intrafraction prostate motion was achieved in an average time of about 1 minute and 40 seconds, and IMRT beam delivery takes about 40 seconds per field. A complete 7-field IMRT plan can therefore be imaged and delivered in 10 to 17 minutes. The Varian Trilogy Accelerator with on-board imaging and IMRT is well suited for image-guided hypofractionated prostate treatments. During this study, we have also uncovered opportunities for improvement of the on-board imaging hardware/software implementation that would further enhance performance in this regard.

  3. Accelerator Facilities for Radiation Research

    NASA Technical Reports Server (NTRS)

    Cucinotta, Francis A.

    1999-01-01

    HSRP Goals in Accelerator Use and Development are: 1.Need for ground-based heavy ion and proton facility to understand space radiation effects discussed most recently by NAS/NRC Report (1996). 2. Strategic Program Goals in facility usage and development: -(1) operation of AGS for approximately 600 beam hours/year; (2) operation of Loma Linda University (LLU) proton facility for approximately 400 beam hours/year; (3) construction of BAF facility; and (4) collaborative research at HIMAC in Japan and with other existing or potential international facilities. 3. MOA with LLU has been established to provide proton beams with energies of 40-250 important for trapped protons and solar proton events. 4. Limited number of beam hours available at Brookhaven National Laboratory's (BNL) Alternating Gradient Synchrotron (AGS).

  4. Esophageal Dose Tolerance to Hypofractionated Stereotactic Body Radiation Therapy: Risk Factors for Late Toxicity

    SciTech Connect

    Stephans, Kevin L.; Djemil, Toufik; Diaconu, Claudiu; Reddy, Chandana A.; Xia, Ping; Woody, Neil M.; Greskovich, John; Makkar, Vinit; Videtic, Gregory M.M.

    2014-09-01

    Purpose: To identify factors associated with grade ≥3 treatment related late esophageal toxicity after lung or liver stereotactic body radiation therapy (SBRT). Methods and Materials: This was a retrospective review of 52 patients with a planning target volume within 2 cm of the esophagus from a prospective registry of 607 lung and liver SBRT patients treated between 2005 and 2011. Patients were treated using a risk-adapted dose regimen to a median dose of 50 Gy in 5 fractions (range, 37.5-60 Gy in 3-10 fractions). Normal structures were contoured using Radiation Therapy Oncology Group (RTOG) defined criteria. Results: The median esophageal point dose and 1-cc dose were 32.3 Gy (range, 8.9-55.4 Gy) and 24.0 Gy (range, 7.8-50.9 Gy), respectively. Two patients had an esophageal fistula at a median of 8.4 months after SBRT, with maximum esophageal point doses of 51.5 and 52 Gy, and 1-cc doses of 48.1 and 50 Gy, respectively. These point and 1-cc doses were exceeded by 9 and 2 patients, respectively, without a fistula. The risk of a fistula for point doses exceeding 40, 45, and 50 Gy was 9.5% (n=2/21), 10.5% (n=2/19), and 12.5% (n=2/16), respectively. The risk of fistula for 1-cc doses exceeding 40, 45, and 50 Gy was 25% (n=2/9), 50% (n=2/4), and 50% (n=2/4), respectively. Eighteen patients received systemic therapy after SBRT (11 systemic chemotherapy, and 6 biologic agents, and 1 both). Both patients with fistulas had received adjuvant anti-angiogenic (vascular endothelial growth factor) agents within 2 months of completing SBRT. No patient had a fistula in the absence of adjuvant VEGF-modulating agents. Conclusions: Esophageal fistula is a rare complication of SBRT. In this series, fistula was seen with esophageal point doses exceeding 51 Gy and 1-cc doses greater than 48 Gy. Notably, however, fistula was seen only in those patients who also received adjuvant VEGF-modulating agents after SBRT. The potential interaction of dose and adjuvant therapy

  5. Phase 2 Trial of Hypofractionated High-Dose Intensity Modulated Radiation Therapy With Concurrent and Adjuvant Temozolomide for Newly Diagnosed Glioblastoma

    SciTech Connect

    Iuchi, Toshihiko; Hatano, Kazuo; Kodama, Takashi; Sakaida, Tsukasa; Yokoi, Sana; Kawasaki, Koichiro; Hasegawa, Yuzo; Hara, Ryusuke

    2014-03-15

    Purpose/Objectives: To assess the effect and toxicity of hypofractionated high-dose intensity modulated radiation therapy (IMRT) with concurrent and adjuvant temozolomide (TMZ) in 46 patients with newly diagnosed glioblastoma multiforme (GBM). Methods and Materials: All patients underwent postsurgical hypofractionated high-dose IMRT. Three layered planning target volumes (PTVs) were contoured. PTV1 was the surgical cavity and residual tumor on T1-weighted magnetic resonance images with 5-mm margins, PTV2 was the area with 15-mm margins surrounding the PTV1, and PTV3 was the high-intensity area on fluid-attenuated inversion recovery images. Irradiation was performed in 8 fractions at total doses of 68, 40, and 32 Gy for PTV1, PTV2, and PTV3, respectively. Concurrent TMZ was given at 75 mg/m{sup 2}/day for 42 consecutive days. Adjuvant TMZ was given at 150 to 200 mg/m{sup 2}/day for 5 days every 28 days. Overall and progression-free survivals were evaluated. Results: No acute IMRT-related toxicity was observed. The dominant posttreatment failure pattern was dissemination. During a median follow-up time of 16.3 months (range, 4.3-80.8 months) for all patients and 23.7 months (range, 12.4-80.8 months) for living patients, the median overall survival was 20.0 months after treatment. Radiation necrosis was diagnosed in 20 patients and was observed not only in the high-dose field but also in the subventricular zone (SVZ). Necrosis in the SVZ was significantly correlated with prolonged survival (hazard ratio, 4.08; P=.007) but caused deterioration in the performance status of long-term survivors. Conclusions: Hypofractionated high-dose IMRT with concurrent and adjuvant TMZ altered the dominant failure pattern from localized to disseminated and prolonged the survival of patients with GBM. Necrosis in the SVZ was associated with better patient survival, but the benefit of radiation to this area remains controversial.

  6. Radiative accelerations in stellar envelopes

    NASA Astrophysics Data System (ADS)

    Seaton, M. J.

    1997-08-01

    In stars which are sufficiently quiescent, changes in the relative abundances of the chemical elements can result from gravitational settling and from levitation produced by radiation pressure forces, usually expressed as radiative accelerations g_rad. Those changes can affect the structure of such stars, due to modifications in opacities, and can lead to marked peculiarities in observed atmospheric abundances. It is necessary to consider diffusive movements both in the atmospheres and in much deeper layers of the stellar envelopes. For the envelopes the equation of radiative transfer can be solved in a diffusion approximation and, for an element k in ionization stage j, one obtains expressions for g_rad(j, k) proportional to the total radiative flux, to the Rosseland-mean opacity kappa_R (which may depend on the abundance of k), and to a dimensionless quantity gamma(j, k) which, due to saturation effects, can be sensitive to the abundance of k. The radiative accelerations are required for each ionization stage, because the diffusion coefficients depend on j. Using atomic data obtained in the course of the work of the Opacity Project (OP), we calculate kappa_R and gamma(j, k) for the chemical elements C, N, O, Ne, Na, Mg, Al, Si, S, Ar, Ca, Cr, Mn, Fe and Ni. We start from standard Solar system abundances, and then vary the abundance of one element at a time (element k) by a factor chi. The following results are obtained and are available at the Centre de Donnees astronomiques de Strasbourg (CDS). (1) Files stages.zz (where zz specifies the nuclear charge of the selected element k) containing values of kappa_R and gamma(j, k) on a mesh of values of (T, N_e, chi), where T is temperature, and N_e is electron density. We include derivatives of kappa_R and gamma(j, k) with respect to chi, which are used for making interpolations. (2) A code add.f which reads a file stages.zz and writes a file acc.zz containing values of gamma(k) obtained on summing the gamma(j, k

  7. Five-year Local Control in a Phase II Study of Hypofractionated Intensity Modulated Radiation Therapy With an Incorporated Boost for Early Stage Breast Cancer

    SciTech Connect

    Freedman, Gary M.; Anderson, Penny R.; Bleicher, Richard J.; Litwin, Samuel; Li Tianyu; Swaby, Ramona F.; Ma, Chang-Ming Charlie; Li Jinsheng; Sigurdson, Elin R.; Watkins-Bruner, Deborah; Morrow, Monica; Goldstein, Lori J.

    2012-11-15

    Purpose: Conventional radiation fractionation of 1.8-2 Gy per day for early stage breast cancer requires daily treatment for 6-7 weeks. We report the 5-year results of a phase II study of intensity modulated radiation therapy (IMRT), hypofractionation, and incorporated boost that shortened treatment time to 4 weeks. Methods and Materials: The study design was phase II with a planned accrual of 75 patients. Eligibility included patients aged {>=}18 years, Tis-T2, stage 0-II, and breast conservation. Photon IMRT and an incorporated boost was used, and the whole breast received 2.25 Gy per fraction for a total of 45 Gy, and the tumor bed received 2.8 Gy per fraction for a total of 56 Gy in 20 treatments over 4 weeks. Patients were followed every 6 months for 5 years. Results: Seventy-five patients were treated from December 2003 to November 2005. The median follow-up was 69 months. Median age was 52 years (range, 31-81). Median tumor size was 1.4 cm (range, 0.1-3.5). Eighty percent of tumors were node negative; 93% of patients had negative margins, and 7% of patients had close (>0 and <2 mm) margins; 76% of cancers were invasive ductal type: 15% were ductal carcinoma in situ, 5% were lobular, and 4% were other histology types. Twenty-nine percent of patients 29% had grade 3 carcinoma, and 20% of patients had extensive in situ carcinoma; 11% of patients received chemotherapy, 36% received endocrine therapy, 33% received both, and 20% received neither. There were 3 instances of local recurrence for a 5-year actuarial rate of 2.7%. Conclusions: This 4-week course of hypofractionated radiation with incorporated boost was associated with excellent local control, comparable to historical results of 6-7 weeks of conventional whole-breast fractionation with sequential boost.

  8. Radiation Safety Systems for Accelerator Facilities

    SciTech Connect

    Liu, James C

    2001-10-17

    The Radiation Safety System (RSS) of an accelerator facility is used to protect people from prompt radiation hazards associated with accelerator operation. The RSS is a fully interlocked, engineered system with a combination of passive and active elements that are reliable, redundant, and fail-safe. The RSS consists of the Access Control System (ACS) and the Radiation Containment System (RCS). The ACS is to keep people away from the dangerous radiation inside the shielding enclosure. The RCS limits and contains the beam/radiation conditions to protect people from the prompt radiation hazards outside the shielding enclosure in both normal and abnormal operations. The complexity of a RSS depends on the accelerator and its operation, as well as associated hazard conditions. The approaches of RSS among different facilities can be different. This report gives a review of the RSS for accelerator facilities.

  9. Radiation Safety Systems for Accelerator Facilities

    SciTech Connect

    James C. Liu; Jeffrey S. Bull; John Drozdoff; Robert May; Vaclav Vylet

    2001-10-01

    The Radiation Safety System (RSS) of an accelerator facility is used to protect people from prompt radiation hazards associated with accelerator operation. The RSS is a fully interlocked, engineered system with a combination of passive and active elements that are reliable, redundant, and fail-safe. The RSS consists of the Access Control System (ACS) and the Radiation Containment System (RCS). The ACS is to keep people away from the dangerous radiation inside the shielding enclosure. The RCS limits and contains the beam/radiation conditions to protect people from the prompt radiation hazards outside the shielding enclosure in both normal and abnormal operations. The complexity of a RSS depends on the accelerator and its operation, as well as associated hazard conditions. The approaches of RSS among different facilities can be different. This report gives a review of the RSS for accelerator facilities.

  10. Innovative Hypofractionated Stereotactic Regimen Achieves Excellent Local Control with No Radiation Necrosis: Promising Results in the Management of Patients with Small Recurrent Inoperable GBM

    PubMed Central

    Pannullo, Susan C.; Minkowitz, Shlomo; Taube, Shoshana; Chang, Jenghwa; Parashar, Bhupesh; Christos, Paul; Wernicke, A.Gabriella

    2016-01-01

    Management of recurrent glioblastoma multiforme (GBM) remains a challenge. Several institutions reported that a single fraction of ≥ 20 Gy for small tumor burden results in excellent local control; however, this is at the expense of a high incidence of radiation necrosis (RN). Therefore, we developed a hypofractionation pattern of 33 Gy/3 fractions, which is a radiobiological equivalent of 20 Gy, with the aim to lower the incidence of RN. We reviewed records of 21 patients with recurrent GBM treated with hypofractionated stereotactic radiation therapy (HFSRT) to their 22 respective lesions. Sixty Gy fractioned external beam radiotherapy was performed as first-line treatment. Median time from primary irradiation to HFSRT was 9.6 months (range: 3.1 – 68.1 months). In HFSRT, a median dose of 33 Gy in 11 Gy fractions was delivered to the 80% isodose line that encompassed the target volume. The median tumor volume was 1.07 cm3 (range: 0.11 – 16.64 cm3). The median follow-up time after HFSRT was 9.3 months (range: 1.7 – 33.6 months). Twenty-one of 23 lesions treated (91.3%) achieved local control while 2/23 (8.7%) progressed. Median time to progression outside of the treated site was 5.2 months (range: 2.2 – 9.6 months). Progression was treated with salvage chemotherapy. Five of 21 patients (23.8%) were alive at the end of this follow-up; two patients remain disease-free. The remaining 16/21 patients (76.2%) died of disease. Treatment was well tolerated by all patients with no acute CTC/RTOG > Grade 2. There was 0% incidence of RN. A prospective trial will be underway to validate these promising results. PMID:27096136

  11. The Use of Photon Beams of a Flattening Filter-free Linear Accelerator for Hypofractionated Volumetric Modulated Arc Therapy in Localized Prostate Cancer

    SciTech Connect

    Zwahlen, Daniel R.; Lang, Stephanie; Hrbacek, Jan; Glanzmann, Christoph; Kloeck, Stephan; Najafi, Yousef; Streller, Tino; Studer, Gabriela; Zaugg, Kathrin; Luetolf, Urs M.

    2012-08-01

    Purpose: To evaluate the potential usage of flattening filter-free (FFF) photon beams in the treatment of prostate cancer. Methods and Materials: Volumetric-modulated arc therapy (VMAT) treatment planning was performed for 7 patients using TrueBeam{sup Registered-Sign} linear accelerator and photon beams with (X6, X10) and without (X6FFF, X10FFF) flattening filter. Prescribed dose was 19 Multiplication-Sign 3 Gy = 57 Gy. One or two 360 Degree-Sign arcs with dose rate of 600 MU/min for flattened beams, and 1,200 MU/min for FFF beams were used. Results: No difference was detected between the four beams in PTV coverage, conformity, and homogeneity. Mean body dose and body volume receiving 50% of the prescribed dose decreased with increasing mean energy (r{sup 2} = 0.8275, p < 0.01). X6FFF delivered 3.6% more dose compared with the X6 (p < 0.01). X10FFF delivered 3.0% (p < 0.01), and the X10 5.8% (p < 0.01) less mean body dose compared with X6. There was a significant increase in the mean dose to the rectum for the X10 compared with X6 (2.6%, p < 0.01). Mean dose to the bladder increased by 1.3% for X6FFF and decreased by 2.3% for X10FFF. Using a single arc and FFF, treatment time was reduced by 35% (2 SD = 10%). Conclusion: FFF beams resulted in dose distributions similar to flattened beams. X10FFF beam provided the best solution, sparing rectum and bladder and minimizing whole-body dose. FFF beams lead to a time efficient treatment delivery, particularly when combined with hypofractionated VMAT.

  12. Accelerated Hypofractionated Intensity-Modulated Radiotherapy With Concurrent and Adjuvant Temozolomide for Patients With Glioblastoma Multiforme: A Safety and Efficacy Analysis

    SciTech Connect

    Panet-Raymond, Valerie; Souhami, Luis; Roberge, David; Kavan, Petr; Shakibnia, Lily; Muanza, Thierry; Lambert, Christine; Leblanc, Richard; Del Maestro, Rolando; Guiot, Marie-Christine; Shenouda, George

    2009-02-01

    Purpose: Despite multimodality treatments, the outcome of patients with glioblastoma multiforme remains poor. In an attempt to improve results, we have begun a program of accelerated hypofractionated intensity-modulated radiotherapy (hypo-IMRT) with concomitant and adjuvant temozolomide (TMZ). Methods and Materials: Between March 2004 and June 2006, 35 unselected patients with glioblastoma multiforme were treated with hypo-IMRT. During a 4-week period, using a concomitant boost technique, a dose of 60 Gy and 40 Gy were delivered in 20 fractions prescribed to the periphery of the gross tumor volume and planning target volume, respectively. TMZ was administered according to the regimen of Stupp et al. Results: The median follow-up was 12.6 months. Of the 35 patients, 29 (82.8%) completed the combined modality treatment, and 25 (71.4%) received a median of four cycles of adjuvant TMZ. The median overall survival was 14.4 months, and the median disease-free survival was 7.7 months. The median survival time differed significantly between patients who underwent biopsy and those who underwent partial or total resection (7.1 vs. 16.1 months, p = 0.035). The median survival was also significantly different between patients with methylated vs. unmethylated 0-6-methylguanine-DNA methyltransferase promoters (14.4 vs. 8.7 months, p = 0.049). The pattern of failure was predominantly central, within 2 cm of the initial gross tumor volume. Grade 3-4 toxicity was limited to 1 patient with nausea and emesis during adjuvant TMZ administration. Conclusion: The results of our study have shown that hypo-IMRT with concomitant and adjuvant TMZ is well tolerated with a useful 2-week shortening of radiotherapy. Despite a high number of patients with poor prognostic features (74.3% recursive partitioning analysis class V or VI), the median survival was comparable to that after standard radiotherapy fractionation schedules plus TMZ.

  13. Quality-of-life outcomes in high-risk prostate cancer patients treated with helical tomotherapy in a hypofractionated radiation schedule with long-term androgen suppression

    PubMed Central

    Pervez, N.; Krauze, A.V.; Yee, D.; Parliament, M.; Mihai, A.; Ghosh, S.; Joseph, K.; Murtha, A.; Amanie, J.; Kamal, M.; Pearcey, R.

    2012-01-01

    Purpose We examined the impact of hypofractionated radiation therapy and androgen suppression therapy (ast) on quality of life (qol) in high-risk prostate cancer patients. Methods Between March 2005 and March 2007, 60 patients with high-risk prostate cancer were enrolled in a prospective phase ii study. All patients received 68 Gy (2.72 Gy per fraction) to the prostate gland and 45 Gy (1.8 Gy per fraction) to the pelvic lymph nodes in 25 fractions over 5 weeks. Of the 60 patients, 58 received ast. The University of California–Los Angeles Prostate Cancer Index questionnaire was used to prospectively measure qol at baseline (month 0) and at 1, 6, 12, 18, 24, 30, and 36 months after radiation treatment. The generalized estimating equation approach was used to compare the qol scores at 1, 6, 12, 18, 24, 30, and 36 months with those at baseline. Results We observed a significant decrease in qol items related to bowel and sexual function. Several qol items related to bowel function were significantly adversely affected at both 1 and 6 months, with improvement toward 6 months. Although decreased qol scores persisted beyond the 6-month mark, they began to re-approach baseline at the 18- to 24-month mark. Most sexual function items were significantly adversely affected at both 1 and 6 months, but the effects were not considered to be a problem by most patients. A complete return to baseline was not observed for either bowel or sexual function. Urinary function items remained largely unaffected, with overall urinary function being the only item adversely affected at 6 months, but not at 1 month. Urinary function returned to baseline and remained unimpaired from 18 months onwards. Conclusions In our study population, who received hypofractionated radiation delivered using dynamic intensity-modulated radiotherapy with inclusion of the pelvic lymph nodes, and 2–3 years of ast prescription, qol with respect to bowel and sexual function was significantly affected; qol with

  14. Solving radiation problems at particle accelerators

    SciTech Connect

    Nikolai V. Mokhov

    2001-12-11

    At high-intensity high-energy particle accelerators, consequences of a beam-induced radiation impact on machine and detector components, people, environment and complex performance can range from negligible to severe. The specifics, general approach and tools used at such machines for radiation analysis are described. In particular, the world leader Fermilab accelerator complex is considered, with its fixed target and collider experiments, as well as new challenging projects such as LHC, VLHC, muon collider and neutrino factory. The emphasis is on mitigation of deleterious beam-induced radiation effects and on the key role of effective computer simulations.

  15. Radiation pressure acceleration of ultrathin foils

    NASA Astrophysics Data System (ADS)

    Macchi, Andrea; Veghini, Silvia; Liseykina, Tatyana V.; Pegoraro, Francesco

    2010-04-01

    The acceleration of sub-wavelength, solid-density plasma foils by the ultraintense radiation pressure of circularly polarized laser pulses is investigated analytically and with simulations. An improved 'Light Sail' or accelerating mirror model, accounting for nonlinear self-induced transparency effects, is used for estimating the optimal thickness for acceleration. The model predictions are in good agreement with one-dimensional simulations. These latter are analyzed in detail to unfold the dynamics and self-organization of electrons and ions during the acceleration. Two-dimensional simulations are also performed to address the effects of target bending and of laser intensity inhomogeneity.

  16. Topics in radiation at accelerators: Radiation physics for personnel and environmental protection

    SciTech Connect

    Cossairt, J.D.

    1993-11-01

    This report discusses the following topics: Composition of Accelerator Radiation Fields; Shielding of Electrons and Photons at Accelerators; Shielding of Hadrons at Accelerators; Low Energy Prompt Radiation Phenomena; Induced Radioactivity at Accelerators; Topics in Radiation Protection Instrumentation at Accelerators; and Accelerator Radiation Protection Program Elements.

  17. Unlimited Ion Acceleration by Radiation Pressure

    SciTech Connect

    Bulanov, S. V.; Esirkepov, T. Zh.; Kando, M.; Echkina, E. Yu.; Inovenkov, I. N.; Pegoraro, F.; Korn, G.

    2010-04-02

    The energy of ions accelerated by an intense electromagnetic wave in the radiation pressure dominated regime can be greatly enhanced due to a transverse expansion of a thin target. The expansion decreases the number of accelerated ions in the irradiated region resulting in an increase in the ion energy and in the ion longitudinal velocity. In the relativistic limit, the ions become phase locked with respect to the electromagnetic wave resulting in unlimited ion energy gain.

  18. Estimation of a Self-Consistent Set of Radiobiological Parameters From Hypofractionated Versus Standard Radiation Therapy of Prostate Cancer

    SciTech Connect

    Pedicini, Piernicola; Strigari, Lidia; Benassi, Marcello

    2013-04-01

    Purpose: To determine a self-consistent set of radiobiological parameters in prostate cancer. Methods and Materials: A method to estimate intrinsic radiosensitivity (α), fractionation sensitivity (α/β), repopulation doubling time, number of clonogens, and kick-off time for accelerated repopulation of prostate cancer has been developed. Based on the generalized linear-quadratic model and without assuming the isoeffective hypothesis, the potential applications of the method were investigated using the clinical outcome of biochemical relapse-free survival recently reviewed in the literature. The strengths and limitations of the method, regarding the fitted parameters and 95% confidence intervals (CIs), are also discussed. Results: Our best estimate of α/β is 2.96 Gy (95% CI 2.41-3.53 Gy). The corresponding α value is 0.16 Gy{sup −1} (95% CI 0.14-0.18 Gy{sup −1}), which is compatible with a realistic number of clonogens: 6.5 × 10{sup 6} (95% CI 1.5 × 10{sup 6}-2.1 × 10{sup 7}). The estimated cell doubling time is 5.1 days (95% CI 4.2-7.2 days), very low if compared with that reported in the literature. This corresponds to the dose required to offset the repopulation occurring in 1 day of 0.52 Gy/d (95% CI 0.32-0.68 Gy/d). However, a long kick-off time of 31 days (95% CI 22-41 days) from the start of radiation therapy was found. Conclusion: The proposed analytic/graphic method has allowed the fitting of clinical data, providing a self-consistent set of radiobiological parameters for prostate cancer. With our analysis we confirm a low value for α/β with a correspondingly high value of intrinsic radiosensitivity, a realistic average number of clonogens, a long kick-off time for accelerated repopulation, and a surprisingly fast repopulation that suggests the involvement of subpopulations of specifically tumorigenic stem cells during continuing radiation therapy.

  19. RADIATION FROM COMOVING POYNTING FLUX ACCELERATION

    SciTech Connect

    Liang, Edison; Noguchi, Koichi

    2009-11-10

    We derive analytic formulas for the radiation power output when electrons are accelerated by a relativistic comoving kinetic Poynting flux, and validate these analytic results with particle-in-cell simulations. We also derive analytically the critical frequency of the radiation spectrum. Potential astrophysical applications of these results are discussed. A quantitative model of gamma-ray bursts based on the breakout of kinetic Poynting flux is presented.

  20. Possible Misinterpretation of Demarcated Solid Patterns of Radiation Fibrosis on CT Scans as Tumor Recurrence in Patients Receiving Hypofractionated Stereotactic Radiotherapy for Lung Cancer

    SciTech Connect

    Takeda, Atsuya; Kunieda, Etsuo Takeda, Toshiaki; Tanaka, Michio; Sanuki, Naoko; Fujii, Hirofumi; Shigematsu, Naoyuki; Kubo, Atsushi M.D.

    2008-03-15

    Purpose: To retrospectively analyze opacity changes near primary lung cancer tumors irradiated by using hypofractionated stereotactic radiotherapy (HSRT) to determine the presence or absence of tumor recurrence. Methods and Materials: After review-board approval for a retrospective study, we examined data from 50 patients treated with curative intent for proven or highly suspected localized peripheral-lung cancer and followed up for at least 12 months. All patients had received 50 Gy in five fractions (80% isodose) and were followed up monthly with chest X-ray until clinical and X-ray findings stabilized. Follow-up computed tomography scans were performed 1 and 3 months after HSRT and thereafter at 3-month intervals during the first 2 years. Results: Median follow-up was 30.4 months (range, 12.0-73.8 months). Abnormal opacities that were suspicious for recurrent tumor appeared in 20 patients at a median of 20.7 months (range, 5.9-61.4 months). Only 3 patients were finally found to have recurrence; 14 were recurrence free but were suspected to have fibrosis, and findings for the other 3 patients were considered equivocal because of a short follow-up period ({<=}6 months). Conclusion: Radiation fibrosis, which may occur 1 year or longer after completion of HSRT, is difficult to distinguish from tumor recurrence. Even when opacities increase on follow-up radiologic scans, recurrence cannot be diagnosed conclusively based on image findings; biopsy occasionally is warranted.

  1. Adjuvant Hypofractionated Versus Conventional Whole Breast Radiation Therapy for Early-Stage Breast Cancer: Long-Term Hospital-Related Morbidity From Cardiac Causes

    SciTech Connect

    Chan, Elisa K.; Woods, Ryan; McBride, Mary L.; Virani, Sean; Nichol, Alan; Speers, Caroline; Wai, Elaine S.; Tyldesley, Scott

    2014-03-15

    Purpose: The risk of cardiac injury with hypofractionated whole-breast/chest wall radiation therapy (HF-WBI) compared with conventional whole-breast/chest wall radiation therapy (CF-WBI) in women with left-sided breast cancer remains a concern. The purpose of this study was to determine if there is an increase in hospital-related morbidity from cardiac causes with HF-WBI relative to CF-WBI. Methods and Materials: Between 1990 and 1998, 5334 women ≤80 years of age with early-stage breast cancer were treated with postoperative radiation therapy to the breast or chest wall alone. A population-based database recorded baseline patient, tumor, and treatment factors. Hospital administrative records identified baseline cardiac risk factors and other comorbidities. Factors between radiation therapy groups were balanced using a propensity-score model. The first event of a hospital admission for cardiac causes after radiation therapy was determined from hospitalization records. Ten- and 15-year cumulative hospital-related cardiac morbidity after radiation therapy was estimated for left- and right-sided cases using a competing risk approach. Results: The median follow-up was 13.2 years. For left-sided cases, 485 women were treated with CF-WBI, and 2221 women were treated with HF-WBI. Mastectomy was more common in the HF-WBI group, whereas boost was more common in the CF-WBI group. The CF-WBI group had a higher prevalence of diabetes. The 15-year cumulative hospital-related morbidity from cardiac causes (95% confidence interval) was not different between the 2 radiation therapy regimens after propensity-score adjustment: 21% (19-22) with HF-WBI and 21% (17-25) with CF-WBI (P=.93). For right-sided cases, the 15-year cumulative hospital-related morbidity from cardiac causes was also similar between the radiation therapy groups (P=.76). Conclusions: There is no difference in morbidity leading to hospitalization from cardiac causes among women with left-sided early-stage breast

  2. Intrafraction Prostate Translations and Rotations During Hypofractionated Robotic Radiation Surgery: Dosimetric Impact of Correction Strategies and Margins

    SciTech Connect

    Water, Steven van de; Valli, Lorella; Aluwini, Shafak; Lanconelli, Nico; Heijmen, Ben; Hoogeman, Mischa

    2014-04-01

    Purpose: To investigate the dosimetric impact of intrafraction prostate motion and the effect of robot correction strategies for hypofractionated CyberKnife treatments with a simultaneously integrated boost. Methods and Materials: A total of 548 real-time prostate motion tracks from 17 patients were available for dosimetric simulations of CyberKnife treatments, in which various correction strategies were included. Fixed time intervals between imaging/correction (15, 60, 180, and 360 seconds) were simulated, as well as adaptive timing (ie, the time interval reduced from 60 to 15 seconds in case prostate motion exceeded 3 mm or 2° in consecutive images). The simulated extent of robot corrections was also varied: no corrections, translational corrections only, and translational corrections combined with rotational corrections up to 5°, 10°, and perfect rotational correction. The correction strategies were evaluated for treatment plans with a 0-mm or 3-mm margin around the clinical target volume (CTV). We recorded CTV coverage (V{sub 100%}) and dose-volume parameters of the peripheral zone (boost), rectum, bladder, and urethra. Results: Planned dose parameters were increasingly preserved with larger extents of robot corrections. A time interval between corrections of 60 to 180 seconds provided optimal preservation of CTV coverage. To achieve 98% CTV coverage in 98% of the treatments, translational and rotational corrections up to 10° were required for the 0-mm margin plans, whereas translational and rotational corrections up to 5° were required for the 3-mm margin plans. Rectum and bladder were spared considerably better in the 0-mm margin plans. Adaptive timing did not improve delivered dose. Conclusions: Intrafraction prostate motion substantially affected the delivered dose but was compensated for effectively by robot corrections using a time interval of 60 to 180 seconds. A 0-mm margin required larger extents of additional rotational corrections than a 3

  3. Minibeam Therapy With Protons and Light Ions: Physical Feasibility and Potential to Reduce Radiation Side Effects and to Facilitate Hypofractionation

    SciTech Connect

    Dilmanian, F. Avraham; Eley, John G.; Krishnan, Sunil

    2015-06-01

    Purpose: Despite several advantages of proton therapy over megavoltage x-ray therapy, its lack of proximal tissue sparing is a concern. The method presented here adds proximal tissue sparing to protons and light ions by turning their uniform incident beams into arrays of parallel, small, or thin (0.3-mm) pencil or planar minibeams, which are known to spare tissues. As these minibeams penetrate the tissues, they gradually broaden and merge with each other to produce a solid beam. Methods and Materials: Broadening of 0.3-mm-diameter, 109-MeV proton pencil minibeams was measured using a stack of radiochromic films with plastic spacers. Monte Carlo simulations were used to evaluate the broadening in water of minibeams of protons and several light ions and the dose from neutron generated by collimator. Results: A central parameter was tissue depth, where the beam full width at half maximum (FWHM) reached 0.7 mm, beyond which tissue sparing decreases. This depth was 22 mm for 109-MeV protons in a film stack. It was also found by simulations in water to be 23.5 mm for 109 MeV proton pencil minibeams and 26 mm for 116 MeV proton planar minibeams. For light ions, all with 10 cm range in water, that depth increased with particle size; specifically it was 51 mm for Li-7 ions. The ∼2.7% photon equivalent neutron skin dose from the collimator was reduced 7-fold by introducing a gap between the collimator and the skin. Conclusions: Proton minibeams can be implemented at existing particle therapy centers. Because they spare the shallow tissues, they could augment the efficacy of proton therapy and light particle therapy, particularly in treating tumors that benefit from sparing of proximal tissues such as pediatric brain tumors. They should also allow hypofractionated treatment of all tumors by allowing the use of higher incident doses with less concern about proximal tissue damage.

  4. [Linear accelerator-based stereotactic radiation treatment of patients with medial middle fossa meningiomas].

    PubMed

    Golanov, A V; Cherekaev, V A; Serova, N K; Pronin, I N; Gorlachev, G E; Kotel'nikova, T M; Podoprigora, A E; Kudriavtseva, P A; Galkin, M V

    2010-01-01

    Medial middle fossa meningiomas are challenging for neurosurgical treatment. Invasion of cranial nerves and vessels leads to high risk of complications after removal of such meningiomas. Currently methods of conformal stereotactic radiation treatment are applied wider and wider for the discussed lesions. During a 3.5-year period 80 patients with medial middle fossa meningiomas were treated in Burdenko Moscow Neurosurgical Institute using linear accelerator "Novalis". In 31 case radiation treatment was preceded by surgical resection. In majority of patients symptoms included cranial nerve dysfunction: oculomotor disturbances in 62.5%, trigeminal impairment--in 37.5%, visual deficit--in 43.8%, facial nerve palsy--in 1.25%. 74 patients underwent radiotherapy with classical fractioning, 2--in hypofractionated mode and 4 received radiosurgery. In cases of classical fractioning mean marginal dose reached 46.3 Gy during 28-33 fractions, in hypofractioning (7 fractions)--31.5 Gy, in radiosurgery--16.25 Gy. Mean follow-up period was 18.4 months (6-42 months). Control of tumor growth was achieved in 97.5% of cases (78 patients): in 42 (52.5%) lesion shrinked, in 36 (45%) stabilization was observed. Clinical examination revealed improvement of visual function in 15 patients (18%) and deterioration in 2 (2.5%). No new neuropathies were found. Stereotactic radiation treatment is the method of choice for medial anterior and middle fossa meningiomas due to effective control of tumor progression and minimal rate of complications.

  5. Long-term Outcomes of Hypofractionation Versus Conventional Radiation Therapy After Breast-Conserving Surgery for Ductal Carcinoma In Situ of the Breast

    SciTech Connect

    Lalani, Nafisha; Paszat, Lawrence; Sutradhar, Rinku; Thiruchelvam, Deva; Nofech-Mozes, Sharon; Hanna, Wedad; Slodkowska, Elzbieta; Done, Susan J.; Miller, Naomi; Youngson, Bruce; Tuck, Alan; Sengupta, Sandip; Elavathil, Leela; Chang, Martin C.; Jani, Prashant A.; Bonin, Michel; and others

    2014-12-01

    Purpose: Whole-breast radiation therapy (XRT) after breast-conserving surgery (BCS) for ductal carcinoma in situ (DCIS) may decrease the risk of local recurrence, but the optimal dose regimen remains unclear. Past studies administered 50 Gy in 25 fractions (conventional); however, treatment pattern studies report that hypofractionated (HF) regimens (42.4 Gy in 16 fractions) are frequently used. We report the impact of HF (vs conventional) on the risk of local recurrence after BCS for DCIS. Methods and Materials: All women with DCIS treated with BCS and XRT in Ontario, Canada from 1994 to 2003 were identified. Treatment and outcomes were assessed through administrative databases and validated by chart review. Survival analyses were performed. To account for systematic differences between women treated with alternate regimens, we used a propensity score adjustment approach. Results: We identified 1609 women, of whom 971 (60%) received conventional regimens and 638 (40%) received HF. A total of 489 patients (30%) received a boost dose, of whom 143 (15%) received conventional radiation therapy and 346 (54%) received HF. The median follow-up time was 9.2 years. The median age at diagnosis was 56 years (interquartile range [IQR], 49-65 years). On univariate analyses, the 10-year actuarial local recurrence–free survival was 86% for conventional radiation therapy and 89% for HF (P=.03). On multivariable analyses, age <45 years (hazard ratio [HR] = 2.4; 95% CI: 1.6-3.4; P<.0001), high (HR=2.9; 95% CI: 1.2-7.3; P=.02) or intermediate nuclear grade (HR=2.7; 95% CI: 1.1-6.6; P=.04), and positive resection margins (HR=1.4; 95% CI: 1.0-2.1; P=.05) were associated with an increased risk of local recurrence. HF was not significantly associated with an increased risk of local recurrence compared with conventional radiation therapy on multivariate analysis (HR=0.8; 95% CI: 0.5-1.2; P=.34). Conclusions: The risk of local recurrence among individuals treated with HF regimens

  6. High-Dose Hypofractionated Proton Beam Radiation Therapy Is Safe and Effective for Central and Peripheral Early-Stage Non-Small Cell Lung Cancer: Results of a 12-Year Experience at Loma Linda University Medical Center

    SciTech Connect

    Bush, David A.; Cheek, Gregory; Zaheer, Salman; Wallen, Jason; Mirshahidi, Hamid; Katerelos, Ari; Grove, Roger; Slater, Jerry D.

    2013-08-01

    Purpose: We update our previous reports on the use of hypofractionated proton beam radiation therapy for early-stage lung cancer patients. Methods and Materials: Eligible subjects had biopsy-proven non-small cell carcinoma of the lung and were medically inoperable or refused surgery. Clinical workup required staging of T1 or T2, N0, M0. Subjects received hypofractionated proton beam therapy to the primary tumor only. The dose delivered was sequentially escalated from 51 to 60 Gy, then to 70 Gy in 10 fractions over 2 weeks. Endpoints included toxicity, pulmonary function, overall survival (OS), disease-specific survival (DSS), and local control (LC). Results: One hundred eleven subjects were analyzed for treatment outcomes. The patient population had the following average characteristics; age 73.2 years, tumor size 3.6 cm, and 1.33 L forced expiratory volume in 1 second. The entire group showed improved OS with increasing dose level (51, 60, and 70 Gy) with a 4-year OS of 18%, 32%, and 51%, respectively (P=.006). Peripheral T1 tumors exhibited LC of 96%, DSS of 88%, and OS of 60% at 4 years. Patients with T2 tumors showed a trend toward improved LC and survival with the 70-Gy dose level. On multivariate analysis, larger tumor size was strongly associated with increased local recurrence and decreased survival. Central versus peripheral location did not correlate with any outcome measures. Clinical radiation pneumonitis was not found to be a significant complication, and no patient required steroid therapy after treatment for radiation pneumonitis. Pulmonary function was well maintained 1 year after treatment. Conclusions: High-dose hypofractionated proton therapy achieves excellent outcomes for lung carcinomas that are peripherally or centrally located. The 70-Gy regimen has been adopted as standard therapy for T1 tumors at our institution. Larger T2 tumors show a trend toward improved outcomes with higher doses, suggesting that better results could be seen with

  7. Does electromagnetic radiation accelerate galactic cosmic rays

    NASA Technical Reports Server (NTRS)

    Eichler, D.

    1977-01-01

    The 'reactor' theories of Tsytovich and collaborators (1973) of cosmic-ray acceleration by electromagnetic radiation are examined in the context of galactic cosmic rays. It is shown that any isotropic synchrotron or Compton reactors with reasonable astrophysical parameters can yield particles with a maximum relativistic factor of only about 10,000. If they are to produce particles with higher relativistic factors, the losses due to inverse Compton scattering of the electromagnetic radiation in them outweigh the acceleration, and this violates the assumptions of the theory. This is a critical restriction in the context of galactic cosmic rays, which have a power-law spectrum extending up to a relativistic factor of 1 million.

  8. Radiation from Shock-Accelerated Particles

    NASA Technical Reports Server (NTRS)

    Nishikawa, Ken-ichi; Choi, E. J.; Min, K. W.; Niemiec, J.; Zhang, B.; Hardee, P.; Mizuno, Y.; Medvedev, M.; Nordlund, A.; Frederiksen, J.; Sol, H.; Pohl, M.; Hartmann, D. H.; Fishman, G. J.

    2012-01-01

    Plasma instabilities excited in collisionless shocks are responsible for particle acceleration, generation of magnetic fields , and associated radiation. We have investigated the particle acceleration and shock structure associated with an unmagnetized relativistic jet propagating into an unmagnetized plasma. Cold jet electrons are thermalized and slowed while the ambient electrons are swept up to create a partially developed hydrodynamic-like shock structure. The shock structure depends on the composition of the jet and ambient plasma (electron-positron or electron-ions). Strong electromagnetic fields are generated in the reverse , jet shock and provide an emission site. These magnetic fields contribute to the electron's transverse deflection behind the shock. We have calculated, self-consistently, the radiation from electrons accelerated in the turbulent magnetic fields. We found that the synthetic spectra depend on the Lorentz factor of the jet, its thermal temperature and strength of the generated magnetic fields. The detailed properties of the radiation are important for understanding the complex time evolution and/or spectral structure in gamma-ray bursts, relativistic jet shocks, and supernova remnants

  9. Topics in radiation at accelerators: Radiation physics for personnel and environmental protection

    SciTech Connect

    Cossairt, J.D.

    1996-10-01

    In the first chapter, terminology, physical and radiological quantities, and units of measurement used to describe the properties of accelerator radiation fields are reviewed. The general considerations of primary radiation fields pertinent to accelerators are discussed. The primary radiation fields produced by electron beams are described qualitatively and quantitatively. In the same manner the primary radiation fields produced by proton and ion beams are described. Subsequent chapters describe: shielding of electrons and photons at accelerators; shielding of proton and ion accelerators; low energy prompt radiation phenomena; induced radioactivity at accelerators; topics in radiation protection instrumentation at accelerators; and accelerator radiation protection program elements.

  10. Adoption of Hypofractionated Whole-Breast Irradiation for Early-Stage Breast Cancer: A National Cancer Data Base Analysis

    SciTech Connect

    Wang, Elyn H.; Mougalian, Sarah S.; Soulos, Pamela R.; Rutter, Charles E.; Evans, Suzanne B.; Haffty, Bruce G.; Gross, Cary P.; Yu, James B.

    2014-12-01

    Purpose: To evaluate the relationship of patient, hospital, and cancer characteristics with the adoption of hypofractionation in a national sample of patients diagnosed with early-stage breast cancer. Methods and Materials: We performed a retrospective study of breast cancer patients in the National Cancer Data Base from 2004-2011 who were treated with radiation therapy and met eligibility criteria for hypofractionation. We used logistic regression to identify factors associated with receipt of hypofractionation (vs conventional fractionation). Results: We identified 13,271 women (11.7%) and 99,996 women (88.3%) with early-stage breast cancer who were treated with hypofractionation and conventional fractionation, respectively. The use of hypofractionation increased significantly, with 5.4% of patients receiving it in 2004 compared with 22.8% in 2011 (P<.001 for trend). Patients living ≥50 miles from the cancer reporting facility had increased odds of receiving hypofractionation (odds ratio 1.57 [95% confidence interval 1.44-1.72], P<.001). Adoption of hypofractionation was associated with treatment at an academic center (P<.001) and living in an area with high median income (P<.001). Hypofractionation was less likely to be used in patients with high-risk disease, such as increased tumor size (P<.001) or poorly differentiated histologic grade (P<.001). Conclusions: The use of hypofractionation is rising and is associated with increased travel distance and treatment at an academic center. Further adoption of hypofractionation may be tempered by both clinical and nonclinical concerns.

  11. Design considerations and test facilities for accelerated radiation effects testing

    NASA Technical Reports Server (NTRS)

    Price, W. E.; Miller, C. G.; Parker, R. H.

    1972-01-01

    Test design parameters for accelerated dose rate radiation effects tests for spacecraft parts and subsystems used in long term mission (years) are detailed. A facility for use in long term accelerated and unaccelerated testing is described.

  12. Image guided respiratory gated hypofractionated Stereotactic Body Radiation Therapy (H-SBRT) for liver and lung tumors: Initial experience.

    PubMed

    Wurm, R E; Gum, F; Erbel, S; Schlenger, L; Scheffler, D; Agaoglu, D; Schild, R; Gebauer, B; Rogalla, P; Plotkin, M; Ocran, K; Budach, V

    2006-01-01

    To evaluate our initial experience with image guided respiratory gated H-SBRT for liver and lung tumors. The system combines a stereoscopic x-ray imaging system (ExacTrac X-Ray 6D) with a dedicated conformal stereotactic radiosurgery and radiotherapy linear accelerator (Novalis) and ExacTrac Adaptive Gating for dynamic adaptive treatment. Moving targets are located and tracked by x-ray imaging of implanted fiducial markers defined in the treatment planning computed tomography (CT). The marker position is compared with the position in verification stereoscopic x-ray images, using fully automated marker detection software. The required shift for a correct, gated set-up is calculated and automatically applied. We present our acceptance testing and initial experience in patients with liver and lung tumors. For treatment planning CT and Fluorodeoxyglucose-Positron Emission Tomography (FDG-PET) as well as magnetic resonance imaging (MRI) taken at free breathing and expiration breath hold with internal and external fiducials present were used. Patients were treated with 8-11 consecutive fractions to a dose of 74.8-79.2 Gy. Phantom tests demonstrated targeting accuracy with a moving target to within +/-1 mm. Inter- and intrafractional patient set-up displacements, as corrected by the gated set-up and not detectable by a conventional set-up, were up to 30 mm. Verification imaging to determine target location during treatment showed an average marker position deviation from the expected position of up to 4 mm on real patients. This initial evaluation shows the accuracy of the system and feasibility of image guided real-time respiratory gated H-SBRT for liver and lung tumors.

  13. OPserver: opacities and radiative accelerations on demand

    NASA Astrophysics Data System (ADS)

    Mendoza, C.; González, J.; Seaton, M. J.; Buerger, P.; Bellorín, A.; Meléndez, M.; Rodríguez, L. S.; Delahaye, F.; Zeippen, C. J.; Palacios, E.; Pradhan, A. K.

    2009-05-01

    We report on developments carried out within the Opacity Project (OP) to upgrade atomic database services to comply with e-infrastructure requirements. We give a detailed description of an interactive, online server for astrophysical opacities, referred to as OPserver, to be used in sophisticated stellar modelling where Rosseland mean opacities and radiative accelerations are computed at every depth point and each evolution cycle. This is crucial, for instance, in chemically peculiar stars and in the exploitation of the new asteroseismological data. OPserver, downloadable with the new OPCD_3.0 release from the Centre de Données Astronomiques de Strasbourg, France, computes mean opacities and radiative data for arbitrary chemical mixtures from the OP monochromatic opacities. It is essentially a client-server network restructuring and optimization of the suite of codes included in the earlier OPCD_2.0 release. The server can be installed locally or, alternatively, accessed remotely from the Ohio Supercomputer Center, Columbus, Ohio, USA. The client is an interactive web page or a subroutine library that can be linked to the user code. The suitability of this scheme in grid computing environments is emphasized, and its extension to other atomic database services for astrophysical purposes is discussed.

  14. Radiation from sounder-accelerated electrons

    NASA Astrophysics Data System (ADS)

    James, H. G.

    2006-01-01

    Quasi-electrostatic Z-mode waves observed in the two-point OEDIPUS-C (OC) transmission experiment have been interpreted as incoherent radiation by sounder-accelerated electrons (SAE). A consistent interpretation of slow Z-mode waves created by SAE, based on wave and particle observations, has been built around the theory of incoherent radiation. The question therefore arises as to whether some transmitter-induced waves observed by monostatic sounder receivers in the same frequency domain, from the greater of the electron plasma and gyro frequencies to the upper-hybrid-resonance frequency, can also be explained as caused by SAE. Two candidate signal types routinely observed in the ISIS-II sounder receiver have been examined: (a) a diffuse resonance ’spike’ lasting a few milliseconds and (b) highly elongated pulses distributed smoothly throughout the entire frequency range observed when the ambient ionospheric plasma exhibits density irregularities. An examination of Z-mode wave phase and group velocities, combined with consideration of wave and spacecraft kinematics, indicate that the hypothesis of plane slow Z waves does not suffice. The particle detector located on the same payload as the OC transmitter measures SAE pulses lasting milliseconds. Consideration of the role of the transmitter payload body appears to be necessary to account for the retention around the payload of SAE at various pitch angles and energies up to about 100 eV.

  15. A clinical review on extreme hypofractionated stereotactic body radiation therapy for localized prostate cancer using nonrobotic linear accelerators.

    PubMed

    Macias, Victor A; Perez-Romasanta, Luis A

    2014-06-01

    Seven phase I-II studies fell within the inclusion criteria. Details on the radiotherapy technique, patient selection, fractionation scheme, exclusion criteria, treatment toxicity, quality-of-life, and tumor control were collected. The studies provide encouraging results of acute and late toxicity, with rare grade 3 events, that seem comparable to robotic SBRT. The biochemical disease-free survival rates look promising, but most patients belong to the low-risk group. The trials are limited by a short follow-up, small number of patients, and different approaches in prescribing dose and defining the acceptable dose heterogeneities. Currently, nonrobotic SBRT regimens should be used in the context of clinical trials.

  16. Quality Assurance of Immobilization and Target Localization Systems for Frameless Stereotactic Cranial and Extracranial Hypofractionated Radiotherapy

    SciTech Connect

    Solberg, Timothy D. Medin, Paul M.; Mullins, John; Li Sicong

    2008-05-01

    The success of stereotactic radiosurgery has stimulated significant interest in the application of such an approach for the treatment of extracranial tumors. The potential benefits of reduced healthcare costs and improved patient outcomes that could be realized in a high-precision, hypofractionated treatment paradigm are numerous. Image-guidance technologies are eliminating the historic requirement for rigid head fixation and will also accelerate the clinical implementation of the approach in extracranial sites. An essential prerequisite of 'frameless' stereotactic systems is that they provide localization accuracy consistent with the safe delivery of a therapeutic radiation dose given in one or few fractions. In this report, we reviewed the technologies for frameless localization of cranial and extracranial targets with emphasis on the quality assurance aspects.

  17. Indirect Tumor Cell Death After High-Dose Hypofractionated Irradiation: Implications for Stereotactic Body Radiation Therapy and Stereotactic Radiation Surgery

    SciTech Connect

    Song, Chang W.; Lee, Yoon-Jin; Griffin, Robert J.; Park, Inhwan; Koonce, Nathan A.; Hui, Susanta; Kim, Mi-Sook; Dusenbery, Kathryn E.; Sperduto, Paul W.; Cho, L. Chinsoo

    2015-09-01

    Purpose: The purpose of this study was to reveal the biological mechanisms underlying stereotactic body radiation therapy (SBRT) and stereotactic radiation surgery (SRS). Methods and Materials: FSaII fibrosarcomas grown subcutaneously in the hind limbs of C3H mice were irradiated with 10 to 30 Gy of X rays in a single fraction, and the clonogenic cell survival was determined with in vivo–in vitro excision assay immediately or 2 to 5 days after irradiation. The effects of radiation on the intratumor microenvironment were studied using immunohistochemical methods. Results: After cells were irradiated with 15 or 20 Gy, cell survival in FSaII tumors declined for 2 to 3 days and began to recover thereafter in some but not all tumors. After irradiation with 30 Gy, cell survival declined continuously for 5 days. Cell survival in some tumors 5 days after 20 to 30 Gy irradiation was 2 to 3 logs less than that immediately after irradiation. Irradiation with 20 Gy markedly reduced blood perfusion, upregulated HIF-1α, and increased carbonic anhydrase-9 expression, indicating that irradiation increased tumor hypoxia. In addition, expression of VEGF also increased in the tumor tissue after 20 Gy irradiation, probably due to the increase in HIF-1α activity. Conclusions: Irradiation of FSaII tumors with 15 to 30 Gy in a single dose caused dose-dependent secondary cell death, most likely by causing vascular damage accompanied by deterioration of intratumor microenvironment. Such indirect tumor cell death may play a crucial role in the control of human tumors with SBRT and SRS.

  18. Proton and heavy ion acceleration facilities for space radiation research

    NASA Technical Reports Server (NTRS)

    Miller, Jack

    2003-01-01

    The particles and energies commonly used for medium energy nuclear physics and heavy charged particle radiobiology and radiotherapy at particle accelerators are in the charge and energy range of greatest interest for space radiation health. In this article we survey some of the particle accelerator facilities in the United States and around the world that are being used for space radiation health and related research, and illustrate some of their capabilities with discussions of selected accelerator experiments applicable to the human exploration of space.

  19. SU-E-T-776: Use of Quality Metrics for a New Hypo-Fractionated Pre-Surgical Mesothelioma Protocol

    SciTech Connect

    Richardson, S; Mehta, V

    2015-06-15

    Purpose: The “SMART” (Surgery for Mesothelioma After Radiation Therapy) approach involves hypo-fractionated radiotherapy of the lung pleura to 25Gy over 5 days followed by surgical resection within 7. Early clinical results suggest that this approach is very promising, but also logistically challenging due to the multidisciplinary involvement. Due to the compressed schedule, high dose, and shortened planning time, the delivery of the planned doses were monitored for safety with quality metric software. Methods: Hypo-fractionated IMRT treatment plans were developed for all patients and exported to Quality Reports™ software. Plan quality metrics or PQMs™ were created to calculate an objective scoring function for each plan. This allows for an objective assessment of the quality of the plan and a benchmark for plan improvement for subsequent patients. The priorities of various components were incorporated based on similar hypo-fractionated protocols such as lung SBRT treatments. Results: Five patients have been treated at our institution using this approach. The plans were developed, QA performed, and ready within 5 days of simulation. Plan Quality metrics utilized in scoring included doses to OAR and target coverage. All patients tolerated treatment well and proceeded to surgery as scheduled. Reported toxicity included grade 1 nausea (n=1), grade 1 esophagitis (n=1), grade 2 fatigue (n=3). One patient had recurrent fluid accumulation following surgery. No patients experienced any pulmonary toxicity prior to surgery. Conclusion: An accelerated course of pre-operative high dose radiation for mesothelioma is an innovative and promising new protocol. Without historical data, one must proceed cautiously and monitor the data carefully. The development of quality metrics and scoring functions for these treatments allows us to benchmark our plans and monitor improvement. If subsequent toxicities occur, these will be easy to investigate and incorporate into the

  20. Accelerated larvae development of Ascaris lumbricoides eggs with ultraviolet radiation

    NASA Astrophysics Data System (ADS)

    Aladawi, M. A.; Albarodi, H.; Hammoudeh, A.; Shamma, M.; Sharabi, N.

    2006-01-01

    In order to investigate the effect of UV radiation on the development of Ascaris lumbricoides larvae, eggs were exposed to increasing UV doses. Filtered wastewater from the secondary effluent taken from the Damascus wastewater treatment plant (DWTP) was used as irradiation and incubation medium. The progressive and accelerated embryonation stages were microscopically observed and the percentages of completely developed larvae were determined weekly. Results indicated that the UV radiation accelerated the development of larvae with increasing UV dose. Preliminary information about the relationship between the UV radiation dose and rate of embryonation is also presented.

  1. Pulsed electron accelerator for radiation technologies in the enviromental applications

    NASA Astrophysics Data System (ADS)

    Korenev, Sergey

    1997-05-01

    The project of pulsed electron accelerator for radiation technologies in the environmental applications is considered. An accelerator consists of high voltage generator with vacuum insulation and vacuum diode with plasma cathode on the basis discharge on the surface of dielectric of large dimensions. The main parameters of electron accelerators are following: kinetic energy 0.2 - 2.0 MeV, electron beam current 1 - 30 kA and pulse duration 1- 5 microseconds. The main applications of accelerator for decomposition of wastewaters are considered.

  2. Hypofractionated External-Beam Radiotherapy for Prostate Cancer

    PubMed Central

    Cho, L. Chinsoo; Timmerman, Robert; Kavanagh, Brian

    2013-01-01

    There are radiobiological rationales supporting hypofractionated radiotherapy for prostate cancer. The recent advancements in treatment planning and delivery allow sophisticated radiation treatments to take advantage of the differences in radiobiology of prostate cancer and the surrounding normal tissues. The preliminary results from clinical studies indicate that abbreviated fractionation programs can result in successful treatment of localized prostate cancer without escalation of late toxicity. PMID:23533777

  3. Radiation-induced accelerated coronary arteriosclerosis

    SciTech Connect

    Mittal, B.; Deutsch, M.; Thompson, M.; Dameshek, H.L.

    1986-07-01

    There is a paucity of information on radiation-induced coronary heart disease. A young patient with myocardial infarction following mediastinal irradiation is described. The role of radiotherapy and chemotherapy on the subsequent development of coronary heart disease is discussed.

  4. Cloud Formation and Acceleration in a Radiative Environment

    NASA Astrophysics Data System (ADS)

    Proga, Daniel; Waters, Tim

    2015-05-01

    In a radiatively heated and cooled medium, thermal instability (TI) is a plausible mechanism for forming clouds, while the radiation force provides a natural acceleration, especially when ions recombine and opacity increases. Here we extend Field’s theory to self-consistently account for a radiation force resulting from bound-free and bound-bound transitions in the optically thin limit. We present physical arguments for clouds to be significantly accelerated by a radiation force due to lines during a nonlinear phase of the instability. To qualitatively illustrate our main points, we perform both one- and two-dimensional (1D/2D) hydrodynamical simulations that allow us to study the nonlinear outcome of the evolution of thermally unstable gas subjected to this radiation force. Our 1D simulations demonstrate that the TI can produce long-lived clouds that reach a thermal equilibrium between radiative processes and thermal conduction, while the radiation force can indeed accelerate the clouds to supersonic velocities. However, our 2D simulations reveal that a single cloud with a simple morphology cannot be maintained due to destructive processes, triggered by the Rayleigh-Taylor instability and followed by the Kelvin-Helmholtz instability. Nevertheless, the resulting cold gas structures are still significantly accelerated before they are ultimately dispersed.

  5. CLOUD FORMATION AND ACCELERATION IN A RADIATIVE ENVIRONMENT

    SciTech Connect

    Proga, Daniel; Waters, Tim

    2015-05-10

    In a radiatively heated and cooled medium, thermal instability (TI) is a plausible mechanism for forming clouds, while the radiation force provides a natural acceleration, especially when ions recombine and opacity increases. Here we extend Field’s theory to self-consistently account for a radiation force resulting from bound–free and bound–bound transitions in the optically thin limit. We present physical arguments for clouds to be significantly accelerated by a radiation force due to lines during a nonlinear phase of the instability. To qualitatively illustrate our main points, we perform both one- and two-dimensional (1D/2D) hydrodynamical simulations that allow us to study the nonlinear outcome of the evolution of thermally unstable gas subjected to this radiation force. Our 1D simulations demonstrate that the TI can produce long-lived clouds that reach a thermal equilibrium between radiative processes and thermal conduction, while the radiation force can indeed accelerate the clouds to supersonic velocities. However, our 2D simulations reveal that a single cloud with a simple morphology cannot be maintained due to destructive processes, triggered by the Rayleigh–Taylor instability and followed by the Kelvin–Helmholtz instability. Nevertheless, the resulting cold gas structures are still significantly accelerated before they are ultimately dispersed.

  6. [Which rules apply to hypofractionated radiotherapy?].

    PubMed

    Supiot, S; Clément-Colmou, K; Paris, F; Corre, I; Chiavassa, S; Delpon, G

    2015-10-01

    Hypofractionated radiotherapy is now more widely prescribed due to improved targeting techniques (intensity modulated radiotherapy, image-guided radiotherapy and stereotactic radiotherapy). Low dose hypofractionated radiotherapy is routinely administered mostly for palliative purposes. High or very high dose hypofractionated irradiation must be delivered according to very strict procedures since every minor deviation can lead to major changes in dose delivery to the tumor volume and organs at risk. Thus, each stage of the processing must be carefully monitored starting from the limitations and the choice of the hypofractionation technique, tumour contouring and dose constraints prescription, planning and finally dose calculation and patient positioning verification.

  7. Phase 2 Trial of Accelerated, Hypofractionated Whole-Breast Irradiation of 39 Gy in 13 Fractions Followed by a Tumor Bed Boost Sequentially Delivering 9 Gy in 3 Fractions in Early-Stage Breast Cancer

    SciTech Connect

    Kim, Ja Young; Jung, So-Youn; Lee, Seeyoun; Kang, Han-Sung; Lee, Eun Sook; Park, In Hae; Lee, Keun Seok; Ro, Jungsil; Lee, Nam Kwon; Shin, Kyung Hwan

    2013-12-01

    Purpose: To report a phase 2 trial of accelerated, hypofractionated whole-breast irradiation (AH-WBI) delivered as a daily dose of 3 Gy to the whole breast followed by a tumor bed boost. Methods and Materials: Two hundred seventy-six patients diagnosed with breast cancer (pT1-2 and pN0-1a) who had undergone breast-conserving surgery in which the operative margins were negative were treated with AH-WBI delivered as 39 Gy in 13 fractions of 3 Gy to the whole breast once daily over 5 consecutive working days, and 9 Gy in 3 sequential fractions of 3 Gy to a lumpectomy cavity, all within 3.2 weeks. Results: After a median follow-up period of 57 months (range: 27-75 months), the rate of 5-year locoregional recurrence was 1.4% (n=4), whereas that of disease-free survival was 97.4%. No grade 3 skin toxicity was reported during the follow-up period. Qualitative physician cosmetic assessments of good or excellent were noted in 82% of the patients at 2 months after the completion of AH-WBI. The global cosmetic outcome did not worsen over time, and a good or excellent cosmetic outcome was reported in 82% of the patients at 3 years. The mean pretreatment percentage breast retraction assessment was 12.00 (95% confidence interval [CI]: 11.14-12.86). The mean value of percentage breast retraction assessment increased to 13.99 (95% CI: 12.17-15.96) after 1 year and decreased to 13.54 (95% CI: 11.84-15.46) after 3 years but was not significant (P>.05). Conclusions: AH-WBI consisting of 39 Gy in 13 fractions followed by a tumor bed boost sequentially delivering 9 Gy in 3 fractions can be delivered with excellent disease control and tolerable skin toxicity in patients with early-stage breast cancer after breast-conserving surgery.

  8. Operational Radiation Protection in High-Energy Physics Accelerators

    SciTech Connect

    Rokni, S.H.; Fasso, A.; Liu, J.C.; /SLAC

    2012-04-03

    An overview of operational radiation protection (RP) policies and practices at high-energy electron and proton accelerators used for physics research is presented. The different radiation fields and hazards typical of these facilities are described, as well as access control and radiation control systems. The implementation of an operational RP programme is illustrated, covering area and personnel classification and monitoring, radiation surveys, radiological environmental protection, management of induced radioactivity, radiological work planning and control, management of radioactive materials and wastes, facility dismantling and decommissioning, instrumentation and training.

  9. Optimization of THz Radiation Generation from a Laser Wakefield Accelerator

    SciTech Connect

    Plateau, G. R.; Matlis, N. H.; Toth, C.; Geddes, C. G. R.; Schroeder, C. B.; Tilborg, J. van; Albert, O.; Esarey, E.; Leemans, W. P.

    2009-01-22

    Ultrashort terahertz pulses with energies in the {mu}J range can be generated with laser wakefield accelerators (LWFA), which are novel, compact accelerators that produce ultrashort electron bunches with energies up to 1 GeV and energy spreads of a few-percent. Laser pulses interacting with a plasma create accelerated electrons which upon exiting the plasma emit terahertz pulses via transition radiation. Because these electron bunches are ultrashort (<50 fs), they can radiate coherently (coherent transition radiation--CTR) in a wide bandwidth ({approx}1-10 THz) yielding high intensity terahertz pulses. In addition to providing a non-invasive bunch-length diagnostic and thus feedback for the LWFA, these high peak power THz pulses are suitable for high field (MV/cm) pump-probe experiments. Here we present energy-based measurements using a Golay cell and an electro-optic technique which were used to characterize these THz pulses.

  10. Ion acceleration through radiation pressure in quanto-electrodynamical regimes

    NASA Astrophysics Data System (ADS)

    Del Sorbo, Dario; Ridgers, Chris; Laser Plasmas; Fusion Team

    2016-10-01

    The strong radiation pressure carried by high-intensity lasers interacting with plasmas can accelerate ions over very short distances. The resulting compact particle accelerator could find applications in medical physics (radiotherapy) as well as in fundamental physics (hadron interactions). With next-generation multi-petawatt lasers, reaching focused intensity 1023Wcm-2 , ions could potentially reach GeV energies. However, the physics of laser-matter interactions at these extreme intensities is not well understood. In particular, on acceleration by the electromagnetic fields of the laser, the electrons in the plasma start to radiate hard photons prolifically. These hard photons can decay to electron-positron pairs, a cascade of pair production can ensue leading to the formation of an over-dense pair plasma which can absorb the laser-pulse. We have developed a self-consistent theory for both hole boring and light sail radiation pressure ion-acceleration, accounting for radiation-reaction and pair-creation. We show that the key role is played by a pair plasma that arises between the laser and the accelerated ions, strongly modifying the laser absorption.

  11. Radiation from Accelerated Particles in Shocks and Reconnections

    NASA Technical Reports Server (NTRS)

    Nishikawa, K. I.; Choi, E. J.; Min, K. W.; Niemiec, J.; Zhang, B.; Hardee, P.; Mizuno, Y.; Medvedev, M.; Nordlund, A.; Frederiksen, J.; Sol, H.; Pohl, M.; Hartmann, D. H.; Fishman, G. J.

    2012-01-01

    Plasma instabilities are responsible not only for the onset and mediation of collisionless shocks but also for the associated acceleration of particles. We have investigated particle acceleration and shock structure associated with an unmagnetized relativistic electron-positron jet propagating into an unmagnetized electron-positron plasma. Cold jet electrons are thermalized and slowed while the ambient electrons are swept up to create a partially developed hydrodynamic-like shock structure. In the leading shock, electron density increases by a factor of about 3.5 in the simulation frame. Strong electromagnetic fields are generated in the trailing shock and provide an emission site. These magnetic fields contribute to the electrons transverse deflection and, more generally, relativistic acceleration behind the shock. We have calculated, self-consistently, the radiation from electrons accelerated in the turbulent magnetic fields. We found that the synthetic spectra depend on the Lorentz factor of the jet, its thermal temperature and strength of the generated magnetic fields. Our initial results of a jet-ambient interaction with anti-parallelmagnetic fields show pile-up of magnetic fields at the colliding shock, which may lead to reconnection and associated particle acceleration. We will investigate the radiation in a transient stage as a possible generation mechanism of precursors of prompt emission. In our simulations we calculate the radiation from electrons in the shock region. The detailed properties of this radiation are important for understanding the complex time evolution and spectral structure in gamma-ray bursts, relativistic jets, and supernova remnants.

  12. Wave acceleration of electrons in the Van Allen radiation belts.

    PubMed

    Horne, Richard B; Thorne, Richard M; Shprits, Yuri Y; Meredith, Nigel P; Glauert, Sarah A; Smith, Andy J; Kanekal, Shrikanth G; Baker, Daniel N; Engebretson, Mark J; Posch, Jennifer L; Spasojevic, Maria; Inan, Umran S; Pickett, Jolene S; Decreau, Pierrette M E

    2005-09-08

    The Van Allen radiation belts are two regions encircling the Earth in which energetic charged particles are trapped inside the Earth's magnetic field. Their properties vary according to solar activity and they represent a hazard to satellites and humans in space. An important challenge has been to explain how the charged particles within these belts are accelerated to very high energies of several million electron volts. Here we show, on the basis of the analysis of a rare event where the outer radiation belt was depleted and then re-formed closer to the Earth, that the long established theory of acceleration by radial diffusion is inadequate; the electrons are accelerated more effectively by electromagnetic waves at frequencies of a few kilohertz. Wave acceleration can increase the electron flux by more than three orders of magnitude over the observed timescale of one to two days, more than sufficient to explain the new radiation belt. Wave acceleration could also be important for Jupiter, Saturn and other astrophysical objects with magnetic fields.

  13. Undulator radiation driven by laser-wakefield accelerator electron beams

    NASA Astrophysics Data System (ADS)

    Wiggins, S. M.; Anania, M. P.; Welsh, G. H.; Brunetti, E.; Cipiccia, S.; Grant, P. A.; Reboredo, D.; Manahan, G.; Grant, D. W.; Jaroszynski, D. A.

    2015-05-01

    The Advanced Laser-Plasma High-Energy Accelerators towards X-rays (ALPHA-X) programme is developing laserplasma accelerators for the production of ultra-short electron bunches with subsequent generation of coherent, bright, short-wavelength radiation pulses. The new Scottish Centre for the Application of Plasma-based Accelerators (SCAPA) will develop a wide range of applications utilising such light sources. Electron bunches can be propagated through a magnetic undulator with the aim of generating fully coherent free-electron laser (FEL) radiation in the ultra-violet and Xrays spectral ranges. Demonstration experiments producing spontaneous undulator radiation have been conducted at visible and extreme ultra-violet wavelengths but it is an on-going challenge to generate and maintain electron bunches of sufficient quality in order to stimulate FEL behaviour. In the ALPHA-X beam line experiments, a Ti:sapphire femtosecond laser system with peak power 20 TW has been used to generate electron bunches of energy 80-150 MeV in a 2 mm gas jet laser-plasma wakefield accelerator and these bunches have been transported through a 100 period planar undulator. High peak brilliance, narrow band spontaneous radiation pulses in the vacuum ultra-violet wavelength range have been generated. Analysis is provided with respect to the magnetic quadrupole beam transport system and subsequent effect on beam emittance and duration. Requirements for coherent spontaneous emission and FEL operation are presented.

  14. Simulating synchrotron radiation in accelerators including diffuse and specular reflections

    NASA Astrophysics Data System (ADS)

    Dugan, G.; Sagan, D.

    2017-02-01

    An accurate calculation of the synchrotron radiation flux within the vacuum chamber of an accelerator is needed for a number of applications. These include simulations of electron cloud effects and the design of radiation masking systems. To properly simulate the synchrotron radiation, it is important to include the scattering of the radiation at the vacuum chamber walls. To this end, a program called synrad3d has been developed which simulates the production and propagation of synchrotron radiation using a collection of photons. Photons generated by a charged particle beam are tracked from birth until they strike the vacuum chamber wall where the photon is either absorbed or scattered. Both specular and diffuse scattering is simulated. If a photon is scattered, it is further tracked through multiple encounters with the wall until it is finally absorbed. This paper describes the synrad3d program, with a focus on the details of its scattering model, and presents some examples of the program's use.

  15. Adjuvant radiotherapy for cutaneous melanoma: Comparing hypofractionation to conventional fractionation

    SciTech Connect

    Chang, Daniel T.; Amdur, Robert J.; Morris, Christopher G. M.S.; Mendenhall, William M. . E-mail: mendewil@shands.ufl.edu

    2006-11-15

    Purpose: To examine locoregional control after adjuvant radiotherapy (RT) for cutaneous melanoma and compare outcomes between conventional fractionation and hypofractionation. Methods and Materials: Between January 1980 and June 2004, 56 patients with high-risk disease were treated with adjuvant RT. Indications for RT included: recurrent disease, cervical lymph node involvement, lymph nodes >3 cm, more than three lymph nodes involved, extracapsular extension, gross residual disease, close or positive margins, or satellitosis. Hypofractionation was used in 41 patients (73%) and conventional fractionation was used in 15 patients (27%). Results: The median age was 61 years (21->90). The median follow-up among living patients was 4.4 years (range, 0.6-14.4 years). The primary site was located in the head and neck in 49 patients (87%) and below the clavicles in 7 patients (13%). There were 7 in-field locoregional failures (12%), 3 out-of-field regional failures (5%), and 24 (43%) distant failures. The 5-year in-field locoregional control (ifLRC) and freedom from distant metastases (FFDM) rates were 87% and 43%, respectively. The 5-year cause-specific (CSS) and overall survival (OS) was 57% and 46%, respectively. The only factor associated with ifLRC was satellitosis (p = 0.0002). Nodal involvement was the only factor associated with FFDM (p = 0.0007), CSS (p = 0.0065), and OS (p = 0.016). Two patients (4%) who experienced severe late complications, osteoradionecrosis of the temporal bone and radiation plexopathy, and both received hypofractionation (5%). Conclusions: Although surgery and adjuvant RT provides excellent locoregional control, distant metastases remain the major cause of mortality. Hypofractionation and conventional fractionation are equally efficacious.

  16. Hypofractionated IMRT of the Prostate Bed After Radical Prostatectomy: Acute Toxicity in the PRIAMOS-1 Trial

    SciTech Connect

    Katayama, Sonja; Striecker, Thorbjoern; Kessel, Kerstin; Sterzing, Florian; Habl, Gregor; Edler, Lutz; Debus, Juergen; Herfarth, Klaus

    2014-11-15

    Purpose: Hypofractionated radiation therapy as primary treatment for prostate cancer is currently being investigated in large phase 3 trials. However, there are few data on postoperative hypofractionation. The Radiation therapy for the Prostate Bed With or Without the Pelvic Lymph Nodes (PRIAMOS 1) trial was initiated as a prospective phase 2 trial to assess treatment safety and toxicity of a hypofractionated intensity modulated radiation therapy (IMRT) of the prostate bed. Methods and Materials: From February to September 2012, 40 patients with indications for adjuvant or salvage radiation therapy were enrolled. One patient dropped out before treatment. Patients received 54 Gy in 18 fractions to the prostate bed with IMRT and daily image guidance. Gastrointestinal (GI) and genitourinary (GU) toxicities (according to National Cancer Institute Common Terminology Criteria for Adverse Events, version 4.0) were recorded weekly during treatment and 10 weeks after radiation therapy. Results: Overall acute toxicity was favorable, with no recorded adverse events grade ≥3. Acute GI toxicity rates were 56.4% (grade 1) and 17.9% (grade 2). Acute GU toxicity was recorded in 35.9% of patients (maximum grade 1). Urinary stress incontinence was not influenced by radiation therapy. The incidence of grade 1 urinary urge incontinence increased from 2.6% before to 23.1% 10 weeks after therapy, but grade 2 urge incontinence remained unchanged. Conclusions: Postoperative hypofractionated IMRT of the prostate bed is tolerated well, with no severe acute side effects.

  17. On radiative acceleration in spine-sheath structured blazar jets

    NASA Astrophysics Data System (ADS)

    Chhotray, A.; Nappo, F.; Ghisellini, G.; Salafia, O. S.; Tavecchio, F.; Lazzati, D.

    2017-04-01

    It has been proposed that blazar jets are structured, with a fast spine surrounded by a slower sheath or layer. This structured jet model explains some properties of their emission and morphology. Because of their relative motion, the radiation produced by one component is seen amplified by the other, thus enhancing the inverse Compton emission of both. Radiation is emitted anisotropically in the comoving frames and causes the emitting plasma to recoil. As seen in the observer frame, this corresponds to a deceleration of the fastest component (the spine) and an acceleration of the slower one (the layer). While the deceleration of the spine has already been investigated, here we study for the first time the acceleration of the sheath and find self-consistent velocity profile solutions for both the spine and the sheath while accounting for radiative cooling. We find that the sheath can be accelerated to the velocities required by the observations if its leptons remain energetic in the acceleration region, assumed to be of the order of ∼100 Schwarzschild radii, demanding continuous injection of energetic particles in that region.

  18. Microscopic Processes On Radiation from Accelerated Particles in Relativistic Jets

    NASA Technical Reports Server (NTRS)

    Nishikawa, K.-I.; Hardee, P. E.; Mizuno, Y.; Medvedev, M.; Zhang, B.; Sol, H.; Niemiec, J.; Pohl, M.; Nordlund, A.; Fredriksen, J.; Lyubarsky, Y.; Hartmann, D. H.; Fishman, G. J.

    2009-01-01

    Nonthermal radiation observed from astrophysical systems containing relativistic jets and shocks, e.g., gamma-ray bursts (GRBs), active galactic nuclei (AGNs), and Galactic microquasar systems usually have power-law emission spectra. Recent PIC simulations of relativistic electron-ion (electro-positron) jets injected into a stationary medium show that particle acceleration occurs within the downstream jet. In the collisionless relativistic shock particle acceleration is due to plasma waves and their associated instabilities (e.g., the Buneman instability, other two-streaming instability, and the Weibel (filamentation) instability) created in the shocks are responsible for particle (electron, positron, and ion) acceleration. The simulation results show that the Weibel instability is responsible for generating and amplifying highly nonuniform, small-scale magnetic fields. These magnetic fields contribute to the electron's transverse deflection behind the jet head. The jitter'' radiation from deflected electrons has different properties than synchrotron radiation which is calculated in a uniform magnetic field. This jitter radiation may be important to understanding the complex time evolution and/or spectral structure in gamma-ray bursts, relativistic jets, and supernova remnants.

  19. SU-E-T-132: Dosimetric Impact of Positioning Errors in Hypo-Fractionated Cranial Radiation Therapy Using Frameless Stereotactic BrainLAB System

    SciTech Connect

    Keeling, V; Jin, H; Ali, I; Ahmad, S

    2014-06-01

    Purpose: To determine dosimetric impact of positioning errors in the stereotactic hypo-fractionated treatment of intracranial lesions using 3Dtransaltional and 3D-rotational corrections (6D) frameless BrainLAB ExacTrac X-Ray system. Methods: 20 cranial lesions, treated in 3 or 5 fractions, were selected. An infrared (IR) optical positioning system was employed for initial patient setup followed by stereoscopic kV X-ray radiographs for position verification. 6D-translational and rotational shifts were determined to correct patient position. If these shifts were above tolerance (0.7 mm translational and 1° rotational), corrections were applied and another set of X-rays was taken to verify patient position. Dosimetric impact (D95, Dmin, Dmax, and Dmean of planning target volume (PTV) compared to original plans) of positioning errors for initial IR setup (XC: Xray Correction) and post-correction (XV: X-ray Verification) was determined in a treatment planning system using a method proposed by Yue et al. (Med. Phys. 33, 21-31 (2006)) with 3D-translational errors only and 6D-translational and rotational errors. Results: Absolute mean translational errors (±standard deviation) for total 92 fractions (XC/XV) were 0.79±0.88/0.19±0.15 mm (lateral), 1.66±1.71/0.18 ±0.16 mm (longitudinal), 1.95±1.18/0.15±0.14 mm (vertical) and rotational errors were 0.61±0.47/0.17±0.15° (pitch), 0.55±0.49/0.16±0.24° (roll), and 0.68±0.73/0.16±0.15° (yaw). The average changes (loss of coverage) in D95, Dmin, Dmax, and Dmean were 4.5±7.3/0.1±0.2%, 17.8±22.5/1.1±2.5%, 0.4±1.4/0.1±0.3%, and 0.9±1.7/0.0±0.1% using 6Dshifts and 3.1±5.5/0.0±0.1%, 14.2±20.3/0.8±1.7%, 0.0±1.2/0.1±0.3%, and 0.7±1.4/0.0±0.1% using 3D-translational shifts only. The setup corrections (XC-XV) improved the PTV coverage by 4.4±7.3% (D95) and 16.7±23.5% (Dmin) using 6D adjustment. Strong correlations were observed between translation errors and deviations in dose coverage for XC. Conclusion

  20. Acute genitourinary toxicity after high dose rate (HDR) brachytherapy combined with hypofractionated external-beam radiation therapy for localized prostate cancer: Second analysis to determine the correlation between the urethral dose in HDR brachytherapy and the severity of acute genitourinary toxicity

    SciTech Connect

    Akimoto, Tetsuo . E-mail: takimoto@showa.gunma-u.ac.jp; Katoh, Hiroyuki; Noda, Shin-ei; Ito, Kazuto; Yamamoto, Takumi; Kashiwagi, Bunzo; Nakano, Takashi

    2005-10-01

    Purpose: We have been treating localized prostate cancer with high-dose-rate (HDR) brachytherapy combined with hypofractionated external beam radiation therapy (EBRT) at our institution. We recently reported the existence of a correlation between the severity of acute genitourinary (GU) toxicity and the urethral radiation dose in HDR brachytherapy by using different fractionation schema. The purpose of this study was to evaluate the role of the urethral dose in the development of acute GU toxicity more closely than in previous studies. For this purpose, we conducted an analysis of patients who had undergone HDR brachytherapy with a fixed fractionation schema combined with hypofractionated EBRT. Methods and Materials: Among the patients with localized prostate cancer who were treated by 192-iridium HDR brachytherapy combined with hypofractionated EBRT at Gunma University Hospital between August 2000 and November 2004, we analyzed 67 patients who were treated by HDR brachytherapy with the fractionation schema of 9 Gy x two times combined with hypofractionated EBRT. Hypofractionated EBRT was administered at a fraction dose of 3 Gy three times weekly, and a total dose of 51 Gy was delivered to the prostate gland and seminal vesicles using the four-field technique. No elective pelvic irradiation was performed. After the completion of EBRT, all the patients additionally received transrectal ultrasonography-guided HDR brachytherapy. The planning target volume was defined as the prostate gland with a 5-mm margin all around, and the planning was conducted based on computed tomography images. The tumor stage was T1c in 13 patients, T2 in 31 patients, and T3 in 23 patients. The Gleason score was 2-6 in 12 patients, 7 in 34 patients, and 8-10 in 21 patients. Androgen ablation was performed in all the patients. The median follow-up duration was 11 months (range 3-24 months). The toxicities were graded based on the Radiation Therapy Oncology Group and the European Organization

  1. Transition Radiation and its uses in particle accelerators

    NASA Astrophysics Data System (ADS)

    Silva, Tiago F.; Jahnke, Cristiane; Lima, Roberto R.; Malafronte, Alexandre A.; Vanin, Vito R.; Martins, Marcos N.

    2011-08-01

    Transition Radiation (TR) is a physical process in which a uniformly moving charge emits radiation. For emission to occur, it is necessary a variation of the electromagnetic properties of the media that surrounds the particle. The main characteristics of this kind of radiation are: linearity between the radiation intensity and the generating charge, polarization and formation time. The continuous spectrum covers a wide wavelength range, including visible light (Optical Transition Radiation—OTR). These characteristics make OTR an excellent tool for beam diagnostics in particle accelerators. In this work we discuss the role OTR plays in beam instrumentation and the progress of the undergoing project of an OTR based diagnostic tool for the IFUSP Microtron. This is an innovative design since it is planned to be used to diagnose a low energy and low current electron beam.

  2. Multi-dimensional effects in radiation pressure acceleration of ions

    SciTech Connect

    Tripathi, V. K.

    2015-07-31

    A laser carries momentum. On reflection from an ultra-thin overdense plasma foil, it deposits recoil momentum on the foil, i.e. exerts radiation pressure on the foil electrons and pushes them to the rear. The space charge field thus created takes the ions along, accelerating the electron-ion double layer as a single unit. When the foil has surface ripple, of wavelength comparable to laser wavelength, the radiation pressure acts non-uniformly on the foil and the perturbation grows as Reyleigh-Taylor (RT) instability as the foil moves. The finite spot size of the laser causes foil to bend. These effects limit the quasi-mono energy acceleration of ions. Multi-ion foils, e.g., diamond like carbon foil embedded with protons offer the possibility of suppressing RT instability.

  3. [Radiation protection in the operation of accelerator and plasma equipment].

    PubMed

    Ewen, K

    1984-07-01

    Relatively great problems of radioprotection can be caused by accelerator units, above all in the field of science, because all kinds of ionizing radiation and radioactive substances can be produced in all states of aggregation. Furthermore, activities with relatively long half-lives are induced by high particle streams with energies beyond the thresholds of many nuclear reactions, so that the conditions of a control zone, even of a prohibited zone exist at many points after having switched off the accelerator. Not all of these radioprotective problems can be solved by constructive or technical measures. A sufficient skill of the persons responsible for radioprotection is very important in this connection. Efficient radioprotective measures are only possible by a close cooperation between the radiation protection officer, the competent authority, and the expert.

  4. Radiation from Accelerated Particles in Shocks and Reconnections

    NASA Technical Reports Server (NTRS)

    Nishikawa, K.-I.; Zhang, B.; Niemiec, J.; Medvedev, M.; Hardee, P.; Mizuno, Y.; Nordlund, A.; Frederiksen, J. T.; Sol, H.; Pohl, M.; Hartmann, D. H.; Fishman, G. J.

    2011-01-01

    Plasma instabilities are responsible not only for the onset and mediation of collisionless shocks but also for the associated acceleration of particles. We have investigated particle acceleration and shock structure associated with an unmagnetized relativistic electron-positron jet propagating into an unmagnetized electron-positron plasma. Cold jet electrons are thermalized and slowed while the ambient electrons are swept up to create a partially developed hydrodynamic-like shock structure. In the leading shock, electron density increases by a factor of about 3.5 in the simulation frame. Strong electromagnetic fields are generated in the trailing shock and provide an emission site. These magnetic fields contribute to the electrons transverse deflection and, more generally, relativistic acceleration behind the shock. We have calculated, self-consistently, the radiation from electrons accelerated in the turbulent magnetic fields. We found that the synthetic spectra depend on the Lorentz factor of the jet, its thermal temperature and strength of the generated magnetic fields. We are currently investigating the specific case of a jet colliding with an anti-parallel magnetized ambient medium. The properties of the radiation may be important for understanding the complex time evolution and/or spectral structure in gamma-ray bursts, relativistic jets in general, and supernova remnants.

  5. Studying Radiation Damage in Structural Materials by Using Ion Accelerators

    NASA Astrophysics Data System (ADS)

    Hosemann, Peter

    2011-02-01

    Radiation damage in structural materials is of major concern and a limiting factor for a wide range of engineering and scientific applications, including nuclear power production, medical applications, or components for scientific radiation sources. The usefulness of these applications is largely limited by the damage a material can sustain in the extreme environments of radiation, temperature, stress, and fatigue, over long periods of time. Although a wide range of materials has been extensively studied in nuclear reactors and neutron spallation sources since the beginning of the nuclear age, ion beam irradiations using particle accelerators are a more cost-effective alternative to study radiation damage in materials in a rather short period of time, allowing researchers to gain fundamental insights into the damage processes and to estimate the property changes due to irradiation. However, the comparison of results gained from ion beam irradiation, large-scale neutron irradiation, and a variety of experimental setups is not straightforward, and several effects have to be taken into account. It is the intention of this article to introduce the reader to the basic phenomena taking place and to point out the differences between classic reactor irradiations and ion irradiations. It will also provide an assessment of how accelerator-based ion beam irradiation is used today to gain insight into the damage in structural materials for large-scale engineering applications.

  6. Requirements for Simulating Space Radiation With Particle Accelerators

    NASA Technical Reports Server (NTRS)

    Schimmerling, W.; Wilson, J. W.; Cucinotta, F.; Kim, M-H Y.

    2004-01-01

    Interplanetary space radiation consists of fully ionized nuclei of atomic elements with high energy for which only the few lowest energy ions can be stopped in shielding materials. The health risk from exposure to these ions and their secondary radiations generated in the materials of spacecraft and planetary surface enclosures is a major limiting factor in the management of space radiation risk. Accurate risk prediction depends on a knowledge of basic radiobiological mechanisms and how they are modified in the living tissues of a whole organism. To a large extent, this knowledge is not currently available. It is best developed at ground-based laboratories, using particle accelerator beams to simulate the components of space radiation. Different particles, in different energy regions, are required to study different biological effects, including beams of argon and iron nuclei in the energy range 600 to several thousand MeV/nucleon and carbon beams in the energy range of approximately 100 MeV/nucleon to approximately 1000 MeV/nucleon. Three facilities, one each in the United States, in Germany and in Japan, currently have the partial capability to satisfy these constraints. A facility has been proposed using the Brookhaven National Laboratory Booster Synchrotron in the United States; in conjunction with other on-site accelerators, it will be able to provide the full range of heavy ion beams and energies required. International cooperation in the use of these facilities is essential to the development of a safe international space program.

  7. Tracking the radiation reaction energy when charged bodies accelerate

    NASA Astrophysics Data System (ADS)

    Steane, Andrew M.

    2015-08-01

    We consider radiation reaction and energy conservation in classical electromagnetism. We first treat the well-known problem of energy accounting during radiation from a uniformly accelerating particle. This gives rise to the following paradox: when the self-force vanishes, the system providing the applied force does only enough work to give the particle its kinetic energy—so where does the energy that is eventually radiated away come from? We answer this question using a modern treatment of radiation reaction and self-force, as it appears in the expression due to Eliezer and Ford and O'Connell. We clarify the influence of the Schott force, and we find that the radiated power is 2 q 2 a 0 . f 0 / ( 3 m c 3 ) , which differs from Larmor's formula. Finally, we present a simple and highly visual argument that enables one to track the radiated energy without the need to appeal to the far field in the distant future (the "wave zone").

  8. Radiation Safety System for SPIDER Neutral Beam Accelerator

    SciTech Connect

    Sandri, S.; Poggi, C.; Coniglio, A.; D'Arienzo, M.

    2011-12-13

    SPIDER (Source for Production of Ion of Deuterium Extracted from RF Plasma only) and MITICA (Megavolt ITER Injector Concept Advanced) are the ITER neutral beam injector (NBI) testing facilities of the PRIMA (Padova Research Injector Megavolt Accelerated) Center. Both injectors accelerate negative deuterium ions with a maximum energy of 1 MeV for MITICA and 100 keV for SPIDER with a maximum beam current of 40 A for both experiments. The SPIDER facility is classified in Italy as a particle accelerator. At present, the design of the radiation safety system for the facility has been completed and the relevant reports have been presented to the Italian regulatory authorities. Before SPIDER can operate, approval must be obtained from the Italian Regulatory Authority Board (IRAB) following a detailed licensing process. In the present work, the main project information and criteria for the SPIDER injector source are reported together with the analysis of hypothetical accidental situations and safety issues considerations. Neutron and photon nuclear analysis is presented, along with special shielding solutions designed to meet Italian regulatory dose limits. The contribution of activated corrosion products (ACP) to external exposure of workers has also been assessed. Nuclear analysis indicates that the photon contribution to worker external exposure is negligible, and the neutron dose can be considered by far the main radiation protection issue. Our results confirm that the injector has no important radiological impact on the population living around the facility.

  9. Particle acceleration, magnetization and radiation in relativistic shocks

    NASA Astrophysics Data System (ADS)

    Derishev, Evgeny V.; Piran, Tsvi

    2016-08-01

    The mechanisms of particle acceleration and radiation, as well as magnetic field build-up and decay in relativistic collisionless shocks, are open questions with important implications to various phenomena in high-energy astrophysics. While the Weibel instability is possibly responsible for magnetic field build-up and diffusive shock acceleration is a model for acceleration, both have problems and current particle-in-cell simulations show that particles are accelerated only under special conditions and the magnetic field decays on a very short length-scale. We present here a novel model for the structure and the emission of highly relativistic collisionless shocks. The model takes into account (and is based on) non-local energy and momentum transport across the shock front via emission and absorption of high-energy photons. This leads to a pre-acceleration of the fluid and pre-amplification of the magnetic fields in the upstream region. Both have drastic implications on the shock structure. The model explains the persistence of the shock-generated magnetic field at large distances from the shock front. The dissipation of this magnetic field results in a continuous particle acceleration within the downstream region. A unique feature of the model is the existence of an `attractor', towards which any shock will evolve. The model is applicable to any relativistic shock, but its distinctive features show up only for sufficiently large compactness. We demonstrate that prompt and afterglow gamma-ray bursts' shocks satisfy the relevant conditions, and we compare their observations with the predictions of the model.

  10. A gas-dynamical approach to radiation pressure acceleration

    NASA Astrophysics Data System (ADS)

    Schmidt, Peter; Boine-Frankenheim, Oliver

    2016-06-01

    The study of high intensity ion beams driven by high power pulsed lasers is an active field of research. Of particular interest is the radiation pressure acceleration, for which simulations predict narrow band ion energies up to GeV. We derive a laser-piston model by applying techniques for non-relativistic gas-dynamics. The model reveals a laser intensity limit, below which sufficient laser-piston acceleration is impossible. The relation between target thickness and piston velocity as a function of the laser pulse length yields an approximation for the permissible target thickness. We performed one-dimensional Particle-In-Cell simulations to confirm the predictions of the analytical model. These simulations also reveal the importance of electromagnetic energy transport. We find that this energy transport limits the achievable compression and rarefies the plasma.

  11. The use of electron accelerators for radiation disinfestation of grain

    NASA Astrophysics Data System (ADS)

    Salimov, R. A.; Cherepkov, V. G.; Kuksanov, N. K.; Kuznetzov, S. A.

    2000-03-01

    One of the ways to fight the insect pest in grain is treatment by the beam of accelerated electrons. This method provides an immediate cessation of the reproduction of their lifetime and intensity of nutrition, as well as the elimination of the latent forms of grain infestation (eggs, larvae, etc.). The main advantages of the electron beam technology of grain disinfestation are the following: a possibility of grain disinfestation continuously at a rate corresponding to the high capacity of the process equipment of modern elevators with the full automation of the process and safety for personnel; it does not cause pollution of the environment and leaves no residual pollution in grain; the irradiated grain can be used immediately. At present, the powerful radiation disinfestation unit (Radiation Disinfestor, RD) on a base of ELV-4 40 kW power electron accelerator with 3 m length extraction device has been developed for a technological line of capacity of 400 t/h. In 1980 two RDs on a base of ELV-2 electron accelerator were put into operation at the Odessa port elevator of 200 t/h capacity each. RDs are installed between the elevator and the freight wharf of the port. The infested grain is delivered to the elevator for storage. The electron accelerators of the ELV-type used in this RD have an electron beam power of 20 kW at an energy of up to 1.5 MeV. The operation mode is continuous with a guaranteed operation time of no less than 5000 h per year.

  12. Assessment of a linear accelerator for segmented conformal radiation therapy.

    PubMed

    Zacarias, A S; Lane, R G; Rosen, I I

    1993-01-01

    Segmented conformal radiation therapy is a new computer-controlled treatment technique under investigation in which the target volume is subdivided into thick transverse segments each of which is then treated individually by rectangular transverse abutting fields. In order to obtain uniform dose at abutments, the machine isocenter remains fixed in the patient and field edges are defined by independently moving focused collimator jaws to give matching geometric divergence. Mechanical variation in jaw and gantry positioning will create some dose variation at field abutments. Film dosimetry was used to study the radiation field positioning accuracy and precision of a commercial linear accelerator. A method of field position calibration was developed using multiple nonabutting fields exposed on the same radiograph. Verification of collimator jaw calibration measurements was performed using multiple abutting fields exposed on a single radiograph. Measurements taken over 5 months of clinical accelerator operation studied the effects of simple jaw motion, simple gantry motion, and combined jaw/gantry motion on jaw position precision and accuracy. The inherent precision and accuracy of radiation field positioning was found to be better than +/- 0.3 mm for both jaws with all types of motions except for the Y2 jaw under combined jaw/gantry motion. When the ability to deliver abutting beams was verified in clinical mode, the average dose variation at abutments was less than 6% at all gantry angles except for one. However, due to accelerator software limitations in clinical mode, the settings for collimator positions could not take advantage of the maximum accuracy of which the hardware is capable.(ABSTRACT TRUNCATED AT 250 WORDS)

  13. Application of nonlinear Krylov acceleration to radiative transfer problems

    SciTech Connect

    Till, A. T.; Adams, M. L.; Morel, J. E.

    2013-07-01

    The iterative solution technique used for radiative transfer is normally nested, with outer thermal iterations and inner transport iterations. We implement a nonlinear Krylov acceleration (NKA) method in the PDT code for radiative transfer problems that breaks nesting, resulting in more thermal iterations but significantly fewer total inner transport iterations. Using the metric of total inner transport iterations, we investigate a crooked-pipe-like problem and a pseudo-shock-tube problem. Using only sweep preconditioning, we compare NKA against a typical inner / outer method employing GMRES / Newton and find NKA to be comparable or superior. Finally, we demonstrate the efficacy of applying diffusion-based preconditioning to grey problems in conjunction with NKA. (authors)

  14. Electron acceleration in the heart of the Van Allen radiation belts.

    PubMed

    Reeves, G D; Spence, H E; Henderson, M G; Morley, S K; Friedel, R H W; Funsten, H O; Baker, D N; Kanekal, S G; Blake, J B; Fennell, J F; Claudepierre, S G; Thorne, R M; Turner, D L; Kletzing, C A; Kurth, W S; Larsen, B A; Niehof, J T

    2013-08-30

    The Van Allen radiation belts contain ultrarelativistic electrons trapped in Earth's magnetic field. Since their discovery in 1958, a fundamental unanswered question has been how electrons can be accelerated to such high energies. Two classes of processes have been proposed: transport and acceleration of electrons from a source population located outside the radiation belts (radial acceleration) or acceleration of lower-energy electrons to relativistic energies in situ in the heart of the radiation belts (local acceleration). We report measurements from NASA's Van Allen Radiation Belt Storm Probes that clearly distinguish between the two types of acceleration. The observed radial profiles of phase space density are characteristic of local acceleration in the heart of the radiation belts and are inconsistent with a predominantly radial acceleration process.

  15. Experimental Evidence for Particle Acceleration by Stimulated Emission of Radiation

    SciTech Connect

    Banna, Samer; Berezovsky, Valery; Schaechter, Levi

    2006-11-27

    The interaction of electromagnetic radiation with free electrons in the presence of an active medium has several appealing outcomes. Among them the PASER scheme, standing for Particle Acceleration by Stimulated Emission of Radiation. In the framework of this scheme, energy stored in an active medium (microscopic cavities) is transferred directly to an e-beam traversing the medium, and therefore, accelerating the former. Recently, a proof-of-principle experiment of this concept was performed at the Brookhaven National Laboratory reaching a gain of 200keV in the kinetic energy of a 5ps, 0.1nc and 45MeV quasi-mono-energetic macro-bunch which is modulated by its interaction with a CO2 laser pulse in an adequate wiggler. In the framework of this proof-of-principle experiment both the fundamental frequency of the train of micro-bunches and the medium's resonance frequency (CO2 mixture) are matched. A good agreement is found between the energy gain and a 2D analytic model that has been developed.

  16. PREFACE: Acceleration and radiation generation in space and laboratory plasmas

    NASA Astrophysics Data System (ADS)

    Bingham, R.; Katsouleas, T.; Dawson, J. M.; Stenflo, L.

    1994-01-01

    Sixty-six leading researchers from ten nations gathered in the Homeric village of Kardamyli, on the southern coast of mainland Greece, from August 29-September 4, 1993 for the International Workshop on Acceleration and Radiation Generation in Space and Laboratory Plasmas. This Special Issue represents a cross-section of the presentations made at and the research stimulated by that meeting. According to the Iliad, King Agamemnon used Kardamyli as a dowry offering in order to draw a sulking Achilles into the Trojan War. 3000 years later, Kardamyli is no less seductive. Its remoteness and tranquility made it an ideal venue for promoting the free exchange of ideas between various disciplines that do not normally interact. Through invited presen tations, informal poster discussions and working group sessions, the Workshop brought together leaders from the laboratory and space/astrophysics communities working on common problems of acceleration and radiation generation in plasmas. It was clear from the presentation and discussion sessions that there is a great deal of common ground between these disciplines which is not at first obvious due to the differing terminologies and types of observations available to each community. All of the papers in this Special Issue highlight the role collective plasma processes play in accelerating particles or generating radiation. Some are state-of-the-art presentations of the latest research in a single discipline, while others investi gate the applicability of known laboratory mechanisms to explain observations in natural plasmas. Notable among the latter are the papers by Marshall et al. on kHz radiation in the magnetosphere ; Barletta et al. on collective acceleration in solar flares; and by Dendy et al. on ion cyclotron emission. The papers in this Issue are organized as follows: In Section 1 are four general papers by Dawson, Galeev, Bingham et al. and Mon which serves as an introduction to the physical mechanisms of acceleration

  17. Pushing the limits of hypofractionation for adjuvant whole breast radiotherapy.

    PubMed

    Yarnold, John; Haviland, Joanne

    2010-06-01

    Randomised trials report no disadvantages for hypofractionation based on 2.67 Gy fractions of adjuvant whole breast radiotherapy in terms of local tumour control and late adverse effects. Current 15- or 16-fraction schedules may not represent the limits of this approach, and limited data suggest that fewer larger fractions can be delivered safely provided appropriate downward adjustments are made to the total dose. Therapeutic gain will be undermined if breast cancer proves to be, on average, significantly less sensitive to fraction size than the dose-limiting late reacting normal tissues. If so, shortening overall treatment time might wholly or partially offset these limitations, and these uncertainties are addressed in ongoing or planned trials. Meanwhile, the experience of accelerated partial breast irradiation suggests a strong volume effect for late normal tissue damage. Schedules that may be safe when delivered to small partial volumes cannot be assumed to be safe if delivered to larger partial volumes or to the whole breast. Based on current evidence, testing the effectiveness of a 5-fraction schedule of hypofractionated whole breast radiotherapy appears to be a realisable research objective.

  18. Preliminary analysis of accelerated space flight ionizing radiation testing

    NASA Technical Reports Server (NTRS)

    Wilson, J. W.; Stock, L. V.; Carter, D. J.; Chang, C. K.

    1982-01-01

    A preliminary analysis shows that radiation dose equivalent to 30 years in the geosynchronous environment can be accumulated in a typical composite material exposed to space for 2 years or less onboard a spacecraft orbiting from perigee of 300 km out to the peak of the inner electron belt (approximately 2750 km). Future work to determine spacecraft orbits better tailored to materials accelerated testing is indicated. It is predicted that a range of 10 to the 9th power to 10 to the 10th power rads would be accumulated in 3-6 mil thick epoxy/graphite exposed by a test spacecraft orbiting in the inner electron belt. This dose is equivalent to the accumulated dose that this material would be expected to have after 30 years in a geosynchronous orbit. It is anticipated that material specimens would be brought back to Earth after 2 years in the radiation environment so that space radiation effects on materials could be analyzed by laboratory methods.

  19. Radiation from an accelerating neutral body: The case of rotation

    NASA Astrophysics Data System (ADS)

    Yarman, Tolga; Arik, Metin; Kholmetskii, Alexander L.

    2013-11-01

    When an object is bound at rest to an attractional field, its rest mass (owing to the law of energy conservation, including the mass and energy equivalence of the Special Theory of Relativity) must decrease. The mass deficiency coming into play indicates a corresponding rest energy discharge. Thus, bringing an object to a rotational motion means that the energy transferred for this purpose serves to extract just as much rest mass (or similarly "rest energy", were the speed of light in empty space taken to be unity) out of it. Here, it is shown that during angular acceleration, photons of fundamental energy are emitted, while the object is kept on being delivered to a more and more intense rotational accelerational field, being the instantaneous angular velocity of the rotating object. This fundamental energy, as seen, does not depend on anything else (such as the mass or charge of the object), and it is in harmony with Bohr's Principle of Correspondence. This means at the same time, that emission will be achieved, as long as the angular velocity keeps on increasing, and will cease right after the object reaches a stationary rotational motion (a constant centrifugal acceleration), but if the object were brought to rotation in vacuum with no friction. By the same token, one can affirm that even the rotation at a macroscopic level is quantized, and can only take on "given angular velocities" (which can only be increased, bit by bit). The rate of emission of photons of concern is, on the other hand, proportional to the angular acceleration of the object, similarly to the derivative of the tangential acceleration with respect to time. It is thus constant for a "constant angular acceleration", although the energy of the emitted photons will increase with increasing , until the rotation reaches a stationary level, after which we expect no emission --let us stress-- if the object is in rotation in vacuum, along with no whatsoever friction (such as the case of a rotating

  20. Single Vocal Cord Irradiation: Image Guided Intensity Modulated Hypofractionated Radiation Therapy for T1a Glottic Cancer: Early Clinical Results

    SciTech Connect

    Al-Mamgani, Abrahim; Kwa, Stefan L.S.; Tans, Lisa; Moring, Michael; Fransen, Dennie; Mehilal, Robert; Verduijn, Gerda M.; Baatenburg de Jong, Rob J.; Heijmen, Ben J.M.; Levendag, Peter C.

    2015-10-01

    Purpose: To report, from a retrospective analysis of prospectively collected data, on the feasibility, outcome, toxicity, and voice-handicap index (VHI) of patients with T1a glottic cancer treated by a novel intensity modulated radiation therapy technique developed at our institution to treat only the involved vocal cord: single vocal cord irradiation (SVCI). Methods and Materials: Thirty patients with T1a glottic cancer were treated by means of SVCI. Dose prescription was set to 16 × 3.63 Gy (total dose 58.08 Gy). The clinical target volume was the entire vocal cord. Setup verification was done by means of an online correction protocol using cone beam computed tomography. Data for voice quality assessment were collected prospectively at baseline, end of treatment, and 4, 6, and 12 weeks and 6, 12, and 18 months after treatment using VHI questionnaires. Results: After a median follow-up of 30 months (range, 7-50 months), the 2-year local control and overall survival rates were 100% and 90% because no single local recurrence was reported and 3 patients died because of comorbidity. All patients have completed the intended treatment schedule; no treatment interruptions and no grade 3 acute toxicity were reported. Grade 2 acute dermatitis or dysphagia was reported in only 5 patients (17%). No serious late toxicity was reported; only 1 patient developed temporary grade 2 laryngeal edema, and responded to a short-course of corticosteroid. The VHI improved significantly, from 33.5 at baseline to 9.5 and 10 at 6 weeks and 18 months, respectively (P<.001). The control group, treated to the whole larynx, had comparable local control rates (92.2% vs 100%, P=.24) but more acute toxicity (66% vs 17%, P<.0001) and higher VHI scores (23.8 and 16.7 at 6 weeks and 18 months, respectively, P<.0001). Conclusion: Single vocal cord irradiation is feasible and resulted in maximal local control rate at 2 years. The deterioration in VHI scores was slight and temporary and

  1. Energy enhancement of proton acceleration in combinational radiation pressure and bubble by optimizing plasma density

    SciTech Connect

    Bake, Muhammad Ali; Xie Baisong; Shan Zhang; Hong Xueren; Wang Hongyu

    2012-08-15

    The combinational laser radiation pressure and plasma bubble fields to accelerate protons are researched through theoretical analysis and numerical simulations. The dephasing length of the accelerated protons bunch in the front of the bubble and the density gradient effect of background plasma on the accelerating phase are analyzed in detail theoretically. The radiation damping effect on the accelerated protons energy is also considered. And it is demonstrated by two-dimensional particle-in-cell simulations that the protons bunch energy can be increased by using the background plasma with negative density gradient. However, radiation damping makes the maximal energy of the accelerated protons a little reduction.

  2. Particle acceleration by stimulated emission of radiation in cylindrical waveguide

    NASA Astrophysics Data System (ADS)

    Tian, Xiu-Fang; Wu, Cong-Feng; Jia, Qi-Ka

    2015-07-01

    In particle acceleration by stimulated emission of radiation (PASER), efficient interaction occurs when a train of micro-bunches has periodicity identical to the resonance frequency of the medium. Previous theoretical calculations based on the simplified model have only considered the energy exchange in the boundless condition. Under experimental conditions, however, the gas active medium must be guided by the metal waveguide. In this paper, we have developed a model of the energy exchange between a train of micro-bunches and a gas mixture active medium in a waveguide boundary for the first time, based on the theory of electromagnetic fields, and made detailed analysis and calculations with MathCAD. The results show that energy density can be optimized to a certain value to get the maximum energy exchange. Supported by National Natural Science Foundation of China (10675116) and Major State Basic Research Development Programme of China (2011CB808301)

  3. Acceleration of a Monte Carlo radiation transport code

    SciTech Connect

    Hochstedler, R.D.; Smith, L.M.

    1996-03-01

    Execution time for the Integrated TIGER Series (ITS) Monte Carlo radiation transport code has been reduced by careful re-coding of computationally intensive subroutines. Three test cases for the TIGER (1-D slab geometry), CYLTRAN (2-D cylindrical geometry), and ACCEPT (3-D arbitrary geometry) codes were identified and used to benchmark and profile program execution. Based upon these results, sixteen top time-consuming subroutines were examined and nine of them modified to accelerate computations with equivalent numerical output to the original. The results obtained via this study indicate that speedup factors of 1.90 for the TIGER code, 1.67 for the CYLTRAN code, and 1.11 for the ACCEPT code are achievable. {copyright} {ital 1996 American Institute of Physics.}

  4. Slow Z-mode radiation from sounder-accelerated electrons

    NASA Astrophysics Data System (ADS)

    James, H. G.

    2004-12-01

    Quasi-electrostatic Z-mode waves created by the transmitting part of the OEDIPUS-C payload were measured on the receiving part at 1200 m distance. Solutions of the complete electromagnetic dispersion relation for a hot magnetoplasma reveal, however, that there is no solution that provides direct ray paths along the transmitter-receiver separation direction with the observed signal group delays. An interpretive model is therefore proposed in which sounder-accelerated electrons (SAE) radiate incoherently as they spiral along the magnetic field direction in the general direction of the receiving subpayload. Test-particle theory combined with the hot-plasma dispersion solution is used to predict the total electric field for previously reported SAE flux levels. It is found that voltage levels measured on the receiving dipoles have about the same order of magnitude as the predicted ones.

  5. Accelerated radiation damage test facility using a 5 MV tandem ion accelerator

    NASA Astrophysics Data System (ADS)

    Wady, P. T.; Draude, A.; Shubeita, S. M.; Smith, A. D.; Mason, N.; Pimblott, S. M.; Jimenez-Melero, E.

    2016-01-01

    We have developed a new irradiation facility that allows to perform accelerated damage tests of nuclear reactor materials at temperatures up to 400 °C using the intense proton (<100 μA) and heavy ion (≈10 μA) beams produced by a 5 MV tandem ion accelerator. The dedicated beam line for radiation damage studies comprises: (1) beam diagnosis and focusing optical components, (2) a scanning and slit system that allows uniform irradiation of a sample area of 0.5-6 cm2, and (3) a sample stage designed to be able to monitor in-situ the sample temperature, current deposited on the sample, and the gamma spectrum of potential radio-active nuclides produced during the sample irradiation. The beam line capabilities have been tested by irradiating a 20Cr-25Ni-Nb stabilised stainless steel with a 3 MeV proton beam to a dose level of 3 dpa. The irradiation temperature was 356 °C, with a maximum range in temperature values of ±6 °C within the first 24 h of continuous irradiation. The sample stage is connected to ground through an electrometer to measure accurately the charge deposited on the sample. The charge can be integrated in hardware during irradiation, and this methodology removes uncertainties due to fluctuations in beam current. The measured gamma spectrum allowed the identification of the main radioactive nuclides produced during the proton bombardment from the lifetimes and gamma emissions. This dedicated radiation damage beam line is hosted by the Dalton Cumbrian Facility of the University of Manchester.

  6. Solar wind conditions leading to efficient radiation belt electron acceleration: A superposed epoch analysis

    SciTech Connect

    Li, W.; Thorne, R. M.; Bortnik, J.; Baker, D. N.; Reeves, G. D.; Kanekal, S. G.; Spence, H. E.; Green, J. C.

    2015-09-07

    In this study by determining preferential solar wind conditions leading to efficient radiation belt electron acceleration is crucial for predicting radiation belt electron dynamics. Using Van Allen Probes electron observations (>1 MeV) from 2012 to 2015, we identify a number of efficient and inefficient acceleration events separately to perform a superposed epoch analysis of the corresponding solar wind parameters and geomagnetic indices. By directly comparing efficient and inefficient acceleration events, we clearly show that prolonged southward Bz, high solar wind speed, and low dynamic pressure are critical for electron acceleration to >1 MeV energies in the heart of the outer radiation belt. We also evaluate chorus wave evolution using the superposed epoch analysis for the identified efficient and inefficient acceleration events and find that chorus wave intensity is much stronger and lasts longer during efficient electron acceleration events, supporting the scenario that chorus waves play a key role in MeV electron acceleration.

  7. Field size dependent mapping of medical linear accelerator radiation leakage

    NASA Astrophysics Data System (ADS)

    Vũ Bezin, Jérémi; Veres, Attila; Lefkopoulos, Dimitri; Chavaudra, Jean; Deutsch, Eric; de Vathaire, Florent; Diallo, Ibrahima

    2015-03-01

    The purpose of this study was to investigate the suitability of a graphics library based model for the assessment of linear accelerator radiation leakage. Transmission through the shielding elements was evaluated using the build-up factor corrected exponential attenuation law and the contribution from the electron guide was estimated using the approximation of a linear isotropic radioactive source. Model parameters were estimated by a fitting series of thermoluminescent dosimeter leakage measurements, achieved up to 100 cm from the beam central axis along three directions. The distribution of leakage data at the patient plane reflected the architecture of the shielding elements. Thus, the maximum leakage dose was found under the collimator when only one jaw shielded the primary beam and was about 0.08% of the dose at isocentre. Overall, we observe that the main contributor to leakage dose according to our model was the electron beam guide. Concerning the discrepancies between the measurements used to calibrate the model and the calculations from the model, the average difference was about 7%. Finally, graphics library modelling is a readily and suitable way to estimate leakage dose distribution on a personal computer. Such data could be useful for dosimetric evaluations in late effect studies.

  8. Sounder-accelerated electrons radiate slow-Z-mode waves

    NASA Astrophysics Data System (ADS)

    James, G.

    During the OEDIPUS-C (OC) double-payload rocket experiment, waves were transmitted from a 19-m dipole on one subpayload and received at a distance of 1200 m on a similar dipole. Bistatic propagation was obtained in the slow-Z mode of propagation, i.e., at frequencies f in max{fc, fp} < quad f quad < quad fuh, where fc is the electron gyrofrequency, fp the plasma frequency and fuh the upper-hybrid-resonance frequency. Auroral hiss is generated in the slow-Z mode. In OC, the separation vector between the transmitter and receiver lay along a direction at about 5 from the axis of the Earth's magnetic field B. The Z-mode pulses were strong and significantly dispersed. Propagation near the upper oblique resonance cone was investigated using solutions of the complete electromagnetic hot-plasma dispersion relation. No solutions were found at the operating frequencies with the observed group delays and ray directions. An explanation has been proposed involving incoherent radiation from sounder-accelerated electrons (SAE). Published observations of SAE on OC show that the OC transmitting dipole produces strong SAE at energies from 10 eV up to 10 keV when the transmitting frequency sweeps through Z-mode frequency range. The near field of the transmitting dipole pushes SAE helically downward in the general direction of the receiver. At every instant, each SAE particle creates radiation that obeys the resonance condition f - mfc = (nf/c)cosθ Vcosα , where m is a signed integer, n the Z-mode refractive index, θ the angle between the direction of propagation of the radiation and B, V the electron speed and α its pitch angle. Using the reported SAE energies, it is found that time delays like those observed can be explained with Z-mode n and θ values, for m = 0, 1 or 2. The resonance condition and dispersion relation together require θ values near the upper-oblique resonance cone. Test-particle theory combined with the hot-plasma dispersion solution is used to predict the

  9. Tuning of betatron radiation in laser-plasma accelerators via multimodal laser propagation through capillary waveguides

    NASA Astrophysics Data System (ADS)

    Curcio, A.; Giulietti, D.; Petrarca, M.

    2017-02-01

    The betatron radiation from laser-plasma accelerated electrons in dielectric capillary waveguides is investigated. The multimode laser propagation is responsible for a modulated plasma wakefield structure, which affects the electron transverse dynamics, therefore influencing the betatron radiation spectra. Such a phenomenon can be exploited to tune the energy spectrum of the betatron radiation by controlling the excitation of the capillary modes.

  10. Physical Interpretation of the Schott Energy of An Accelerating Point Charge and the Question of Whether a Uniformly Accelerating Charge Radiates

    ERIC Educational Resources Information Center

    Rowland, David R.

    2010-01-01

    A core topic in graduate courses in electrodynamics is the description of radiation from an accelerated charge and the associated radiation reaction. However, contemporary papers still express a diversity of views on the question of whether or not a uniformly accelerating charge radiates suggesting that a complete "physical" understanding of the…

  11. Radiation from laser accelerated electron bunches: Coherent terahertz and femtosecond X-rays

    SciTech Connect

    Leemans, W.P.; Esarey, E.; van Tilborg, J.; Michel, P.A.; Schroeder, C.B.; Toth, Cs.; Geddes, C.G.R.; Shadwick, B.A.

    2004-10-01

    Electron beam based radiation sources provide electromagnetic radiation for countless applications. The properties of the radiation are primarily determined by the properties of the electron beam. Compact laser driven accelerators are being developed that can provide ultra-short electron bunches (femtosecond duration) with relativistic energies reaching towards a GeV. The electron bunches are produced when an intense laser interacts with a dense plasma and excites a large amplitude plasma density modulation (wakefield) that can trap background electrons and accelerate them to high energies. The short pulse nature of the accelerated bunches and high particle energy offer the possibility of generating radiation from one compact source that ranges from coherent terahertz to gamma rays. The intrinsic synchronization to a laser pulse and unique character of the radiation offers a wide range of possibilities for scientific applications. Two particular radiation source regimes are discussed: Coherent terahertz emission and x-ray emission based on betatron oscillations and Thomson scattering.

  12. Accelerators for heavy-charged-particle radiation therapy.

    PubMed

    Coutrakon, George B

    2007-08-01

    This paper focuses on current and future designs of medical hadron accelerators for treating cancers and other diseases. Presently, five vendors and several national laboratories have produced heavy-particle medical accelerators for accelerating nuclei from hydrogen (protons) up through carbon and oxygen. Particle energies are varied to control the beam penetration depth in the patient. As of the end of 2006, four hospitals and one clinic in the United States offer proton treatments; there are five more such facilities in Japan. In most cases, these facilities use accelerators designed explicitly for cancer treatments. The accelerator types are a combination of synchrotrons, cyclotrons, and linear accelerators; some carry advanced features such as respiration gating, intensity modulation, and rapid energy changes, which contribute to better dose conformity on the tumor when using heavy charged particles. Recent interest in carbon nuclei for cancer treatment has led some vendors to offer carbon-ion and proton capability in their accelerator systems, so that either ion can be used. These features are now being incorporated for medical accelerators in new facilities.

  13. Generation of heavy ion beams using femtosecond laser pulses in the target normal sheath acceleration and radiation pressure acceleration regimes

    NASA Astrophysics Data System (ADS)

    Petrov, G. M.; McGuffey, C.; Thomas, A. G. R.; Krushelnick, K.; Beg, F. N.

    2016-06-01

    Theoretical study of heavy ion acceleration from sub-micron gold foils irradiated by a short pulse laser is presented. Using two dimensional particle-in-cell simulations, the time history of the laser pulse is examined in order to get insight into the laser energy deposition and ion acceleration process. For laser pulses with intensity 3 × 10 21 W / cm 2 , duration 32 fs, focal spot size 5 μm, and energy 27 J, the calculated reflection, transmission, and coupling coefficients from a 20 nm foil are 80%, 5%, and 15%, respectively. The conversion efficiency into gold ions is 8%. Two highly collimated counter-propagating ion beams have been identified. The forward accelerated gold ions have average and maximum charge-to-mass ratio of 0.25 and 0.3, respectively, maximum normalized energy 25 MeV/nucleon, and flux 2 × 10 11 ions / sr . An analytical model was used to determine a range of foil thicknesses suitable for acceleration of gold ions in the radiation pressure acceleration regime and the onset of the target normal sheath acceleration regime. The numerical simulations and analytical model point to at least four technical challenges hindering the heavy ion acceleration: low charge-to-mass ratio, limited number of ions amenable to acceleration, delayed acceleration, and high reflectivity of the plasma. Finally, a regime suitable for heavy ion acceleration has been identified in an alternative approach by analyzing the energy absorption and distribution among participating species and scaling of conversion efficiency, maximum energy, and flux with laser intensity.

  14. Hawking radiation of scalar particles from accelerating and rotating black holes

    SciTech Connect

    Gillani, Usman A.; Rehman, Mudassar; Saifullah, K. E-mail: mudassar051@yahoo.com

    2011-06-01

    Hawking radiation of uncharged and charged scalar particles from accelerating and rotating black holes is studied. We calculate the tunneling probabilities of these particles from the rotation and acceleration horizons of these black holes. Using this method we recover the correct Hawking temperature as well.

  15. General description of electromagnetic radiation processes based on instantaneous charge acceleration in ''endpoints''

    SciTech Connect

    James, Clancy W.; Falcke, Heino; Huege, Tim; Ludwig, Marianne

    2011-11-15

    We present a methodology for calculating the electromagnetic radiation from accelerated charged particles. Our formulation - the 'endpoint formulation' - combines numerous results developed in the literature in relation to radiation arising from particle acceleration using a complete, and completely general, treatment. We do this by describing particle motion via a series of discrete, instantaneous acceleration events, or 'endpoints', with each such event being treated as a source of emission. This method implicitly allows for particle creation and destruction, and is suited to direct numerical implementation in either the time or frequency domains. In this paper we demonstrate the complete generality of our method for calculating the radiated field from charged particle acceleration, and show how it reduces to the classical named radiation processes such as synchrotron, Tamm's description of Vavilov-Cherenkov, and transition radiation under appropriate limits. Using this formulation, we are immediately able to answer outstanding questions regarding the phenomenology of radio emission from ultra-high-energy particle interactions in both the earth's atmosphere and the moon. In particular, our formulation makes it apparent that the dominant emission component of the Askaryan effect (coherent radio-wave radiation from high-energy particle cascades in dense media) comes from coherent 'bremsstrahlung' from particle acceleration, rather than coherent Vavilov-Cherenkov radiation.

  16. Operational Radiation Protection in High-Energy Physics Accelerators: Implementation of ALARA in Design and Operation of Accelerators

    SciTech Connect

    Fasso, A.; Rokni, S.; /SLAC

    2011-06-30

    It used to happen often, to us accelerator radiation protection staff, to be asked by a new radiation worker: ?How much dose am I still allowed?? And we smiled looking at the shocked reaction to our answer: ?You are not allowed any dose?. Nowadays, also thanks to improved training programs, this kind of question has become less frequent, but it is still not always easy to convince workers that staying below the exposure limits is not sufficient. After all, radiation is still the only harmful agent for which this is true: for all other risks in everyday life, from road speed limits to concentration of hazardous chemicals in air and water, compliance to regulations is ensured by keeping below a certain value. It appears that a tendency is starting to develop to extend the radiation approach to other pollutants (1), but it will take some time before the new attitude makes it way into national legislations.

  17. RADIATION PROTECTION SYSTEM INSTALLATION FOR THE ACCELERATOR PRODUCTION OF TRITIUM/LOW ENERGY DEMONSTRATION ACCELERATOR PROJECT (APT/LEDA)

    SciTech Connect

    J. WILMARTH; M. SMITH; T. TOMEI

    1999-07-01

    The APT/LEDA personnel radiation protection system installation was accomplished using a flexible, modular proven system which satisfied regulatory orders, project design criteria, operational modes, and facility requirements. The goal of providing exclusion and safe access of personnel to areas where prompt radiation in the LEDA facility is produced was achieved with the installation of a DOE-approved Personnel Access Control System (PACS). To satisfy the facility configuration design, the PACS, a major component of the overall radiation safety system, conveniently provided five independent areas of personnel access control. Because of its flexibility and adaptability the Los Alamos Neutron Science Center (LANSCE) designed Radiation Security System (RSS) was efficiently configured to provide the desired operational modes and satisfy the APT/LEDA project design criteria. The Backbone Beam Enable (BBE) system based on the LANSCE RSS provided the accelerator beam control functions with redundant, hardwired, tamper-resistant hardware. The installation was accomplished using modular components.

  18. The role of shock acceleration on synchrotron radiation following SL-9 impact

    NASA Astrophysics Data System (ADS)

    Brecht, Stephen H.; Pesses, Mark E.; de Pater, Imke; Gladd, N. T.; Lyon, John G.

    In Brecht et al. [1995] shock acceleration was proposed to explain the enhanced synchrotron radiation levels that followed the impact of SL-9 on Jupiter. This paper presents preliminary estimates of the expected synchrotron radiation levels following a fragment impact. The estimates rely on an analytic description of the diffusive shock acceleration and compare favorably with radio telescope data. The agreement between the calculations and data add support to the idea that the shock acceleration process may have been operative in the Jovian magnetosphere.

  19. Effect of electromagnetic pulse transverse inhomogeneity on ion acceleration by radiation pressure

    SciTech Connect

    Lezhnin, K. V.; Kamenets, F. F.; Beskin, V. S.; Kando, M.; Esirkepov, T. Zh.; Bulanov, S. V.

    2015-03-15

    During ion acceleration by radiation pressure, a transverse inhomogeneity of an electromagnetic pulse leads to an off-axis displacement of the irradiated target, limiting the achievable ion energy. This effect is analytically described within the framework of a thin foil target model and with particle-in-cell simulations showing that the maximum energy of the accelerated ions decreases as the displacement from the axis of the target's initial position increases. The results obtained can be applied to the optimization of ion acceleration by the laser radiation pressure with mass-limited targets.

  20. The Clinical Outcome of Hypofractionated Stereotactic Radiotherapy With CyberKnife Robotic Radiosurgery for Perioptic Pituitary Adenoma.

    PubMed

    Puataweepong, Putipun; Dhanachai, Mantana; Hansasuta, Ake; Dangprasert, Somjai; Swangsilpa, Thiti; Sitathanee, Chomporn; Jiarpinitnun, Chuleeporn; Vitoonpanich, Patamintita; Yongvithisatid, Pornpan

    2016-12-01

    Stereotactic radiation technique including single fraction radiosurgery and conventional fractionated stereotactic radiotherapy is widely reported as an effective treatment of pituitary adenomas. Because of the restricted radiation tolerance dose of the optic pathway, single fraction radiosurgery has been accepted for small tumor located far away from the optic apparatus, while fractionated stereotactic radiotherapy may be suitable for larger tumor located close to the optic pathway. More recently, hypofractionated stereotactic radiotherapy has become an alternative treatment option that provides high rate of tumor control and visual preservation for the perioptic lesions within 2 to 3 mm of the optic pathway. The objective of the study was to analyze the clinical outcomes of perioptic pituitary adenomas treated with hypofractionated stereotactic radiotherapy. From 2009 to 2012, 40 patients with perioptic pituitary adenoma were treated with CyberKnife robotic radiosurgery. The median tumor volume was 3.35 cm(3) (range, 0.82-25.86 cm(3)). The median prescribed dose was 25 Gy (range, 20-28 Gy) in 5 fractions (range, 3-5). After the median follow-up time of 38.5 months (range, 14-71 months), 1 (2.5%) patient with prolactinoma had tumor enlargement, 31 (77.5%) were stable, and the remaining 8 (20%) tumors were smaller in size. No patient's vision deteriorated after hypofractionated stereotactic radiotherapy. Hormone normalization was observed in 7 (54%) of 13 patients. No newly developed hypopituitarism was detected in our study. These data confirmed that hypofractionated stereotactic radiotherapy achieved high rates of tumor control and visual preservation. Because of the shorter duration of treatment, it may be preferable to use hypofractionated stereotactic radiotherapy over fractionated stereotactic radiotherapy for selected pituitary adenomas immediately adjacent to the optic apparatus.

  1. Radiation Safety System of the B-Factory at the Stanford Linear Accelerator Center

    SciTech Connect

    Liu, James C.

    1998-10-12

    The radiation safety system (RSS) of the B-Factory accelerator facility at the Stanford Linear Accelerator Center (SLAC) is described. The RSS, which is designed to protect people from prompt radiation exposure due to beam operation, consists of the access control system (ACS) and the radiation containment system (RCS). The ACS prevents people from being exposed to the very high radiation levels inside a beamline shielding housing. The ACS consists of barriers, a standard entry module at every entrance, and beam stoppers. The RCS prevents people from being exposed to the radiation outside a shielding housing, due to either normal or abnormal operation. The RCS consists of power limiting devices, shielding, dump/collimator, and an active radiation monitor system. The inter-related system elements for the ACS and RCS, as well as the associated interlock network, are described. The policies and practices in setting up the RSS are also compared with the regulatory requirements.

  2. Raman distributed temperature measurement at CERN high energy accelerator mixed field radiation test facility (CHARM)

    NASA Astrophysics Data System (ADS)

    Toccafondo, Iacopo; Nannipieri, Tiziano; Signorini, Alessandro; Guillermain, Elisa; Kuhnhenn, Jochen; Brugger, Markus; Di Pasquale, Fabrizio

    2015-09-01

    In this paper we present a validation of distributed Raman temperature sensing (RDTS) at the CERN high energy accelerator mixed field radiation test facility (CHARM), newly developed in order to qualify electronics for the challenging radiation environment of accelerators and connected high energy physics experiments. By investigating the effect of wavelength dependent radiation induced absorption (RIA) on the Raman Stokes and anti-Stokes light components in radiation tolerant Ge-doped multi-mode (MM) graded-index optical fibers, we demonstrate that Raman DTS used in loop configuration is robust to harsh environments in which the fiber is exposed to a mixed radiation field. The temperature profiles measured on commercial Ge-doped optical fibers is fully reliable and therefore, can be used to correct the RIA temperature dependence in distributed radiation sensing systems based on P-doped optical fibers.

  3. Intraoperative radiation therapy using mobile electron linear accelerators: report of AAPM Radiation Therapy Committee Task Group No. 72.

    PubMed

    Beddar, A Sam; Biggs, Peter J; Chang, Sha; Ezzell, Gary A; Faddegon, Bruce A; Hensley, Frank W; Mills, Michael D

    2006-05-01

    Intraoperative radiation therapy (IORT) has been customarily performed either in a shielded operating suite located in the operating room (OR) or in a shielded treatment room located within the Department of Radiation Oncology. In both cases, this cancer treatment modality uses stationary linear accelerators. With the development of new technology, mobile linear accelerators have recently become available for IORT. Mobility offers flexibility in treatment location and is leading to a renewed interest in IORT. These mobile accelerator units, which can be transported any day of use to almost any location within a hospital setting, are assembled in a nondedicated environment and used to deliver IORT. Numerous aspects of the design of these new units differ from that of conventional linear accelerators. The scope of this Task Group (TG-72) will focus on items that particularly apply to mobile IORT electron systems. More specifically, the charges to this Task Group are to (i) identify the key differences between stationary and mobile electron linear accelerators used for IORT, (ii) describe and recommend the implementation of an IORT program within the OR environment, (iii) present and discuss radiation protection issues and consequences of working within a nondedicated radiotherapy environment, (iv) describe and recommend the acceptance and machine commissioning of items that are specific to mobile electron linear accelerators, and (v) design and recommend an efficient quality assurance program for mobile systems.

  4. a New Mobile Electron Accelerator for Intra Operative Electron Radiation Therapy

    NASA Astrophysics Data System (ADS)

    Adrich, P.; Baczewski, A.; Baran, M.; Drabik, W.; Gryn, K.; Hanke, R.; Jakubowska, E.; Jankowski, E.; Kędzierski, G.; Kielar, N.; Kujawiński, Ł.; Kopeć, J.; Kosiński, K.; Kozioł, R.; Kraszewski, P.; Krawczyk, P.; Kulczycka, E.; Lalik, P.; Marczenko, M.; Masternak, A.; Misiarz, A.; Olszewski, J.; Ozon, K.; Pławski, E.; Polak, A.; Psonka, W.; Rutkowska, M.; Rzadkiewicz, J.; Sienkiewicz, Z.; Staszczak, M.; Swat, K.; Syntfeld-Każuch, A.; Terka, M.; Wasilewski, A.; Wilczek, J.; Wojciechowski, M.; Wójtowicz, M.; Wronka, S.; Wysocka-Rabin, A.; Zalewski, K.

    2014-02-01

    A demonstrator of a new, highly mobile, robotized linear electron accelerator for Intra Operative Electron Radiation Therapy (IOERT) is under construction at National Centre for Nuclear Studies. In an IOERT treatment, a high dose of electron radiation is delivered in a single fraction directly to an exposed location after tumor ablation during oncological surgery. Due to the fact that the tumor can be located anywhere in the body, a high maneuverability of the accelerator and its adaptability to anatomical conditions are required. Moreover, since the treatment is usually executed in an unshielded operation room, the radiation protection issues are of principal importance. To assure safety of the patient and medical personnel, the therapeutic head is designed to constrain the radiation to the volume of the tumor lodge while minimizing leakage and stray radiation. For these reasons, construction of accelerators for IOERT differs considerably from the construction of linear electron accelerators for external beam radiation therapy. This paper presents some challenges and solutions in construction of the accelerator and in particular its therapeutic head with beam forming system.

  5. Individual monitoring for external radiation at accelerator facilities.

    PubMed

    Tanner, R J; Hager, L G

    2011-07-01

    Individual monitoring at accelerator facilities is discussed, within the framework set out by the International Commission on Radiological Protection and with reference to the implementation of the recommendations of that body within the European Basic Safety Standards. Legislation in other parts of the world may differ, but a worldwide perspective on this subject would be too exhaustive. The fields at accelerator facilities are contrasted in terms of particle type and energy with those encountered at more conventional sites within the nuclear fuel cycle, medical applications and general industry. The implications for individual monitoring are discussed in relation to the dose quantities for these accelerator fields and also with respect to the personal dosemeters options.

  6. [The first linear electron accelerator Therac 15-Saturne in clinical service. 2. Measurement of electron radiation].

    PubMed

    Strauch, B

    1985-09-01

    Therac 15-Saturne is a linear accelerator for photon and electron radiation with a double scattering screen system. It has proved its worth during more than three years of clinical use. The dosimetric data of both kinds of radiation correspond to the international requirements for modern therapy units. The trimmer system for electron radiation is equipped with a continuous field size adjustment device for the whole range of field sizes. Thus a fast and precise adjustment is possible without any changing of tubes.

  7. Engineered and Administrative Safety Systems for the Control of Prompt Radiation Hazards at Accelerator Facilities

    SciTech Connect

    Liu, James C.; Vylet, Vashek; Walker, Lawrence S.; /SLAC

    2007-12-17

    The ANSI N43.1 Standard, currently in revision (ANSI 2007), sets forth the requirements for accelerator facilities to provide adequate protection for the workers, the public and the environment from the hazards of ionizing radiation produced during and from accelerator operations. The Standard also recommends good practices that, when followed, provide a level of radiation protection consistent with those established for the accelerator communities. The N43.1 Standard is suitable for all accelerator facilities (using electron, positron, proton, or ion particle beams) capable of producing radiation, subject to federal or state regulations. The requirements (see word 'shall') and recommended practices (see word 'should') are prescribed in a graded approach that are commensurate with the complexity and hazard levels of the accelerator facility. Chapters 4, 5 and 6 of the N43.1 Standard address specially the Radiation Safety System (RSS), both engineered and administrative systems, to mitigate and control the prompt radiation hazards from accelerator operations. The RSS includes the Access Control System (ACS) and Radiation Control System (RCS). The main requirements and recommendations of the N43.1 Standard regarding the management, technical and operational aspects of the RSS are described and condensed in this report. Clearly some aspects of the RSS policies and practices at different facilities may differ in order to meet the practical needs for field implementation. A previous report (Liu et al. 2001a), which reviews and summarizes the RSS at five North American high-energy accelerator facilities, as well as the RSS references for the 5 labs (Drozdoff 2001; Gallegos 1996; Ipe and Liu 1992; Liu 1999; Liu 2001b; Rokni 1996; TJNAF 1994; Yotam et al. 1991), can be consulted for the actual RSS implementation at various laboratories. A comprehensive report describing the RSS at the Stanford Linear Accelerator Center (SLAC 2006) can also serve as a reference.

  8. Laser Acceleration of Quasi-Monoenergetic Protons via Radiation Pressure Driven Thin Foil

    SciTech Connect

    Liu, Chuan S.; Shao Xi; Liu, T. C.; Dudnikova, Galina; Sagdeev, Roald Z.; Eliasson, Bengt

    2011-01-04

    We present a theoretical and simulation study of laser acceleration of quasi-monoenergetic protons in a thin foil irradiated by high intensity laser light. The underlying physics of radiation pressure acceleration (RPA) is discussed, including the importance of optimal thickness and circularly polarized light for efficient acceleration of ions to quasi-monoenergetic beams. Preliminary two-dimensional simulation studies show that certain parameter regimes allow for stabilization of the Rayleigh-Taylor instability and possibility of acceleration of monoenergetic ions to an excess of 200 MeV, making them suitable for important applications such as medical cancer therapy and fast ignition.

  9. Evaluation of the Therac 6 linear accelerator for radiation therapy.

    PubMed

    Grant, W; Ames, J; Almond, P R

    1978-01-01

    The Therac 6 is new generation of low-energy linear accelerator. It incorporates a PDP-11/05 computer for beam control, treatment-factor input, and beam shutdown in the event of failure of the system. The performance of the unit has not been hindered by computer or software malfunction, and the computer has provided an excellent means for preventive maintenance and repair. Dosimetry parameters are similar to other 6 MV x-ray beams, and comparison to 60Co therapy beams shows that this unit may be more like 60Co units in penumbra and absence of off-axis peaking than other low-energy accelerators.

  10. WE-F-304-03: Optic Nerve/Chiasm Hypofractionated SRS/SRT Dose Tolerance

    SciTech Connect

    Milano, M.

    2015-06-15

    Stereotactic Body Radiation Therapy (SBRT) was introduced clinically more than twenty years ago, and many subsequent publications have reported safety and efficacy data. The AAPM Working Group on Biological Effects of Hypofractionated Radiotherapy/SBRT (WGSBRT) extracted published treatment outcomes data from extensive literature searches to summarize and construct tumor control probability (TCP) and normal tissue complication probability (NTCP) models for six anatomical regions: Cranial, Head and Neck, Thoracic, Abdominal, Pelvic, and Spinal. In this session, we present the WGSBRT’s work for cranial sites, and recurrent head and neck cancer. From literature-based data and associated models, guidelines to aid with safe and effective hypofractionated radiotherapy treatment are being determined. Further, the ability of existing and proposed radiobiological models to fit these data is considered as to the ability to distinguish between the linear-quadratic and alternative radiobiological models such as secondary cell death from vascular damage, immunogenic, or bystander effects. Where appropriate, specific model parameters are estimated. As described in “The lessons of QUANTEC,” (1), lack of adequate reporting standards continues to limit the amount of useful quantitative information that can be extracted from peer-reviewed publications. Recommendations regarding reporting standards are considered, to enable such reviews to achieve more complete characterization of clinical outcomes. 1 Jackson A, Marks LB, Bentzen SM, Eisbruch A, Yorke ED, Ten Haken RK, Constine LS, Deasy JO. The lessons of QUANTEC: recommendations for reporting and gathering data on dose-volume dependencies of treatment outcome. Int J Radiat Oncol Biol Phys. 2010 Mar 1;76(3 Suppl):S155–60. Learning Objectives: Describe the techniques, types of cancer and dose schedules used in treating recurrent H&N cancers with SBRT List the radiobiological models that compete with the linear-quadratic model

  11. WE-F-304-00: Outcomes of Hypofractionated Treatments - Results of the WGSBRT

    SciTech Connect

    2015-06-15

    Stereotactic Body Radiation Therapy (SBRT) was introduced clinically more than twenty years ago, and many subsequent publications have reported safety and efficacy data. The AAPM Working Group on Biological Effects of Hypofractionated Radiotherapy/SBRT (WGSBRT) extracted published treatment outcomes data from extensive literature searches to summarize and construct tumor control probability (TCP) and normal tissue complication probability (NTCP) models for six anatomical regions: Cranial, Head and Neck, Thoracic, Abdominal, Pelvic, and Spinal. In this session, we present the WGSBRT’s work for cranial sites, and recurrent head and neck cancer. From literature-based data and associated models, guidelines to aid with safe and effective hypofractionated radiotherapy treatment are being determined. Further, the ability of existing and proposed radiobiological models to fit these data is considered as to the ability to distinguish between the linear-quadratic and alternative radiobiological models such as secondary cell death from vascular damage, immunogenic, or bystander effects. Where appropriate, specific model parameters are estimated. As described in “The lessons of QUANTEC,” (1), lack of adequate reporting standards continues to limit the amount of useful quantitative information that can be extracted from peer-reviewed publications. Recommendations regarding reporting standards are considered, to enable such reviews to achieve more complete characterization of clinical outcomes. 1 Jackson A, Marks LB, Bentzen SM, Eisbruch A, Yorke ED, Ten Haken RK, Constine LS, Deasy JO. The lessons of QUANTEC: recommendations for reporting and gathering data on dose-volume dependencies of treatment outcome. Int J Radiat Oncol Biol Phys. 2010 Mar 1;76(3 Suppl):S155–60. Learning Objectives: Describe the techniques, types of cancer and dose schedules used in treating recurrent H&N cancers with SBRT List the radiobiological models that compete with the linear-quadratic model

  12. Investigation of advanced propulsion technologies: The RAM accelerator and the flowing gas radiation heater

    NASA Technical Reports Server (NTRS)

    Bruckner, A. P.; Knowlen, C.; Mattick, A. T.; Hertzberg, A.

    1992-01-01

    The two principal areas of advanced propulsion investigated are the ram accelerator and the flowing gas radiation heater. The concept of the ram accelerator is presented as a hypervelocity launcher for large-scale aeroballistic range applications in hypersonics and aerothermodynamics research. The ram accelerator is an in-bore ramjet device in which a projectile shaped like the centerbody of a supersonic ramjet is propelled in a stationary tube filled with a tailored combustible gas mixture. Combustion on and behind the projectile generates thrust which accelerates it to very high velocities. The acceleration can be tailored for the 'soft launch' of instrumented models. The distinctive reacting flow phenomena that have been observed in the ram accelerator are relevant to the aerothermodynamic processes in airbreathing hypersonic propulsion systems and are useful for validating sophisticated CFD codes. The recently demonstrated scalability of the device and the ability to control the rate of acceleration offer unique opportunities for the use of the ram accelerator as a large-scale hypersonic ground test facility. The flowing gas radiation receiver is a novel concept for using solar energy to heat a working fluid for space power or propulsion. Focused solar radiation is absorbed directly in a working gas, rather than by heat transfer through a solid surface. Previous theoretical analysis had demonstrated that radiation trapping reduces energy loss compared to that of blackbody receivers, and enables higher efficiencies and higher peak temperatures. An experiment was carried out to measure the temperature profile of an infrared-active gas and demonstrate the effect of radiation trapping. The success of this effort validates analytical models of heat transfer in this receiver, and confirms the potential of this approach for achieving high efficiency space power and propulsion.

  13. Solar wind conditions leading to efficient radiation belt electron acceleration: A superposed epoch analysis

    DOE PAGES

    Li, W.; Thorne, R. M.; Bortnik, J.; ...

    2015-09-07

    In this study by determining preferential solar wind conditions leading to efficient radiation belt electron acceleration is crucial for predicting radiation belt electron dynamics. Using Van Allen Probes electron observations (>1 MeV) from 2012 to 2015, we identify a number of efficient and inefficient acceleration events separately to perform a superposed epoch analysis of the corresponding solar wind parameters and geomagnetic indices. By directly comparing efficient and inefficient acceleration events, we clearly show that prolonged southward Bz, high solar wind speed, and low dynamic pressure are critical for electron acceleration to >1 MeV energies in the heart of the outermore » radiation belt. We also evaluate chorus wave evolution using the superposed epoch analysis for the identified efficient and inefficient acceleration events and find that chorus wave intensity is much stronger and lasts longer during efficient electron acceleration events, supporting the scenario that chorus waves play a key role in MeV electron acceleration.« less

  14. Particle Acceleration and Radiation associated with Magnetic Field Generation from Relativistic Collisionless Shocks

    NASA Technical Reports Server (NTRS)

    Nishikawa, K.; Hardee, P. E.; Richardson, G. A.; Preece, R. D.; Sol, H.; Fishman, G. J.

    2003-01-01

    Shock acceleration is an ubiquitous phenomenon in astrophysical plasmas. Plasma waves and their associated instabilities (e.g., the Buneman instability, two-streaming instability, and the Weibel instability) created in the shocks are responsible for particle (electron, positron, and ion) acceleration. Using a 3-D relativistic electromagnetic particle (REMP) code, we have investigated particle acceleration associated with a relativistic jet front propagating through an ambient plasma with and without initial magnetic fields. We find only small differences in the results between no ambient and weak ambient magnetic fields. Simulations show that the Weibel instability created in the collisionless shock front accelerates particles perpendicular and parallel to the jet propagation direction. While some Fermi acceleration may occur at the jet front, the majority of electron acceleration takes place behind the jet front and cannot be characterized as Fermi acceleration. The simulation results show that this instability is responsible for generating and amplifying highly nonuniform, small-scale magnetic fields, which contribute to the electron s transverse deflection behind the jet head. The "jitter" radiation from deflected electrons has different properties than synchrotron radiation which is calculated in a uniform magnetic field. This jitter radiation may be important to understanding the complex time evolution and/or spectral structure in gamma-ray bursts, relativistic jets, and supernova remnants.

  15. Enhancement of maximum attainable ion energy in the radiation pressure acceleration regime using a guiding structure

    SciTech Connect

    Bulanov, S. S.; Esarey, E.; Schroeder, C. B.; Bulanov, S. V.; Esirkepov, T. Zh.; Kando, M.; Pegoraro, F.; Leemans, W. P.

    2015-03-13

    Radiation Pressure Acceleration is a highly efficient mechanism of laser driven ion acceleration, with the laser energy almost totally transferrable to the ions in the relativistic regime. There is a fundamental limit on the maximum attainable ion energy, which is determined by the group velocity of the laser. In the case of a tightly focused laser pulses, which are utilized to get the highest intensity, another factor limiting the maximum ion energy comes into play, the transverse expansion of the target. Transverse expansion makes the target transparent for radiation, thus reducing the effectiveness of acceleration. Utilization of an external guiding structure for the accelerating laser pulse may provide a way of compensating for the group velocity and transverse expansion effects.

  16. Enhancement of maximum attainable ion energy in the radiation pressure acceleration regime using a guiding structure

    DOE PAGES

    Bulanov, S. S.; Esarey, E.; Schroeder, C. B.; ...

    2015-03-13

    Radiation Pressure Acceleration is a highly efficient mechanism of laser driven ion acceleration, with the laser energy almost totally transferrable to the ions in the relativistic regime. There is a fundamental limit on the maximum attainable ion energy, which is determined by the group velocity of the laser. In the case of a tightly focused laser pulses, which are utilized to get the highest intensity, another factor limiting the maximum ion energy comes into play, the transverse expansion of the target. Transverse expansion makes the target transparent for radiation, thus reducing the effectiveness of acceleration. Utilization of an external guidingmore » structure for the accelerating laser pulse may provide a way of compensating for the group velocity and transverse expansion effects.« less

  17. Unlimited energy gain in the laser-driven radiation pressure dominant acceleration of ions

    SciTech Connect

    Bulanov, S. V.; Esirkepov, T. Zh.; Kando, M.; Echkina, E. Yu.; Inovenkov, I. N.; Pegoraro, F.; Korn, G.

    2010-06-15

    The energy of the ions accelerated by an intense electromagnetic wave in the radiation pressure dominated regime can be greatly enhanced by a transverse expansion of a thin target. The expansion decreases the number of accelerated ions in the irradiated region increasing the energy and the longitudinal velocity of the remaining ions. In the relativistic limit, the ions become phase locked with respect to the electromagnetic wave resulting in an unlimited ion energy gain. This effect and the use of optimal laser pulse shape provide a new approach for greatly enhancing the energy of laser accelerated ions.

  18. Charged particle diffusion and acceleration in Saturn's radiation belts

    NASA Technical Reports Server (NTRS)

    Mckibben, R. B.; Simpson, J. A.

    1980-01-01

    In the present paper, an attempt is made to determine, from the observed intensity profiles for protons and electrons in the region of L smaller than 4, whether population of Saturn's innermost trapped radiation zones from an external source is possible. It is found that if diffusion proceeds in an episodic rather than a steady-state manner (long periods of quiescence interrupted by brief periods of rapid diffusion), the basic features of the observed phase space density profiles are qualitatively reproduced for both the trapped protons and electrons.

  19. Ambient dose and dose rate measurements in the vicinity of Elekta Precise accelerators for radiation therapy.

    PubMed

    Zutz, H; Hupe, O

    2014-12-01

    In radiation therapy, commercially available medical linear accelerators (LINACs) are used. At high primary beam energies in the 10-MeV range, the leakage dose of the accelerator head and the backscatter from the room walls, the air and the patient become more important. Therefore, radiation protection measurements of photon dose rates in the treatment room and in the maze are performed to quantify the radiation field. Since the radiation of the LINACs is usually pulsed with short radiation pulse durations in the microsecond range, there are problems with electronic dose (rate) meters commonly used in radiation protection. In this paper measurements with ionisation chambers are presented and electronic dosemeters are used for testing at selected positions. The measured time-averaged dose rate ranges from a few microsieverts per hour in the maze to some millisieverts per hour in the vicinity of the accelerator head and up to some sieverts per hour in the blanked primary beam and several hundred sieverts per hour in the direct primary beam.

  20. Evaluation of commercial ADC radiation tolerance for accelerator experiments

    NASA Astrophysics Data System (ADS)

    Chen, K.; Chen, H.; Kierstead, J.; Takai, H.; Rescia, S.; Hu, X.; Xu, H.; Mead, J.; Lanni, F.; Minelli, M.

    2015-08-01

    Electronic components used in high energy physics experiments are subjected to a radiation background composed of high energy hadrons, mesons and photons. These particles can induce permanent and transient effects that affect the normal device operation. Ionizing dose and displacement damage can cause chronic damage which disable the device permanently. Transient effects or single event effects are in general recoverable with time intervals that depend on the nature of the failure. The magnitude of these effects is technology dependent with feature size being one of the key parameters. Analog to digital converters are components that are frequently used in detector front end electronics, generally placed as close as possible to the sensing elements to maximize signal fidelity. We report on the development of a technique for testing analog to digital converters for radiation effects, in particular for single event effects. A total of seventeen commercial ADCs were evaluated for ionizing dose tolerance and extensive SEU measurements performed on a twelve and fourteen bit ADCs. Mitigation strategies for single event effects (SEE) are discussed for their use in the large hadron collider environment.

  1. Evaluation of commercial ADC radiation tolerance for accelerator experiments

    DOE PAGES

    Chen, K.; Chen, H.; Kierstead, J.; ...

    2015-08-17

    Electronic components used in high energy physics experiments are subjected to a radiation background composed of high energy hadrons, mesons and photons. These particles can induce permanent and transient effects that affect the normal device operation. Ionizing dose and displacement damage can cause chronic damage which disable the device permanently. Transient effects or single event effects are in general recoverable with time intervals that depend on the nature of the failure. The magnitude of these effects is technology dependent with feature size being one of the key parameters. Analog to digital converters are components that are frequently used in detectormore » front end electronics, generally placed as close as possible to the sensing elements to maximize signal fidelity. We report on radiation effects tests conducted on 17 commercially available analog to digital converters and extensive single event effect measurements on specific twelve and fourteen bit ADCs that presented high tolerance to ionizing dose. We discuss mitigation strategies for single event effects (SEE) for their use in the large hadron collider environment.« less

  2. Evaluation of commercial ADC radiation tolerance for accelerator experiments

    SciTech Connect

    Chen, K.; Chen, H.; Kierstead, J.; Takai, H.; Rescia, S.; Hu, X.; Xu, H.; Mead, J.; Lanni, F.; Minelli, M.

    2015-08-17

    Electronic components used in high energy physics experiments are subjected to a radiation background composed of high energy hadrons, mesons and photons. These particles can induce permanent and transient effects that affect the normal device operation. Ionizing dose and displacement damage can cause chronic damage which disable the device permanently. Transient effects or single event effects are in general recoverable with time intervals that depend on the nature of the failure. The magnitude of these effects is technology dependent with feature size being one of the key parameters. Analog to digital converters are components that are frequently used in detector front end electronics, generally placed as close as possible to the sensing elements to maximize signal fidelity. We report on radiation effects tests conducted on 17 commercially available analog to digital converters and extensive single event effect measurements on specific twelve and fourteen bit ADCs that presented high tolerance to ionizing dose. We discuss mitigation strategies for single event effects (SEE) for their use in the large hadron collider environment.

  3. Accelerated tests for bounding the low dose rate radiation response of lateral PNP bipolar junction transistors

    SciTech Connect

    Witczak, S.C.; Schrimpf, R.D.; Galloway, K.F.; Schmidt, D.M.; Fleetwood, D.M.; Pease, R.L.; Coombs, W.E.; Suehle, J.S.

    1996-03-01

    Low dose rate gain degradation of lateral pnp bipolar transistors can be simulated by accelerated irradiations performed at approximately 135 degrees C. Degradation enhancement is explained by temperature- dependent radiation-induced interface trap formation above the transistor`s base.

  4. On the Energy and Momentum of an Accelerated Charged Particle and the Sources of Radiation

    ERIC Educational Resources Information Center

    Eriksen, Erik; Gron, Oyvind

    2007-01-01

    We give a systematic development of the theory of the radiation field of an accelerated charged particle with reference to an inertial reference frame in flat spacetime. Special emphasis is given to the role of the Schott energy and momentum in the energy-momentum balance of the charge and its field. It is shown that the energy of the radiation…

  5. The linear accelerator mechanical and radiation isocentre assessment with an electronic portal imaging device (EPID).

    PubMed

    Liu, G; van Doorn, T; Bezak, E

    2004-09-01

    Regular checks on the performance of radiotherapy treatment units are essential and a variety of protocols has been published. These protocols identify that the determination of isocentre must be accurate and unambiguous since both the localization of a radiation field on a patient and positioning aids are referenced to it. An EPID (BIS 710) with a combined light and radiation scintillation detector screen was used to assess mechanical and radiation isocentres for different collimator and gantry angles. Crosshair positions within light field images were determined from fitted Gaussian intensity profiles and then used to calculate the displacement of the mechanical isocentre. For comparison, the position of the crosshair was also recorded on a graph paper. The radiation field centre was first calculated from the set up geometry for given gantry/collimator angles and then compared with measured values to assess the displacement of the radiation isocentre. The radiation isocentre was also checked by locating a marker, positioned on the couch, on the EPID radiation images for different treatment couch angles. The mechanical and radiation isocentres were determined from the EPID light field and radiation images respectively with an accuracy of 0.3 mm using simple PC based programs. The study has demonstrated the feasibility of using the EPID to assess mechanical and radiation isocentres of a linear accelerator in a quick and efficient way with a higher degree of accuracy achieved as compared to more conventional methods, e.g. the star shot.

  6. Compatibility of Larmor's Formula with Radiation Reaction for an Accelerated Charge

    NASA Astrophysics Data System (ADS)

    Singal, Ashok K.

    2016-05-01

    It is shown that the well-known disparity in classical electrodynamics between the power losses calculated from the radiation reaction and that from Larmor's formula, is succinctly understood when a proper distinction is made between quantities expressed in terms of a "real time" and those expressed in terms of a retarded time. It is explicitly shown that an accelerated charge, taken to be a sphere of vanishingly small radius r_o , experiences at any time a self-force proportional to the acceleration it had at a time r_o /c earlier, while the rate of work done on the charge is obtained by a scalar product of the self-force with the instantaneous (present) value of its velocity. Now if the retarded value of acceleration is expressed in terms of the present values of acceleration, then we get the rate of work done according to the radiation reaction equation, however if we instead express the present value of velocity in terms of its time-retarded value, then we get back the familiar Larmor's radiation formula. From this simple relation between the two we show that they differ because Larmor's formula, in contrast with the radiation reaction, is written not in terms of the real-time values of quantities specifying the charge motion but is instead expressed in terms of the time-retarded values. Moreover, it is explicitly shown that the difference in the two formulas for radiative power loss exactly matches the difference in the temporal rate of the change of energy in the self-fields between the retarded and real times. From this it becomes obvious that the ad hoc introduction of an acceleration-dependent energy term, usually referred to in the prevalent literature as Schott-term, in order to make the two formulas comply with each other, is redundant.

  7. Hypofractionated breast and chest wall irradiation using simultaneous in-field boost IMRT delivered via helical tomotherapy.

    PubMed

    Rong, Y; Fahner, T; Welsh, J S

    2008-12-01

    Although helical tomotherapy has been described as a means of administering accelerated partial breast irradiation, its practicality in routine whole breast irradiation as part of breast conserving therapy or chest wall irradiation has been questioned. In this technical note we describe our method of whole breast or chest wall irradiation using helical tomotherapy based image-guided, hypofractionated, simultaneous in-field boost intensity modulated radiation therapy. We have observed that excellent dose-distributions can be achieved with helical tomotherapy through a careful selection of treatment planning parameters. Dose homogeneity to the whole breast and simultaneously targeted lumpectomy region appears superior to conventional "tangents" with minimal hot or cold spots. Dose-volume histogram analysis documents effective reduction of high dose to critical sensitive structures (heart and lung) although a greater volume of these non-target organs receives low dose compared to what is typical with tangential beams. Treatment planning is efficient and is usually completed within one to two hours, although physician contouring requires more time and attention than non-IMRT approaches. Pretreatment megavoltage CT (MVCT) imaging has proved invaluable in aiding set-up and engenders greater confidence that the planned IMRT dose distributions are truly being delivered. In some situations, MVCT can provide visual feedback when a seroma or overall breast volume has changed significantly since simulation, thereby identifying cases where replanning might be prudent. Treatment is brief, typically completed in 6 to 9 minutes. Initial clinical application has confirmed the feasibility and practicality of helical tomotherapy as an efficient means of administering radiation therapy for routine breast-conserving therapy and post-mastectomy chest wall irradiation. A simultaneous in-field boost technique reduces the length of the overall course by about a week thereby adding

  8. Spectroscopy of betatron radiation emitted from laser-produced wakefield accelerated electrons.

    PubMed

    Thorn, D B; Geddes, C G R; Matlis, N H; Plateau, G R; Esarey, E H; Battaglia, M; Schroeder, C B; Shiraishi, S; Stöhlker, Th; Tóth, C; Leemans, W P

    2010-10-01

    X-ray betatron radiation is produced by oscillations of electrons in the intense focusing field of a laser-plasma accelerator. These hard x-rays show promise for use in femtosecond-scale time-resolved radiography of ultrafast processes. However, the spectral characteristics of betatron radiation have only been inferred from filter pack measurements. In order to achieve higher resolution spectral information about the betatron emission, we used an x-ray charge-coupled device to record the spectrum of betatron radiation, with a full width at half maximum resolution of 225 eV. In addition, we have recorded simultaneous electron and x-ray spectra along with x-ray images that allow for a determination of the betatron emission source size, as well as differences in the x-ray spectra as a function of the energy spectrum of accelerated electrons.

  9. Focusing Betatron Radiation Produced by Laser Wakefield Accelerated Electrons with a Spherically Curved Crystal

    NASA Astrophysics Data System (ADS)

    Vargas, M.; Schumaker, W.; Dollar, F.; Chvykov, V.; Kalintchenko, G.; Yanovsky, V.; Maksimchuk, A.; Krushelnick, K.; Thomas, A. G. R.

    2011-10-01

    Laser Wakefield Acceleration in the bubble regime can be used to accelerate electrons to GeV energies while simultaneously wiggling them to produce a synchotron like x-ray radiation. Using HERCULES, a 100TW TiSapphire laser, 30fs pulses are focused onto a 5mm He gas jet to accelerate electrons in the bubble regime. The betatron x-rays produced by the transverse motion of the accelerated electrons are focused onto a detector by a spherically curved quartz, and other crystals. This result shows the feasibility of dynamic studies of crystal diffraction, with femtosecond level accuracy, using pump probe techniques. This work was supported by NSF FOCUS Grant No. PHY-0114336, and NRC Grant No. 38-09-953.

  10. Accelerating execution of the integrated TIGER series Monte Carlo radiation transport codes

    SciTech Connect

    Smith, L.M.; Hochstedler, R.D.

    1997-02-01

    Execution of the integrated TIGER series (ITS) of coupled electron/photon Monte Carlo radiation transport codes has been accelerated by modifying the FORTRAN source code for more efficient computation. Each member code of ITS was benchmarked and profiled with a specific test case that directed the acceleration effort toward the most computationally intensive subroutines. Techniques for accelerating these subroutines included replacing linear search algorithms with binary versions, replacing the pseudo-random number generator, reducing program memory allocation, and proofing the input files for geometrical redundancies. All techniques produced identical or statistically similar results to the original code. Final benchmark timing of the accelerated code resulted in speed-up factors of 2.00 for TIGER (the one-dimensional slab geometry code), 1.74 for CYLTRAN (the two-dimensional cylindrical geometry code), and 1.90 for ACCEPT (the arbitrary three-dimensional geometry code).

  11. X-ray sources of medical linear accelerators: focal and extra-focal radiation.

    PubMed

    Jaffray, D A; Battista, J J; Fenster, A; Munro, P

    1993-01-01

    A computerized tomography (CT) reconstruction technique has been used to make quantitative measurements of the size and shape of the focal spot in medical linear accelerators. Using this technique, we have measured the focal spots in a total of nine accelerators, including (i) two Varian Clinac 2100c's, (ii) two Atomic Energy of Canada Ltd. (AECL) Therac-25's, (iii) two AECL Therac 6's, (iv) a Siemens KD-2, (v) a Varian Clinac 600c (4 MV), and (vi) an AECL Therac-20. Some of these focal spots were monitored for changes over a 2-yr period. It has been found that (i) the size and shape of the source spot varies greatly between accelerators of different design ranging from 0.5 to 3.4 mm in full width at half maximum (FWHM); and (ii) for accelerators of the same design, the focal spots are very similar. In addition to the measurements of the focal spot, a new technique for measuring the magnitude and distribution of extra-focal radiation originating from the linear accelerator head (flattening filter, primary collimator) has also been developed. The extra-focal radiation produced by a Varian Clinac 2100c accelerator was measured using this technique and it was found that the extra-focal radiation accounts for as much as 8% of the total photon fluence reaching the isocenter. The majority (75%) of this extra-focal radiation originates from within a circle 6 cm in diameter at the target plane. The source MTFs for each of the measured focal spots have been calculated in order to assess their influence on the spatial resolution of verification images. The limiting spatial resolution (i.e., 10% modulation) for all the source MTFs is 1.8 mm-1 or greater when used for transmission radiography at a magnification of 1.2. The extra-focal radiation, which produces a low-frequency drop in the source MTFs of up to 8%, changes with field size. As a result, the source MTFs of linear accelerators depend not only on the design of individual accelerators and image magnification, but also

  12. Impact of conventional fractionated RT to pelvic lymph nodes and dose-escalated hypofractionated RT to prostate gland using IMRT treatment delivery in high-risk prostate cancer

    NASA Astrophysics Data System (ADS)

    Pervez, Nadeem

    Prostate cancer is the most common cancer among Canadian men. The standard treatment in high-risk category is radical radiation, with androgen suppression treatment (AST). Significant disease progression is reported despite this approach. Radiation dose escalation has been shown to improve disease-free survival; however, it results in higher toxicities. Hypofractionated radiation schedules (larger dose each fraction in shorter overall treatment time) are expected to deliver higher biological doses. A hypofractionated scheme was used in this study to escalate radiation doses with AST. Treatment was well tolerated acutely. Early results of self-administered quality of life reported by patients shows a decrease in QOL which is comparable to other treatment schedules. Significant positional variation of the prostate was observed during treatment. Therefore, we suggest daily target verification to avoid a target miss. Initial late effects are reasonable and early treatment outcomes are promising. Longer follow-up is required for full outcomes assessments.

  13. Hypofractionated Irradiation Has Immune Stimulatory Potential and Induces a Timely Restricted Infiltration of Immune Cells in Colon Cancer Tumors

    PubMed Central

    Frey, Benjamin; Rückert, Michael; Weber, Julia; Mayr, Xaver; Derer, Anja; Lotter, Michael; Bert, Christoph; Rödel, Franz; Fietkau, Rainer; Gaipl, Udo S.

    2017-01-01

    In addition to locally controlling the tumor, hypofractionated radiotherapy (RT) particularly aims to activate immune cells in the RT-modified microenvironment. Therefore, we examined whether hypofractionated RT can activate dendritic cells (DCs), induce immune cell infiltration in tumors, and how the chronology of immune cell migration into tumors occurs to gain knowledge for future definition of radiation breaks and inclusion of immunotherapy. Colorectal cancer treatments offer only limited survival benefit, and immunobiological principles for additional therapies need to be explored with preclinical models. The impact of hypofractionated RT on CT26 colon cancer tumor cell death, migration of DCs toward supernatants (SN) of tumor cells, and activation of DCs by SN were analyzed. The subcutaneous tumor of a BALB/c-CT26 mouse model was locally irradiated with 2 × 5 Gy, the tumor volume was monitored, and the infiltration of immune cells in the tumor was determined by flow cytometry daily. Hypofractionated RT induced a mixture of apoptotic and necrotic CT26 cells, which is known to be in particular immunogenic. DCs that migrated toward SN of CT26 cells particularly upregulated the activation markers CD80 and CD86 when in contact with SN of irradiated tumor cells. After hypofractionated RT, the tumor outgrowth was significantly retarded and in the irradiated tumors an increased infiltration of macrophages (CD11bhigh/F4-80+) and DCs (MHC-II+), but only between day 5 and 10 after the first irradiation, takes place. While CD4+ T cells migrated into non-irradiated and irradiated tumors, CD8+ T cells were only found in tumors that had been irradiated and they were highly increased at day 8 after the first irradiation. Myeloid-derived suppressor cells and regulatory T cells show regular turnover in irradiated and non-irradiated tumors. Tumor cell-specific anti-IgM antibodies were enhanced in the serum of animals with irradiated tumors. We conclude that

  14. Hypofractionated Irradiation Has Immune Stimulatory Potential and Induces a Timely Restricted Infiltration of Immune Cells in Colon Cancer Tumors.

    PubMed

    Frey, Benjamin; Rückert, Michael; Weber, Julia; Mayr, Xaver; Derer, Anja; Lotter, Michael; Bert, Christoph; Rödel, Franz; Fietkau, Rainer; Gaipl, Udo S

    2017-01-01

    In addition to locally controlling the tumor, hypofractionated radiotherapy (RT) particularly aims to activate immune cells in the RT-modified microenvironment. Therefore, we examined whether hypofractionated RT can activate dendritic cells (DCs), induce immune cell infiltration in tumors, and how the chronology of immune cell migration into tumors occurs to gain knowledge for future definition of radiation breaks and inclusion of immunotherapy. Colorectal cancer treatments offer only limited survival benefit, and immunobiological principles for additional therapies need to be explored with preclinical models. The impact of hypofractionated RT on CT26 colon cancer tumor cell death, migration of DCs toward supernatants (SN) of tumor cells, and activation of DCs by SN were analyzed. The subcutaneous tumor of a BALB/c-CT26 mouse model was locally irradiated with 2 × 5 Gy, the tumor volume was monitored, and the infiltration of immune cells in the tumor was determined by flow cytometry daily. Hypofractionated RT induced a mixture of apoptotic and necrotic CT26 cells, which is known to be in particular immunogenic. DCs that migrated toward SN of CT26 cells particularly upregulated the activation markers CD80 and CD86 when in contact with SN of irradiated tumor cells. After hypofractionated RT, the tumor outgrowth was significantly retarded and in the irradiated tumors an increased infiltration of macrophages (CD11b(high)/F4-80(+)) and DCs (MHC-II(+)), but only between day 5 and 10 after the first irradiation, takes place. While CD4(+) T cells migrated into non-irradiated and irradiated tumors, CD8(+) T cells were only found in tumors that had been irradiated and they were highly increased at day 8 after the first irradiation. Myeloid-derived suppressor cells and regulatory T cells show regular turnover in irradiated and non-irradiated tumors. Tumor cell-specific anti-IgM antibodies were enhanced in the serum of animals with irradiated tumors. We conclude that

  15. Increased diffuse radiation fraction does not significantly accelerate plant growth

    NASA Astrophysics Data System (ADS)

    Angert, Alon; Krakauer, Nir

    2010-05-01

    A recent modelling study (Mercado et al., 2009) claims that increased numbers of scattering aerosols are responsible for a substantial fraction of the terrestrial carbon sink in recent decades because higher diffuse light fraction enhances plant net primary production (NPP). Here we show that observations of atmospheric CO2 seasonal cycle and tree ring data indicate that the relation between diffuse light and NPP is actually quite weak on annual timescales. The inconsistency of these data with the modelling results may arise because the relationships used to quantify the enhancement of NPP were calibrated with eddy covariance measurements of hourly carbon uptake. The effect of diffuse-light fraction on carbon uptake could depend on timescale, since this effect varies rapidly as sun angle and cloudiness change, and since plants can respond dynamically over various timescales to change in incoming radiation. Volcanic eruptions, such as the eruption of Mount Pinatubo in 1991, provide the best available tests for the effect of an annual-scale increase in the diffuse light fraction. Following the Pinatubo Eruption, in 1992 and 1993, a sharp decrease in the atmospheric CO2 growth rate was observed. This could have resulted from enhanced plant carbon uptake. Mercado et al. (2009) argue that largely as a result of the (volcanic aerosol driven) increase in diffuse light fraction, NPP was elevated in 1992, particularly between 25° N-45° N where annual NPP was modelled to be ~0.8 PgC (~10%) above average. In a previous study (Angert et al., 2004) a biogeochemical model (CASA) linked to an atmospheric tracer model (MATCH), was used to show that a diffuse-radiation driven increase in NPP in the extratropics will enhance carbon uptake mostly in summer, leading to a lower CO2 seasonal minimum. Here we use a 'toy model' to show that this conclusion is general and model-independent. The model shows that an enhanced sink of 0.8 PgC, similar to that modelled by Mercado et al. (2009

  16. Effect of image-guided hypofractionated stereotactic radiotherapy on peripheral non-small-cell lung cancer

    PubMed Central

    Wang, Shu-wen; Ren, Juan; Yan, Yan-li; Xue, Chao-fan; Tan, Li; Ma, Xiao-wei

    2016-01-01

    The objective of this study was to compare the effects of image-guided hypofractionated radiotherapy and conventional fractionated radiotherapy on non-small-cell lung cancer (NSCLC). Fifty stage- and age-matched cases with NSCLC were randomly divided into two groups (A and B). There were 23 cases in group A and 27 cases in group B. Image-guided radiotherapy (IGRT) and stereotactic radiotherapy were conjugately applied to the patients in group A. Group A patients underwent hypofractionated radiotherapy (6–8 Gy/time) three times per week, with a total dose of 64–66 Gy; group B received conventional fractionated radiotherapy, with a total dose of 68–70 Gy five times per week. In group A, 1-year and 2-year local failure survival rate and 1-year local failure-free survival rate were significantly higher than in group B (P<0.05). The local failure rate (P<0.05) and distant metastasis rate (P>0.05) were lower in group A than in group B. The overall survival rate of group A was significantly higher than that of group B (P=0.03), and the survival rate at 1 year was 87% vs 63%, (P<0.05). The median survival time of group A was longer than that of group B. There was no significant difference in the incidence of complications between the two groups (P>0.05). Compared with conventional fractionated radiation therapy, image-guided hypofractionated stereotactic radiotherapy in NSCLC received better treatment efficacy and showed good tolerability. PMID:27574441

  17. Laser Radiation Pressure Accelerator for Quasi-Monoenergetic Proton Generation and Its Medical Implications

    NASA Astrophysics Data System (ADS)

    Liu, C. S.; Shao, X.; Liu, T. C.; Su, J. J.; He, M. Q.; Eliasson, B.; Tripathi, V. K.; Dudnikova, G.; Sagdeev, R. Z.; Wilks, S.; Chen, C. D.; Sheng, Z. M.

    Laser radiation pressure acceleration (RPA) of ultrathin foils of subwavelength thickness provides an efficient means of quasi-monoenergetic proton generation. With an optimal foil thickness, the ponderomotive force of the intense short-pulse laser beam pushes the electrons to the edge of the foil, while balancing the electric field due to charge separation. The electron and proton layers form a self-organized plasma double layer and are accelerated by the radiation pressure of the laser, the so-called light sail. However, the Rayleigh-Taylor instability can limit the acceleration and broaden the energy of the proton beam. Two-dimensional particle-in-cell (PIC) simulations have shown that the formation of finger-like structures due to the nonlinear evolution of the Rayleigh-Taylor instability limits the acceleration and leads to a leakage of radiation through the target by self-induced transparency. We here review the physics of quasi-monoenergetic proton generation by RPA and recent advances in the studies of energy scaling of RPA, and discuss the RPA of multi-ion and gas targets. The scheme for generating quasi-monoenergetic protons with RPA has the potential of leading to table-top accelerators as sources for producing monoenergetic 50-250 MeV protons. We also discuss potential medical implications, such as particle therapy for cancer treatment, using quasi-monoenergetic proton beams generated from RPA. Compact monoenergetic ion sources also have applications in many other areas such as high-energy particle physics, space electronics radiation testing, and fast ignition in laser fusion.

  18. Radiation mapping inside the bunkers of medium energy accelerators using a robotic carrier.

    PubMed

    Ravishankar, R; Bhaumik, T K; Bandyopadhyay, T; Purkait, M; Jena, S C; Mishra, S K; Sharma, S; Agashe, V; Datta, K; Sarkar, B; Datta, C; Sarkar, D; Pal, P K

    2013-10-01

    The knowledge of ambient and peak radiation levels prevailing inside the bunkers of the accelerator facilities is essential in assessing the accidental human exposure inside the bunkers and in protecting sensitive electronic equipments by minimizing the exposure to high intensity mixed radiation fields. Radiation field mapping dynamically, inside bunkers are rare, though generally dose-rate data are available in every particle accelerator facilities at specific locations. Taking into account of the fact that the existing neutron fields with a spread of energy from thermal up to the energy of the accelerated charged projectiles, prompt photons and other particles prevailing during cyclotron operation inside the bunkers, neutron and gamma survey meters with extended energy ranges attached to a robotic carrier have been used. The robotic carrier movement was controlled remotely from the control room with the help of multiple visible range optical cameras provided inside the bunkers and the wireless and wired protocols of communication helped its movement and data acquisition from the survey meters. Variable Energy Cyclotron Centre, Kolkata has positive ion accelerating facilities such as K-130 room Temperature Cyclotron, K-500 Super Conducting Cyclotron and a forthcoming 30 MeV Proton Medical Cyclotron with high beam current. The dose rates data for K-130 Room Temperature Cyclotron, VECC were collected for various energies of alpha and proton beams losing their total energy at different stages on different materials at various strategic locations of radiological importance inside the bunkers. The measurements established that radiation levels inside the machine bunker dynamically change depending upon the beam type, beam energy, machine operation parameters, deflector condition, slit placement and central region beam tuning. The obtained inference from the association of dose rates with the parameters like beam intensity, type and energy of projectiles, helped in

  19. ARSA accelerator - small-size source of nanosecond pulses of electron and x-ray radiation

    SciTech Connect

    Elyash, S.L.; Alexandrin, A.I.; Donskoy, E.N.

    1993-12-31

    ARSA miniature accelerator is notable for high intensity of radiation and characteristics stability. Near the output window the electron an x ray dose in the air constitutes in a 10 ns pulse 3 x 10{sup 4} Gy and 3 Gy, respectively. Maximal electron and x-ray quanta energy of 700 keV provides high permeability. Dimensions of the accelerator high-voltage unit are small: 250 x 1000 mm and 50 kg weight. It operates in a single pulse regime or generates a pulse series according to the specified program.

  20. Design of a grating for studying Smith-Purcell radiation and electron acceleration

    SciTech Connect

    Fernow, R.C.

    1989-01-01

    We describe work on the design of a diffraction grating which we intend to use for studying the production of Smith-Purcell radiation and the acceleration of electrons. We have developed computer codes based on the solution of the appropriate Maxwell's equations. A specific grating profile is given which is feasible to construct and which supports enhanced surface accelerating modes. We examine the possibility of using the Smith-Purcell effect to make a beam position monitor. 13 refs., 10 figs., 2 tabs.

  1. Radiation-pressure acceleration of ion beams driven by circularly polarized laser pulses.

    PubMed

    Henig, A; Steinke, S; Schnürer, M; Sokollik, T; Hörlein, R; Kiefer, D; Jung, D; Schreiber, J; Hegelich, B M; Yan, X Q; Meyer-ter-Vehn, J; Tajima, T; Nickles, P V; Sandner, W; Habs, D

    2009-12-11

    We present experimental studies on ion acceleration from ultrathin diamondlike carbon foils irradiated by ultrahigh contrast laser pulses of energy 0.7 J focused to peak intensities of 5x10(19) W/cm2. A reduction in electron heating is observed when the laser polarization is changed from linear to circular, leading to a pronounced peak in the fully ionized carbon spectrum at the optimum foil thickness of 5.3 nm. Two-dimensional particle-in-cell simulations reveal that those C6+ ions are for the first time dominantly accelerated in a phase-stable way by the laser radiation pressure.

  2. Transport calculations and accelerator experiments needed for radiation risk assessment in space.

    PubMed

    Sihver, Lembit

    2008-01-01

    The major uncertainties on space radiation risk estimates in humans are associated to the poor knowledge of the biological effects of low and high LET radiation, with a smaller contribution coming from the characterization of space radiation field and its primary interactions with the shielding and the human body. However, to decrease the uncertainties on the biological effects and increase the accuracy of the risk coefficients for charged particles radiation, the initial charged-particle spectra from the Galactic Cosmic Rays (GCRs) and the Solar Particle Events (SPEs), and the radiation transport through the shielding material of the space vehicle and the human body, must be better estimated Since it is practically impossible to measure all primary and secondary particles from all possible position-projectile-target-energy combinations needed for a correct risk assessment in space, accurate particle and heavy ion transport codes must be used. These codes are also needed when estimating the risk for radiation induced failures in advanced microelectronics, such as single-event effects, etc., and the efficiency of different shielding materials. It is therefore important that the models and transport codes will be carefully benchmarked and validated to make sure they fulfill preset accuracy criteria, e.g. to be able to predict particle fluence, dose and energy distributions within a certain accuracy. When validating the accuracy of the transport codes, both space and ground based accelerator experiments are needed The efficiency of passive shielding and protection of electronic devices should also be tested in accelerator experiments and compared to simulations using different transport codes. In this paper different multipurpose particle and heavy ion transport codes will be presented, different concepts of shielding and protection discussed, as well as future accelerator experiments needed for testing and validating codes and shielding materials.

  3. Evaluation of pelletron accelerator facility to study radiation effects on semiconductor devices

    SciTech Connect

    Prakash, A. P. Gnana; Pushpa, N.; Praveen, K. C.; Naik, P. S.; Revannasiddaiah, D.

    2012-06-05

    In this paper we present the comprehensive results on the effects of different radiation on the electrical characteristics of different semiconductor devices like Si BJT, n-channel MOSFETs, 50 GHz and 200 GHz silicon-germanium heterojunction bipolar transistor (SiGe HBTs). The total dose effects of different radiation are compared in the same total dose ranging from 100 krad to 100 Mrad. We show that the irradiation time needed to reach very high total dose can be reduced by using Pelletron accelerator facilities instead of conventional irradiation facilities.

  4. Experimental demonstration of x-ray betatron radiation spectrum from laser accelerated electron beams

    NASA Astrophysics Data System (ADS)

    Leurent, Valentine; Michel, Pierre; Clayton, Chris; Pollock, Bradley; Doeppner, Tilo; Ralph, Joseph; Pak, Art; Wang, Tyan-Lin; Joshi, Chan; Tynan, George; Divol, Laurent; Palastro, John; Glenzer, Siegried; Froula, Dustin

    2008-11-01

    New laser wakefield acceleration (LWFA) experiments have been carried out at the Callisto Laser Facility, Lawrence Livermore National Laboratory. We will present results of the first experimental campaign on LWFA. The electron beam energy spectrum was measured with a two-screen spectrometer to avoid ambiguities due to the possible angle of the electron beam at the plasma exit [1]. Electron beams up to 300 MeV were measured. X-ray betatron radiation from the accelerated electrons were also measured. By using a set of filters acting like a spectral step function, the x-ray spectrum was reconstructed from fitting theoretical estimates; the radiation peaks at a few keVs. [1] R. Ischebeck et al., Proceedings of PAC 2007, Albuquerque NM, p. 4168. LLNL-ABS-405251

  5. Influence of radiation reaction force on ultraintense laser-driven ion acceleration.

    PubMed

    Capdessus, R; McKenna, P

    2015-05-01

    The role of the radiation reaction force in ultraintense laser-driven ion acceleration is investigated. For laser intensities ∼10(23)W/cm(2), the action of this force on electrons is demonstrated in relativistic particle-in-cell simulations to significantly enhance the energy transfer to ions in relativistically transparent targets, but strongly reduce the ion energy in dense plasma targets. An expression is derived for the revised piston velocity, and hence ion energy, taking account of energy loses to synchrotron radiation generated by electrons accelerated in the laser field. Ion mass is demonstrated to be important by comparing results obtained with proton and deuteron plasma. The results can be verified in experiments with cryogenic hydrogen and deuterium targets.

  6. Cherenkov radiation in a surface wave accelerator based on silicon carbide (SWABSiC)

    NASA Astrophysics Data System (ADS)

    Wang, Tianhong; Lai, Kueifu; Khudik, Vladimir N.; Shvets, Gennady

    2017-03-01

    We report on theoretical investigations of Cherenkov-type emission of surface phonon polaritons (SPhPs) by relativistic electron bunches. The polaritons are confined by a planar waveguide comprised of two SiC slabs separated by a vacuum gap. The SPhPs are generated in the reststrahlen band, where the dielectric permittivity of SiC is negative. Two surface modes are analyzed: the accelerating (symmetric) and the deflecting (anti-symmetric) wakes. Both form Cherenkov cones that exhibit rapid spatial oscillations and beats behind the moving charge. Moreover, the accelerating mode forms a reversed Cherenkov radiation cone due the negative group velocity for sufficiently small gaps. The wakefield acceleration of electron bunches inside the structure is also discussed, as well as our recent experimental progress in propagating the electron beam through the structure at the Advanced Test Facility (ATF) that resulted in > 12% beam transmission.

  7. Recording the synchrotron radiation by a picosecond streak camera for bunch diagnostics in cyclic accelerators

    SciTech Connect

    Vereshchagin, A K; Vorob'ev, N S; Gornostaev, P B; Kryukov, S S; Lozovoi, V I; Smirnov, A V; Shashkov, E V; Schelev, M Ya; Dorokhov, V L; Meshkov, O I; Nikiforov, D A

    2016-02-28

    A PS-1/S1 picosecond streak camera with a linear sweep is used to measure temporal characteristics of synchrotron radiation pulses on a damping ring (DR) at the Budker Institute of Nuclear Physics (BINP) of the Siberian Branch of the Russian Academy of Sciences (Novosibirsk). The data obtained allow a conclusion as to the formation processes of electron bunches and their 'quality' in the DR after injection from the linear accelerator. The expediency of employing the streak camera as a part of an optical diagnostic accelerator complex for adjusting the injection from a linear accelerator is shown. Discussed is the issue of designing a new-generation dissector with a time resolution up to a few picoseconds, which would allow implementation of a continuous bunch monitoring in the DR during mutual work with the electron-positron colliders at the BINP. (acoustooptics)

  8. Recording the synchrotron radiation by a picosecond streak camera for bunch diagnostics in cyclic accelerators

    NASA Astrophysics Data System (ADS)

    Vereshchagin, A. K.; Vorob'ev, N. S.; Gornostaev, P. B.; Dorokhov, V. L.; Kryukov, S. S.; Lozovoi, V. I.; Meshkov, O. I.; Nikiforov, D. A.; Smirnov, A. V.; Shashkov, E. V.; Schelev, M. Ya

    2016-02-01

    A PS-1/S1 picosecond streak camera with a linear sweep is used to measure temporal characteristics of synchrotron radiation pulses on a damping ring (DR) at the Budker Institute of Nuclear Physics (BINP) of the Siberian Branch of the Russian Academy of Sciences (Novosibirsk). The data obtained allow a conclusion as to the formation processes of electron bunches and their 'quality' in the DR after injection from the linear accelerator. The expediency of employing the streak camera as a part of an optical diagnostic accelerator complex for adjusting the injection from a linear accelerator is shown. Discussed is the issue of designing a new-generation dissector with a time resolution up to a few picoseconds, which would allow implementation of a continuous bunch monitoring in the DR during mutual work with the electron-positron colliders at the BINP.

  9. Particle in cell simulation of laser-accelerated proton beams for radiation therapy.

    PubMed

    Fourkal, E; Shahine, B; Ding, M; Li, J S; Tajima, T; Ma, C M

    2002-12-01

    In this article we present the results of particle in cell (PIC) simulations of laser plasma interaction for proton acceleration for radiation therapy treatments. We show that under optimal interaction conditions protons can be accelerated up to relativistic energies of 300 MeV by a petawatt laser field. The proton acceleration is due to the dragging Coulomb force arising from charge separation induced by the ponderomotive pressure (light pressure) of high-intensity laser. The proton energy and phase space distribution functions obtained from the PIC simulations are used in the calculations of dose distributions using the GEANT Monte Carlo simulation code. Because of the broad energy and angular spectra of the protons, a compact particle selection and beam collimation system will be needed to generate small beams of polyenergetic protons for intensity modulated proton therapy.

  10. Radiation shielding analysis of a special linear accelerator for electron beam and X-ray.

    PubMed

    Kang, W G; Pyo, S H; Alkhuraiji, T S; Han, B S; Kang, C M

    2017-01-31

    The King AbdulAziz City for Science & Technology in the Kingdom of Saudi Arabia plans to build a 10 MeV, 15 kW linear accelerator (LINAC) for electron beam and X-ray. The accelerator will be supplied by EB Tech, Republic of Korea, and the design and construction of the accelerator building will be conducted in the cooperation with EB Tech. This report presents the shielding analysis of the accelerator building using the Monte Carlo N-Particle Transport Code (MCNP). In order to improve the accuracy in estimating deep radiation penetration and to reduce computation time, various variance reduction techniques, including the weight window (WW) method, the deterministic transport (DXTRAN) spheres were considered. Radiation levels were estimated at selected locations in the shielding facility running MCNP6 for particle histories up to 1.0×10+8. The final results indicated that the calculated doses at all selected detector locations met the dose requirement of 50 mSv/yr, which is the United State Nuclear Regulatory Commission (U.S. NRC) requirement.

  11. Accelerated senescence in skin in a murine model of radiation-induced multi-organ injury.

    PubMed

    McCart, Elizabeth A; Thangapazham, Rajesh L; Lombardini, Eric D; Mog, Steven R; Panganiban, Ronald Allan M; Dickson, Kelley M; Mansur, Rihab A; Nagy, Vitaly; Kim, Sung-Yop; Selwyn, Reed; Landauer, Michael R; Darling, Thomas N; Day, Regina M

    2017-03-18

    Accidental high-dose radiation exposures can lead to multi-organ injuries, including radiation dermatitis. The types of cellular damage leading to radiation dermatitis are not completely understood. To identify the cellular mechanisms that underlie radiation-induced skin injury in vivo, we evaluated the time-course of cellular effects of radiation (14, 16 or 17 Gy X-rays; 0.5 Gy/min) in the skin of C57BL/6 mice. Irradiation of 14 Gy induced mild inflammation, observed histologically, but no visible hair loss or erythema. However, 16 or 17 Gy radiation induced dry desquamation, erythema and mild ulceration, detectable within 14 days post-irradiation. Histological evaluation revealed inflammation with mast cell infiltration within 14 days. Fibrosis occurred 80 days following 17 Gy irradiation, with collagen deposition, admixed with neutrophilic dermatitis, and necrotic debris. We found that in cultures of normal human keratinocytes, exposure to 17.9 Gy irradiation caused the upregulation of p21/waf1, a marker of senescence. Using western blot analysis of 17.9 Gy-irradiated mice skin samples, we also detected a marker of accelerated senescence (p21/waf1) 7 days post-irradiation, and a marker of cellular apoptosis (activated caspase-3) at 30 days, both preceding histological evidence of inflammatory infiltrates. Immunohistochemistry revealed reduced epithelial stem cells from hair follicles 14-30 days post-irradiation. Furthermore, p21/waf1 expression was increased in the region of the hair follicle stem cells at 14 days post 17 Gy irradiation. These data indicate that radiation induces accelerated cellular senescence in the region of the stem cell population of the skin.

  12. Accelerator-based radiation sources for next-generation radiobiological research

    NASA Astrophysics Data System (ADS)

    DeVeaux, Linda C.; Wells, Douglas P.; Hunt, Alan; Webb, Tim; Beezhold, Wendland; Harmon, J. Frank

    2006-06-01

    The Idaho Accelerator Center (IAC) of Idaho State University has developed a unique radiation research facility to answer next-generation radiobiological questions. The IAC has 10 operating research accelerators. These include continuously delivered radiation beams such as a 950 keV electron beam and a 2 MeV light-ion Van de Graaff. The IAC also has a number of pulsed electron linacs which range in energy from 4 to 40 MeV. The most intense amongst them deliver peak dose rates greater than 10 12 Gy/s. The operational flexibility of pulsed electron linacs allows control of peak and average dose rate, pulse separation and total dose over many orders of magnitude in these parameters. These high dose rates also allow delivery of large doses on time scales that are very small when compared to biological responses. The spectrum of particle beams that the IAC can deliver includes alphas, protons, neutrons, electrons (betas), and gammas (X-rays). Current radiobiological research at the IAC is focused upon radiation effects in unicellular organisms. The effectiveness of extremely high dose rate electron irradiation for the neutralization of microbes is being investigated. Concurrently, we are characterizing the survival mechanisms employed by microbes when exposed to these extremely high doses and dose rates. We have isolated strains from several diverse species that show increased radiation-resistance over normal populations. In addition, we were the first to demonstrate radiation-induced Bystander effects in unicellular organisms. Because of the numerous and diverse accelerators at the IAC, these and many other novel radiobiological investigations are readily attainable.

  13. Outcome analysis of 300 prostate cancer patients treated with neoadjuvant androgen deprivation and hypofractionated radiotherapy

    SciTech Connect

    Higgins, Geoffrey S. . E-mail: geoffrey.higgins@luht.scot.nhs.uk; McLaren, Duncan B.; Kerr, Gillian R.; Elliott, Tony; Howard, Grahame

    2006-07-15

    Purpose: Neoadjuvant androgen deprivation and radical radiotherapy is an established treatment for localized prostate carcinoma. This study sought to analyze the outcomes of patients treated with relatively low-dose hypofractionated radiotherapy. Methods and Materials: Three hundred patients with T1-T3 prostate cancer were treated between 1996 and 2001. Patients were prescribed 3 months of neoadjuvant androgen deprivation before receiving 5250 cGy in 20 fractions. Patients' case notes and the oncology database were used to retrospectively assess outcomes. Median follow-up was 58 months. Results: Patients presented with prostate cancer with poorer prognostic indicators than that reported in other series. At 5 years, the actuarial cause-specific survival rate was 83.2% and the prostate-specific antigen (PSA) relapse rate was 57.3%. Metastatic disease had developed in 23.4% of patients. PSA relapse continued to occur 5 years from treatment in all prognostic groups. Independent prognostic factors for relapse included treatment near the start of the study period, neoadjuvant oral anti-androgen monotherapy rather than neoadjuvant luteinizing hormone releasing hormone therapy, and diagnosis through transurethral resection of the prostate rather than transrectal ultrasound. Conclusion: This is the largest reported series of patients treated with neoadjuvant androgen deprivation and hypofractionated radiotherapy in the United Kingdom. Neoadjuvant hormonal therapy did not appear to adequately compensate for the relatively low effective radiation dose used.

  14. Modernization of electron accelerator with a large cross section beam for radiation effects on materials

    NASA Astrophysics Data System (ADS)

    Vorobyov, M. S.; Denisov, V. V.; Koval, N. N.; Sulakshin, S. A.; Shugurov, V. V.; Yakovlev, V. V.

    2017-01-01

    The results of the work on the creation of an automated wide-aperture electron accelerator with a grid plasma cathode based on the low-pressure arc discharge and outputting of a large section beam (750×150 mm) in the atmosphere through a outlet foil window. The distinctive feature of such electron accelerator is a weak correlation of beam parameters, as well as a high current beam extraction efficiency to air, reaching ≈ (80 ÷ 90)% of the current in the accelerating gap at an accelerating voltage of 200 kV, beam current amplitude in the atmosphere up to 30A, frequency and pulse duration up to 50 s-1 and 100 μs, respectively. The electron source provides a stable continuous operation for tens of hours in a repetitively pulsed modes at the maximum average beam power in the atmosphere is ≈5 kW. Examples of applications of such accelerator in the radiation-stimulated technology are given, showing the prospects of its using in scientific and technological purposes.

  15. Ten scenarios from early radiation to late time acceleration with a minimally coupled dark energy

    SciTech Connect

    Fay, Stéphane

    2013-09-01

    We consider General Relativity with matter, radiation and a minimally coupled dark energy defined by an equation of state w. Using dynamical system method, we find the equilibrium points of such a theory assuming an expanding Universe and a positive dark energy density. Two of these points correspond to classical radiation and matter dominated epochs for the Universe. For the other points, dark energy mimics matter, radiation or accelerates Universe expansion. We then look for possible sequences of epochs describing a Universe starting with some radiation dominated epoch(s) (mimicked or not by dark energy), then matter dominated epoch(s) (mimicked or not by dark energy) and ending with an accelerated expansion. We find ten sequences able to follow this Universe history without singular behaviour of w at some saddle points. Most of them are new in dark energy literature. To get more than these ten sequences, w has to be singular at some specific saddle equilibrium points. This is an unusual mathematical property of the equation of state in dark energy literature, whose physical consequences tend to be discarded by observations. This thus distinguishes the ten above sequences from an infinity of ways to describe Universe expansion.

  16. Estimation of focal and extra-focal radiation profiles based on Gaussian modeling in medical linear accelerators.

    PubMed

    Anai, Shigeo; Arimura, Hidetaka; Nakamura, Katsumasa; Araki, Fujio; Matsuki, Takaomi; Yoshikawa, Hideki; Yoshidome, Satoshi; Shioyama, Yoshiyuki; Honda, Hiroshi; Ikeda, Nobuo

    2011-07-01

    The X-ray source or focal radiation is one of the factors that can degrade the conformal field edge in stereotactic body radiotherapy. For that reason, it is very important to estimate the total focal radiation profiles of linear accelerators, which consists of X-ray focal-spot radiation and extra-focal radiation profiles. Our purpose in this study was to propose an experimental method for estimating the focal-spot and extra-focal radiation profiles of linear accelerators based on triple Gaussian functions. We measured the total X-ray focal radiation profiles of the accelerators by moving a slit in conjunction with a photon field p-type silicon diode. The slit width was changed so that the extra-focal radiation could be optimally included in the total focal radiation. The total focal radiation profiles of an accelerator at 4-MV and 10-MV energies were approximated with a combination of triple Gaussian functions, which correspond to the focal-spot radiation, extra-focal radiation, and radiation transmitted through the slit assembly. As a result, the ratios of the Gaussian peak value of the extra-focal radiation to that of the focal spot for 4 and 10 MV were 0.077 and 0.159, respectively. The peak widths of the focal-spot and extra-focal radiation profiles were 0.57 and 25.0 mm for 4 MV, respectively, and 0.60 and 22.0 mm for 10 MV, respectively. We concluded that the proposed focal radiation profile model based on the triple Gaussian functions may be feasible for estimating the X-ray focal-spot and extra-focal radiation profiles.

  17. Radiation pressure acceleration of corrugated thin foils by Gaussian and super-Gaussian beams

    SciTech Connect

    Adusumilli, K.; Goyal, D.; Tripathi, V. K.

    2012-01-15

    Rayleigh-Taylor instability of radiation pressure accelerated ultrathin foils by laser having Gaussian and super-Gaussian intensity distribution is investigated using a single fluid code. The foil is allowed to have ring shaped surface ripples. The radiation pressure force on such a foil is non-uniform with finite transverse component F{sub r}; F{sub r} varies periodically with r. Subsequently, the ripple grows as the foil moves ahead along z. With a Gaussian beam, the foil acquires an overall curvature due to non-uniformity in radiation pressure and gets thinner. In the process, the ripple perturbation is considerably washed off. With super-Gaussian beam, the ripple is found to be more strongly washed out. In order to avoid transmission of the laser through the thinning foil, a criterion on the foil thickness is obtained.

  18. Observation of optical transition radiation from electron beams generated by laser plasma accelerator

    NASA Astrophysics Data System (ADS)

    Lin, Chen; Nakamura, K.; Van, Tilborg J.; Gonsalves, A. J.; Sokollik, T.; Shiraishi, S.; Leemans, W. P.; Guo, Zhi-Yu

    2013-02-01

    Laser plasma accelerators (LPAs) have made great progress, achieving electron beam with energy up to 1 GeV from a centimeter scale capillary plasma waveguide. Here, we report the measurement of optical transition radiation (OTR) from the capillary-based LPA electron beams. Transition radiation images, produced by electrons passing through two separate foils (located at 2.3 m and 3.8 m away from the exit of the LPA) were recorded with a high resolution imaging system, respectively. Two magnetic quadrupole lenses were placed right after the capillary to focus and collimate the electron beams. Significant localized spikes appeared in the OTR images when the electron beam was focused by the magnetic quadrupole lenses, indicating the coherence of the radiation and the existence of ultrashort longitudinal structures inside the electron beam.

  19. A procedure to determine the radiation isocenter size in a linear accelerator.

    PubMed

    González, A; Castro, I; Martínez, J A

    2004-06-01

    Measurement of radiation isocenter is a fundamental part of commissioning and quality assurance (QA) for a linear accelerator (linac). In this work we present an automated procedure for the analysis of the stars-shots employed in the radiation isocenter determination. Once the star-shot film has been developed and digitized, the resulting image is analyzed by scanning concentric circles centered around the intersection of the lasers that had been previously marked on the film. The center and the radius of the minimum circle intersecting the central rays are determined with an accuracy and precision better than 1% of the pixel size. The procedure is applied to the position and size determination of the radiation isocenter by means of the analysis of star-shots, placed in different planes with respect to the gantry, couch and collimator rotation axes.

  20. Applications of Accelerators and Radiation Sources in the Field of Space Research and Industry.

    PubMed

    Campajola, Luigi; Di Capua, Francesco

    2016-12-01

    Beyond their important economic role in commercial communications, satellites in general are critical infrastructure because of the services they provide. In addition to satellites providing information which facilitates a better understanding of the space environment and improved performance of physics experiments, satellite observations are also used to actively monitor weather, geological processes, agricultural development and the evolution of natural and man-made hazards. Defence agencies depend on satellite services for communication in remote locations, as well as for reconnaissance and intelligence. Both commercial and government users rely on communication satellites to provide communication in the event of a disaster that damages ground-based communication systems, provide news, education and entertainment to remote areas and connect global businesses. The space radiation environment is an hazard to most satellite missions and can lead to extremely difficult operating conditions for all of the equipment travelling in space. Here, we first provide an overview of the main components of space radiation environment, followed by a description of the basic mechanism of the interaction of radiation with matter. This is followed by an introduction to the space radiation hardness assurance problem and the main effects of natural radiation to the microelectronics (total ionizing dose, displacement damage and the single-event effect and a description of how different effects occurring in the space can be tested in on-ground experiments by using particle accelerators and radiation sources. We also discuss standards and the recommended procedures to obtain reliable results.

  1. Radiation protection challenges in the management of radioactive waste from high-energy accelerators.

    PubMed

    Ulrici, Luisa; Algoet, Yvon; Bruno, Luca; Magistris, Matteo

    2015-04-01

    The European Laboratory for Particle Physics (CERN) has operated high-energy accelerators for fundamental physics research for nearly 60 y. The side-product of this activity is the radioactive waste, which is mainly generated as a result of preventive and corrective maintenance, upgrading activities and the dismantling of experiments or accelerator facilities. Prior to treatment and disposal, it is common practice to temporarily store radioactive waste on CERN's premises and it is a legal requirement that these storage facilities are safe and secure. Waste treatment typically includes sorting, segregation, volume and size reduction and packaging, which will depend on the type of component, its chemical composition, residual activity and possible surface contamination. At CERN, these activities are performed in a dedicated waste treatment centre under the supervision of the Radiation Protection Group. This paper gives an overview of the radiation protection challenges in the conception of a temporary storage and treatment centre for radioactive waste in an accelerator facility, based on the experience gained at CERN. The CERN approach consists of the classification of waste items into 'families' with similar radiological and physical-chemical properties. This classification allows the use of specific, family-dependent techniques for radiological characterisation and treatment, which are simultaneously efficient and compliant with best practices in radiation protection. The storage was planned on the basis of radiological and other possible hazards such as toxicity, pollution and fire load. Examples are given of technical choices for the treatment and radiological characterisation of selected waste families, which could be of interest to other accelerator facilities.

  2. Radiation belt electron acceleration during the 17 March 2015 geomagnetic storm: Observations and simulations

    NASA Astrophysics Data System (ADS)

    Li, W.; Ma, Q.; Thorne, R. M.; Bortnik, J.; Zhang, X.-J.; Li, J.; Baker, D. N.; Reeves, G. D.; Spence, H. E.; Kletzing, C. A.; Kurth, W. S.; Hospodarsky, G. B.; Blake, J. B.; Fennell, J. F.; Kanekal, S. G.; Angelopoulos, V.; Green, J. C.; Goldstein, J.

    2016-06-01

    Various physical processes are known to cause acceleration, loss, and transport of energetic electrons in the Earth's radiation belts, but their quantitative roles in different time and space need further investigation. During the largest storm over the past decade (17 March 2015), relativistic electrons experienced fairly rapid acceleration up to ~7 MeV within 2 days after an initial substantial dropout, as observed by Van Allen Probes. In the present paper, we evaluate the relative roles of various physical processes during the recovery phase of this large storm using a 3-D diffusion simulation. By quantitatively comparing the observed and simulated electron evolution, we found that chorus plays a critical role in accelerating electrons up to several MeV near the developing peak location and produces characteristic flat-top pitch angle distributions. By only including radial diffusion, the simulation underestimates the observed electron acceleration, while radial diffusion plays an important role in redistributing electrons and potentially accelerates them to even higher energies. Moreover, plasmaspheric hiss is found to provide efficient pitch angle scattering losses for hundreds of keV electrons, while its scattering effect on > 1 MeV electrons is relatively slow. Although an additional loss process is required to fully explain the overestimated electron fluxes at multi-MeV, the combined physical processes of radial diffusion and pitch angle and energy diffusion by chorus and hiss reproduce the observed electron dynamics remarkably well, suggesting that quasi-linear diffusion theory is reasonable to evaluate radiation belt electron dynamics during this big storm.

  3. The radiation field measurement and analysis outside the shielding of A 10 MeV electron irradiation accelerator

    NASA Astrophysics Data System (ADS)

    Shang, Jing; Li, Juexin; Xu, Bing; Li, Yuxiong

    2011-10-01

    Electron accelerators are employed widely for diverse purposes in the irradiation-processing industry, from sterilizing medical products to treating gemstones. Because accelerators offer high efficiency, high power, and require little preventative maintenance, they are becoming more and more popular than using the 60Co isotope approach. However, the electron accelerator exposes potential radiation hazards. To protect workers and the public from exposure to radiation, the radiation field around the electronic accelerator must be assessed, especially that outside the shielding. Thus, we measured the radiation dose at different positions outside the shielding of a 10-MeV electron accelerator using a new data-acquisition unit named Mini-DDL (Mini-Digital Data Logging). The measurements accurately reflect the accelerator's radiation status. In this paper, we present our findings, results and compare them with our theoretical calculations. We conclude that the measurements taken outside the irradiation hall are consistent with the findings from our calculations, except in the maze outside the door of the accelerator room. We discuss the reason for this discrepancy.

  4. Advanced treatment planning methods for efficient radiation therapy with laser accelerated proton and ion beams

    SciTech Connect

    Schell, Stefan; Wilkens, Jan J.

    2010-10-15

    Purpose: Laser plasma acceleration can potentially replace large and expensive cyclotrons or synchrotrons for radiotherapy with protons and ions. On the way toward a clinical implementation, various challenges such as the maximum obtainable energy still remain to be solved. In any case, laser accelerated particles exhibit differences compared to particles from conventional accelerators. They typically have a wide energy spread and the beam is extremely pulsed (i.e., quantized) due to the pulsed nature of the employed lasers. The energy spread leads to depth dose curves that do not show a pristine Bragg peak but a wide high dose area, making precise radiotherapy impossible without an additional energy selection system. Problems with the beam quantization include the limited repetition rate and the number of accelerated particles per laser shot. This number might be too low, which requires a high repetition rate, or it might be too high, which requires an additional fluence selection system to reduce the number of particles. Trying to use laser accelerated particles in a conventional way such as spot scanning leads to long treatment times and a high amount of secondary radiation produced when blocking unwanted particles. Methods: The authors present methods of beam delivery and treatment planning that are specifically adapted to laser accelerated particles. In general, it is not necessary to fully utilize the energy selection system to create monoenergetic beams for the whole treatment plan. Instead, within wide parts of the target volume, beams with broader energy spectra can be used to simultaneously cover multiple axially adjacent spots of a conventional dose delivery grid as applied in intensity modulated particle therapy. If one laser shot produces too many particles, they can be distributed over a wider area with the help of a scattering foil and a multileaf collimator to cover multiple lateral spot positions at the same time. These methods are called axial and

  5. Cherenkov radiation in a surface wave accelerator based on silicon carbide

    NASA Astrophysics Data System (ADS)

    Wang, Tianhong; Khudik, Vladimir; Shvets, Gennady

    2016-10-01

    We report on our theoretical investigations of Cherenkov-type emission of surface phonon polaritons (SPPs) by relativistic electron bunches. The polaritons are confined by a planar waveguide comprised of two SiC slabs separated by an air gap. The SPPs are generated in the spectral range known as the reststrahlen band, where the dielectric permittivity of SiC is negative. Two surface modes of the radiation are analyzed: the longitudinal (accelerating) and the transverse (deflecting) ones. Both form Cherenkov cones that are different in the magnitude of the cone angle and the central frequency. However, both exhibits rapid spatial oscillations and beats behind the moving charge. Moreover, the longitudinal mode forms a reversed Cherenkov radiation cone due the negative group velocity for sufficiently small air gaps, but the transverse mode does not. The wakefield acceleration of electron beam inside the structure is also studied. Transverse instabilities and BBU effects can be suppressed by flat driver beam, meanwhile the longitudinal mode can support accelerating fields >1 GeV.

  6. Optimization of radiation acceleration regime and the target structure in laser plasma interaction

    NASA Astrophysics Data System (ADS)

    Dudnikova, Galina; Lui, Chuan; Papadopoulos, Dennis; Sagdeev, Roald; Zigler, Ari

    2009-11-01

    Recent work [1,2] indicates that under proper conditions the interaction of ultra-short, high power lasers with thin foils can generate ion beams in the 100-200 MeV energy range with relatively low velocity dispersion. This technology can have major implications to medical ion proton cancer therapy since it can provide a relatively inexpensive table-top alternative to the current used traditional cyclotrons. This paper presents a simulation trade-off study of laser driven generation of quasi-monochromatic ion beams in the thin-foil Radiation Pressure Acceleration (RPA) regime. The radiation pressure accelerates the electron cloud, which in its turn transfers accelerates the ions due to the induced longitudinal charge separation fields. A series of two and three-dimensional PIC simulations are presented with emphasis on stabilizing the target plasma against Raleigh-Taylor and modulational instabilities. Such instabilities are known as the main obstacles in achieving monochromatic beams. [4pt] [1] B. Eliasson, C. Lui, et al. New Jour. Phys., 11, 2009.[0pt] [2] F. Pegoraro, S.V. Bulanov. Laser Phys., v19, N 2, 2009.

  7. A comparison of robotic arm versus gantry linear accelerator stereotactic body radiation therapy for prostate cancer.

    PubMed

    Avkshtol, Vladimir; Dong, Yanqun; Hayes, Shelly B; Hallman, Mark A; Price, Robert A; Sobczak, Mark L; Horwitz, Eric M; Zaorsky, Nicholas G

    2016-01-01

    Prostate cancer is the most prevalent cancer diagnosed in men in the United States besides skin cancer. Stereotactic body radiation therapy (SBRT; 6-15 Gy per fraction, up to 45 minutes per fraction, delivered in five fractions or less, over the course of approximately 2 weeks) is emerging as a popular treatment option for prostate cancer. The American Society for Radiation Oncology now recognizes SBRT for select low- and intermediate-risk prostate cancer patients. SBRT grew from the notion that high doses of radiation typical of brachytherapy could be delivered noninvasively using modern external-beam radiation therapy planning and delivery methods. SBRT is most commonly delivered using either a traditional gantry-mounted linear accelerator or a robotic arm-mounted linear accelerator. In this systematic review article, we compare and contrast the current clinical evidence supporting a gantry vs robotic arm SBRT for prostate cancer. The data for SBRT show encouraging and comparable results in terms of freedom from biochemical failure (>90% for low and intermediate risk at 5-7 years) and acute and late toxicity (<6% grade 3-4 late toxicities). Other outcomes (eg, overall and cancer-specific mortality) cannot be compared, given the indolent course of low-risk prostate cancer. At this time, neither SBRT device is recommended over the other for all patients; however, gantry-based SBRT machines have the abilities of treating larger volumes with conventional fractionation, shorter treatment time per fraction (~15 minutes for gantry vs ~45 minutes for robotic arm), and the ability to achieve better plans among obese patients (since they are able to use energies >6 MV). Finally, SBRT (particularly on a gantry) may also be more cost-effective than conventionally fractionated external-beam radiation therapy. Randomized controlled trials of SBRT using both technologies are underway.

  8. A comparison of robotic arm versus gantry linear accelerator stereotactic body radiation therapy for prostate cancer

    PubMed Central

    Avkshtol, Vladimir; Dong, Yanqun; Hayes, Shelly B; Hallman, Mark A; Price, Robert A; Sobczak, Mark L; Horwitz, Eric M; Zaorsky, Nicholas G

    2016-01-01

    Prostate cancer is the most prevalent cancer diagnosed in men in the United States besides skin cancer. Stereotactic body radiation therapy (SBRT; 6–15 Gy per fraction, up to 45 minutes per fraction, delivered in five fractions or less, over the course of approximately 2 weeks) is emerging as a popular treatment option for prostate cancer. The American Society for Radiation Oncology now recognizes SBRT for select low- and intermediate-risk prostate cancer patients. SBRT grew from the notion that high doses of radiation typical of brachytherapy could be delivered noninvasively using modern external-beam radiation therapy planning and delivery methods. SBRT is most commonly delivered using either a traditional gantry-mounted linear accelerator or a robotic arm-mounted linear accelerator. In this systematic review article, we compare and contrast the current clinical evidence supporting a gantry vs robotic arm SBRT for prostate cancer. The data for SBRT show encouraging and comparable results in terms of freedom from biochemical failure (>90% for low and intermediate risk at 5–7 years) and acute and late toxicity (<6% grade 3–4 late toxicities). Other outcomes (eg, overall and cancer-specific mortality) cannot be compared, given the indolent course of low-risk prostate cancer. At this time, neither SBRT device is recommended over the other for all patients; however, gantry-based SBRT machines have the abilities of treating larger volumes with conventional fractionation, shorter treatment time per fraction (~15 minutes for gantry vs ~45 minutes for robotic arm), and the ability to achieve better plans among obese patients (since they are able to use energies >6 MV). Finally, SBRT (particularly on a gantry) may also be more cost-effective than conventionally fractionated external-beam radiation therapy. Randomized controlled trials of SBRT using both technologies are underway. PMID:27574585

  9. Investigation on the internal acceleration process of the outer radiation belt using the particle filter

    NASA Astrophysics Data System (ADS)

    Toyama, H.; Miyoshi, Y.; Ueno, G.; Koshiishi, H.; Matsumoto, H.; Shiokawa, K.

    2013-12-01

    It is known that high energy electrons in the radiation belts often cause satellite anomalies and malfunctions. Thus, a forecast of the time variation of the energetic electrons is necessary to protect satellites in the radiation belts. Time variations of the radiation belt electrons have been modeled with the Fokker-Plank equation. Performance of the forecast using the Fokker-Planck equation depends on the parameters used in the model, so that improvement of the parameters is important for the space weather forecast. We performed data assimilation using the particle filter by a code which was developed by Miyoshi et al.[2006]. We prepare 1000 particles used for the calculation. In this study, phase space density, the diffusion coefficient, and wave amplitude, and the source amplitude of the internal acceleration compose the state vector. The observation vector consists of the differential flux measured by the Tsubasa satellite. We also apply the particle smoother to estimate the smoothed distribution. While there were several discrepancies between the simulation without the data assimilation and the observations, the data assimilation improves the simulation result, and captures the typical flux variations of the outer belt during magnetic storms. We also discuss the internal acceleration process on the basis of the source amplitude estimated through the data assimilation.

  10. Radiation reaction effect on laser driven auto-resonant particle acceleration

    SciTech Connect

    Sagar, Vikram; Sengupta, Sudip; Kaw, P. K.

    2015-12-15

    The effects of radiation reaction force on laser driven auto-resonant particle acceleration scheme are studied using Landau-Lifshitz equation of motion. These studies are carried out for both linear and circularly polarized laser fields in the presence of static axial magnetic field. From the parametric study, a radiation reaction dominated region has been identified in which the particle dynamics is greatly effected by this force. In the radiation reaction dominated region, the two significant effects on particle dynamics are seen, viz., (1) saturation in energy gain by the initially resonant particle and (2) net energy gain by an initially non-resonant particle which is caused due to resonance broadening. It has been further shown that with the relaxation of resonance condition and with optimum choice of parameters, this scheme may become competitive with the other present-day laser driven particle acceleration schemes. The quantum corrections to the Landau-Lifshitz equation of motion have also been taken into account. The difference in the energy gain estimates of the particle by the quantum corrected and classical Landau-Lifshitz equation is found to be insignificant for the present day as well as upcoming laser facilities.

  11. Radiation reaction effect on laser driven auto-resonant particle acceleration

    NASA Astrophysics Data System (ADS)

    Sagar, Vikram; Sengupta, Sudip; Kaw, P. K.

    2015-12-01

    The effects of radiation reaction force on laser driven auto-resonant particle acceleration scheme are studied using Landau-Lifshitz equation of motion. These studies are carried out for both linear and circularly polarized laser fields in the presence of static axial magnetic field. From the parametric study, a radiation reaction dominated region has been identified in which the particle dynamics is greatly effected by this force. In the radiation reaction dominated region, the two significant effects on particle dynamics are seen, viz., (1) saturation in energy gain by the initially resonant particle and (2) net energy gain by an initially non-resonant particle which is caused due to resonance broadening. It has been further shown that with the relaxation of resonance condition and with optimum choice of parameters, this scheme may become competitive with the other present-day laser driven particle acceleration schemes. The quantum corrections to the Landau-Lifshitz equation of motion have also been taken into account. The difference in the energy gain estimates of the particle by the quantum corrected and classical Landau-Lifshitz equation is found to be insignificant for the present day as well as upcoming laser facilities.

  12. Laser-plasma accelerator and femtosecond photon sources-based ultrafast radiation chemistry and biophysics

    NASA Astrophysics Data System (ADS)

    Gauduel, Y. A.

    2017-02-01

    The initial distribution of energy deposition triggered by the interaction of ionizing radiations (far UV and X rays, electron, proton and accelerated ions) with molecular targets or integrated biological systems is often decisive for the spatio-temporal behavior of radiation effects that take place on several orders of magnitude. This contribution deals with an interdisciplinary approach that concerns cutting-edge advances on primary radiation events, considering the potentialities of innovating strategies based on ultrafast laser science, from femtosecond photon sources to laser-driven relativistic particles acceleration. Recent advances of powerful TW laser sources (~ 1019 Wcm‑2) and laser-plasma interactions providing ultrashort relativistic particle beams in the energy domain 2.5–150 MeV open exciting opportunities for the development of high-energy radiation femtochemistry (HERF). Early radiation damages being dependent on the survival probability of secondary electrons and radial distribution of short-lived radicals inside ionization clusters, a thorough knowledge of these processes involves the real-time probing of primary events in the temporal range 10‑14–10‑11 s. In the framework of a closed synergy between low-energy radiation femtochemistry (LERF) and the emerging domain of HERF, the paper focuses on early phenomena that occur in the prethermal regime of low-energy secondary electrons, considering very short-lived quantum effects in aqueous environments. A high dose-rate delivered by femtosecond electron beam (~ 1011–1013 Gy s‑1) can be used to investigate early radiation processes in native ionization tracks, down to 10‑12 s and 10‑9 m. We explain how this breakthrough favours the innovating development of real-time nanodosimetry in biologically relevant environments and open new perspectives for spatio-temporal radiation biophysics. The emerging domain of HERF would provide guidance for understanding the specific bioeffects of

  13. Studies of Particle Acceleration, Transport and Radiation in Impulsive Phase of Solar Flares

    NASA Technical Reports Server (NTRS)

    Petrosian, Vahe

    2005-01-01

    Solar activity and its most prominent aspect, the solar flares, have considerable influence on terrestrial and space weather. Solar flares also provide a suitable laboratory for the investigation of many plasma and high energy processes important in the magnetosphere of the Earth and many other space and astrophysical situations. Hence, progress in understanding of flares will have considerable scientific and societal impact. The primary goal of this grant is the understanding of two of the most important problems of solar flare physics, namely the determination of the energy release mechanism and how this energy accelerates particles. This is done through comparison of the observations with theoretical models, starting from observations and gradually proceeding to theoretically more complex situations as the lower foundations of our understanding are secured. It is generally agreed that the source of the flare energy is the annihilation of magnetic fields by the reconnection process. Exactly how this energy is released or how it is dissipated remains controversial. Moreover, the exact mechanism of the acceleration of the particles is still a matter of debate. Data from many spacecrafts and ground based instruments obtained over the past decades have given us some clues. Theoretical analyses of these data have led to the standard thick target model (STT) where most of the released energy goes into an (assumed) power law spectrum of accelerated particles, and where all the observed radiations are the consequence of the interaction of these particles with the flare plasma. However, some theoretical arguments, and more importantly some new observations, have led us to believe that the above picture is not complete. It appears that plasma turbulence plays a more prominent role than suspected previously, and that it is the most likely agent for accelerating particles. The model we have developed is based on production of a high level of plasma waves and turbulence in

  14. Radiation Field Forming for Industrial Electron Accelerators Using Rare-Earth Magnetic Materials

    NASA Astrophysics Data System (ADS)

    Ermakov, A. N.; Khankin, V. V.; Shvedunov, N. V.; Shvedunov, V. I.; Yurov, D. S.

    2016-09-01

    The article describes the radiation field forming system for industrial electron accelerators, which would have uniform distribution of linear charge density at the surface of an item being irradiated perpendicular to the direction of its motion. Its main element is non-linear quadrupole lens made with the use of rare-earth magnetic materials. The proposed system has a number of advantages over traditional beam scanning systems that use electromagnets, including easier product irradiation planning, lower instantaneous local dose rate, smaller size, lower cost. Provided are the calculation results for a 10 MeV industrial electron accelerator, as well as measurement results for current distribution in the prototype build based on calculations.

  15. Error-Rate Estimation Based on Multi-Signal Flow Graph Model and Accelerated Radiation Tests

    PubMed Central

    Wang, Yueke; Xing, Kefei; Deng, Wei; Zhang, Zelong

    2016-01-01

    A method of evaluating the single-event effect soft-error vulnerability of space instruments before launched has been an active research topic in recent years. In this paper, a multi-signal flow graph model is introduced to analyze the fault diagnosis and meantime to failure (MTTF) for space instruments. A model for the system functional error rate (SFER) is proposed. In addition, an experimental method and accelerated radiation testing system for a signal processing platform based on the field programmable gate array (FPGA) is presented. Based on experimental results of different ions (O, Si, Cl, Ti) under the HI-13 Tandem Accelerator, the SFER of the signal processing platform is approximately 10−3(error/particle/cm2), while the MTTF is approximately 110.7 h. PMID:27583533

  16. Radiation protection aspects of a new high-energy linear accelerator.

    PubMed

    O'Brien, P; Michaels, H B; Gillies, B; Aldrich, J E; Andrew, J W

    1985-01-01

    The Therac-25 is a new 25-MeV linear accelerator manufactured by Atomic Energy of Canada, Ltd. The first two units have recently been installed in Toronto, Ontario and Halifax, Nova Scotia. Calculations and measurements of primary and secondary radiation levels were made. Neutron dose-equivalent rates were measured inside and outside the room. The maximum leakage rate at 1 m from the accelerator target was 0.4% Sv per peak photon Gy. The tenth value layer for neutrons from the Therac-25, at the entrance to a one-legged maze was found to be 5.5 cm of polyethylene. Measurements were done to estimate daily technologist exposure due to induced activity in the treatment room.

  17. Radiation protection aspects of a new high-energy linear accelerator

    SciTech Connect

    O'Brien, P.; Michaels, H.B.; Gillies, B.; Aldrich, J.E.; Andrew, J.W.

    1985-01-01

    The Therac-25 is a new 25-MeV linear accelerator manufactured by Atomic Energy of Canada, Ltd. The first two units have recently been installed in Toronto, Ontario and Halifax, Nova Scotia. Calculations and measurements of primary and secondary radiation levels were made. Neutron dose-equivalent rates were measured inside and outside the room. The maximum leakage rate at 1 m from the accelerator target was 0.4% Sv per peak photon Gy. The tenth value layer for neutrons from the Therac-25, at the entrance to a one-legged maze was found to be 5.5 cm of polyethylene. Measurements were done to estimate daily technologist exposure due to induced activity in the treatment room.

  18. Enhanced extraction of patchouli alcohol from Pogostemon cablin by microwave radiation-accelerated ionic liquid pretreatment.

    PubMed

    Fan, Ling; Jin, Ronghua; Liu, Yinghu; An, Min; Chen, Shi

    2011-11-15

    A microwave radiation-accelerated ionic liquid pretreatment (MRAILP) was developed to enhance extraction of patchouli alcohol from Pogostemon cablin. 1-N-butyl-3-methylimidazolium chloride ([C(4)mim]Cl) was selected as microwave absorbing and cellulose dissolution medium and microwave was applied to accelerate sample dissolution. The conditions of MRAILP including particle size, solvent, microwave pretreatment time and power and the ratio of ionic liquid (IL) to sample were optimized. Under the optimized conditions, the extraction yield of patchouli alcohol by the MRAILP was 1.94%, which has increased by 166% compared with microwave-assisted extraction. The recovery was in the range of 95.71-103.7% with relative standard deviation lower than 3.0%. It was a novel alternative extraction method for the fast extraction and determination of patchouli alcohol from Pogostemon cablin.

  19. Radiation-Pressure Acceleration of Ion Beams from Nanofoil Targets: The Leaky Light-Sail Regime

    SciTech Connect

    Qiao, B.; Zepf, M.; Borghesi, M.; Dromey, B.; Geissler, M.; Karmakar, A.; Gibbon, P.

    2010-10-08

    A new ion radiation-pressure acceleration regime, the 'leaky light sail', is proposed which uses sub-skin-depth nanometer foils irradiated by circularly polarized laser pulses. In the regime, the foil is partially transparent, continuously leaking electrons out along with the transmitted laser field. This feature can be exploited by a multispecies nanofoil configuration to stabilize the acceleration of the light ion component, supplementing the latter with an excess of electrons leaked from those associated with the heavy ions to avoid Coulomb explosion. It is shown by 2D particle-in-cell simulations that a monoenergetic proton beam with energy 18 MeV is produced by circularly polarized lasers at intensities of just 10{sup 19} W/cm{sup 2}. 100 MeV proton beams are obtained by increasing the intensities to 2x10{sup 20} W/cm{sup 2}.

  20. Grey transport acceleration method for time-dependent radiative transfer problems

    SciTech Connect

    Larsen, E.

    1988-10-01

    A new iterative method for solving hte time-dependent multifrequency radiative transfer equations is described. The method is applicable to semi-implicit time discretizations that generate a linear steady-state multifrequency transport problem with pseudo-scattering within each time step. The standard ''lambda'' iteration method is shown to often converge slowly for such problems, and the new grey transport acceleration (GTA) method, based on accelerating the lambda method by employing a grey, or frequency-independent transport equation, is developed. The GTA method is shown, theoretically by an iterative Fourier analysis, and experimentally by numerical calculations, to converge significantly faster than the lambda method. In addition, the GTA method is conceptually simple to implement for general differencing schemes, on either Eulerian or Lagrangian meshes. copyright 1988 Academic Press, Inc.

  1. Radiation-pressure acceleration of ion beams from nanofoil targets: the leaky light-sail regime.

    PubMed

    Qiao, B; Zepf, M; Borghesi, M; Dromey, B; Geissler, M; Karmakar, A; Gibbon, P

    2010-10-08

    A new ion radiation-pressure acceleration regime, the "leaky light sail," is proposed which uses sub-skin-depth nanometer foils irradiated by circularly polarized laser pulses. In the regime, the foil is partially transparent, continuously leaking electrons out along with the transmitted laser field. This feature can be exploited by a multispecies nanofoil configuration to stabilize the acceleration of the light ion component, supplementing the latter with an excess of electrons leaked from those associated with the heavy ions to avoid Coulomb explosion. It is shown by 2D particle-in-cell simulations that a monoenergetic proton beam with energy 18 MeV is produced by circularly polarized lasers at intensities of just 10¹⁹  W/cm². 100 MeV proton beams are obtained by increasing the intensities to 2 × 10²⁰  W/cm².

  2. A Phase 2 Trial of Once-Weekly Hypofractionated Breast Irradiation: First Report of Acute Toxicity, Feasibility, and Patient Satisfaction

    SciTech Connect

    Dragun, Anthony E.; Quillo, Amy R.; Riley, Elizabeth C.; Roberts, Teresa L.; Hunter, Allison M.; Rai, Shesh N.; Callender, Glenda G.; Jain, Dharamvir; McMasters, Kelly M.; Spanos, William J.

    2013-03-01

    Purpose: To report on early results of a single-institution phase 2 trial of a 5-fraction, once-weekly radiation therapy regimen for patients undergoing breast-conserving surgery (BCS). Methods and Materials: Patients who underwent BCS for American Joint Committee on Cancer stage 0, I, or II breast cancer with negative surgical margins were eligible to receive whole breast radiation therapy to a dose of 30 Gy in 5 weekly fractions of 6 Gy with or without an additional boost. Elective nodal irradiation was not permitted. There were no restrictions on breast size or the use of cytotoxic chemotherapy for otherwise eligible patients. Patients were assessed at baseline, treatment completion, and at first posttreatment follow-up to assess acute toxicity (Common Terminology Criteria for Adverse Events, version 3.0) and quality of life (European Organization for Research and Treatment of Cancer QLQ-BR23). Results: Between January and September 2011, 42 eligible patients underwent weekly hypofractionated breast irradiation immediately following BCS (69.0%) or at the conclusion of cytotoxic chemotherapy (31.0%). The rates of grade ≥2 radiation-induced dermatitis, pain, fatigue, and breast edema were 19.0%, 11.9%, 9.5%, and 2.4%, respectively. Only 1 grade 3 toxicity—pain requiring a course of narcotic analgesics—was observed. One patient developed a superficial cellulitis (grade 2), which resolved with the use of oral antibiotics. Patient-reported moderate-to-major breast symptoms (pain, swelling, and skin problems), all decreased from baseline through 1 month, whereas breast sensitivity remained stable over the study period. Conclusions: The tolerance of weekly hypofractionated breast irradiation compares well with recent reports of daily hypofractionated whole-breast irradiation schedules. The regimen appears feasible and cost-effective. Additional follow-up with continued accrual is needed to assess late toxicity, cosmesis, and disease-specific outcomes.

  3. SU-E-T-361: Energy Dependent Radiation/light-Field Misalignment On Truebeam Linear Accelerator

    SciTech Connect

    Sperling, N; Tanny, S; Parsai, E

    2015-06-15

    Purpose: Verifying the co-incidence of the radiation and light field is recommended by TG-142 for monthly and annual checks. On a digital accelerator, it is simple to verify that beam steering settings are consistent with accepted and commissioned values. This fact should allow for physicists to verify radiation-light-field co-incidence for a single energy and accept that Result for all energies. We present a case where the radiation isocenter deviated for a single energy without any apparent modification to the beam steering parameters. Methods: The radiation isocenter was determined using multiple Methods: Gafchromic film, a BB test, and radiation profiles measured with a diode. Light-field borders were marked on Gafchromic film and then irradiated for all photon energies. Images of acceptance films were compared with films taken four months later. A phantom with a radio-opaque BB was aligned to isocenter using the light-field and imaged using the EPID for all photon energies. An unshielded diode was aligned using the crosshairs and then beam profiles of multiple field sizes were obtained. Field centers were determined using Omni-Pro v7.4 software, and compared to similar scans taken during commissioning. Beam steering parameter files were checked against backups to determine that the steering parameters were unchanged. Results: There were no differences between the configuration files from acceptance. All three tests demonstrated that a single energy had deviated from accepted values by 0.8 mm in the inline direction. The other two energies remained consistent with previous measurements. The deviated energy was re-steered to be within our clinical tolerance. Conclusions: Our study demonstrates that radiation-light-field coincidence is an energy dependent effect for modern linacs. We recommend that radiation-light-field coincidence be verified for all energies on a monthly basis, particularly for modes used to treat small fields, as these may drift without

  4. Hypofractionated stereotactic radiotherapy combined with topotecan in recurrent malignant glioma

    SciTech Connect

    Wurm, Reinhard E. . E-mail: Reinhard.Wurm@charite.de; Kuczer, David A.; Schlenger, Lorenz; Matnjani, Gesa; Scheffler, Dirk; Cosgrove, Vivian P.; Ahlswede, Julia; Woiciechowsky, Christian; Budach, Volker

    2006-11-15

    Purpose: To assess hypofractionated stereotactic radiotherapy (H-SRT) with concurrent topotecan in patients with recurrent malignant glioma. Methods and Materials: Between February 1998 and December 2001, 25 patients with recurrent malignant glioma were treated in a phase I-II study (8 females and 17 males; median age, 45 years; range, 11-66 years; median Karnofsky performance status, 80%, range, 50-100%; median Mini Mental Standard Examination score, 25 points; range, 10-30 points). Of the 25 patients, 20% had World Health Organization Grade III and 80% World Health Organization Grade IV glioma. All patients had been treated previously by external beam radiotherapy with 54.4 Gy in 34 fractions twice daily, at least 6 h apart, within 3.5 weeks or 60 Gy in 30 fractions within 6 weeks. In addition, 84% had already received at least one chemotherapy regimen for recurrence. The median H-SRT dose at the 80% isodose was 25 Gy, and the maximal dose was 30 Gy delivered in five to six fractions on consecutive days. Topotecan (1.1 mg/m{sup 2}/d) was given as a continuous i.v. infusion during H-SRT. Depending on the toxicity and compliance, patients received an additional 48 topotecan courses. Results: For all patients, the actuarial median progression-free survival was 10.5 months (range, 1.4-47.8 months), the median functional survival was 12.6 months (range, 1.6-49.5 months), and the median overall survival was 14.5 months (range, 3-56.4 months). Twelve percent of patients developed presumed adverse radiation effects (Radiation Therapy Oncology Group Grade 2). According to the Common Toxicity Criteria, version 2.0, no topotecan-related Grade 4 toxicity was noted. Grade 3 neutropenia was documented after 14 and Grade 3 thrombopenia after 12 courses. Conclusion: H-SRT with topotecan is feasible and well-tolerated in patients with recurrent high-grade glioma and results in similar survival compared with other repeat treatment modalities.

  5. Non-diffusive resonant acceleration of electrons in the radiation belts

    SciTech Connect

    Artemyev, A. V.; Krasnoselskikh, V. V.; Agapitov, O. V.; Rolland, G.

    2012-12-15

    We describe a mechanism of resonant electron acceleration by oblique high-amplitude whistler waves under conditions typical for the Earth radiation belts. We use statistics of spacecraft observations of whistlers in the Earth radiation belts to obtain the dependence of the angle {theta} between the wave-normal and the background magnetic field on magnetic latitude {lambda}. According to this statistics, the angle {theta} already approaches the resonance cone at {lambda}{approx}15 Degree-Sign and remains close to it up to {lambda}{approx}30 Degree-Sign -40 Degree-Sign on the dayside. The parallel component of the electrostatic field of whistler waves often increases around {lambda}{approx}15 Degree-Sign up to one hundred of mV/m. We show that due to this increase of the electric field, the whistler waves can trap electrons into the potential well via wave particle resonant interaction corresponding to Landau resonance. Trapped electrons then move with the wave to higher latitudes where they escape from the resonance. Strong acceleration is favored by adiabatic invariance along the increasing magnetic field, which continuously transfers the parallel energy gained to perpendicular energy, allowing resonance to be reached and maintained. The concomitant increase of the wave phase velocity allows for even stronger relative acceleration at low energy <50keV. Each trapping-escape event of electrons of {approx}10keV to 100 keV results in an energy gain of up to 100 keV in the inhomogeneous magnetic field of the Earth dipole. For electrons with initial energy below 100 keV, such rapid acceleration should hasten their drop into the loss-cone and their precipitation into the atmosphere. We discuss the role of the considered mechanism in the eventual formation of a trapped distribution of relativistic electrons for initial energies larger than 100 keV and in microbursts precipitations of lower energy particles.

  6. Betatron radiation based diagnostics for plasma wakefield accelerated electron beams at the SPARC_LAB test facility

    NASA Astrophysics Data System (ADS)

    Shpakov, V.; Anania, M. P.; Biagioni, A.; Chiadroni, E.; Cianchi, A.; Curcio, A.; Dabagov, S.; Ferrario, M.; Filippi, F.; Marocchino, A.; Paroli, B.; Pompili, R.; Rossi, A. R.; Zigler, A.

    2016-09-01

    Recent progress with wake-field acceleration has shown a great potential in providing high gradient acceleration fields, while the quality of the beams remains relatively poor. Precise knowledge of the beam size at the exit from the plasma and matching conditions for the externally injected beams are the key for improvement of beam quality. Betatron radiation emitted by the beam during acceleration in the plasma is a powerful tool for the transverse beam size measurement, being also non-intercepting. In this work we report on the technical solutions chosen at SPARC_LAB for such diagnostics tool, along with expected parameters of betatron radiation.

  7. Resonant wave-particle interaction in the radiation belts: quasi-linear scattering vs. nonlinear acceleration.

    NASA Astrophysics Data System (ADS)

    Artemyev, Anton; Agapitov, Oleksiy; Krasnoselskikh, Vladimir; Mourenas, Didier; Vasiliev, Alexei

    Wave-particle resonant interaction is the main mechanism responsible for electron acceleration and scattering in the radiation belts. There are two approaches describing this interaction - quasi-linear theory describes particle diffusion in momentum space, while nonlinear trapping of particles by high-amplitude waves can describe fast particle acceleration. The diffusion approach is more developed and widely used now. However, many modern observations in the radiation belts suggest the presence of significant population of large amplitude waves which can be responsible for nonlinear wave-particle interaction. We show that such nonlinear wave-particle resonant interaction corresponds to the fast transport of particles in phase space. We show that the general approach for the description of the evolution of the particle velocity distribution based on the Fokker-Plank equation can be modified to consider the process of nonlinear wave-particle interaction, including particle trapping. Such a modification consists in one additional operator describing fast particle jumps in phase space. The proposed approach is illustrated by considering the acceleration of relativistic electrons by strongly oblique whistler waves. We determine the typical variation of electron phase-density due to nonlinear wave-particle interaction and compare this variation with pitch-angle/energy diffusion due to quasi-linear electron scattering. We show that relation between nonlinear and quasi-linear effects is controlled by the distribution of wave-amplitudes. When this distribution has a heavy tail, nonlinear effects can become dominant in the formation of the electron energy distribution. We compare effectiveness of quasi-linear diffusion and nonlinear trapping for conditions typical for Earth radiation belts.

  8. Improving Dose Determination Accuracy in Nonstandard Fields of the Varian TrueBeam Accelerator

    NASA Astrophysics Data System (ADS)

    Hyun, Megan A.

    In recent years, the use of flattening-filter-free (FFF) linear accelerators in radiation-based cancer therapy has gained popularity, especially for hypofractionated treatments (high doses of radiation given in few sessions). However, significant challenges to accurate radiation dose determination remain. If physicists cannot accurately determine radiation dose in a clinical setting, cancer patients treated with these new machines will not receive safe, accurate and effective treatment. In this study, an extensive characterization of two commonly used clinical radiation detectors (ionization chambers and diodes) and several potential reference detectors (thermoluminescent dosimeters, plastic scintillation detectors, and alanine pellets) has been performed to investigate their use in these challenging, nonstandard fields. From this characterization, reference detectors were identified for multiple beam sizes, and correction factors were determined to improve dosimetric accuracy for ionization chambers and diodes. A validated computational (Monte Carlo) model of the TrueBeam(TM) accelerator, including FFF beam modes, was also used to calculate these correction factors, which compared favorably to measured results. Small-field corrections of up to 18 % were shown to be necessary for clinical detectors such as microionization chambers. Because the impact of these large effects on treatment delivery is not well known, a treatment planning study was completed using actual hypofractionated brain, spine, and lung treatments that were delivered at the UW Carbone Cancer Center. This study demonstrated that improperly applying these detector correction factors can have a substantial impact on patient treatments. This thesis work has taken important steps toward improving the accuracy of FFF dosimetry through rigorous experimentally and Monte-Carlo-determined correction factors, the validation of an important published protocol (TG-51) for use with FFF reference fields, and a

  9. Nuclear modeling for applications in medical radiation therapy and accelerator-driven technologies

    SciTech Connect

    Chadwick, M.B.

    1995-06-01

    An understanding of the interactions of neutrons and protons below a few hundred MeV with nuclei is important for a number of applications. In this paper, two new applications are discussed: radiation transport calculations of energy deposition in fast neutron and proton cancer radiotherapy to optimize the dose given to a tumor; and intermediate-energy proton accelerators which are currently being designed for a range of applications including the destruction of long-lived radioactive nuclear waste. We describe nuclear theory calculations of direct, preequilibrium, and compound nucleus reaction mechanisms important for the modeling of these systems.

  10. Buildup region and skin-dose measurements for the Therac 6 linear accelerator for radiation therapy.

    PubMed

    Tannous, N B; Gagnon, W F; Almond, P R

    1981-01-01

    Buildup and surface-dose measurements were taken for the 6 MV photon beam from a Therac 6 linear accelerator manufactured by Atomic Energy of Canada Limited (AECL) with and without a lucite blocking tray in place. Further measurements were made with a copper filter designed to reduce secondary electrons emitted by photon interactions with the Lucite tray. The results are discussed in relation to skin-sparing for radiation therapy patients. The measurements were made with a fixed volume PTW parallel-plate ionization chamber and corrected to zero-chamber volume. The results were found to be consistent with similar measurements taken with a variable volume extrapolation chamber.

  11. Buildup region and skin-dose measurements for the Therac 6 Linear Accelerator for radiation therapy

    SciTech Connect

    Tannous, N.B.J.; Gagnon, W.F.; Almond, P.R.

    1981-05-01

    Buildup and surface-dose measurements were taken for the 6 MV photon beam from a Therac 6 linear accelerator manufactured by Atomic Energy of Canada Limited (AECL) with and without a lucite blocking tray in place. Further measurements were made with a copper filter designed to reduce secondary electrons emitted by photon interactions with the Lucite tray. The results are discussed in relation to skin-sparing for radiation therapy patients. The measurements were made with a fixed volume PTW parallel-plate ionization chamber and corrected to zero-chamber volume. The results were found to be consistent with similar measurements taken with a variable volume extrapolation chamber.

  12. Big Data and Comparative Effectiveness Research in Radiation Oncology: Synergy and Accelerated Discovery

    PubMed Central

    Trifiletti, Daniel M.; Showalter, Timothy N.

    2015-01-01

    Several advances in large data set collection and processing have the potential to provide a wave of new insights and improvements in the use of radiation therapy for cancer treatment. The era of electronic health records, genomics, and improving information technology resources creates the opportunity to leverage these developments to create a learning healthcare system that can rapidly deliver informative clinical evidence. By merging concepts from comparative effectiveness research with the tools and analytic approaches of “big data,” it is hoped that this union will accelerate discovery, improve evidence for decision making, and increase the availability of highly relevant, personalized information. This combination offers the potential to provide data and analysis that can be leveraged for ultra-personalized medicine and high-quality, cutting-edge radiation therapy. PMID:26697409

  13. Introduction of Parallel GPGPU Acceleration Algorithms for the Solution of Radiative Transfer

    NASA Technical Reports Server (NTRS)

    Godoy, William F.; Liu, Xu

    2011-01-01

    General-purpose computing on graphics processing units (GPGPU) is a recent technique that allows the parallel graphics processing unit (GPU) to accelerate calculations performed sequentially by the central processing unit (CPU). To introduce GPGPU to radiative transfer, the Gauss-Seidel solution of the well-known expressions for 1-D and 3-D homogeneous, isotropic media is selected as a test case. Different algorithms are introduced to balance memory and GPU-CPU communication, critical aspects of GPGPU. Results show that speed-ups of one to two orders of magnitude are obtained when compared to sequential solutions. The underlying value of GPGPU is its potential extension in radiative solvers (e.g., Monte Carlo, discrete ordinates) at a minimal learning curve.

  14. Measurements of high-energy radiation generation from laser-wakefield accelerated electron beams

    SciTech Connect

    Schumaker, W. Vargas, M.; Zhao, Z.; Behm, K.; Chvykov, V.; Hou, B.; Maksimchuk, A.; Nees, J.; Yanovsky, V.; Thomas, A. G. R.; Krushelnick, K.; Sarri, G.; Dromey, B.; Zepf, M.

    2014-05-15

    Using high-energy (∼0.5 GeV) electron beams generated by laser wakefield acceleration (LWFA), bremsstrahlung radiation was created by interacting these beams with various solid targets. Secondary processes generate high-energy electrons, positrons, and neutrons, which can be measured shot-to-shot using magnetic spectrometers, short half-life activation, and Compton scattering. Presented here are proof-of-principle results from a high-resolution, high-energy gamma-ray spectrometer capable of single-shot operation, and high repetition rate activation diagnostics. We describe the techniques used in these measurements and their potential applications in diagnosing LWFA electron beams and measuring high-energy radiation from laser-plasma interactions.

  15. Mechanical and radiation isocenter coincidence: an experience in linear accelerator alignment.

    PubMed

    Woo, M K; O'Brien, P; Gillies, B; Etheridge, R

    1992-01-01

    As part of the commissioning procedure of a linear accelerator at our cancer center, the defining laser lines were aligned with the optical and radiation isocenter of the linac. When a mechanical checkout jig was set up at the same point, a discrepancy of 4 mm resulted when the gantry was moved from 0 degrees to 180 degrees. Extensive measurements, some with custom-designed devices, confirmed the observations and provided an explanation. Even though the mechanical isocenter is within the specified tolerance of 1-mm radius, the clinically observable discrepancy of 4-mm results from the noncoincidence of the mechanical and radiation isocenters. The clinical significance of the final setup is discussed and future commissioning procedures are recommended.

  16. Bright betatronlike x rays from radiation pressure acceleration of a mass-limited foil target.

    PubMed

    Yu, Tong-Pu; Pukhov, Alexander; Sheng, Zheng-Ming; Liu, Feng; Shvets, Gennady

    2013-01-25

    By using multidimensional particle-in-cell simulations, we study the electromagnetic emission from radiation pressure acceleration of ultrathin mass-limited foils. When a circularly polarized laser pulse irradiates the foil, the laser radiation pressure pushes the foil forward as a whole. The outer wings of the pulse continue to propagate and act as a natural undulator. Electrons move together with ions longitudinally but oscillate around the latter transversely, forming a self-organized helical electron bunch. When the electron oscillation frequency coincides with the laser frequency as witnessed by the electron, betatronlike resonance occurs. The emitted x rays by the resonant electrons have high brightness, short durations, and broad band ranges which may have diverse applications.

  17. Radiation belt electron acceleration induced by gyroresonant interaction with magnetosonic waves

    NASA Astrophysics Data System (ADS)

    Yang, Chang; Zhang, Lewei; He, Yihua; Liu, Si; Zhou, Qinghua

    2014-10-01

    Using Cluster 4 satellite data, we examine activities of fast magnetosonic (MS) waves in the outer radiation belt near the location L=4.2 on 28 May 2005. We adopt a Gaussian distribution to fit the observed power spectral density of MS waves and find the fitting wave strength to be 245 pT. We then calculate the bounce-averaged diffusion coefficients and show that these diffusion coefficients are pronounced within a region of pitch angles about 25°-70°. By solving a 2D Fokker-Planck diffusion equation, we simulate the dynamic evolution of the electron phase space density (PSD), and demonstrate that significant increases in electron PSDs at energies of MeVs occur mainly within the aforementioned pitch-angle range over a time scale of several hours. The current results suggest that the interaction between MS waves and electrons could be an important mechanism of electron acceleration in the radiation belt.

  18. Administration of interleukin-6 stimulates multilineage hematopoiesis and accelerates recovery from radiation-induced hematopoietic depression

    SciTech Connect

    Patchen, M.L.; MacVittie, T.J.; Williams, J.L.; Schwartz, G.N.; Souza, L.M. )

    1991-02-01

    Hematopoietic depression and subsequent susceptibility to potentially lethal opportunistic infections are well-documented phenomena following radiotherapy. Methods to therapeutically mitigate radiation-induced myelosuppression could offer great clinical value. In vivo studies have demonstrated that interleukin-6 (IL-6) stimulates pluripotent hematopoietic stem cell (CFU-s), granulocyte-macrophage progenitor cell (GM-CFC), and erythroid progenitor cell (CFU-e) proliferation in normal mice. Based on these results, the ability of IL-6 to stimulate hematopoietic regeneration following radiation-induced hematopoietic injury was also evaluated. C3H/HeN female mice were exposed to 6.5 Gy 60Co radiation and subcutaneously administered either saline or IL-6 on days 1 through 3 or 1 through 6 postexposure. On days 7, 10, 14, 17, and 22, femoral and splenic CFU-s, GM-CFC, and CFU-e contents and peripheral blood white cell, red cell, and platelet counts were determined. Compared with saline treatment, both 3-day and 6-day IL-6 treatments accelerated hematopoietic recovery; 6-day treatment produced the greater effects. For example, compared with normal control values (N), femoral and splenic CFU-s numbers in IL-6-treated mice 17 days postirradiation were 27% N and 136% N versus 2% N and 10% N in saline-treated mice. At the same time, bone marrow and splenic GM-CFC values were 58% N and 473% N versus 6% N and 196% N in saline-treated mice; bone marrow and splenic CFU-e numbers were 91% N and 250% N versus 31% N and 130% N in saline-treated mice; and peripheral blood white cell, red cell, and platelet values were 210% N, 60% N, and 24% N versus 18% N, 39% N, and 7% N in saline-treated mice. These studies demonstrate that therapeutically administered IL-6 can effectively accelerate multilineage hematopoietic recovery following radiation-induced hematopoietic injury.

  19. Dependence of the ion energy on the parameters of the laser pulse and target in the radiation-pressure-dominated regime of acceleration

    SciTech Connect

    Echkina, E. Yu.; Inovenkov, I. N.; Esirkepov, T. Zh.; Pegoraro, F.; Borghesi, M.; Bulanov, S. V.

    2010-01-15

    When the dominant mechanism for ion acceleration is the laser radiation pressure, the conversion efficiency of the laser energy into the energy of relativistic ions may be very high. Stability analysis of a thin plasma layer accelerated by the radiation pressure shows that Raleigh-Taylor instability may enhance plasma inhomogeneity. In the linear stage of instability, the plasma layer decays into separate bunches, which are accelerated by the radiation pressure similarly to clusters accelerated under the action of an electromagnetic wave. The energy and luminosity of an ion beam accelerated in the radiation-pressure-dominated regime are calculated.

  20. [The first linear electron accelerator, the Therac 15 Saturne, in clinical service. I. Technical data and measurements in photon radiation].

    PubMed

    Strauch, B

    1983-09-01

    A report is given about the linear electron accelerator operating at the Alfried Krupp Krankenhaus in Essen. This is the first accelerator of the type Therac Saturne supplied for 15 MeV. Besides a description of the most important technical data and the service instructions, dosimetric data for 12 MV photon radiation are presented. The authors communicate the clinical experiences gained hitherto with the accelerator and the patient-orientated verification and recording system which has still to be improved, especially as far as the recording part is concerned. The accelerator meets the requirements of radiologic oncology.

  1. Synchrotron radiation and diffusive shock acceleration - A short review and GRB perspective

    SciTech Connect

    Karlica, Mile

    2015-12-17

    In this talk we present the sponge” model and its possible implications on the GRB afterglow light curves. “Sponge” model describes source of GRB afterglow radiation as fragmented GRB ejecta where bubbles move through the rarefied medium. In the first part of the talk a short introduction to synchrotron radiation and Fermi acceleration was presented. In the assumption that X-ray luminosity of GRB afterglow phase comes from the kinetic energy losses of clouds in ejecta medium radiated as synchrotron radiation we solved currently very simple equation of motion to find which combination of cloud and medium regime describes the afterglow light curve the best. We proposed for the first step to watch simple combinations of expansion regimes for both bubbles and surrounding medium. The closest case to the numerical fit of GRB 150403A with time power law index k = 1.38 is the combination of constant bubbles and Sedov like expanding medium with time power law index k = 1.25. Of course the question of possible mixture of variuos regime combinations is still open within this model.

  2. σCDM coupled to radiation: Dark energy and Universe acceleration

    NASA Astrophysics Data System (ADS)

    Abbyazov, Renat R.; Chervon, Sergey V.; Müller, Volker

    2015-07-01

    Recently, the Chiral Cosmological Model (CCM) coupled to cold dark matter (CDM) has been investigated as σCDM model to study the observed accelerated expansion of the Universe. Dark sector fields (as Dark Energy content) coupled to cosmic dust were considered as the source of Einstein gravity in Friedmann-Robertson-Walker (FRW) cosmology. Such model had a beginning at the matter-dominated era. The purposes of our present investigation are two-fold: To extend “life” of the σCDM for earlier times to radiation-dominated era and to take into account variation of the exponential potential V = V0exp -λ φ MP + V0exp -λ χ MP via variation of the interaction parameter λ. We use Markov Chain Monte Carlo (MCMC) procedure to investigate possible values of initial conditions constrained by the measured amount of the dark matter, dark energy and radiation component today. Our analysis includes dark energy contribution to critical density, the ratio of the kinetic and potential energies, deceleration parameter, effective equation of state (EoS) and evolution of DE EoS with variation of coupling constant λ. A comparison with the ΛCDM model was performed. A new feature of the model is the existence of some values of potential coupling constant, leading to a σCDM solution without transition into accelerated expansion epoch.

  3. Recombinant Human Epidermal Growth Factor Accelerates Recovery of Mouse Small Intestinal Mucosa After Radiation Damage

    SciTech Connect

    Lee, Kang Kyoo; Jo, Hyang Jeong; Hong, Joon Pio; Lee, Sang-wook Sohn, Jung Sook; Moon, Soo Young; Yang, Sei Hoon; Shim, Hyeok; Lee, Sang Ho; Ryu, Seung-Hee; Moon, Sun Rock

    2008-07-15

    Purpose: To determine whether systemically administered recombinant human epidermal growth factor (rhEGF) accelerates the recovery of mouse small intestinal mucosa after irradiation. Methods and Materials: A mouse mucosal damage model was established by administering radiation to male BALB/c mice with a single dose of 15 Gy applied to the abdomen. After irradiation, rhEGF was administered subcutaneously at various doses (0.04, 0.2, 1.0, and 5.0 mg/kg/day) eight times at 2- to 3-day intervals. The evaluation methods included histologic changes of small intestinal mucosa, change in body weight, frequency of diarrhea, and survival rate. Results: The recovery of small intestinal mucosa after irradiation was significantly improved in the mice treated with a high dose of rhEGF. In the mice that underwent irradiation without rhEGF treatment, intestinal mucosal ulceration, mucosal layer damage, and severe inflammation occurred. The regeneration of villi was noticeable in mice treated with more than 0.2 mg/kg rhEGF, and the villi recovered fully in mice given more than 1 mg/kg rhEGF. The frequency of diarrhea persisting for more than 3 days was significantly greater in the radiation control group than in the rhEGF-treated groups. Conclusions: Systemic administration of rhEGF accelerates recovery from mucosal damage induced by irradiation. We suggest that rhEGF treatment shows promise for the reduction of small intestinal damage after irradiation.

  4. A grey diffusion acceleration method for time-dependent radiative transfer calculations

    SciTech Connect

    Nowak, P.F.

    1991-07-01

    The equations of thermal radiative transfer describe the emission, absorption and transport of photons in a material. As photons travel through the material they are absorbed and re-emitted in a Planckian distribution characterized by the material temperature. As a result of these processes, the material can change resulting in a change in the Planckian emission spectrum. When the coupling between the material and radiation is strong, as occurs when the material opacity or the time step is large, standard iterative techniques converge very slowly. As a result, nested iterative algorithms have been applied to the problem. One algorithm, is to use multifrequency DSA to accelerate the convergence of the multifrequency transport iteration and a grey transport acceleration (GTA) followed by a single group DSA. Here we summarize a new method which uses a grey diffusion equation (GDA) to directly solve the multifrequency transport (S{sub N}) problem. Results of Fourier analysis for both the continuous and discretized equations are discussed and the computational efficiency of GDA is compared with the DSA and GTA nested algorithms. 5 refs., 1 fig., 1 tab.

  5. Advanced laser particle accelerator development at LANL: from fast ignition to radiation oncology

    SciTech Connect

    Flippo, Kirk A; Gaillard, Sandrine A; Offermann, D T; Cobble, J A; Schmitt, M J; Gautier, D C; Kwan, T J T; Montgomery, D S; Kluge, Thomas; Bussmann, Micheal; Bartal, T; Beg, F N; Gall, B; Geissel, M; Korgan, G; Kovaleski, S; Lockard, T; Malekos, S; Schollmeier, M; Sentoku, Y; Cowan, T E

    2010-01-01

    Laser-plasma accelerated ion and electron beam sources are an emerging field with vast prospects, and promise many superior applications in a variety of fields such as hadron cancer therapy, compact radioisotope generation, table-top nuclear physics, laboratory astrophysics, nuclear forensics, waste transmutation, SN M detection, and inertial fusion energy. LANL is engaged in several projects seeking to develop compact high current and high energy ion and electron sources. We are especially interested in two specific applications: ion fast ignition/capsule perturbation and radiation oncology in conjunction with our partners at the ForschungsZentrum Dresden-Rossendorf (FZD). Laser-to-beam conversion efficiencies of over 10% are needed for practical applications, and we have already shown inherent etliciencies of >5% from flat foils, on Trident using only a 5th of the intensity and energy of the Nova Petawatt. With clever target designs, like structured curved cone targets, we have also been able to achieve major ion energy gains, leading to the highest energy laser-accelerated proton beams in the world. These new target designs promise to help usher in the next generation of particle sources realizing the potential of laser-accelerated beams.

  6. Relativistic electron acceleration and decay time scales in the inner and outer radiation belts: SAMPEX

    NASA Technical Reports Server (NTRS)

    Baker, D. N.; Blake, J. B.; Callis, L. B.; Cummings, J. R.; Hovestadt, D.; Kanekal, S.; Klecker, B.; Mewaldt, R. A.; Zwickl, R. D.

    1994-01-01

    High-energy electrons have been measured systematically in a low-altitude (520 x 675 km), nearly polar (inclination = 82 deg) orbit by sensitive instruments onboard the Solar, Anomalous, and Magnetospheric Particle Explorer (SAMPEX). Count rate channels with electron energy thresholds ranging from 0.4 MeV to 3.5 MeV in three different instruments have been used to examine relativistic electron variations as a function of L-shell parameter and time. A long run of essentially continuous data (July 1992 - July 1993) shows substantial acceleration of energetic electrons throughout much of the magnetosphere on rapid time scales. This acceleration appears to be due to solar wind velocity enhancements and is surprisingly large in that the radiation belt 'slot' region often is filled temporarily and electron fluxes are strongly enhanced even at very low L-values (L aprroximately 2). A superposed epoch analysis shows that electron fluxes rise rapidly for 2.5 is approximately less than L is approximately less than 5. These increases occur on a time scale of order 1-2 days and are most abrupt for L-values near 3. The temporal decay rate of the fluxes is dependent on energy and L-value and may be described by J = Ke-t/to with t(sub o) approximately equals 5-10 days. Thus, these results suggest that the Earth's magnetosphere is a cosmic electron accelerator of substantial strength and efficiency.

  7. Advanced Laser Particle Accelerator Development at LANL: From Fast Ignition to Radiation Oncology

    SciTech Connect

    Flippo, K. A.; Offermann, D. T.; Cobble, J. A.; Schmitt, M. J.; Gautier, D. C.; Kwan, T. J.; Montgomery, D. S.; Gaillard, S. A.; Kluge, T.; Bussmann, M.; Cowan, T. E.; Bartal, T.; Beg, F. N.; Gall, B.; Kovaleski, S.; Geissel, M.; Schollmeier, M.; Korgan, G.; Malekos, S.; Lockard, T.

    2010-11-04

    Laser-plasma accelerated ion and electron beam sources are an emerging field with vast prospects, and promise many superior applications in a variety of fields such as hadron cancer therapy, compact radioisotope generation, table-top nuclear physics, laboratory astrophysics, nuclear forensics, waste transmutation, Special Nuclear Material (SNM) detection, and inertial fusion energy. LANL is engaged in several projects seeking to develop compact high-current and high-energy ion and electron sources. We are especially interested in two specific applications: ion fast ignition/capsule perturbation and radiation oncology. Laser-to-beam conversion efficiencies of over 10% are needed for practical applications, and we have already shown inherent efficiencies of >5% from flat foils, on Trident using only a 5th of the intensity and energy of the Nova Petawatt laser. With clever target designs, like structured curved cone targets, we have also been able to achieve major ion energy gains, leading to the highest energy laser-accelerated proton beams in the world [3]. These new target designs promise to help usher in the next generation of particle sources realizing the potential of laser-accelerated beams.

  8. Mathematical Model for Evaluating Incidence of Acute Rectal Toxicity During Conventional or Hypofractionated Radiotherapy Courses for Prostate Cancer

    SciTech Connect

    Strigari, Lidia Arcangeli, Giorgio; Arcangeli, Stefano; Benassi, Marcello

    2009-04-01

    Purpose: To describe the radiation-induced acute rectal toxicity (ART) using a modified Lyman-Kutcher-Burman normal tissue complication probability model and parameters set, taking into account the overall treatment time. Methods and Materials: A total of 160 patients underwent three-dimensional conformal radiotherapy to the prostate and seminal vesicles and were randomized to receive 80 Gy in 40 fractions within 8 weeks (Group A) or 62 Gy in 20 fractions within 5 weeks, 4 d/wk (Group B). An additional 52 patients (Group C) underwent intensity-modulated radiotherapy with a hypofractionation schedule consisting of 56 Gy, delivered in 16 fractions (4/wk) of 3.5 Gy. Patients were followed for ART weekly during treatment. The overall treatment time, rectal dose-volume histograms, and ART status, defined as Radiation Therapy Oncology Group Grade 2 or greater gastrointestinal toxicity, were used to determine the modified Lyman-Kutcher-Burman model parameters. The m and n values were obtained from the cohort, and the tolerance doses for 50% complication probability for uniform irradiation [TD{sub 50}(1){sub k}] were obtained for each fractionation schedule indicated with k. Results: Of 212 patients treated with localized prostate radiotherapy, 65 developed Grade for {>=}1 week during treatment. The m and n value was 0.17 and 0.08, respectively. The TD{sub 50}(1){sub k} parameter was 79, 62.5, and 53 Gy, respectively for Group A, B, and C. Conclusion: The optimized modified Lyman-Kutcher-Burman normal tissue complication probability model allowed us to describe the ART data from conventional and hypofractionated regimens, using the dose-volume histograms and overall treatment time. This model could prove useful in designing hypofractionation schedules to reduce the incidence of ART.

  9. Simulations of radiation pressure ion acceleration with the VEGA Petawatt laser

    NASA Astrophysics Data System (ADS)

    Stockhausen, Luca C.; Torres, Ricardo; Conejero Jarque, Enrique

    2016-09-01

    The Spanish Pulsed Laser Centre (CLPU) is a new high-power laser facility for users. Its main system, VEGA, is a CPA Ti:Sapphire laser which, in its final phase, will be able to reach Petawatt peak powers in pulses of 30 fs with a pulse contrast of 1 :1010 at 1 ps. The extremely low level of pre-pulse intensity makes this system ideally suited for studying the laser interaction with ultrathin targets. We have used the particle-in-cell (PIC) code OSIRIS to carry out 2D simulations of the acceleration of ions from ultrathin solid targets under the unique conditions provided by VEGA, with laser intensities up to 1022 W cm-2 impinging normally on 20 - 60 nm thick overdense plasmas, with different polarizations and pre-plasma scale lengths. We show how signatures of the radiation pressure-dominated regime, such as layer compression and bunch formation, are only present with circular polarization. By passively shaping the density gradient of the plasma, we demonstrate an enhancement in peak energy up to tens of MeV and monoenergetic features. On the contrary linear polarization at the same intensity level causes the target to blow up, resulting in much lower energies and broader spectra. One limiting factor of Radiation Pressure Acceleration is the development of Rayleigh-Taylor like instabilities at the interface of the plasma and photon fluid. This results in the formation of bubbles in the spatial profile of laser-accelerated proton beams. These structures were previously evidenced both experimentally and theoretically. We have performed 2D simulations to characterize this bubble-like structure and report on the dependency on laser and target parameters.

  10. Hypofractionated adjuvant whole breast radiotherapy: progress and prospects.

    PubMed

    Yarnold, John; Haviland, Joanne

    2010-11-01

    Published results of randomised trials involving >7000 women confirm the safety and efficacy of hypofractionated schedules of adjuvant radiotherapy for women with early breast cancer using fraction sizes between 2 and 3 Gy assuming appropriate downward adjustments to total dose. Unnecessary concerns relating to heart tolerance, suboptimal dose distribution and duration of follow up need not discourage the routine adoption of 15- or 16-fraction schedules in women treated by breast conservation surgery for early breast cancer. Regardless of fractionation regimen, dose escalation to the index quadrant in high risk subgroups will result in a greater relative increase in late adverse effects than tumour control, a therapeutic disadvantage that can only be overcome by exploiting a marked dose-volume effect. A 15-fraction schedule of whole breast radiotherapy is unlikely to represent the lower limits of hypofractionation, and the preliminary results of a 5-fraction regimen are encouraging.

  11. Radiation protection measurements around a 12 MeV mobile dedicated IORT accelerator

    SciTech Connect

    Soriani, Antonella; Felici, Giuseppe; Fantini, Mario; Paolucci, Massimiliano; Borla, Oscar; Evangelisti, Giovanna; Benassi, Marcello; Strigari, Lidia

    2010-03-15

    Purpose: The aim of this study is to investigate radioprotection issues that must be addressed when dedicated accelerators for intraoperative radiotherapy (IORT) are used in operating rooms. Recently, a new version of a mobile IORT accelerator (LIAC Sordina SpA, Italy) with 12 MeV electron beam has been implemented. This energy is necessary in some specific pathology treatments to allow a better coverage of thick lesions. At an electron energy of 10 MeV, leakage and scattered x-ray radiation (stray radiation) coming from the accelerator device and patient must be considered. If the energy is greater than 10 MeV, the x-ray component will increase; however, the most meaningful change should be the addition of neutron background. Therefore, radiation exposure of personnel during the IORT procedure needs to be carefully evaluated. Methods: In this study, stray x-ray radiation was measured and characterized in a series of spherical projections by means of an ion chamber survey meter. To simulate the patient during all measurements, a polymethylmethacrylate (PMMA) slab phantom with volume 30x30x15 cm{sup 3} and density 1.19 g/cm{sup 3} was used. The PMMA phantom was placed along the central axis of the beam in order to absorb the electron beams and the tenth value layer (TVL) and half value layer (HVL) of scattered radiation (at 0 deg., 90 deg., and 180 deg. scattering angles) were also measured at 1 m of distance from the phantom center. Neutron measurements were performed using passive bubble dosimeters and a neutron probe, specially designed to evaluate ambient dose equivalent H{sup *}(10). Results: The x-ray equivalent dose measured at 1 m along the beam axis at 12 MeV was 260 {mu}Sv/Gy. The value measured at 1 m at 90 deg. scattering angle was 25 {mu}Sv/Gy. The HVL and TVL values were 1.1 and 3.5 cm of lead at 0 deg., and 0.4 and 1 cm at 90 deg., respectively. The highest equivalent dose of fast neutrons was found to be at the surface of the phantom on the central

  12. Relativistic klystron driven compact high gradient accelerator as an injector to an X-ray synchrotron radiation ring

    DOEpatents

    Yu, David U. L.

    1990-01-01

    A compact high gradient accelerator driven by a relativistic klystron is utilized to inject high energy electrons into an X-ray synchrotron radiation ring. The high gradients provided by the relativistic klystron enables accelerator structure to be much shorter (typically 3 meters) than conventional injectors. This in turn enables manufacturers which utilize high energy, high intensity X-rays to produce various devices, such as computer chips, to do so on a cost effective basis.

  13. Characterization of femtosecond electron bunches from a laser-wakefield accelerator using THz radiation

    NASA Astrophysics Data System (ADS)

    van Tilborg, Jeroen

    2005-10-01

    We report on the temporal characterization of laser-plasma-produced electron bunches, indicating ultra-short sub-50 fs charge structure. In the LOASIS laboratory at LBNL, the electron bunches are produced through the interaction of an intense (>10^19 Wcm-2) laser pulse with an underdense (˜10^19 cm-3) Helium plasma. The femtosecond multi-nanoCoulomb bunches have relativistic energies, with a 100% energy spread. As the bunch exits the plasma-vacuum interface, coherent transition radiation is emitted. Since the electron bunch is still dense and compact at the emission interface, the coherent spectrum of the intense radiation pulse covers the THz regime. Spectral and temporal measurements on the THz pulse are performed and correlated to the temporal properties of the electron bunch. Detection techniques such as Michelson interferometry, semiconductor switching, and electro-optic sampling are applied. The latter technique, where the THz electric field versus time is mapped out, provides detailed temporal structure of the radiation pulse, and by inference the electron bunch. The measurements indicate that THz radiation is emitted by a skewed bunch with a sub-50 fs rise time and a ˜600 fs tail (half-width-at-half-maximum), which is consistent with ballistic debunching of 100%-energy-spread beams during propagation. The electro-optic time resolution of the method was limited by the crystal properties. The Michelson interferometry and semiconductor switching experiments confirmed the femtosecond nature of the electron bunches. The electro-optic measurement also demonstrates shot-to-shot stability of the laser-wakefield accelerator (LWFA) as well as femtosecond synchronization between the electron bunch and the probe beam. This highlights the applicability of the LWFA in pump-probe experiments, where synchronized emission of x-rays, gamma rays, THz waves, NIR beams, and electron bunches is available. This work is supported by DoE under contract DE-AC02-05CH11231.

  14. Observation and Characterization of Coherent Optical Radiation and Microbunching Instability in the SLAC Next Linear Collider Test Accelerator

    SciTech Connect

    Weathersby, S.; Dunning, M.; Hast, C.; Jobe, K.; McCormick, D.; Nelson, J.; Xiang, D.; /SLAC

    2011-06-02

    The NLC Test Accelerator (NLCTA) at SLAC is currently configured for a proof-of-principle echo-enabled harmonic generation (EEHG) experiment using an 120 MeV beam. During commissioning, unexpected coherent optical undulator radiation (CUR) and coherent optical transition radiation (COTR) was observed when beam is accelerated off-crest and compressed after the chicanes. The CUR and COTR is likely due to a microbunching instability where the initial small ripples in cathode drive laser is compressed and amplified. In this paper we present the observation and characterization of the CUR, COTR and microbunching instability at NLCTA.

  15. Energetics and energy scaling of quasi-monoenergetic protons in laser radiation pressure acceleration

    SciTech Connect

    Liu Tungchang; Shao Xi; Liu Chuansheng; Su Jaojang; Dudnikova, Galina; Sagdeev, Roald Z.; Eliasson, Bengt; Tripathi, Vipin

    2011-12-15

    Theoretical and computational studies of the ion energy scaling of the radiation pressure acceleration of an ultra-thin foil by short pulse intense laser irradiation are presented. To obtain a quasi-monoenergetic ion beam with an energy spread of less than 20%, two-dimensional particle-in-cell simulations show that the maximum energy of the quasi-monoenergetic ion beam is limited by self-induced transparency at the density minima caused by the Rayleigh-Taylor instability. For foils of optimal thickness, the time over which Rayleigh-Taylor instability fully develops and transparency occurs is almost independent of the laser amplitude. With a laser power of about one petawatt, quasi-monogenetic protons with 200 MeV and carbon ions with 100 MeV per nucleon can be obtained, suitable for particle therapy applications.

  16. Radiation Hydrodynamics of Stainless Steel Wire Arrays on the Z Accelerator

    SciTech Connect

    Davis, J.; Dasgupta, A.; Thornhill, J. W.; Giuliani, J.; Clark, R. W.; Whitney, K.; Coverdale, C. A.; Lepell, D.; Jones, B.; Deeney, C.

    2009-01-21

    Experiments on the Z accelerator with nested stainless steel wire arrays produced K-shell x-ray yields exceeding 50 kJ in the energy range 5.5 to 8 keV. Stainless steel (Z = 24-28) can barely be ionized to the K-shell on Z, and the spectra are therefore sensitive to the details of the implosion. We have simulated the implosion dynamics of stainless steel wire arrays with diameters ranging from 4.5 to 8.0 centimeters using a detailed configuration non-LTE radiation hydrodynamics model. Reasonable agreement with total and K-shell experimental yields was obtained for the various array configurations. A comparison is made between the 1-D and 2-D simulations for shot Z-578.

  17. THz radiation as a bunch diagnostic forlaser-wakefield-accelerated electron bunches

    SciTech Connect

    van Tilborg, J.; Schroeder, C.B.; Filip, C.V.; Toth, Cs.; Geddes,C.G.R.; Fubiani, G.; Esarey, E.; Leemans, W.P.

    2006-02-15

    Experimental results are reported from two measurementtechniques (semiconductor switching and electro-optic sampling) thatallow temporal characterization of electron bunches produced by alaser-driven plasma-based accelerator. As femtosecond electron bunchesexit the plasma-vacuum interface, coherent transition radiation (at THzfrequencies) is emitted. Measuring the properties of this radiationallows characterization of the electron bunches. Theoretical work on theemission mechanism is represented, including a model that calculates theTHz waveform from a given bunch profile. It is found that the spectrum ofthe THz pulse is coherent up to the 200 mu m thick crystal (ZnTe)detection limit of 4 THz, which corresponds to the production of sub-50fs (root-mean-square) electron bunch structure. The measurementsdemonstrate both the shot-to-shot stability of bunch parameters that arecritical to THz emission (such as total charge and bunch length), as wellas femtosecond synchrotron between bunch, THz pulse, and laserbeam.

  18. Physical Mechanism of the Transverse Instability in Radiation Pressure Ion Acceleration

    NASA Astrophysics Data System (ADS)

    Wan, Y.; Pai, C.-H.; Zhang, C. J.; Li, F.; Wu, Y. P.; Hua, J. F.; Lu, W.; Gu, Y. Q.; Silva, L. O.; Joshi, C.; Mori, W. B.

    2016-12-01

    The transverse stability of the target is crucial for obtaining high quality ion beams using the laser radiation pressure acceleration (RPA) mechanism. In this Letter, a theoretical model and supporting two-dimensional (2D) particle-in-cell (PIC) simulations are presented to clarify the physical mechanism of the transverse instability observed in the RPA process. It is shown that the density ripples of the target foil are mainly induced by the coupling between the transverse oscillating electrons and the quasistatic ions, a mechanism similar to the oscillating two stream instability in the inertial confinement fusion research. The predictions of the mode structure and the growth rates from the theory agree well with the results obtained from the PIC simulations in various regimes, indicating the model contains the essence of the underlying physics of the transverse breakup of the target.

  19. Development of a synchrotron radiation beam monitor for the Integrable Optics Test Accelerator

    SciTech Connect

    Scarpelli, Andrea

    2016-01-01

    Nonlinear integrable optics applied to beam dynamics may mitigate multi-particle instabilities, but proof of principle experiments have never been carried out. The Integrable Optics Test Accelerator (IOTA) is an electron and proton storage ring currently being built at Fermilab, which addresses tests of nonlinear lattice elements in a real machine in addition to experiments on optical stochastic cooling and on the single-electron wave function. These experiments require an outstanding control over the lattice parameters, achievable with fast and precise beam monitoring systems. This work describes the steps for designing and building a beam monitor for IOTA based on synchrotron radiation, able to measure intensity, position and transverse cross-section beam.

  20. Role of radiation reaction forces in the dynamics of centrifugally accelerated particles

    SciTech Connect

    Dalakishvili, G. T.; Rogava, A. D.; Berezhiani, V. I.

    2007-08-15

    In this paper we study the influence of radiation reaction (RR) forces on the dynamics of centrifugally accelerated particles. It is assumed that the particles move along magnetic field lines anchored in the rotating central object. The common 'bead-on-the-wire' approximation is used. The solutions are found and analyzed for cases when the form of the prescribed trajectory (rigidly rotating field line) is approximated by: (a) straight line, and (b) Archimedes spiral. Dynamics of neutral and charged particles are compared with the emphasis on the role of RR forces in the latter case. It is shown that for charged particles there exist locations of stable equilibrium. It is demonstrated that for particular initial conditions RR forces cause centripetal motion of the particles: their 'falling' on the central rotating object. It is found that in the case of Archimedes spiral both neutral and charged particles can reach infinity where their motion has asymptotically force-free character. The possible importance of these processes for the acceleration of relativistic, charged particles by rotating magnetospheres in the context of the generation of nonthermal, high-energy emission of AGN and pulsars is discussed.

  1. Physics and Novel Schemes of Laser Radiation Pressure Acceleration for Quasi-monoenergetic Proton Generation

    SciTech Connect

    Liu, Chuan S.; Shao, Xi

    2016-06-14

    The main objective of our work is to provide theoretical basis and modeling support for the design and experimental setup of compact laser proton accelerator to produce high quality proton beams tunable with energy from 50 to 250 MeV using short pulse sub-petawatt laser. We performed theoretical and computational studies of energy scaling and Raleigh--Taylor instability development in laser radiation pressure acceleration (RPA) and developed novel RPA-based schemes to remedy/suppress instabilities for high-quality quasimonoenergetic proton beam generation as we proposed. During the project period, we published nine peer-reviewed journal papers and made twenty conference presentations including six invited talks on our work. The project supported one graduate student who received his PhD degree in physics in 2013 and supported two post-doctoral associates. We also mentored three high school students and one undergraduate student of physics major by inspiring their interests and having them involved in the project.

  2. Stability of a mobile electron linear accelerator system for intraoperative radiation therapy.

    PubMed

    Beddar, A Sam

    2005-10-01

    The flexibility of mobile electron accelerators, which are designed to be transported to an operating room and plugged into a normal 3-phase outlet, make them ideal for use in intraoperative radiation therapy. However, their transportability may cause trepidation among potential users, who may question the stability of such an accelerator over a period of use. In order to address this issue, we have studied the short-term stability of the Mobetron system over 20 daily quality assurance trials. Variations in output generally varied within +/-2% for the four energies produced by the unit (4, 6, 9, and 12 MeV) and changes in energy produced an equivalent shift of less than 1 mm on the depth-dose curve. Hours of inactivity, with the Mobetron powered on for use either throughout the day or overnight, led to variations in output of about 1%. Finally, we have tested the long-term stability of the absolute dose output of the Mobetron, which showed a change of about 1% per year.

  3. Accelerated fractionation radiation therapy for advanced squamous cell carcinoma of the head and neck

    SciTech Connect

    Giri, P.G.; Gemer, L.S. )

    1991-09-01

    The authors treated 14 patients who had advanced head and neck cancer with an accelerated fractionation schedule of irradiation consisting of two fractions given 6 hours apart. In the morning a volume of 1.7 Gy was given to an area that encompassed the entire tumor, enlarged lymph nodes, and all areas at risk for microscopic disease. Six hours later, 1.1 Gy was given to an area that included only the tumor and any enlarged lymph nodes, with a 2-cm margin. The treatment was well tolerated; of the 13 patients who completed therapy, six did not require a break in therapy, and seven patients did. The median rest period was 2 days. There was no grade 4 toxicity. Grade 3 toxicity included skin changes (one case), mucositis (two), dysphagia (two), weight loss (three), and a decrease in the hemoglobin level (one case). The response rate in the 13 who completed therapy was 13/13 (100%); 11 of the 13 (83%) had a complete response. Only one of the 11 who achieved a complete response had failure at the primary site. At a median follow-up of 24 months, the absolute survival was 7/13 (54%) and the corrected survival was 7/10 (70%). This technique permits radiation therapy to be given on an accelerated schedule without a planned break in treatment. The overall response rate and survival at 2 years was excellent.

  4. Study of x-ray radiation from a laser wakefield accelerator

    SciTech Connect

    Leurent, V.; Pollock, B. B.; Michel, P.; Divol, L.; Doeppner, T.; Glenzer, S. H.; Palastro, J. P.; Froula, D. H.; Clayton, C. E.; Joshi, C.; Marsh, K. A.; Pak, A.; Ralph, J.; Wang, T. L.; Tynan, G.

    2009-01-22

    A Laser Wakefield Accelerator (LWFA) is under development at Lawrence Livermore National Laboratory (LLNL) to produce electron bunches with GeV class energy and energy spreads of a few-percent. The interaction of a high power (200 TW), short pulse (50 fs) laser with neutral He gas can generate quasi-monoenergetic electron beams at energies up to 1 GeV [1]. The laser pulse can be self-guided over 1 cm overcoming the limitation of vacuum diffraction. X-ray betatron radiation is emitted while the accelerated electrons undergo oscillations in the wakefield electrostatic field. Here we present electron spectra measurements with a two screen spectrometer allowing to measure both the electron energy and the transverse deflection at the plasma exit. We have measured monoenergetic electron beams above 300 MeV. Furthermore a forward directed x-ray beam is observed. Preliminary measurements of the spectrum are in reasonable agreement with the calculated betatron spectrum in the synchrotron asymptotic limit using the measured electron beam parameters.

  5. Investigation of radiative bow-shocks in magnetically accelerated plasma flows

    SciTech Connect

    Bott-Suzuki, S. C. Caballero Bendixsen, L. S.; Cordaro, S. W.; Blesener, I. C.; Hoyt, C. L.; Cahill, A. D.; Kusse, B. R.; Hammer, D. A.; Gourdain, P. A.; Seyler, C. E.; Greenly, J. B.; Chittenden, J. P.; Niasse, N.; Lebedev, S. V.; Ampleford, D. J.

    2015-05-15

    We present a study of the formation of bow shocks in radiatively cooled plasma flows. This work uses an inverse wire array to provide a quasi-uniform, large scale hydrodynamic flow accelerated by Lorentz forces to supersonic velocities. This flow impacts a stationary object placed in its path, forming a well-defined Mach cone. Interferogram data are used to determine a Mach number of ∼6, which may increase with radial position suggesting a strongly cooling flow. Self-emission imaging shows the formation of a thin (<60 μm) strongly emitting shock region, where T{sub e} ∼ 40–50 eV, and rapid cooling behind the shock. Emission is observed upstream of the shock position which appears consistent with a radiation driven phenomenon. Data are compared to 2-dimensional simulations using the Gorgon MHD code, which show good agreement with the experiments. The simulations are also used to investigate the effect of magnetic field in the target, demonstrating that the bow-shocks have a high plasma β, and the influence of B-field at the shock is small. This consistent with experimental measurement with micro bdot probes.

  6. A study on leakage radiation dose at ELV-4 electron accelerator bunker

    NASA Astrophysics Data System (ADS)

    Chulan, Mohd Rizal Md; Yahaya, Redzuwan; Ghazali, Abu BakarMhd

    2014-09-01

    Shielding is an important aspect in the safety of an accelerator and the most important aspects of a bunker shielding is the door. The bunker's door should be designed properly to minimize the leakage radiation and shall not exceed the permitted limit of 2.5μSv/hr. In determining the leakage radiation dose that passed through the door and gaps between the door and the wall, 2-dimensional manual calculations are often used. This method is hard to perform because visual 2-dimensional is limited and is also very difficult in the real situation. Therefore estimation values are normally performed. In doing so, the construction cost would be higher because of overestimate or underestimate which require costly modification to the bunker. Therefore in this study, two methods are introduced to overcome the problem such as simulation using MCNPX Version 2.6.0 software and manual calculation using 3-dimensional model from Autodesk Inventor 2010 software. The values from the two methods were eventually compared to the real values from direct measurements using Ludlum Model 3 with Model 44-9 probe survey meter.

  7. Terahertz radiation as a bunch diagnostic for laser-wakefield-accelerated electron bunches

    SciTech Connect

    van Tilborg, Jeroen; Schroeder, Carl; Filip, Catalin; Toth, Csaba; Geddes, Cameron; Fubiani, Gwenael; Esarey, Eric; Leemans, Wim

    2011-06-17

    Experimental results are reported from two measurement techniques (semiconductor switching and electro-optic sampling) that allow temporal characterization of electron bunches produced by a laser-driven plasma-based accelerator. As femtosecond electron bunches exit the plasma-vacuum interface, coherent transition radiation (at THz frequencies) is emitted. Measuring the properties of this radiation allows characterization of the electron bunches. Theoretical work on the emission mechanism is presented, including a model that calculates the THz wave form from a given bunch profile. It is found that the spectrum of the THz pulse is coherent up to the 200 {micro}m thick crystal (ZnTe) detection limit of 4 THz, which corresponds to the production of sub-50 fs (rms) electron bunch structure. The measurements demonstrate both the shot-to-shot stability of bunch parameters that are critical to THz emission (such as total charge and bunch length), as well as femtosecond synchronization among bunch, THz pulse, and laser beam.

  8. A study on leakage radiation dose at ELV-4 electron accelerator bunker

    SciTech Connect

    Chulan, Mohd Rizal Md E-mail: redzuwan@ukm.my; Yahaya, Redzuwan E-mail: redzuwan@ukm.my; Ghazali, Abu BakarMhd

    2014-09-03

    Shielding is an important aspect in the safety of an accelerator and the most important aspects of a bunker shielding is the door. The bunker’s door should be designed properly to minimize the leakage radiation and shall not exceed the permitted limit of 2.5μSv/hr. In determining the leakage radiation dose that passed through the door and gaps between the door and the wall, 2-dimensional manual calculations are often used. This method is hard to perform because visual 2-dimensional is limited and is also very difficult in the real situation. Therefore estimation values are normally performed. In doing so, the construction cost would be higher because of overestimate or underestimate which require costly modification to the bunker. Therefore in this study, two methods are introduced to overcome the problem such as simulation using MCNPX Version 2.6.0 software and manual calculation using 3-dimensional model from Autodesk Inventor 2010 software. The values from the two methods were eventually compared to the real values from direct measurements using Ludlum Model 3 with Model 44-9 probe survey meter.

  9. Spatio-temporal radiation biology with conventionally or laser-accelerated particles for ELIMED

    NASA Astrophysics Data System (ADS)

    Ristić-Fira, A.; Bulat, T.; Keta, O.; Romano, F.; Cirrone, P.; Cuttone, G.; Petrović, I.

    2013-07-01

    The aim of this study is to investigate the behavior of radio-resistant human malignant cells, thus enabling better understanding of radiobiological effects of ions in such a case. Radiation sources such as accelerated continuous ion beams and laser technology-based ultra short radiation sources with energy of around 10 MeV will be used. The HTB140 melanoma cells are chosen since it has been shown that they represent the limit case of cellular radio-resistance among the studied tumor cell lines. These cells are particularly interesting as they provide data on the very edge of inactivation capacity of each beam line that is tested. After exposing the cell monolayers to continuous radiations of low (γ-rays) and high (protons) linear energy transfer, the kinetics of disappearance of the phosphorylated histone H2AX (γ-H2AX) foci per cell will be determined. The same procedure will be performed with the pulsed high dose rate protons. Detection and quantification of γ-H2AX foci will be performed by immunohistochemical 3D time-dependent imaging analyses using laser scanning confocal microscopy. Immunoblotting will enable the follow-up of the relation between γ-H2AX and cell cycle arrest via the p53/p21 pathway. In such a way the spatio-temporal changes on sub-cellular level will be visualized, quantified and compared. These results will show whether there is a difference in the effects on cells between continuous and pulsed irradiation mode. Therefore, they will contribute to the data base that might promote pulsed sources for medical treatments of malignant growths.

  10. Spatio-temporal radiation biology with conventionally or laser-accelerated particles for ELIMED

    SciTech Connect

    Ristić-Fira, A.; Bulat, T.; Keta, O.; Petrović, I.; Romano, F.; Cirrone, P.; Cuttone, G.

    2013-07-26

    The aim of this study is to investigate the behavior of radio-resistant human malignant cells, thus enabling better understanding of radiobiological effects of ions in such a case. Radiation sources such as accelerated continuous ion beams and laser technology-based ultra short radiation sources with energy of around 10 MeV will be used. The HTB140 melanoma cells are chosen since it has been shown that they represent the limit case of cellular radio-resistance among the studied tumor cell lines. These cells are particularly interesting as they provide data on the very edge of inactivation capacity of each beam line that is tested. After exposing the cell monolayers to continuous radiations of low (γ-rays) and high (protons) linear energy transfer, the kinetics of disappearance of the phosphorylated histone H2AX (γ-H2AX) foci per cell will be determined. The same procedure will be performed with the pulsed high dose rate protons. Detection and quantification of γ-H2AX foci will be performed by immunohistochemical 3D time-dependent imaging analyses using laser scanning confocal microscopy. Immunoblotting will enable the follow-up of the relation between γ-H2AX and cell cycle arrest via the p53/p21 pathway. In such a way the spatio-temporal changes on sub-cellular level will be visualized, quantified and compared. These results will show whether there is a difference in the effects on cells between continuous and pulsed irradiation mode. Therefore, they will contribute to the data base that might promote pulsed sources for medical treatments of malignant growths.

  11. Radiation dosimetry of 12 MV photons from a CGR Therac 20 MeV Saturne linear accelerator.

    PubMed

    Nair, R P

    1984-10-01

    Typically useful clinical radiation dosimetry characteristics of 12 MV photon beams from a CGR Therac 20 MeV Saturne linear accelerator are briefly outlined. Central axis percent depth dose data are compared with other published data. Beam profiles for small, medium and large fields are delineated to show the uniformity of beams at various depths.

  12. Kinetic Study of Radiation-Reaction-Limited Particle Acceleration During the Relaxation of Force-Free Equilibria

    NASA Astrophysics Data System (ADS)

    Yuan, Yajie; Nalewajko, Krzysztof; Blandford, Roger D.; East, William E.; Zrake, Jonathan

    2016-01-01

    Many powerful and variable gamma-ray sources, including pulsar wind nebulae, active galactic nuclei and gamma-ray bursts, seem capable of accelerating particles to gamma-ray emitting energies efficiently over short time scales. This might be due to prodigal dissipation in a highly magnetized outflow. In order to understand the generic behavior of relativistic plasma with high magnetization, we consider a class of prototypical force-free equilibria which are shown to be unstable to ideal modes (East et al 2015 PRL 115, 095002). Kinetic simulations are carried out to follow the evolution of the instability and to study the basic mechanisms of particle acceleration, especially in the radiation-reaction-limited regime. We find that the instability naturally produces current layers and these are sites for efficient particle acceleration. Detailed calculations of the gamma ray spectrum, the evolution of the particle distribution function and the dynamical consequences of radiation reaction will be presented.

  13. Deep Inspiration Breath Hold-Based Radiation Therapy: A Clinical Review.

    PubMed

    Boda-Heggemann, Judit; Knopf, Antje-Christin; Simeonova-Chergou, Anna; Wertz, Hansjörg; Stieler, Florian; Jahnke, Anika; Jahnke, Lennart; Fleckenstein, Jens; Vogel, Lena; Arns, Anna; Blessing, Manuel; Wenz, Frederik; Lohr, Frank

    2016-03-01

    Several recent developments in linear accelerator-based radiation therapy (RT) such as fast multileaf collimators, accelerated intensity modulation paradigms like volumeric modulated arc therapy and flattening filter-free (FFF) high-dose-rate therapy have dramatically shortened the duration of treatment fractions. Deliverable photon dose distributions have approached physical complexity limits as a consequence of precise dose calculation algorithms and online 3-dimensional image guided patient positioning (image guided RT). Simultaneously, beam quality and treatment speed have continuously been improved in particle beam therapy, especially for scanned particle beams. Applying complex treatment plans with steep dose gradients requires strategies to mitigate and compensate for motion effects in general, particularly breathing motion. Intrafractional breathing-related motion results in uncertainties in dose delivery and thus in target coverage. As a consequence, generous margins have been used, which, in turn, increases exposure to organs at risk. Particle therapy, particularly with scanned beams, poses additional problems such as interplay effects and range uncertainties. Among advanced strategies to compensate breathing motion such as beam gating and tracking, deep inspiration breath hold (DIBH) gating is particularly advantageous in several respects, not only for hypofractionated, high single-dose stereotactic body RT of lung, liver, and upper abdominal lesions but also for normofractionated treatment of thoracic tumors such as lung cancer, mediastinal lymphomas, and breast cancer. This review provides an in-depth discussion of the rationale and technical implementation of DIBH gating for hypofractionated and normofractionated RT of intrathoracic and upper abdominal tumors in photon and proton RT.

  14. An accelerator-based neutron microbeam system for studies of radiation effects.

    PubMed

    Xu, Yanping; Randers-Pehrson, Gerhard; Marino, Stephen A; Bigelow, Alan W; Akselrod, Mark S; Sykora, Jeff G; Brenner, David J

    2011-06-01

    A novel neutron microbeam is being developed at the Radiological Research Accelerator Facility (RARAF) of Columbia University. The RARAF microbeam facility has been used for studies of radiation bystander effects in mammalian cells for many years. Now a prototype neutron microbeam is being developed that can be used for bystander effect studies. The neutron microbeam design here is based on the existing charged particle microbeam technology at the RARAF. The principle of the neutron microbeam is to use the proton beam with a micrometre-sized diameter impinging on a very thin lithium fluoride target system. From the kinematics of the ⁷Li(p,n)⁷Be reaction near the threshold of 1.881 MeV, the neutron beam is confined within a narrow, forward solid angle. Calculations show that the neutron spot using a target with a 17-µm thick gold backing foil will be <20 µm in diameter for cells attached to a 3.8-µm thick propylene-bottomed cell dish in contact with the target backing. The neutron flux will roughly be 2000 per second based on the current beam setup at the RARAF singleton accelerator. The dose rate will be about 200 mGy min⁻¹. The principle of this neutron microbeam system has been preliminarily tested at the RARAF using a collimated proton beam. The imaging of the neutron beam was performed using novel fluorescent nuclear track detector technology based on Mg-doped luminescent aluminum oxide single crystals and confocal laser scanning fluorescent microscopy.

  15. An accelerator-based neutron microbeam system for studies of radiation effects

    PubMed Central

    Xu, Yanping; Randers-Pehrson, Gerhard; Marino, Stephen A.; Bigelow, Alan W.; Akselrod, Mark S.; Sykora, Jeff G.; Brenner, David J.

    2011-01-01

    A novel neutron microbeam is being developed at the Radiological Research Accelerator Facility (RARAF) of Columbia University. The RARAF microbeam facility has been used for studies of radiation bystander effects in mammalian cells for many years. Now a prototype neutron microbeam is being developed that can be used for bystander effect studies. The neutron microbeam design here is based on the existing charged particle microbeam technology at the RARAF. The principle of the neutron microbeam is to use the proton beam with a micrometre-sized diameter impinging on a very thin lithium fluoride target system. From the kinematics of the 7Li(p,n)7Be reaction near the threshold of 1.881 MeV, the neutron beam is confined within a narrow, forward solid angle. Calculations show that the neutron spot using a target with a 17-µm thick gold backing foil will be <20 µm in diameter for cells attached to a 3.8-µm thick propylene-bottomed cell dish in contact with the target backing. The neutron flux will roughly be 2000 per second based on the current beam setup at the RARAF singleton accelerator. The dose rate will be about 200 mGy min−1. The principle of this neutron microbeam system has been preliminarily tested at the RARAF using a collimated proton beam. The imaging of the neutron beam was performed using novel fluorescent nuclear track detector technology based on Mg-doped luminescent aluminum oxide single crystals and confocal laser scanning fluorescent microscopy. PMID:21131327

  16. Non Parametric Determination of Acceleration Characteristics in Supernova Shocks Based on Spectra of Cosmic Rays and Remnant Radiation

    NASA Astrophysics Data System (ADS)

    Petrosian, Vahe

    2016-07-01

    We have developed an inversion method for determination of the characteristics of the acceleration mechanism directly and non-parametrically from observations, in contrast to the usual forward fitting of parametric model variables to observations. This is done in the frame work of the so-called leaky box model of acceleration, valid for isotropic momentum distribution and for volume integrated characteristics in a finite acceleration site. We consider both acceleration by shocks and stochastic acceleration where turbulence plays the primary role to determine the acceleration, scattering and escape rates. Assuming a knowledge of the background plasma the model has essentially two unknown parameters, namely the momentum and pitch angle scattering diffusion coefficients, which can be evaluated given two independent spectral observations. These coefficients are obtained directly from the spectrum of radiation from the supernova remnants (SNRs), which gives the spectrum of accelerated particles, and the observed spectrum of cosmic rays (CRs), which are related to the spectrum of particles escaping the SNRs. The results obtained from application of this method will be presented.

  17. Accelerated Partial Breast Irradiation Using Only Intraoperative Electron Radiation Therapy in Early Stage Breast Cancer

    SciTech Connect

    Maluta, Sergio; Dall'Oglio, Stefano; Marciai, Nadia; Gabbani, Milena; Franchini, Zeno; Pietrarota, Paolo; Meliado, Gabriele; Guariglia, Stefania; Cavedon, Carlo

    2012-10-01

    Background: We report the results of a single-institution, phase II trial of accelerated partial breast irradiation (APBI) using a single dose of intraoperative electron radiation therapy (IOERT) in patients with low-risk early stage breast cancer. Methods and Materials: A cohort of 226 patients with low-risk, early stage breast cancer were treated with local excision and axillary management (sentinel node biopsy with or without axillary node dissection). After the surgeon temporarily reapproximated the excision cavity, a dose of 21 Gy using IOERT was delivered to the tumor bed, with a margin of 2 cm laterally. Results: With a mean follow-up of 46 months (range, 28-63 months), only 1 case of local recurrence was reported. The observed toxicity was considered acceptable. Conclusions: APBI using a single dose of IOERT can be delivered safely in women with early, low-risk breast cancer in carefully selected patients. A longer follow-up is needed to ascertain its efficacy compared to that of the current standard treatment of whole-breast irradiation.

  18. Complications Following Linear Accelerator Based Stereotactic Radiation for Cerebral Arteriovenous Malformations

    SciTech Connect

    Skjoth-Rasmussen, Jane; Roed, Henrik; Ohlhues, Lars; Jespersen, Bo; Juhler, Marianne

    2010-06-01

    Purpose: Primarily, gamma knife centers are predominant in publishing results on arteriovenous malformations (AVM) treatments including reports on risk profile. However, many patients are treated using a linear accelerator-most of these at smaller centers. Because this setting is different from a large gamma knife center, the risk profile at Linac departments could be different from the reported experience. Prescribed radiation doses are dependent on AVM volume. This study details results from a medium sized Linac department center focusing on risk profiles. Method and Materials: A database was searched for all patients with AVMs. We included 50 consecutive patients with a minimum of 24 months follow-up (24-51 months). Results: AVM occlusion was verified in 78% of patients (39/50). AVM occlusion without new deficits (excellent outcome) was obtained in 44%. Good or fair outcome (AVM occlusion with mild or moderate new deficits) was seen in 30%. Severe complications after AVM occlusion occurred in 4% with a median interval of 15 months after treatment (range, 1-26 months). Conclusions: We applied an AVM grading score developed at the Mayo Clinic to predict probable outcome after radiosurgery in a large patient population treated with Gamma knife. A cutoff above and below a score of 1.5 could not discriminate between the likelihood of having an excellent outcome (approximately 45%). The chance of having an excellent or good outcome was slightly higher in patients with an AVM score below 1.5 (64% vs. 57%).

  19. PHYSICS OF OUR DAYS Physical conditions in potential accelerators of ultra-high-energy cosmic rays: updated Hillas plot and radiation-loss constraints

    NASA Astrophysics Data System (ADS)

    Ptitsyna, Kseniya V.; Troitsky, Sergei V.

    2010-10-01

    We review basic constraints on the acceleration of ultra-high-energy (UHE) cosmic rays (CRs) in astrophysical sources, namely, the geometric (Hillas) criterion and the restrictions from radiation losses in different acceleration regimes. Using the latest available astrophysical data, we redraw the Hillas plot and find potential UHECR accelerators. For the acceleration in the central engines of active galactic nuclei, we constrain the maximal UHECR energy for a given black hole mass. Among active galaxies, only the most powerful ones, radio galaxies and blazars, are able to accelerate protons to UHE, although acceleration of heavier nuclei is possible in much more abundant lower-power Seyfert galaxies.

  20. Hypofractionated Intensity-Modulated Arc Therapy for Lymph Node Metastasized Prostate Cancer

    SciTech Connect

    Fonteyne, Valerie; De Gersem, Werner; De Neve, Wilfried; Jacobs, Filip; Lumen, Nicolaas; Vandecasteele, Katrien; Villeirs, Geert; De Meerleer, Gert

    2009-11-15

    Purpose: To determine the planning results and acute toxicity after hypofractionated intensity-modulated arc radiotherapy and androgen deprivation for lymph node metastasized (Stage N1) prostate cancer. Methods and Materials: A total of 31 patients with Stage T1-T4N1M0 prostate cancer were treated with intensity-modulated arc radiotherapy and 3 years of androgen deprivation as primary treatment. The clinical target volume (CTV{sub p}) was the prostate and seminal vesicles. Elective lymph node areas ({sub e}) were delineated and expanded by 2 mm to create the CTV{sub e}. The planning target volumes (PTV{sub p} and PTV{sub e}) were created using a three-dimensional expansion of the CTV{sub p} and CTV{sub e}, respectively, of 7 mm. A median dose of 69.3 Gy and 50 Gy was prescribed to the PTV{sub p} and PTV{sub e} respectively, to be delivered in 25 fractions. Upper and lower gastrointestinal toxicity was scored using the Radiation Therapy Oncology Group toxicity and radiotherapy-induced lower intestinal toxicity scoring system. Genitourinary toxicity was scored using a combined Radiation Therapy Oncology Group, LENT-SOMA (late effects normal tissue-subjective, objective, management, analytic), and Common Toxicity Criteria toxicity scoring system. Results: The median follow-up time was 3 months. The mean prescription dose to the CTV{sub p} and PTV{sub p} was 70.4 Gy and 68.6 Gy, respectively. The minimal dose to the CTV{sub e} and PTV{sub e} was 49.0 Gy and 47.0 Gy, respectively. No acute Grade 2 or greater gastrointestinal toxicity occurred. Fourteen patients developed acute Grade 2 lower gastrointestinal toxicity. Acute Grade 3 and 2 genitourinary toxicity developed in 2 and 14 patients, respectively. Conclusion: The results of our study have shown that hypofractionated intensity-modulated arc radiotherapy as primary therapy for N1 prostate cancer is feasible with low toxicity.

  1. The Radiation Reaction Effect on Electrons at Super-High Laser Intensities with Application to Ion Acceleration

    SciTech Connect

    Naumova, N. M.; Sokolov, I. V.; Tikhonchuk, V. T.; Schlegel, T.; Nees, J. A.; Yanovsky, V. P.; Labaune, C.; Mourou, G. A.

    2009-07-25

    At super-high laser intensities the radiation back reaction on electrons becomes so significant that its influence on laser-plasma interaction cannot be neglected while simulating these processes with particle-in-cell (PIC) codes. We discuss a way of taking the radiation effect on electrons into account and extracting spatial and frequency distributions of the generated high-frequency radiation. We also examine ponderomotive acceleration of ions in the double layer created by strong laser pulses and we compare an analytical description with PIC simulations as well. We discuss: (1) non-stationary features found in simulations, (2) electron cooling effect due to radiation losses, and (3) the limits of the analytical model.

  2. Kinetic Study of Radiation-reaction-limited Particle Acceleration During the Relaxation of Unstable Force-free Equilibria

    NASA Astrophysics Data System (ADS)

    Yuan, Yajie; Nalewajko, Krzysztof; Zrake, Jonathan; East, William E.; Blandford, Roger D.

    2016-09-01

    Many powerful and variable gamma-ray sources, including pulsar wind nebulae, active galactic nuclei and gamma-ray bursts, seem capable of accelerating particles to gamma-ray emitting energies efficiently over very short timescales. These are likely due to the rapid dissipation of electromagnetic energy in a highly magnetized, relativistic plasma. In order to understand the generic features of such processes, we have investigated simple models based on the relaxation of unstable force-free magnetostatic equilibria. In this work, we make the connection between the corresponding plasma dynamics and the expected radiation signal, using 2D particle-in-cell simulations that self-consistently include synchrotron radiation reactions. We focus on the lowest order unstable force-free equilibrium in a 2D periodic box. We find that rapid variability, with modest apparent radiation efficiency as perceived by a fixed observer, can be produced during the evolution of the instability. The “flares” are accompanied by an increased polarization degree in the high energy band, with rapid variation in the polarization angle. Furthermore, the separation between the acceleration sites and the synchrotron radiation sites for the highest energy particles facilitates acceleration beyond the synchrotron radiation reaction limit. We also discuss the dynamical consequences of the radiation reaction, and some astrophysical applications of this model. Our current simulations with numerically tractable parameters are not yet able to reproduce the most dramatic gamma-ray flares, e.g., from the Crab Nebula. Higher magnetization studies are promising and will be carried out in the future.

  3. Kinetic study of radiation-reaction-limited particle acceleration during the relaxation of unstable force-free equilibria

    DOE PAGES

    Yuan, Yajie; Nalewajko, Krzysztof; Zrake, Jonathan; ...

    2016-09-07

    Many powerful and variable gamma-ray sources, including pulsar wind nebulae, active galactic nuclei and gamma-ray bursts, seem capable of accelerating particles to gamma-ray emitting energies efficiently over very short timescales. These are likely due to the rapid dissipation of electromagnetic energy in a highly magnetized, relativistic plasma. In order to understand the generic features of such processes, we have investigated simple models based on the relaxation of unstable force-free magnetostatic equilibria. In this work, we make the connection between the corresponding plasma dynamics and the expected radiation signal, using 2D particle-in-cell simulations that self-consistently include synchrotron radiation reactions. We focusmore » on the lowest order unstable force-free equilibrium in a 2D periodic box. We find that rapid variability, with modest apparent radiation efficiency as perceived by a fixed observer, can be produced during the evolution of the instability. The "flares" are accompanied by an increased polarization degree in the high energy band, with rapid variation in the polarization angle. Furthermore, the separation between the acceleration sites and the synchrotron radiation sites for the highest energy particles facilitates acceleration beyond the synchrotron radiation reaction limit. We also discuss the dynamical consequences of the radiation reaction, and some astrophysical applications of this model. Our current simulations with numerically tractable parameters are not yet able to reproduce the most dramatic gamma-ray flares, e.g., from the Crab Nebula. As a result, higher magnetization studies are promising and will be carried out in the future.« less

  4. Kinetic study of radiation-reaction-limited particle acceleration during the relaxation of unstable force-free equilibria

    SciTech Connect

    Yuan, Yajie; Nalewajko, Krzysztof; Zrake, Jonathan; East, William E.; Blandford, Roger D.

    2016-09-07

    Many powerful and variable gamma-ray sources, including pulsar wind nebulae, active galactic nuclei and gamma-ray bursts, seem capable of accelerating particles to gamma-ray emitting energies efficiently over very short timescales. These are likely due to the rapid dissipation of electromagnetic energy in a highly magnetized, relativistic plasma. In order to understand the generic features of such processes, we have investigated simple models based on the relaxation of unstable force-free magnetostatic equilibria. In this work, we make the connection between the corresponding plasma dynamics and the expected radiation signal, using 2D particle-in-cell simulations that self-consistently include synchrotron radiation reactions. We focus on the lowest order unstable force-free equilibrium in a 2D periodic box. We find that rapid variability, with modest apparent radiation efficiency as perceived by a fixed observer, can be produced during the evolution of the instability. The "flares" are accompanied by an increased polarization degree in the high energy band, with rapid variation in the polarization angle. Furthermore, the separation between the acceleration sites and the synchrotron radiation sites for the highest energy particles facilitates acceleration beyond the synchrotron radiation reaction limit. We also discuss the dynamical consequences of the radiation reaction, and some astrophysical applications of this model. Our current simulations with numerically tractable parameters are not yet able to reproduce the most dramatic gamma-ray flares, e.g., from the Crab Nebula. As a result, higher magnetization studies are promising and will be carried out in the future.

  5. Sci—Thur AM: YIS - 02: Radiogenomic Modeling of Normal Tissue Toxicities in Prostate Cancer Patients Receiving Hypofractionated Radiotherapy

    SciTech Connect

    Coates, J; Jeyaseelan, K; Ybarra, N; David, M; Faria, S; Souhami, L; Cury, F; Duclos, M; El Naqa, I

    2014-08-15

    Inter-patient radiation sensitivity variability has recently been shown to have a genetic component. This genetic component may play a key role in explaining the fluctuating rates of radiation-induced toxicities (RITs). Single nucleotide polymorphisms (SNPs) have thus far yielded inconsistent results in delineating RITs while copy number variations (CNVs) have not yet been investigated for such purposes. We explore a radiogenomic modeling approach to investigate the association of CNVs and SNPs, along with clinical and dosimetric variables, in radiation induced rectal bleeding (RB) and erectile dysfunction (ED) in prostate cancer patients treated with curative hypofractionated irradiation. A cohort of 62 prostate cancer patients who underwent hypofractionated radiotherapy (66 Gy in 22 fractions) between 2002 to 2010 were retrospectively genotyped for CNV and SNP rs5489 in the xrcc1 DNA repair gene. Late toxicity rates for RB grade 2 and 3 and grade 3 alone were 29.0% and 12.9%, respectively. ED toxicity was found to be 62.9%. Radiogenomic model performance was evaluated using receiver operating characteristic area under the curve (AUC) and resampling by cross-validation. Binary variables were evaluated using Chi-squared contingency table analysis and multivariate models by Spearman's rank correlation coefficient (rs). Ten patients were found to have three copies of xrcc1 CNV (RB: χ{sup 2}=14.6, p<0.001 and ED: χ{sup 2}=4.88, p=0.0272) and twelve had heterozygous rs25489 SNP (RB: χ{sup 2}=0.278, p=0.599 and ED: χ{sup 2}=0.112, p=0.732). Radiogenomic modeling yielded significant, cross-validated NTCP models for RB (AUC=0.665) and ED (AUC=0.754). These results indicate that CNVs may be potential predictive biomarkers of both late ED and RB.

  6. Radiation Pressure Forces, the Anomalous Acceleration, and Center of Mass Motion for the TOPEX/POSEIDON Spacecraft

    NASA Technical Reports Server (NTRS)

    Kubitschek, Daniel G.; Born, George H.

    2000-01-01

    Shortly after launch of the TOPEX/POSEIDON (T/P) spacecraft (s/c), the Precision Orbit Determination (POD) Team at NASA's Goddard Space Flight Center (GSFC) and the Center for Space Research at the University of Texas, discovered residual along-track accelerations, which were unexpected. Here, we describe the analysis of radiation pressure forces acting on the T/P s/c for the purpose of understanding and providing an explanation for the anomalous accelerations. The radiation forces acting on the T/P solar army, which experiences warping due to temperature gradients between the front and back surfaces, are analyzed and the resulting along-track accelerations are determined. Characteristics similar to those of the anomalous acceleration are seen. This analysis led to the development of a new radiation form model, which includes solar array warping and a solar array deployment deflection of as large as 2 deg. As a result of this new model estimates of the empirical along-track acceleration are reduced in magnitude when compared to the GSFC tuned macromodel and are less dependent upon beta(prime), the location of the Sun relative to the orbit plane. If these results we believed to reflect the actual orientation of the T/P solar array then motion of the solar array must influence the location of the s/c center of mass. Preliminary estimates indicate that the center of mass can vary by as much as 3 cm in the radial component of the s/c's position due to rotation of the deflected, warped solar array panel .The altimeter measurements rely upon accurate knowledge of the center of mass location relative to the s/c frame of reference. Any radial motion of the center of mass directly affects the altimeter measurements.

  7. Van Allen Probes observations of prompt MeV radiation belt electron acceleration in nonlinear interactions with VLF chorus

    NASA Astrophysics Data System (ADS)

    Foster, J. C.; Erickson, P. J.; Omura, Y.; Baker, D. N.; Kletzing, C. A.; Claudepierre, S. G.

    2017-01-01

    Prompt recovery of MeV (millions of electron Volts) electron populations in the poststorm core of the outer terrestrial radiation belt involves local acceleration of a seed population of energetic electrons in interactions with VLF chorus waves. Electron interactions during the generation of VLF rising tones are strongly nonlinear, such that a fraction of the relativistic electrons at resonant energies are trapped by waves, leading to significant nonadiabatic energy exchange. Through detailed examination of VLF chorus and electron fluxes observed by Van Allen Probes, we investigate the efficiency of nonlinear processes for acceleration of electrons to MeV energies. We find through subpacket analysis of chorus waveforms that electrons with initial energy of hundreds of keV to 3 MeV can be accelerated by 50 keV-200 keV in resonant interactions with a single VLF rising tone on a time scale of 10-100 ms.

  8. Assessment of MLC tracking performance during hypofractionated prostate radiotherapy using real-time dose reconstruction

    NASA Astrophysics Data System (ADS)

    Fast, M. F.; Kamerling, C. P.; Ziegenhein, P.; Menten, M. J.; Bedford, J. L.; Nill, S.; Oelfke, U.

    2016-02-01

    By adapting to the actual patient anatomy during treatment, tracked multi-leaf collimator (MLC) treatment deliveries offer an opportunity for margin reduction and healthy tissue sparing. This is assumed to be especially relevant for hypofractionated protocols in which intrafractional motion does not easily average out. In order to confidently deliver tracked treatments with potentially reduced margins, it is necessary to monitor not only the patient anatomy but also the actually delivered dose during irradiation. In this study, we present a novel real-time online dose reconstruction tool which calculates actually delivered dose based on pre-calculated dose influence data in less than 10 ms at a rate of 25 Hz. Using this tool we investigate the impact of clinical target volume (CTV) to planning target volume (PTV) margins on CTV coverage and organ-at-risk dose. On our research linear accelerator, a set of four different CTV-to-PTV margins were tested for three patient cases subject to four different motion conditions. Based on this data, we can conclude that tracking eliminates dose cold spots which can occur in the CTV during conventional deliveries even for the smallest CTV-to-PTV margin of 1 mm. Changes of organ-at-risk dose do occur frequently during MLC tracking and are not negligible in some cases. Intrafractional dose reconstruction is expected to become an important element in any attempt of re-planning the treatment plan during the delivery based on the observed anatomy of the day.

  9. Application of Failure Mode and Effects Analysis to Intraoperative Radiation Therapy Using Mobile Electron Linear Accelerators

    SciTech Connect

    Ciocca, Mario; Cantone, Marie-Claire; Veronese, Ivan; Cattani, Federica; Pedroli, Guido; Molinelli, Silvia; Vitolo, Viviana; Orecchia, Roberto

    2012-02-01

    Purpose: Failure mode and effects analysis (FMEA) represents a prospective approach for risk assessment. A multidisciplinary working group of the Italian Association for Medical Physics applied FMEA to electron beam intraoperative radiation therapy (IORT) delivered using mobile linear accelerators, aiming at preventing accidental exposures to the patient. Methods and Materials: FMEA was applied to the IORT process, for the stages of the treatment delivery and verification, and consisted of three steps: 1) identification of the involved subprocesses; 2) identification and ranking of the potential failure modes, together with their causes and effects, using the risk probability number (RPN) scoring system, based on the product of three parameters (severity, frequency of occurrence and detectability, each ranging from 1 to 10); 3) identification of additional safety measures to be proposed for process quality and safety improvement. RPN upper threshold for little concern of risk was set at 125. Results: Twenty-four subprocesses were identified. Ten potential failure modes were found and scored, in terms of RPN, in the range of 42-216. The most critical failure modes consisted of internal shield misalignment, wrong Monitor Unit calculation and incorrect data entry at treatment console. Potential causes of failure included shield displacement, human errors, such as underestimation of CTV extension, mainly because of lack of adequate training and time pressures, failure in the communication between operators, and machine malfunctioning. The main effects of failure were represented by CTV underdose, wrong dose distribution and/or delivery, unintended normal tissue irradiation. As additional safety measures, the utilization of a dedicated staff for IORT, double-checking of MU calculation and data entry and finally implementation of in vivo dosimetry were suggested. Conclusions: FMEA appeared as a useful tool for prospective evaluation of patient safety in radiotherapy. The

  10. Radiation Protection Studies for Medical Particle Accelerators using Fluka Monte Carlo Code.

    PubMed

    Infantino, Angelo; Cicoria, Gianfranco; Lucconi, Giulia; Pancaldi, Davide; Vichi, Sara; Zagni, Federico; Mostacci, Domiziano; Marengo, Mario

    2016-11-24

    Radiation protection (RP) in the use of medical cyclotrons involves many aspects both in the routine use and for the decommissioning of a site. Guidelines for site planning and installation, as well as for RP assessment, are given in international documents; however, the latter typically offer analytic methods of calculation of shielding and materials activation, in approximate or idealised geometry set-ups. The availability of Monte Carlo (MC) codes with accurate up-to-date libraries for transport and interaction of neutrons and charged particles at energies below 250 MeV, together with the continuously increasing power of modern computers, makes the systematic use of simulations with realistic geometries possible, yielding equipment and site-specific evaluation of the source terms, shielding requirements and all quantities relevant to RP at the same time. In this work, the well-known FLUKA MC code was used to simulate different aspects of RP in the use of biomedical accelerators, particularly for the production of medical radioisotopes. In the context of the Young Professionals Award, held at the IRPA 14 conference, only a part of the complete work is presented. In particular, the simulation of the GE PETtrace cyclotron (16.5 MeV) installed at S. Orsola-Malpighi University Hospital evaluated the effective dose distribution around the equipment; the effective number of neutrons produced per incident proton and their spectral distribution; the activation of the structure of the cyclotron and the vault walls; the activation of the ambient air, in particular the production of (41)Ar. The simulations were validated, in terms of physical and transport parameters to be used at the energy range of interest, through an extensive measurement campaign of the neutron environmental dose equivalent using a rem-counter and TLD dosemeters. The validated model was then used in the design and the licensing request of a new Positron Emission Tomography facility.

  11. TU-A-BRD-01: Outcomes of Hypofractionated Treatments - Initial Results of the WGSBRT

    SciTech Connect

    Li, X; Lee, P; Ohri, N; Joiner, M; Kong, F; Jackson, A

    2014-06-15

    Stereotactic Body Radiation Therapy (SBRT) has emerged in recent decades as a treatment paradigm that is becoming increasingly important in clinical practice. Clinical outcomes data are rapidly accumulating. Although published relations between outcomes and dose distributions are still sparse, the field has progressed to the point where evidence-based normal tissue dose-volume constraints, prescription strategies, and Tumor Control Probability (TCP) and Normal Tissue Complication Probability (NTCP) models can be developed. The Working Group on SBRT (WGSBRT), under the Biological Effects Subcommittee of AAPM, is a group of physicists and physicians working in the area of SBRT. It is currently performing critical literature reviews to extract and synthesize usable data and to develop guidelines and models to aid with safe and effective treatment. The group is investigating clinically relevant findings from SBRT in six anatomical regions: Cranial, Head and Neck, Thoracic, Abdominal, Pelvic, and Spinal. In this session of AAPM 2014, interim results are presented on TCP for lung and liver, NTCP for thoracic organs, and radiobiological foundations:• Lung TCP: Detailed modeling of TCP data from 118 published studies on early stage lung SBRT investigates dose response and hypothesized mechanisms to explain the improved outcomes of SBRT. This is presented from the perspective of a physicist, a physician, and a radiobiologist.• Liver TCP: For primary and metastatic liver tumors, individual patient data were extracted from published reports to examine the effects of biologically effective dose on local control.• Thoracic NTCP: Clinically significant SBRT toxicity of lung, rib / chest wall and other structures are evaluated and compared among published clinical data, in terms of risk, risk factors, and safe practice.• Improving the clinical utility of published toxicity reports from SBRT and Hypofractionated treatments. What do we want, and how do we get it? Methods

  12. Hypofractionated Concomitant Intensity-Modulated Radiotherapy Boost for High-Risk Prostate Cancer: Late Toxicity

    SciTech Connect

    Quon, Harvey; Cheung, Patrick C.F.; Loblaw, D. Andrew; Morton, Gerard; Pang, Geordi; Szumacher, Ewa; Danjoux, Cyril; Choo, Richard; Thomas, Gillian; Kiss, Alex; Mamedov, Alexandre; Deabreu, Andrea

    2012-02-01

    Purpose: To report the acute and late toxicities of patients with high-risk localized prostate cancer treated using a concomitant hypofractionated, intensity-modulated radiotherapy boost combined with long-term androgen deprivation therapy. Methods and Materials: A prospective Phase I-II study of patients with any of the following: clinical Stage T3 disease, prostate-specific antigen level {>=}20 ng/mL, or Gleason score 8-10. A dose of 45 Gy (1.8 Gy/fraction) was delivered to the pelvic lymph nodes with a concomitant 22.5 Gy prostate intensity-modulated radiotherapy boost, to a total of 67.5 Gy (2.7 Gy/fraction) in 25 fractions within 5 weeks. Image guidance was performed using three gold seed fiducials. The National Cancer Institute Common Terminology Criteria for Adverse Events, version 3.0, and Radiation Therapy Oncology Group late morbidity scores were used to assess the acute and late toxicities, respectively. Biochemical failure was determined using the Phoenix definition. Results: A total of 97 patients were treated and followed up for a median of 39 months, with 88% having a minimum of 24 months of follow-up. The maximal toxicity scores were recorded. The grade of acute gastrointestinal toxicity was Grade 0 in 4%, 1 in 59%, and 2 in 37%. The grade of acute urinary toxicity was Grade 0 in 8%, 1 in 50%, 2 in 39%, and 3 in 4%. The grade of late gastrointestinal toxicity was Grade 0 in 54%, 1 in 40%, and 2 in 7%. No Grade 3 or greater late gastrointestinal toxicities developed. The grade of late urinary toxicity was Grade 0 in 82%, 1 in 9%, 2 in 5%, 3 in 3%, and 4 in 1% (1 patient). All severe toxicities (Grade 3 or greater) had resolved at the last follow-up visit. The 4-year biochemical disease-free survival rate was 90.5%. Conclusions: A hypofractionated intensity-modulated radiotherapy boost delivering 67.5 Gy in 25 fractions within 5 weeks combined with pelvic nodal radiotherapy and long-term androgen deprivation therapy was well tolerated, with low rates

  13. Phase 1 Study of Dose Escalation in Hypofractionated Proton Beam Therapy for Non-Small Cell Lung Cancer

    SciTech Connect

    Gomez, Daniel R.; Gillin, Michael; Liao, Zhongxing; Wei, Caimiao; Lin, Steven H.; Swanick, Cameron; Alvarado, Tina; Komaki, Ritsuko; Cox, James D.; Chang, Joe Y.

    2013-07-15

    Background: Many patients with locally advanced non-small cell lung cancer (NSCLC) cannot undergo concurrent chemotherapy because of comorbidities or poor performance status. Hypofractionated radiation regimens, if tolerable, may provide an option to these patients for effective local control. Methods and Materials: Twenty-five patients were enrolled in a phase 1 dose-escalation trial of proton beam therapy (PBT) from September 2010 through July 2012. Eligible patients had histologically documented lung cancer, thymic tumors, carcinoid tumors, or metastatic thyroid tumors. Concurrent chemotherapy was not allowed, but concurrent treatment with biologic agents was. The dose-escalation schema comprised 15 fractions of 3 Gy(relative biological effectiveness [RBE])/fraction, 3.5 Gy(RBE)/fraction, or 4 Gy(RBE)/fraction. Dose constraints were derived from biologically equivalent doses of standard fractionated treatment. Results: The median follow-up time for patients alive at the time of analysis was 13 months (range, 8-28 months). Fifteen patients received treatment to hilar or mediastinal lymph nodes. Two patients experienced dose-limiting toxicity possibly related to treatment; 1 received 3.5-Gy(RBE) fractions and experienced an in-field tracheoesophageal fistula 9 months after PBT and 1 month after bevacizumab. The other patient received 4-Gy(RBE) fractions and was hospitalized for bacterial pneumonia/radiation pneumonitis 4 months after PBT. Conclusion: Hypofractionated PBT to the thorax delivered over 3 weeks was well tolerated even with significant doses to the lungs and mediastinal structures. Phase 2/3 trials are needed to compare the efficacy of this technique with standard treatment for locally advanced NSCLC.

  14. Extracranial Facial Nerve Schwannoma Treated by Hypo-fractionated CyberKnife Radiosurgery

    PubMed Central

    Miyazaki, Shinichiro; Hori, Tomokatsu

    2016-01-01

    Facial nerve schwannoma is a rare intracranial tumor. Treatment for this benign tumor has been controversial. Here, we report a case of extracranial facial nerve schwannoma treated successfully by hypo-fractionated CyberKnife (Accuray, Sunnyvale, CA) radiosurgery and discuss the efficacy of this treatment. A 34-year-old female noticed a swelling in her right mastoid process. The lesion enlarged over a seven-month period, and she experienced facial spasm on the right side. She was diagnosed with a facial schwannoma via a magnetic resonance imaging (MRI) scan of the head and neck and was told to wait until the facial nerve palsy subsides. She was referred to our hospital for radiation therapy. We planned a fractionated CyberKnife radiosurgery for three consecutive days. After CyberKnife radiosurgery, the mass in the right parotid gradually decreased in size, and the facial nerve palsy disappeared. At her eight-month follow-up, her facial spasm had completely disappeared. There has been no recurrence and the facial nerve function has been normal. We successfully demonstrated the efficacy of CyberKnife radiosurgery as an alternative treatment that also preserves neurofunction for facial nerve schwannomas. PMID:27774363

  15. Extracranial Facial Nerve Schwannoma Treated by Hypo-fractionated CyberKnife Radiosurgery.

    PubMed

    Sasaki, Ayaka; Miyazaki, Shinichiro; Hori, Tomokatsu

    2016-09-21

    Facial nerve schwannoma is a rare intracranial tumor. Treatment for this benign tumor has been controversial. Here, we report a case of extracranial facial nerve schwannoma treated successfully by hypo-fractionated CyberKnife (Accuray, Sunnyvale, CA) radiosurgery and discuss the efficacy of this treatment. A 34-year-old female noticed a swelling in her right mastoid process. The lesion enlarged over a seven-month period, and she experienced facial spasm on the right side. She was diagnosed with a facial schwannoma via a magnetic resonance imaging (MRI) scan of the head and neck and was told to wait until the facial nerve palsy subsides. She was referred to our hospital for radiation therapy. We planned a fractionated CyberKnife radiosurgery for three consecutive days. After CyberKnife radiosurgery, the mass in the right parotid gradually decreased in size, and the facial nerve palsy disappeared. At her eight-month follow-up, her facial spasm had completely disappeared. There has been no recurrence and the facial nerve function has been normal. We successfully demonstrated the efficacy of CyberKnife radiosurgery as an alternative treatment that also preserves neurofunction for facial nerve schwannomas.

  16. Free electron lasers driven by linear induction accelerators: High power radiation sources

    NASA Technical Reports Server (NTRS)

    Orzechowski, T. J.

    1989-01-01

    The technology of Free Electron Lasers (FELs) and linear induction accelerators (LIAs) is addressed by outlining the following topics: fundamentals of FELs; basic concepts of linear induction accelerators; the Electron Laser Facility (a microwave FEL); PALADIN (an infrared FEL); magnetic switching; IMP; and future directions (relativistic klystrons). This presentation is represented by viewgraphs only.

  17. Singular F(R) cosmology unifying early- and late-time acceleration with matter and radiation domination era

    NASA Astrophysics Data System (ADS)

    Odintsov, S. D.; Oikonomou, V. K.

    2016-06-01

    We present some cosmological models which unify the late- and early-time acceleration eras with the radiation and the matter domination era, and we realize the cosmological models by using the theoretical framework of F(R) gravity. Particularly, the first model unifies the late- and early-time acceleration with the matter domination era, and the second model unifies all the evolution eras of our Universe. The two models are described in the same way at early and late times, and only the intermediate stages of the evolution have some differences. Each cosmological model contains two Type IV singularities which are chosen to occur one at the end of the inflationary era and one at the end of the matter domination era. The cosmological models at early times are approximately identical to the R 2 inflation model, so these describe a slow-roll inflationary era which ends when the slow-roll parameters become of order one. The inflationary era is followed by the radiation era and after that the matter domination era follows, which lasts until the second Type IV singularity, and then the late-time acceleration era follows. The models have two appealing features: firstly they produce a nearly scale invariant power spectrum of primordial curvature perturbations and a scalar-to-tensor ratio which are compatible with the most recent observational data and secondly, it seems that the deceleration-acceleration transition is crucially affected by the presence of the second Type IV singularity which occurs at the end of the matter domination era. As we demonstrate, the Hubble horizon at early times shrinks, as expected for an initially accelerating Universe, then during the matter domination era, it expands and finally after the Type IV singularity, the Hubble horizon starts to shrink again, during the late-time acceleration era. Intriguingly enough, the deceleration-acceleration transition, occurs after the second Type IV singularity. In addition, we investigate which F(R) gravity

  18. Radiation-pressure-dominant acceleration: Polarization and radiation reaction effects and energy increase in three-dimensional simulations.

    PubMed

    Tamburini, M; Liseykina, T V; Pegoraro, F; Macchi, A

    2012-01-01

    Polarization and radiation reaction (RR) effects in the interaction of a superintense laser pulse (I>10(23) W cm-2) with a thin plasma foil are investigated with three dimensional particle-in-cell (PIC) simulations. For a linearly polarized laser pulse, strong anisotropies such as the formation of two high-energy clumps in the plane perpendicular to the propagation direction and significant radiation reactions effects are observed. On the contrary, neither anisotropies nor significant radiation reaction effects are observed using circularly polarized laser pulses, for which the maximum ion energy exceeds the value obtained in simulations of lower dimensionality. The dynamical bending of the initially flat plasma foil leads to the self-formation of a quasiparabolic shell that focuses the impinging laser pulse strongly increasing its energy and momentum densities.

  19. Direct observation of radiation-belt electron acceleration from electron-volt energies to megavolts by nonlinear whistlers.

    PubMed

    Mozer, F S; Agapitov, O; Krasnoselskikh, V; Lejosne, S; Reeves, G D; Roth, I

    2014-07-18

    The mechanisms for accelerating electrons from thermal to relativistic energies in the terrestrial magnetosphere, on the sun, and in many astrophysical environments have never been verified. We present the first direct observation of two processes that, in a chain, cause this acceleration in Earth's outer radiation belt. The two processes are parallel acceleration from electron-volt to kilovolt energies by parallel electric fields in time-domain structures (TDS), after which the parallel electron velocity becomes sufficiently large for Doppler-shifted upper band whistler frequencies to be in resonance with the electron gyration frequency, even though the electron energies are kilovolts and not hundreds of kilovolts. The electrons are then accelerated by the whistler perpendicular electric field to relativistic energies in several resonant interactions. TDS are packets of electric field spikes, each spike having duration of a few hundred microseconds and containing a local parallel electric field. The TDS of interest resulted from nonlinearity of the parallel electric field component in oblique whistlers and consisted of ∼ 0.1 msec pulses superposed on the whistler waveform with each such spike containing a net parallel potential the order of 50 V. Local magnetic field compression from remote activity provided the free energy to drive the two processes. The expected temporal correlations between the compressed magnetic field, the nonlinear whistlers with their parallel electric field spikes, the electron flux and the electron pitch angle distributions were all observed.

  20. Particle-in-cell simulation of x-ray wakefield acceleration and betatron radiation in nanotubes

    SciTech Connect

    Zhang, Xiaomei; Tajima, Toshiki; Farinella, Deano; Shin, Youngmin; Mourou, Gerard; Wheeler, Jonathan; Taborek, Peter; Chen, Pisin; Dollar, Franklin; Shen, Baifei

    2016-10-18

    Though wakefield acceleration in crystal channels has been previously proposed, x-ray wakefield acceleration has only recently become a realistic possibility since the invention of the single-cycled optical laser compression technique. We investigate the acceleration due to a wakefield induced by a coherent, ultrashort x-ray pulse guided by a nanoscale channel inside a solid material. By two-dimensional particle-in-cell computer simulations, we show that an acceleration gradient of TeV/cm is attainable. This is about 3 orders of magnitude stronger than that of the conventional plasma-based wakefield accelerations, which implies the possibility of an extremely compact scheme to attain ultrahigh energies. In addition to particle acceleration, this scheme can also induce the emission of high energy photons at ~O(10–100) MeV. Here, our simulations confirm such high energy photon emissions, which is in contrast with that induced by the optical laser driven wakefield scheme. In addition to this, the significantly improved emittance of the energetic electrons has been discussed.

  1. Particle-in-cell simulation of x-ray wakefield acceleration and betatron radiation in nanotubes

    DOE PAGES

    Zhang, Xiaomei; Tajima, Toshiki; Farinella, Deano; ...

    2016-10-18

    Though wakefield acceleration in crystal channels has been previously proposed, x-ray wakefield acceleration has only recently become a realistic possibility since the invention of the single-cycled optical laser compression technique. We investigate the acceleration due to a wakefield induced by a coherent, ultrashort x-ray pulse guided by a nanoscale channel inside a solid material. By two-dimensional particle-in-cell computer simulations, we show that an acceleration gradient of TeV/cm is attainable. This is about 3 orders of magnitude stronger than that of the conventional plasma-based wakefield accelerations, which implies the possibility of an extremely compact scheme to attain ultrahigh energies. In additionmore » to particle acceleration, this scheme can also induce the emission of high energy photons at ~O(10–100) MeV. Here, our simulations confirm such high energy photon emissions, which is in contrast with that induced by the optical laser driven wakefield scheme. In addition to this, the significantly improved emittance of the energetic electrons has been discussed.« less

  2. Particle-in-cell simulation of x-ray wakefield acceleration and betatron radiation in nanotubes

    NASA Astrophysics Data System (ADS)

    Zhang, Xiaomei; Tajima, Toshiki; Farinella, Deano; Shin, Youngmin; Mourou, Gerard; Wheeler, Jonathan; Taborek, Peter; Chen, Pisin; Dollar, Franklin; Shen, Baifei

    2016-10-01

    Though wakefield acceleration in crystal channels has been previously proposed, x-ray wakefield acceleration has only recently become a realistic possibility since the invention of the single-cycled optical laser compression technique. We investigate the acceleration due to a wakefield induced by a coherent, ultrashort x-ray pulse guided by a nanoscale channel inside a solid material. By two-dimensional particle-in-cell computer simulations, we show that an acceleration gradient of TeV /cm is attainable. This is about 3 orders of magnitude stronger than that of the conventional plasma-based wakefield accelerations, which implies the possibility of an extremely compact scheme to attain ultrahigh energies. In addition to particle acceleration, this scheme can also induce the emission of high energy photons at ˜O (10 - 100 ) MeV . Our simulations confirm such high energy photon emissions, which is in contrast with that induced by the optical laser driven wakefield scheme. In addition to this, the significantly improved emittance of the energetic electrons has been discussed.

  3. Effects of initial electron beam parameters of a linear accelerator on the properties of bremsstrahlung radiation in a radiotherapy setting

    NASA Astrophysics Data System (ADS)

    Gorlachev, G. E.; Polozov, S. M.; Dalechina, A. V.; Ksenofontov, A. I.; Kistenev, A. V.

    2016-12-01

    The dependence of the initial electron-beam parameters on absorbed dose distributions have been investigated using a CyberKnife radiotherapy accelerator (Accuray, United States). To describe the initial electron-beam characteristics, simulations of the linear electron accelerator are performed and the electron distributions in the beam of a linac output are analyzed. The radial distributions of electrons are assumed exponential, whereas the energy electron distributions are approximated by monoenergetic and rectangular spectra. There is no significant dependence of depth-dose curves in a phantom on the shape of the electron beam. Importantly, a clear dependence of the radiation field profile on the size of the electron beam is observed not just in the penumbra region, but also in the open part.

  4. Radiation hardness improvement of analog front-end microelectronic devices for particle accelerator

    NASA Astrophysics Data System (ADS)

    Miroshnichenko, A. G.; Rodin, A. S.; Bakerenkov, A. S.; Felitsyn, V. A.

    2016-10-01

    Series of schematic techniques for increasing radiation hardness of the current mirrors is developed. These techniques can be used for the design of analog front-end microelectronic devices based on the operational amplifiers. The circuit simulation of radiation degradation of current transmission coefficients was performed for various circuit solutions in LTSpice software.

  5. Radiative shocking and acceleration of polycrystalline slabs for investigation of ablative Rayleigh-Taylor instability triggered by ablator microstructure

    SciTech Connect

    Hoffman, N. M.; Tubbs, D. L.; Swift, D. C.; Cobble, J. A.; Kyrala, George A.; Tierney, T.

    2002-01-01

    It is vital to identify and control all perturbation sources that could trigger ablative Rayleigh-Taylor instability One obvious perturbation 'seed' is surface roughness computed perturbation growth, validated by experiments - Specification for allowable roughness of NIF ignition capsule' is based on But what about infernal microstructure of shell materials? - Beryllium shells are composed of individual crystalline grains with - Polymer shells are composed of long molecular chains that might 'stack like an isotropic elastic/plastic properties logs' with a preferred orientation What happens when shock waves transit anisotropic material? What happens when such material is accelerated by radiation drive? We need a specification for allowable internal anisotropy.

  6. Deducing the electron-beam diameter in a laser-plasma accelerator using x-ray betatron radiation.

    PubMed

    Schnell, Michael; Sävert, Alexander; Landgraf, Björn; Reuter, Maria; Nicolai, Maria; Jäckel, Oliver; Peth, Christian; Thiele, Tobias; Jansen, Oliver; Pukhov, Alexander; Willi, Oswald; Kaluza, Malte C; Spielmann, Christian

    2012-02-17

    We investigate the properties of a laser-plasma electron accelerator as a bright source of keV x-ray radiation. During the interaction, the electrons undergo betatron oscillations and from the carefully measured x-ray spectrum the oscillation amplitude of the electrons can be deduced which decreases with increasing electron energies. From the oscillation amplitude and the independently measured x-ray source size of (1.8±0.3) μm we are able to estimate the electron bunch diameter to be (1.6±0.3) μm.

  7. Radiogenic Side Effects After Hypofractionated Stereotactic Photon Radiotherapy of Choroidal Melanoma in 212 Patients Treated Between 1997 and 2007

    SciTech Connect

    Dunavoelgyi, Roman; Dieckmann, Karin; Gleiss, Andreas; Sacu, Stefan; Kircher, Karl; Georgopoulos, Michael; Georg, Dietmar; Zehetmayer, Martin; Poetter, Richard

    2012-05-01

    Purpose: To evaluate side effects of hypofractionated stereotactic photon radiotherapy for patients with choroidal melanoma. Patients and Methods: Two hundred and twelve patients with choroidal melanoma unsuitable for ruthenium-106 brachytherapy or local resection were treated stereotactically at the Medical University of Vienna between 1997 and 2007 with a Linac with 6-MV photon beams in five fractions with 10, 12, or 14 Gy per fraction. Examinations for radiogenic side effects were performed at baseline and every 3 months in the first 2 years, then every 6 months until 5 years and then once a year thereafter until 10 years after radiotherapy. Adverse side effects were assessed using slit-lamp examination, funduscopy, gonioscopy, tonometry, and, if necessary, fundus photography and fluorescein angiography. Evaluations of incidence of side effects are based on an actuarial analysis. Results: One hundred and eighty-nine (89.2%) and 168 (79.2%) of the tumors were within 3 mm of the macula and the optic disc, respectively. The five most common radiotherapy side effects were retinopathy and optic neuropathy (114 cases and 107 cases, respectively), cataract development (87 cases), neovascular glaucoma (46 cases), and corneal epithelium defects (41 cases). In total, 33.6%, 38.5%, 51.2%, 75.5%, and 77.6% of the patients were free of any radiation retinopathy, optic neuropathy, cataract, neovascular glaucoma, or corneal epithelium defects 5 years after radiotherapy, respectively. Conclusion: In centrally located choroidal melanoma hypofractionated stereotactic photon radiotherapy shows a low to moderate rate of adverse long-term side effects comparable with those after proton beam radiotherapy. Future fractionation schemes should seek to further reduce adverse side effects rate while maintaining excellent local tumor control.

  8. A Phase I Dose Escalation Study of Hypofractionated IMRT Field-in-Field Boost for Newly Diagnosed Glioblastoma Multiforme

    SciTech Connect

    Monjazeb, Arta M.; Ayala, Deandra; Jensen, Courtney; Case, L. Douglas; Bourland, J. Daniel; Ellis, Thomas L.; McMullen, Kevin P.; Chan, Michael D.; Tatter, Stephen B.; Lesser, Glen J.; Shaw, Edward G.

    2012-02-01

    Objectives: To describe the results of a Phase I dose escalation trial for newly diagnosed glioblastoma multiforme (GBM) using a hypofractionated concurrent intensity-modulated radiotherapy (IMRT) boost. Methods: Twenty-one patients were enrolled between April 1999 and August 2003. Radiotherapy consisted of daily fractions of 1.8 Gy with a concurrent boost of 0.7 Gy (total 2.5 Gy daily) to a total dose of 70, 75, or 80 Gy. Concurrent chemotherapy was not permitted. Seven patients were enrolled at each dose and dose limiting toxicities were defined as irreversible Grade 3 or any Grade 4-5 acute neurotoxicity attributable to radiotherapy. Results: All patients experienced Grade 1 or 2 acute toxicities. Acutely, 8 patients experienced Grade 3 and 1 patient experienced Grade 3 and 4 toxicities. Of these, only two reversible cases of otitis media were attributable to radiotherapy. No dose-limiting toxicities were encountered. Only 2 patients experienced Grade 3 delayed toxicity and there was no delayed Grade 4 toxicity. Eleven patients requiring repeat resection or biopsy were found to have viable tumor and radiation changes with no cases of radionecrosis alone. Median overall and progression-free survival for this cohort were 13.6 and 6.5 months, respectively. One- and 2-year survival rates were 57% and 19%. At recurrence, 15 patients received chemotherapy, 9 underwent resection, and 5 received radiotherapy. Conclusions: Using a hypofractionated concurrent IMRT boost, we were able to safely treat patients to 80 Gy without any dose-limiting toxicity. Given that local failure still remains the predominant pattern for GBM patients, a trial of dose escalation with IMRT and temozolomide is warranted.

  9. Acute Toxicity in High-Risk Prostate Cancer Patients Treated With Androgen Suppression and Hypofractionated Intensity-Modulated Radiotherapy

    SciTech Connect

    Pervez, Nadeem; Small, Cormac; MacKenzie, Marc; Yee, Don; Parliament, Matthew; Ghosh, Sunita; Mihai, Alina; Amanie, John; Murtha, Albert; Field, Colin; Murray, David; Fallone, Gino; Pearcey, Robert

    2010-01-15

    Purpose: To report acute toxicity resulting from radiotherapy (RT) dose escalation and hypofractionation using intensity-modulated RT (IMRT) treatment combined with androgen suppression in high-risk prostate cancer patients. Methods and Materials: Sixty patients with a histological diagnosis of high-risk prostatic adenocarcinoma (having either a clinical Stage of >=T3a or an initial prostate-specific antigen [PSA] level of >=20 ng/ml or a Gleason score of 8 to 10 or a combination of a PSA concentration of >15 ng/ml and a Gleason score of 7) were enrolled. RT prescription was 68 Gy in 25 fractions (2.72 Gy/fraction) over 5 weeks to the prostate and proximal seminal vesicles. The pelvic lymph nodes and distal seminal vesicles concurrently received 45 Gy in 25 fractions. The patients were treated with helical TomoTherapy-based IMRT and underwent daily megavoltage CT image-guided verification prior to each treatment. Acute toxicity scores were recorded weekly during RT and at 3 months post-RT, using Radiation Therapy Oncology Group acute toxicity scales. Results: All patients completed RT and follow up for 3 months. The maximum acute toxicity scores were as follows: 21 (35%) patients had Grade 2 gastrointestinal (GI) toxicity; 4 (6.67%) patients had Grade 3 genitourinary (GU) toxicity; and 30 (33.33%) patients had Grade 2 GU toxicity. These toxicity scores were reduced after RT; there were only 8 (13.6%) patients with Grade 1 GI toxicity, 11 (18.97%) with Grade 1 GU toxicity, and 5 (8.62%) with Grade 2 GU toxicity at 3 months follow up. Only the V60 to the rectum correlated with the GI toxicity. Conclusion: Dose escalation using a hypofractionated schedule to the prostate with concurrent pelvic lymph node RT and long-term androgen suppression therapy is well tolerated acutely. Longer follow up for outcome and late toxicity is required.

  10. New method to test the gantry, collimator, and table rotation angles of a linear accelerator used in radiation therapy

    NASA Astrophysics Data System (ADS)

    Beaumont, Stéphane; Torfeh, Tarraf; Latreille, Romain; Ben Hdech, Yassine; Guedon, Jeanpierre

    2011-03-01

    The precision of a medical LINear ACcelerator (LINAC) gantry rotation angle is crucial for the radiation therapy process, especially in stereotactic radio surgery, given the expected precision of the treatment and in Image Guided Radiation Therapy (IGRT) where the mechanical stability is disturbed due to the additional weight of the kV x-ray tube and detector. We present in this paper an extension of the Winston and Lutz test initially dedicated to control the size and the position of the isocenter of the LINAC and here adapted to test the gantry rotation angle with no additional portal images. This new method uses a test-object patented by QualiFormeD5 and is integrated in the QUALIMAGIQ software platform developed to automatically analyze images acquired for quality control of medical devices.

  11. Hypofractionated Boost to the Dominant Tumor Region With Intensity Modulated Stereotactic Radiotherapy for Prostate Cancer: A Sequential Dose Escalation Pilot Study

    SciTech Connect

    Miralbell, Raymond; Molla, Meritxell; Rouzaud, Michel; Hidalgo, Alberto; Toscas, Jose Ignacio; Lozano, Joan; Sanz, Sergi B.Sc.; Ares, Carmen; Jorcano, Sandra; Linero, Dolors; Escude, Lluis

    2010-09-01

    Purpose: To evaluate the feasibility, tolerability, and preliminary outcomes in patients with prostate cancer treated according to a hypofractionated dose escalation protocol to boost the dominant tumor-bearing region of the prostate. Methods and Materials: After conventional fractionated external radiotherapy to 64 to 64.4Gy, 50 patients with nonmetastatic prostate cancer were treated with an intensity-modulated radiotherapy hypofractionated boost under stereotactic conditions to a reduced prostate volume to the dominant tumor region. A rectal balloon inflated with 60cc of air was used for internal organ immobilization. Five, 8, and 8 patients were sequentially treated with two fractions of 5, 6, or 7Gy, respectively (normalized total dose in 2Gy/fraction [NTD{sub 2Gy}] < 100Gy, low-dose group), whereas 29 patients received two fractions of 8Gy each (NTD{sub 2Gy} > 100Gy, high-dose group). Androgen deprivation was given to 33 patients. Acute and late toxicities were assessed according to the Radiation Therapy Oncology Group/European Organisation for Research and Treatment of Cancer (RTOG/EORTC) scoring system. Results: Two patients presented with Grade 3 acute urinary toxicity. The 5-year probabilities of {>=}Grade 2 late urinary and late low gastrointestinal (GI) toxicity-free survival were 82.2% {+-} 7.4% and 72.2% {+-} 7.6%, respectively. The incidence and severity of acute or late toxicities were not correlated with low- vs. high-dose groups, pelvic irradiation, age, or treatment with or without androgen deprivation. The 5-year biochemical disease-free survival (b-DFS) and disease-specific survival were 98% {+-} 1.9% and 100%, respectively. Conclusion: Intensity-modulated radiotherapy hypofractionated boost dose escalation under stereotactic conditions was feasible, and showed excellent outcomes with acceptable long-term toxicity. This approach may well be considered an alternative to high-dose-rate brachytherapy.

  12. [Clinical experience in image-guided ultra-conformal hypofractionated radiotherapy in case of metastatic diseases at the University of Pécs].

    PubMed

    László, Zoltán; Boronkai, Árpád; Lõcsei, Zoltán; Kalincsák, Judit; Szappanos, Szabolcs; Farkas, Róbert; Al Farhat, Yousuf; Sebestyén, Zsolt; Sebestyén, Klára; Kovács, Péter; Csapó, László; Mangel, László

    2015-06-01

    With the development of radiation therapy technology, the utilization of more accurate patient fixation, inclusion of PET/CT image fusion into treatment planning, 3D image-guided radiotherapy, and intensity-modulated dynamic arc irradiation, the application of hypofractionated stereotactic radiotherapy can be extended to specified extracranial target volumes, and so even to the treatment of various metastases. Between October 2012 and August 2014 in our institute we performed extracranial, hypofractionated, image-többguided radiotherapy with RapidArc system for six cases, and 3D conformal multifield technique for one patient with Novalis TX system in case of different few-numbered and slow-growing metastases. For the precise definition of the target volumes we employed PET/CT during the treatment planning procedure. Octreotid scan was applied in one carcinoid tumour patient. Considering the localisation of the metastases and the predictable motion of the organs, we applied 5 to 20 mm safety margin during the contouring procedure. The average treatment volume was 312 cm3. With 2.5-3 Gy fraction doses we delivered 39-45 Gy total dose, and the treatment duration was 2.5 to 3 weeks. The image guidance was carried out via ExacTrac, and kV-Cone Beam CT equipment based on an online protocol, therefore localisation differences were corrected before every single treatment. The patients tolerated the treatments well without major (Gr>2) side effects. Total or near total regression of the metastases was observed at subsequent control examinations in all cases (the median follow-up time was 5 months). According to our first experience, extracranial, imageguided hypofractionated radiotherapy is well-tolerated by patients and can be effectively applied in the treatment of slow-growing and few-numbered metastases.

  13. Combined Modeling of Acceleration, Transport, and Hydrodynamic Response in Solar Flares. II. Inclusion of Radiative Transfer with RADYN

    NASA Astrophysics Data System (ADS)

    Rubio da Costa, Fatima; Liu, Wei; Petrosian, Vahé; Carlsson, Mats

    2015-11-01

    Solar flares involve complex processes that are coupled and span a wide range of temporal, spatial, and energy scales. Modeling such processes self-consistently has been a challenge in the past. Here we present results from simulations that couple particle kinetics with hydrodynamics (HD) of the atmospheric plasma. We combine the Stanford unified Fokker-Planck code that models particle acceleration and transport with the RADYN HD code that models the atmospheric response to collisional heating by accelerated electrons through detailed radiative transfer calculations. We perform simulations using two different electron spectra, one an ad hoc power law and the other predicted by the model of stochastic acceleration by turbulence or plasma waves. Surprisingly, the later model, even with energy flux \\ll {10}10 {erg} {{{s}}}-1 {{cm}}-2, can cause “explosive” chromospheric evaporation and drive stronger up- and downflows (and HD shocks). This is partly because our acceleration model, like many others, produces a spectrum consisting of a quasi-thermal component plus a power-law tail. We synthesize emission-line profiles covering different heights in the lower atmosphere, including Hα 6563 Å, He ii 304 Å, Ca ii K 3934 Å, and Si iv 1393 Å. One interesting result is the unusual high temperature (up to a few times 105 K) of the formation site of He ii 304 Å, which is expected owing to photoionization-recombination under flare conditions, compared to those in the quiet Sun dominated by collisional excitation. When compared with observations, our results can constrain the properties of nonthermal electrons and thus the poorly understood particle acceleration mechanism.

  14. Radiation-driven winds of hot luminous stars. XI - Frictional heating in a multicomponent stellar wind plasma and decoupling of radiatively accelerated ions

    NASA Astrophysics Data System (ADS)

    Springmann, U. W. E.; Pauldrach, A. W. A.

    1992-09-01

    It is shown that the usual assumption of regarding radiatively driven winds of hot stars as a one-component fluid is wrong under certain circumstances. A detailed investigation of the mechanism of momentum transfer from radiatively accelerated ions to the bulk matter of a stellar wind plasma via Coulomb collisions shows that, at least for thin winds, the one-fluid description is not justified. Instead, for objects with thin winds (candidates are late OV and early BV stars, central stars of planetary nebulae, and subdwarf O-stars) a multicomponent model is required because ionic decoupling occurs, which leads to a 'runaway mechanism' for the accelerated ions and hence terminates the momentum transfer from ions to the bulk matter of the wind (e.g. H and He). As a consequence the predicted one-fluid terminal wind velocities are significantly reduced. This is shown for the late main sequence O-star Tau Scorpii (O9.5V). Furthermore, the collisionally induced momentum transfer is inevitably accompanied by the production of entropy in the form of frictional heating, which dominates the energy balance in the case of thin winds and thus enhances the runaway mechanism.

  15. SU-E-J-17: A Study of Accelerator-Induced Cerenkov Radiation as a Beam Diagnostic and Dosimetry Tool

    SciTech Connect

    Bateman, F; Tosh, R

    2014-06-01

    Purpose: To investigate accelerator-induced Cerenkov radiation imaging as a possible beam diagnostic and medical dosimetry tool. Methods: Cerenkov emission produced by clinical accelerator beams in a water phantom was imaged using a camera system comprised of a high-sensitivity thermoelectrically-cooled CCD camera coupled to a large aperture (f/0.75) objective lens with 16:1 magnification. This large format lens allows a significant amount of the available Cerenkov light to be collected and focused onto the CCD camera to form the image. Preliminary images, obtained with 6 MV photon beams, used an unshielded camera mounted horizontally with the beam normal to the water surface, and confirmed the detection of Cerenkov radiation. Several improvements were subsequently made including the addition of radiation shielding around the camera, and altering of the beam and camera angles to give a more favorable geometry for Cerenkov light collection. A detailed study was then undertaken over a range of electron and photon beam energies and dose rates to investigate the possibility of using this technique for beam diagnostics and dosimetry. Results: A series of images were obtained at a fixed dose rate over a range of electron energies from 6 to 20 MeV. The location of maximum intensity was found to vary linearly with the energy of the beam. A linear relationship was also found between the light observed from a fixed point on the central axis and the dose rate for both photon and electron beams. Conclusion: We have found that the analysis of images of beam-induced Cerenkov light in a water phantom has potential for use as a beam diagnostic and medical dosimetry tool. Our future goals include the calibration of the light output in terms of radiation dose and development of a tomographic system for 3D Cerenkov imaging in water phantoms and other media.

  16. A unique combination of infrared and microwave radiation accelerates wound healing.

    PubMed

    Schramm, J Mark; Warner, Dave; Hardesty, Robert A; Oberg, Kerby C

    2003-01-01

    Light or electromagnetic radiation has been reported to enhance wound healing. The use of selected spectra, including infrared and microwave, has been described; however, no studies to date have examined the potential benefit of combining these spectra. In this study, a device that emits electromagnetic radiation across both the infrared and microwave ranges was used. To test the effects of this unique electromagnetic radiation spectrum on wound healing, two clinically relevant wound-healing models (i.e., tensile strength of simple incisions and survival of McFarlane flaps) were selected. After the creation of a simple full-thickness incision (n = 35 rats) or a caudally based McFarlane flap (n = 33 rats), animals were randomly assigned to one of three treatment groups: untreated control, infrared, or combined electromagnetic radiation. Treatment was administered for 30 minutes, twice daily for 18 days in animals with simple incisions, and 15 days in animals with McFarlane flaps. The wound area or flap was harvested and analyzed, blinded to the treatment regimens. A p value of less than 0.05 obtained by analysis of variance was considered to be statistically significant. Animals receiving combined electromagnetic radiation demonstrated increased tensile strength (2.62 N/mm2) compared with animals receiving infrared radiation (2.36 N/mm2) or untreated controls (1.73 N/mm2, p < 0.001). Animals with McFarlane flaps receiving combined electromagnetic radiation had increased flap survival (78.0 percent) compared with animals receiving infrared radiation (69.7 percent) and untreated controls (63.1 percent, p < 0.01). Thus, combined electromagnetic radiation provided a distinct advantage in wound healing that might augment current treatment regimens.

  17. Pion-decay radiation and two-phase acceleration in the June 3, 1982 solar flare

    NASA Technical Reports Server (NTRS)

    Ramaty, R.; Dermer, C. D.; Murphy, R. J.

    1986-01-01

    The June 3, 1982 flare is unique in the wealth of observed neutron, gamma-ray and energetic-particle emission that it produced. Using calculations of high-energy emissions to fit the various time-dependent gamma-ray fluxes, a self-consistent interaction model for the June 3 flare is constructed in which the observed fluxes are produced by two distinct particle populations with different acceleration and interaction time histories as well as different but time-independent energy spectra. The two populations are associated with first- and second-phase particle acceleration, respectively.

  18. [Brain radiation necrosis after stereotactic radiotherapy of the resection cavity for intracranial metastases: analysis of the literature from four cases].

    PubMed

    Doré, M; Lefebvre, L; Delpon, G; Thillays, F

    2015-04-01

    Stereotactic hypofractionated radiotherapy after resection of brain metastasis is an alternative to whole brain radiotherapy. A high dose per fraction is associated with a risk of radiation necrosis. We present four cases of confirmed histological radiation necrosis. Differentiating recurrent tumour from radiation necrosis in this scenario is challenging. An enhancing area in magnetic resonance imaging (MRI) with a "cut bell pepper" appearance may suggest radiation necrosis. Advanced imaging modalities such as perfusion MR imaging and positron emission tomography can be useful. Dosimetric predictors of the occurrence of radiation necrosis after stereotactic hypofractionated radiotherapy are poorly understood and require prospective studies on larger cohorts.

  19. Tissue equivalent proportional counter microdosimetry measurements utililzed aboard aircraft and in accelerator based space radiation shielding studies

    NASA Astrophysics Data System (ADS)

    Gersey, Brad; Wilkins, Richard

    The space radiation environment presents a potential hazard to the humans, electronics and materials that are exposed to it. Particle accelerator facilities such as the NASA Space Ra-diation Laboratory (NSRL) and Loma Linda University Medical Center (LLUMC) provide particle radiation of specie and energy within the range of that found in the space radiation environment. Experiments performed at these facilities determine various endpoints for bio-logical, electronic and materials exposures. A critical factor in the performance of rigorous scientific studies of this type is accurate dosimetric measurements of the exposures. A Tissue Equivalent Proportional Counter (TEPC) is a microdosimeter that may be used to measure absorbed dose, average quality factor (Q) and dose equivalent of the particle beam utilized in these experiments. In this work, results from a variety of space radiation shielding studies where a TEPC was used to perform dosimetry in the particle beam will be presented. These results compare the absorbed dose and dose equivalent measured downstream of equal density thicknesses of stan-dard and multifunctional shielding materials. The standard materials chosen for these shielding studies included High-Density Polyethylene (HDPE) and aluminum alloy, while the multifunc-tional materials included carbon composite infused with single walled carbon nanotubes. High energy particles including proton, silicon and iron nuclei were chosen as the incident radia-tion for these studies. Further, TEPC results from measurements taken during flights aboard ER-2 and KC-135 aircraft will also be discussed. Results from these flight studies include TEPC measurements for shielded and unshielded conditions as well as the effect of vibration and electromagnetic exposures on the TEPC operation. The data selected for presentation will highlight the utility of the TEPC in space radiation studies, and in shielding studies in particular. The lineal energy response function of the

  20. Radiation from an Accelerated Point Charge and Non-Inertial Observers

    ERIC Educational Resources Information Center

    Leonov, A. B.

    2012-01-01

    It is known that observers comoving with a uniformly accelerated point charge detect the electromagnetic field of a charge as a static electric field. We show that one can find a similar family of observers, which detect the field of a charge as a static electric field, in the general case of arbitrary point-charge motion. We find the velocities…

  1. Phase control of the microwave radiation in free electron laser two-beam accelerator

    SciTech Connect

    Goren, Y.; Sessler, A.M.

    1987-07-01

    A phase control system for the FEL portion of Two-Beam Accelerator is proposed. The control keeps the phase error within acceptable bounds. The control mechanism is analyzed, both analytically in a ''resonant particle'' approximation and numerically in a multi-particle simulation code. Sensitivity of phase errors to the FEL parameters has been noticed.

  2. Quantitative analysis of flare accelerated electrons through their hard X-ray and microwave radiation

    NASA Technical Reports Server (NTRS)

    Klein, K. L.; Trottet, G.

    1985-01-01

    Hard X-ray and microwave modelling that takes into account the temporal evolution of the electron spectrum as well as the inhomogeneity of the magnetic field and the ambient medium in the radio source is presented. This method is illustrated for the June 29 1980 10:41 UT event. The implication on the process of acceleration/injection is discussed.

  3. Non-LTE radiative transfer with lambda-acceleration - Convergence properties using exact full and diagonal lambda-operators

    NASA Technical Reports Server (NTRS)

    Macfarlane, J. J.

    1992-01-01

    We investigate the convergence properties of Lambda-acceleration methods for non-LTE radiative transfer problems in planar and spherical geometry. Matrix elements of the 'exact' A-operator are used to accelerate convergence to a solution in which both the radiative transfer and atomic rate equations are simultaneously satisfied. Convergence properties of two-level and multilevel atomic systems are investigated for methods using: (1) the complete Lambda-operator, and (2) the diagonal of the Lambda-operator. We find that the convergence properties for the method utilizing the complete Lambda-operator are significantly better than those of the diagonal Lambda-operator method, often reducing the number of iterations needed for convergence by a factor of between two and seven. However, the overall computational time required for large scale calculations - that is, those with many atomic levels and spatial zones - is typically a factor of a few larger for the complete Lambda-operator method, suggesting that the approach should be best applied to problems in which convergence is especially difficult.

  4. Accelerated radiation damping for increased spin equilibrium (ARISE): a new method for controlling the recovery of longitudinal magnetization.

    PubMed

    Huang, Susie Y; Witzel, Thomas; Wald, Lawrence L

    2008-11-01

    Control of the longitudinal magnetization in fast gradient-echo (GRE) sequences is an important factor in enabling the high efficiency of balanced steady-state free precession (bSSFP) sequences. We introduce a new method for accelerating the return of the longitudinal magnetization to the +z-axis that is independent of externally applied RF pulses and shows improved off-resonance performance. The accelerated radiation damping for increased spin equilibrium (ARISE) method uses an external feedback circuit to strengthen the radiation damping (RD) field. The enhanced RD field rotates the magnetization back to the +z-axis at a rate faster than T(1) relaxation. The method is characterized in GRE phantom imaging at 3T as a function of feedback gain, phase, and duration, and compared with results from numerical simulations of the Bloch equations incorporating RD. A short period of feedback (10 ms) during a refocused interval of a crushed GRE sequence allowed greater than 99% recovery of the longitudinal magnetization when very little T(2) relaxation had time to occur. An appropriate application might be to improve navigated sequences. Unlike conventional flip-back schemes, the ARISE "flip-back" is generated by the spins themselves, thereby offering a potentially useful building block for enhancing GRE sequences.

  5. Accelerator-based tests of radiation shielding properties of materials used in human space infrastructures.

    PubMed

    Lobascio, C; Briccarello, M; Destefanis, R; Faraud, M; Gialanella, G; Grossi, G; Guarnieri, V; Manti, L; Pugliese, M; Rusek, A; Scampoli, P; Durante, M

    2008-03-01

    Shielding is the only practical countermeasure for the exposure to cosmic radiation during space travel. It is well known that light, hydrogenated materials, such as water and polyethylene, provide the best shielding against space radiation. Kevlar and Nextel are two materials of great interest for spacecraft shielding because of their known ability to protect human space infrastructures from meteoroids and debris. We measured the response to simulated heavy-ion cosmic radiation of these shielding materials and compared it to polyethylene, Lucite (PMMA), and aluminum. As proxy to galactic nuclei we used 1 GeV n iron or titanium ions. Both physics and biology tests were performed. The results show that Kevlar, which is rich in carbon atoms (about 50% in number), is an excellent space radiation shielding material. Physics tests show that its effectiveness is close (80-90%) to that of polyethylene, and biology data suggest that it can reduce the chromosomal damage more efficiently than PMMA. Nextel is less efficient as a radiation shield, and the expected reduction on dose is roughly half that provided by the same mass of polyethylene. Both Kevlar and Nextel are more effective than aluminum in the attenuation of heavy-ion dose.

  6. Total-body irradiation on an isocentric linear accelerator: a radiation output compensation technique.

    PubMed

    Hugtenburg, R P; Turner, J R; Baggarley, S P; Pinchin, D A; Oien, N A; Atkinson, C H; Tremewan, R N

    1994-05-01

    A treatment technique for total-body irradiation (TBI) is proposed that combines arc therapy with dynamic output control to achieve high-grade dose uniformity. The patient lies on a low couch and receives exposure in the prone and supine positions from a modulated arcing beam. The technique has been validated using a personal computer to control the linear accelerator and we demonstrate that only minor alterations to current dynamic therapy systems would be required. We have examined the practical application of this treatment with emphasis on methods of conformal therapy where an optimized dose distribution is prepared from a matrix of caliper measurements taken from the patient. This technique provides a means for regular TBI treatment on a computer-controlled linear accelerator that is easy to set up, requires short exposure times and is comfortable for the patient.

  7. Solving radiative transfer problems in highly heterogeneous media via domain decomposition and convergence acceleration techniques.

    PubMed

    Previti, Alberto; Furfaro, Roberto; Picca, Paolo; Ganapol, Barry D; Mostacci, Domiziano

    2011-08-01

    This paper deals with finding accurate solutions for photon transport problems in highly heterogeneous media fastly, efficiently and with modest memory resources. We propose an extended version of the analytical discrete ordinates method, coupled with domain decomposition-derived algorithms and non-linear convergence acceleration techniques. Numerical performances are evaluated using a challenging case study available in the literature. A study of accuracy versus computational time and memory requirements is reported for transport calculations that are relevant for remote sensing applications.

  8. A Comparative Study of Daily 3-Gy Hypofractionated and 1.8-Gy Conventional Breast Irradiation in Early-Stage Breast Cancer

    PubMed Central

    Lee, Sea-Won; Kim, Yeon-Joo; Shin, Kyung Hwan; Kim, Kyubo; Chie, Eui Kyu; Han, Wonshik; Im, Seock-Ah; Jung, So-Youn; Lee, Keun Seok; Lee, Eun Sook

    2016-01-01

    Abstract We retrospectively compared accelerated hypofractionation (AHF) with conventional fractionation (CF) in the radiation therapy (RT) for early-stage breast cancer patients. Three hundred seventy-nine early-stage (pT1–2 and pN0–1a) breast cancer patients who received RT with AHF after breast-conserving surgery (BCS) were included. These patients were matched with 379 corresponding patients who received BCS and RT with CF at a different center with respect to the year BCS was performed, patient age (±3 years), and cancer stage. The AHF regimen consisted of 39 Gy in 13 fractions to the whole breast and a consecutive boost of 9 to 12 Gy in 3 to 4 fractions to the tumor bed. CF comprised whole-breast irradiation up to 50.4 Gy in 28 fractions and a boost of 9 to 14 Gy in 5 to 7 fractions to the tumor bed. The median follow-up period was 75 months (range, 3.8–110.8 months). There was no statistically significant difference between the AHF and CF groups in terms of age distribution, T and N stage, resection margin, and histologic grade. There were 5 ipsilateral breast tumor relapse (IBTR) cases in the AHF group compared with 7 cases in the CF group. Seven and eight locoregional relapse (LRR) cases were observed in the AHF and CF groups, respectively. The 7-year rates of IBTR-free survival, LRR-free survival, and disease-free survival were 98.9%, 98.4%, and 97.1% in the AHF group and 98.1%, 97.9%, and 96.0% in the CF group, respectively (P > 0.05). The incident rates of grade 3 edema, hyperpigmentation, or wet desquamation at the end of RT were higher in the CF group than in the AHF group (16.4% vs 0.2%, respectively; P < 0.01). AHF RT of 39 Gy to the whole breast plus a 9-Gy boost in 16 fractions showed excellent tumor control and tolerable skin toxicity, a finding that is comparable to CF RT in patients with early-stage breast cancer. PMID:27175630

  9. Ionizing radiation accelerates Drp1-dependent mitochondrial fission, which involves delayed mitochondrial reactive oxygen species production in normal human fibroblast-like cells

    SciTech Connect

    Kobashigawa, Shinko; Suzuki, Keiji; Yamashita, Shunichi

    2011-11-04

    Highlights: Black-Right-Pointing-Pointer We report first time that ionizing radiation induces mitochondrial dynamic changes. Black-Right-Pointing-Pointer Radiation-induced mitochondrial fission was caused by Drp1 localization. Black-Right-Pointing-Pointer We found that radiation causes delayed ROS from mitochondria. Black-Right-Pointing-Pointer Down regulation of Drp1 rescued mitochondrial dysfunction after radiation exposure. -- Abstract: Ionizing radiation is known to increase intracellular level of reactive oxygen species (ROS) through mitochondrial dysfunction. Although it has been as a basis of radiation-induced genetic instability, the mechanism involving mitochondrial dysfunction remains unclear. Here we studied the dynamics of mitochondrial structure in normal human fibroblast like cells exposed to ionizing radiation. Delayed mitochondrial O{sub 2}{sup {center_dot}-} production was peaked 3 days after irradiation, which was coupled with accelerated mitochondrial fission. We found that radiation exposure accumulated dynamin-related protein 1 (Drp1) to mitochondria. Knocking down of Drp1 expression prevented radiation induced acceleration of mitochondrial fission. Furthermore, knockdown of Drp1 significantly suppressed delayed production of mitochondrial O{sub 2}{sup {center_dot}-}. Since the loss of mitochondrial membrane potential, which was induced by radiation was prevented in cells knocking down of Drp1 expression, indicating that the excessive mitochondrial fission was involved in delayed mitochondrial dysfunction after irradiation.

  10. Highly Relativistic Radiation Belt Electron Acceleration, Transport, and Loss: Large Solar Storm Events of March and June 2015

    NASA Technical Reports Server (NTRS)

    Baker, D. N.; Jaynes, A. N.; Kanekal, S. G.; Foster, J.C.; Erickson, P. J.; Fennell, Joseph; Blake, J. B.; Zhao, H.; Li, X.; Elkington, S. R.; Henderson, M. G.; Reeves, G.; Spence, H.; Kletzing, C. A.; Wygant, J. R.

    2016-01-01

    Two of the largest geomagnetic storms of the last decade were witnessed in 2015. On 17 March 2015, a coronal mass ejection-driven event occurred with a Dst (Disturbance Storm Time Ring Current Index) value reaching 223 nanoteslas. On 22 June 2015 another strong storm (Dst reaching 204 nanoteslas) was recorded. These two storms each produced almost total loss of radiation belt high-energy (E (Energy) greater than or approximately equal to 1 millielectronvolt) electron fluxes. Following the dropouts of radiation belt fluxes there were complex and rather remarkable recoveries of the electrons extending up to nearly 10 millielectronvolts in kinetic energy. The energized outer zone electrons showed a rich variety of pitch angle features including strong butterfly distributions with deep minima in flux at alpha equals 90 degrees. However, despite strong driving of outer zone earthward radial diffusion in these storms, the previously reported impenetrable barrier at L (L-shell magnetic field line value) approximately equal to 2.8 was pushed inward, but not significantly breached, and no E (Energy) greater than or approximately equal to 2.0 millielectronvolts electrons were seen to pass through the radiation belt slot region to reach the inner Van Allen zone. Overall, these intense storms show a wealth of novel features of acceleration, transport, and loss that are demonstrated in the present detailed analysis.

  11. Highly relativistic radiation belt electron acceleration, transport, and loss: Large solar storm events of March and June 2015

    DOE PAGES

    Baker, Daniel N.; Jaynes, A. N.; Kanekal, S. G.; ...

    2016-07-01

    Two of the largest geomagnetic storms of the last decade were witnessed in 2015. On 17 March 2015, a coronal mass ejection-driven event occurred with a Dst (storm time ring current index) value reaching –223 nT. On 22 June 2015 another strong storm (Dst reaching –204 nT) was recorded. These two storms each produced almost total loss of radiation belt high-energy (E ≳ 1 MeV) electron fluxes. Following the dropouts of radiation belt fluxes there were complex and rather remarkable recoveries of the electrons extending up to nearly 10 MeV in kinetic energy. The energized outer zone electrons showed amore » rich variety of pitch angle features including strong “butterfly” distributions with deep minima in flux at α = 90°. However, despite strong driving of outer zone earthward radial diffusion in these storms, the previously reported “impenetrable barrier” at L ≈ 2.8 was pushed inward, but not significantly breached, and no E ≳ 2.0 MeV electrons were seen to pass through the radiation belt slot region to reach the inner Van Allen zone. Altogether, these intense storms show a wealth of novel features of acceleration, transport, and loss that are demonstrated in the present detailed analysis.« less

  12. Highly relativistic radiation belt electron acceleration, transport, and loss: Large solar storm events of March and June 2015

    PubMed Central

    Jaynes, A. N.; Kanekal, S. G.; Foster, J. C.; Erickson, P. J.; Fennell, J. F.; Blake, J. B.; Zhao, H.; Li, X.; Elkington, S. R.; Henderson, M. G.; Reeves, G. D.; Spence, H. E.; Kletzing, C. A.; Wygant, J. R.

    2016-01-01

    Abstract Two of the largest geomagnetic storms of the last decade were witnessed in 2015. On 17 March 2015, a coronal mass ejection‐driven event occurred with a Dst (storm time ring current index) value reaching −223 nT. On 22 June 2015 another strong storm (Dst reaching −204 nT) was recorded. These two storms each produced almost total loss of radiation belt high‐energy (E ≳ 1 MeV) electron fluxes. Following the dropouts of radiation belt fluxes there were complex and rather remarkable recoveries of the electrons extending up to nearly 10 MeV in kinetic energy. The energized outer zone electrons showed a rich variety of pitch angle features including strong “butterfly” distributions with deep minima in flux at α = 90°. However, despite strong driving of outer zone earthward radial diffusion in these storms, the previously reported “impenetrable barrier” at L ≈ 2.8 was pushed inward, but not significantly breached, and no E ≳ 2.0 MeV electrons were seen to pass through the radiation belt slot region to reach the inner Van Allen zone. Overall, these intense storms show a wealth of novel features of acceleration, transport, and loss that are demonstrated in the present detailed analysis. PMID:27867796

  13. Highly relativistic radiation belt electron acceleration, transport, and loss: Large solar storm events of March and June 2015

    SciTech Connect

    Baker, Daniel N.; Jaynes, A. N.; Kanekal, S. G.; Foster, J. C.; Erickson, P. J.; Fennell, J. F.; Blake, J. B.; Zhao, H.; Li, X.; Elkington, S. R.; Henderson, Michael Gerard; Reeves, G. D.; Spence, H. E.; Kletzing, C. A.; Wygant, J. R.

    2016-07-01

    Two of the largest geomagnetic storms of the last decade were witnessed in 2015. On 17 March 2015, a coronal mass ejection-driven event occurred with a Dst (storm time ring current index) value reaching –223 nT. On 22 June 2015 another strong storm (Dst reaching –204 nT) was recorded. These two storms each produced almost total loss of radiation belt high-energy (E ≳ 1 MeV) electron fluxes. Following the dropouts of radiation belt fluxes there were complex and rather remarkable recoveries of the electrons extending up to nearly 10 MeV in kinetic energy. The energized outer zone electrons showed a rich variety of pitch angle features including strong “butterfly” distributions with deep minima in flux at α = 90°. However, despite strong driving of outer zone earthward radial diffusion in these storms, the previously reported “impenetrable barrier” at L ≈ 2.8 was pushed inward, but not significantly breached, and no E ≳ 2.0 MeV electrons were seen to pass through the radiation belt slot region to reach the inner Van Allen zone. Altogether, these intense storms show a wealth of novel features of acceleration, transport, and loss that are demonstrated in the present detailed analysis.

  14. Measuring the wobble of radiation field centers during gantry rotation and collimator movement on a linear accelerator

    SciTech Connect

    Du, Weiliang; Gao, Song

    2011-08-15

    Purpose: The isocenter accuracy of a linear accelerator is often assessed with star-shot films. This approach is limited in its ability to quantify three dimensional wobble of radiation field centers (RFCs). The authors report a Winston-Lutz based method to measure the 3D wobble of RFCs during gantry rotation, collimator rotation, and collimator field size change. Methods: A stationary ball-bearing phantom was imaged using multileaf collimator-shaped radiation fields at various gantry angles, collimator angles, and field sizes. The center of the ball-bearing served as a reference point, to which all RFCs were localized using a computer algorithm with subpixel accuracy. Then, the gantry rotation isocenter and the collimator rotation axis were derived from the coordinates of these RFCs. Finally, the deviation or wobble of the individual RFC from the derived isocenter or rotation axis was quantified. Results: The results showed that the RFCs were stable as the field size of the multileaf collimator was varied. The wobble of RFCs depended on the gantry angle and the collimator angle and was reproducible, indicating that the mechanical imperfections of the linac were mostly systematic and quantifiable. It was found that the 3D wobble of RFCs during gantry rotation was reduced after compensating for a constant misalignment of the multileaf collimator. Conclusions: The 3D wobble of RFCs can be measured with submillimeter precision using the proposed method. This method provides a useful tool for checking and adjusting the radiation isocenter tightness of a linac.

  15. Highly relativistic radiation belt electron acceleration, transport, and loss: Large solar storm events of March and June 2015.

    PubMed

    Baker, D N; Jaynes, A N; Kanekal, S G; Foster, J C; Erickson, P J; Fennell, J F; Blake, J B; Zhao, H; Li, X; Elkington, S R; Henderson, M G; Reeves, G D; Spence, H E; Kletzing, C A; Wygant, J R

    2016-07-01

    Two of the largest geomagnetic storms of the last decade were witnessed in 2015. On 17 March 2015, a coronal mass ejection-driven event occurred with a Dst (storm time ring current index) value reaching -223 nT. On 22 June 2015 another strong storm (Dst reaching -204 nT) was recorded. These two storms each produced almost total loss of radiation belt high-energy (E ≳ 1 MeV) electron fluxes. Following the dropouts of radiation belt fluxes there were complex and rather remarkable recoveries of the electrons extending up to nearly 10 MeV in kinetic energy. The energized outer zone electrons showed a rich variety of pitch angle features including strong "butterfly" distributions with deep minima in flux at α = 90°. However, despite strong driving of outer zone earthward radial diffusion in these storms, the previously reported "impenetrable barrier" at L ≈ 2.8 was pushed inward, but not significantly breached, and no E ≳ 2.0 MeV electrons were seen to pass through the radiation belt slot region to reach the inner Van Allen zone. Overall, these intense storms show a wealth of novel features of acceleration, transport, and loss that are demonstrated in the present detailed analysis.

  16. Highly relativistic radiation belt electron acceleration, transport, and loss: Large solar storm events of March and June 2015

    NASA Astrophysics Data System (ADS)

    Baker, D. N.; Jaynes, A. N.; Kanekal, S. G.; Foster, J. C.; Erickson, P. J.; Fennell, J. F.; Blake, J. B.; Zhao, H.; Li, X.; Elkington, S. R.; Henderson, M. G.; Reeves, G. D.; Spence, H. E.; Kletzing, C. A.; Wygant, J. R.

    2016-07-01

    Two of the largest geomagnetic storms of the last decade were witnessed in 2015. On 17 March 2015, a coronal mass ejection-driven event occurred with a Dst (storm time ring current index) value reaching -223 nT. On 22 June 2015 another strong storm (Dst reaching -204 nT) was recorded. These two storms each produced almost total loss of radiation belt high-energy (E ≳ 1 MeV) electron fluxes. Following the dropouts of radiation belt fluxes there were complex and rather remarkable recoveries of the electrons extending up to nearly 10 MeV in kinetic energy. The energized outer zone electrons showed a rich variety of pitch angle features including strong "butterfly" distributions with deep minima in flux at α = 90°. However, despite strong driving of outer zone earthward radial diffusion in these storms, the previously reported "impenetrable barrier" at L ≈ 2.8 was pushed inward, but not significantly breached, and no E ≳ 2.0 MeV electrons were seen to pass through the radiation belt slot region to reach the inner Van Allen zone. Overall, these intense storms show a wealth of novel features of acceleration, transport, and loss that are demonstrated in the present detailed analysis.

  17. Hypofractionated intensity modulated radiotherapy with temozolomide in newly diagnosed glioblastoma multiforme.

    PubMed

    Ammirati, Mario; Chotai, Silky; Newton, Herbert; Lamki, Tariq; Wei, Lai; Grecula, John

    2014-04-01

    We conducted a phase I study to determine (a) the maximum tolerated dose of peri-radiation therapy temozolomide (TMZ) and (b) the safety of a selected hypofractionated intensity modulated radiation therapy (HIMRT) regimen in glioblastoma multiforme (GBM) patients. Patients with histological diagnosis of GBM, Karnofsky performance status (KPS)≥ 60 and adequate bone marrow function were eligible for the study. All patients received peri-radiation TMZ; 1 week before the beginning of radiation therapy (RT), 1 week after RT and for 3 weeks during RT. Standard 75 mg/m(2)/day dose was administered to all patients 1 week post-RT. Dose escalation was commenced at level I: 50mg/m(2)/day, level II: 65 mg/m(2)/day and level III: 75 mg/m(2)/day for 4 weeks. HIMRT was delivered at 52.5 Gy in 15 fractions to the contrast enhancing lesion (or surgical cavity) plus the surrounding edema plus a 2 cm margin. Six men and three women with a median age of 67 years (range, 44-81) and a median KPS of 80 (range, 80-90) were enrolled. Three patients were accrued at each TMZ dose level. Median follow-up was 10 months (range, 1-15). Median progression free survival was 3.9 months (95% confidence interval [CI]: 0.9-7.4; range, 0.9-9.9 months) and the overall survival 12.7 months (95% CI: 2.5-17.6; range, 2.5-20.7 months). Time spent in a KPS ≥ 70 was 8.1 months (95% CI: 2.4-15.6; range, 2.4-16 months). No instance of irreversible grade 3 or higher acute toxicity was noted. HIMRT at 52.5 Gy in 15 fractions with peri-RT TMZ at a maximum tolerated dose of 75 mg/m(2)/day for 5 weeks is well tolerated and is able to abate treatment time for these patients.

  18. Extrapulmonary Soft-Tissue Fibrosis Resulting From Hypofractionated Stereotactic Body Radiotherapy for Pulmonary Nodular Lesions

    SciTech Connect

    Kawase, Takatsugu; Takeda, Atsuya; Kunieda, Etsuo Kokubo, Masaki; Kamikubo, Yoshifumi; Ishibashi, Ryouchi; Nagaoka, Tomoaki; Shigematsu, Naoyuki; Kubo, Atsushi

    2009-06-01

    Purpose: To clarify the incidence, symptoms, and timing of extrapulmonary fibrosis developing after hypofractionated stereotactic body radiotherapy. Patients and Methods: We analyzed 379 consecutive patients who underwent stereotactic body radiotherapy for lung tumors at four institutions between February 2001 and March 2007. The median follow-up time was 29 months (range, 1-72). We investigated the subjective and objective characteristics of the extrapulmonary masses, redelineated the origin tissue of each on the treatment planning computed tomography scan, and generated dose-volume histograms. Results: In 9 patients (2.4%), extrapulmonary masses were found 3-36 months (median, 14) after irradiation. Coexisting swelling occurred in 3 patients, chest pain in 2, thumb numbness in 1, and arm edema in 1 patient. Extrapulmonary masses occurred in 5 (5.4%) of 92 and 4 (1.4%) of 287 patients irradiated with a 62.5-Gy and 48.0-Gy isocenter dose, respectively. The mean and maximal dose to the origin tissue was 25.8-53.9 Gy (median, 43.7) and 47.5-62.5 Gy (median, 50.2), respectively. In 5 of 9 patients, the standardized uptake values on 18F-fluorodeoxyglucose-positron emission tomography was 1.8-2.8 (median, 2.2). Percutaneous needle biopsy was performed in 3 patients, and all the specimens showed benign fibrotic changes without malignant cells. Conclusion: All patients should be carefully followed after stereotactic body radiotherapy. The findings of any new lesion should prompt an assessment for radiation-induced extrapulmonary fibrosis before an immediate diagnosis of recurrence is made. Careful beam-shape modification and dose prescription near the thoracic outlet are required to prevent forearm neuropathy and lymphedema.

  19. Phase I Trial of Preoperative Hypofractionated Intensity-Modulated Radiotherapy with Incorporated Boost and Oral Capecitabine in Locally Advanced Rectal Cancer

    SciTech Connect

    Freedman, Gary M. . E-mail: G_Freedman@FCCC.edu; Meropol, Neal J.; Sigurdson, Elin R.; Hoffman, John; Callahan, Elaine; Price, Robert; Cheng, Jonathan; Cohen, Steve; Lewis, Nancy; Watkins-Bruner, Deborah; Rogatko, Andre; Konski, Andre

    2007-04-01

    Purpose: To determine the safety and efficacy of preoperative hypofractionated radiotherapy using intensity-modulated radiotherapy (IMRT) and an incorporated boost with concurrent capecitabine in patients with locally advanced rectal cancer. Methods and Materials: The eligibility criteria included adenocarcinoma of the rectum, T3-T4 and/or N1-N2 disease, performance status 0 or 1, and age {>=}18 years. Photon IMRT and an incorporated boost were used to treat the whole pelvis to 45 Gy and the gross tumor volume plus 2 cm to 55 Gy in 25 treatments within 5 weeks. The study was designed to escalate the dose to the gross tumor volume in 5-Gy increments in 3-patient cohorts. Capecitabine was given orally 825 mg/m{sup 2} twice daily for 7 days each week during RT. The primary endpoint was the maximal tolerated radiation dose, and the secondary endpoints were the pathologic response and quality of life. Results: Eight patients completed RT at the initial dose level of 55 Gy. The study was discontinued because of toxicity-six Grade 3 toxicities occurred in 3 (38%) of 8 patients. All patients went on to definitive surgical resection, and no patient had a pathologically complete response. Conclusion: This regimen, using hypofractionated RT with an incorporated boost, had unacceptable toxicity despite using standard doses of capecitabine and IMRT. Additional research is needed to determine whether IMRT is able to reduce the side effects during and after pelvic RT with conventional dose fractionation.

  20. [First experience with the electron accelerator "Therac 20-Saturne" in clinical practice. 1st communication: technical data and dosimetry of photon radiation (author's transl)].

    PubMed

    Müller-Sievers, K; Riehl, G

    1980-08-01

    The fundamental principles of construction, the operational data, handling and safety devices of the first linear electron accelerator type Therac 20-Saturne (CGR MeV) installed in Germany are described. Relevant characteristics of the radiation field for therapy with 12 and 18-MV photons and also the dosimetric data are reported. Observance of the tolerances recommended by the IEC is guaranteed with this accelerator.

  1. An accelerated lambda iteration method for multilevel radiative transfer. III. Noncoherent electron scattering

    NASA Astrophysics Data System (ADS)

    Rybicki, G. B.; Hummer, D. G.

    1994-10-01

    Since the mass of the electron is very small relative to atomic masses, Thomson scattering of low-energy photons (hν<radiation field which is considerably faster than previous methods based on straightforward evaluation of the scattering integral. This procedure is implemented in our multilevel radiative code (MALI), which now takes full account of the effects of noncoherent electron scattering on level populations, as well as on the emergent spectrum. Calculations using model atmospheres of hot, low-gravity stars display not only the expected broad wings of strong emission lines but also effects arising from the scattering of photons across continuum edges. In extreme cases this leads to significant shifts of the ionization equilibrium of helium.

  2. Plasma acceleration and cooling by strong laser field due to the action of radiation reaction force.

    PubMed

    Berezhiani, V I; Mahajan, S M; Yoshida, Z

    2008-12-01

    It is shown that for super intense laser pulses propagating in a hot plasma, the action of the radiation reaction force (appropriately incorporated into the equations of motion) causes strong bulk plasma motion with the kinetic energy raised even to relativistic values; the increase in bulk energy is accompanied by a corresponding cooling (intense cooling) of the plasma. The effects are demonstrated through explicit analytical calculations.

  3. Hawking effect and quantum nonthermal radiation of an arbitrarily accelerating charged black hole using a new tortoise coordinate transformation

    NASA Astrophysics Data System (ADS)

    Pan, Wei-Zhen; Yang, Xue-Jun; Xie, Zhi-Kun

    2011-04-01

    Using a new tortoise coordinate transformation, this paper investigates the Hawking effect from an arbitrarily accelerating charged black hole by the improved Damour—Ruffini method. After the tortoise coordinate transformation, the Klein—Gordon equation can be written as the standard form at the event horizon. Then extending the outgoing wave from outside to inside of the horizon analytically, the surface gravity and Hawking temperature can be obtained automatically. It is found that the Hawking temperatures of different points on the surface are different. The quantum nonthermal radiation characteristics of a black hole near the event horizon is also discussed by studying the Hamilton—Jacobi equation in curved spacetime and the maximum overlap of the positive and negative energy levels near the event horizon is given. There is a dimensional problem in the standard tortoise coordinate and the present results may be more reasonable.

  4. Radiation parameters of 6 to 20 MeV scanning electron beams from the Saturne linear accelerator.

    PubMed

    Pfalzner, P M; Clarke, H C

    1982-01-01

    Depth doses of the scanning electron beams from the Saturne Therac-20 linear accelerator at nominal energies of 6,9,13,17, and 20 MeV were measured in polystyrene using a thin window parallel plate ionization chamber. Central axis depth dose curves are derived and are analyzed according to the method of Brahme and Svensson. For each of the five electron energies, values are obtained for the most probable energy at the absorber surface Ep,0, the practical range Rp, the 50% range R50, the therapeutic range R85, the electron dose gradients, total collision energy losses, and other radiation parameters, and these are compared to corresponding values for electron beams from a 22 MeV medical microtron and a 20 MeV betatron.

  5. Thermal electron acceleration by electric field spikes in the outer radiation belt: generation of field-aligned pitch angle distributions

    NASA Astrophysics Data System (ADS)

    Vasko, I.; Agapitov, O. V.; Mozer, F.; Artemyev, A.

    2015-12-01

    Van Allen Probes observations in the outer radiation belt have demonstrated an abundance non-linear electrostatic stucture called Time Domain Structures (TDS). One of the type of TDS is electrostatic electron-acoustic double layers (DL). Observed DLs are frequently accompanied by field-aligned (bi-directional) pitch angle distributions (PAD) of electrons with energies from hundred eVs up to several keV (rarely up to tens of keV). We perform numerical simulations of the DL interaction with thermal electrons making use of the test particle approach. DL parameters assumed in the simulations are adopted from observations. We show that DLs accelerate thermal electrons parallel to the magnetic field via the electrostatic Fermi mechanism, i.e. due to reflections from DL potential humps. Due to this interaction some fraction of electrons is scattered into the loss cone. The electron energy gain is larger for larger DL scalar potential amplitudes and higher propagation velocities. In addition to the Fermi mechanism electrons can be trapped by DLs in their generation region and accelerated due to transport to higher latitudes. Both mechanisms result in formation of field-aligned PADs for electrons with energies comparable to those found in observations. The Fermi mechanism provides field-aligned PADs for <1 keV electrons, while the trapping mechanism extends field-aligned PADs to higher energy electrons.

  6. Thermal electron acceleration by electric field spikes in the outer radiation belt: Generation of field-aligned pitch angle distributions

    NASA Astrophysics Data System (ADS)

    Vasko, I. Y.; Agapitov, O. V.; Mozer, F. S.; Artemyev, A. V.

    2015-10-01

    Van Allen Probes observations in the outer radiation belt have demonstrated an abundance of electrostatic electron-acoustic double layers (DL). DLs are frequently accompanied by field-aligned (bidirectional) pitch angle distributions (PAD) of electrons with energies from hundred eVs up to several keV. We perform numerical simulations of the DL interaction with thermal electrons making use of the test particle approach. DL parameters assumed in the simulations are adopted from observations. We show that DLs accelerate thermal electrons parallel to the magnetic field via the electrostatic Fermi mechanism, i.e., due to reflections from DL potential humps. The electron energy gain is larger for larger DL scalar potential amplitudes and higher propagation velocities. In addition to the Fermi mechanism, electrons can be trapped by DLs in their generation region and accelerated due to transport to higher latitudes. Both mechanisms result in formation of field-aligned PADs for electrons with energies comparable to those found in observations. The Fermi mechanism provides field-aligned PADs for <1 keV electrons, while the trapping mechanism extends field-aligned PADs to higher-energy electrons. It is shown that the Fermi mechanism can result in scattering into the loss cone of up to several tenths of percent of electrons with flux peaking at energies up to several hundred eVs.

  7. Properties of the shear stress peak radiated ahead of rapidly accelerating rupture fronts that mediate frictional slip

    PubMed Central

    Svetlizky, Ilya; Pino Muñoz, Daniel; Radiguet, Mathilde; Kammer, David S.; Molinari, Jean-François; Fineberg, Jay

    2016-01-01

    We study rapidly accelerating rupture fronts at the onset of frictional motion by performing high-temporal-resolution measurements of both the real contact area and the strain fields surrounding the propagating rupture tip. We observe large-amplitude and localized shear stress peaks that precede rupture fronts and propagate at the shear-wave speed. These localized stress waves, which retain a well-defined form, are initiated during the rapid rupture acceleration phase. They transport considerable energy and are capable of nucleating a secondary supershear rupture. The amplitude of these localized waves roughly scales with the dynamic stress drop and does not decrease as long as the rupture front driving it continues to propagate. Only upon rupture arrest does decay initiate, although the stress wave both continues to propagate and retains its characteristic form. These experimental results are qualitatively described by a self-similar model: a simplified analytical solution of a suddenly expanding shear crack. Quantitative agreement with experiment is provided by realistic finite-element simulations that demonstrate that the radiated stress waves are strongly focused in the direction of the rupture front propagation and describe both their amplitude growth and spatial scaling. Our results demonstrate the extensive applicability of brittle fracture theory to fundamental understanding of friction. Implications for earthquake dynamics are discussed. PMID:26729877

  8. Trace-space reconstruction of low-emittance electron beams through betatron radiation in laser-plasma accelerators

    NASA Astrophysics Data System (ADS)

    Curcio, A.; Anania, M.; Bisesto, F.; Chiadroni, E.; Cianchi, A.; Ferrario, M.; Filippi, F.; Giulietti, D.; Marocchino, A.; Petrarca, M.; Shpakov, V.; Zigler, A.

    2017-01-01

    A new methodology able to model and reconstruct the transverse trace space of low-emittance electron beams accelerated in the bubble regime of laser-plasma interaction is presented. The single-shot measurement of both the electron energy spectrum and the betatron radiation spectrum is shown to allow a complete measurement of the transverse emittance, including the correlation term. A novel technique to directly measure the betatron oscillation amplitude distribution is described and tested at the SPARC-LAB test facility through the interaction of the ultrashort ultraintense Ti:Sa laser FLAME with a He gas-jet target. Via the exposed technique the beam transverse profile is also retrieved. From the study of the electron transverse dynamics inside the plasma bubble, the nonlinear correlation between the betatron amplitude and the divergence, i.e. the angle with respect the acceleration axis, is found. The angular distribution of the electron beam inside the bubble is retrieved. The knowledge of the trace-space density allows a more accurate measurement of the transverse emittance with respect to previous paradigms.

  9. Intrafractional Motion of the Prostate During Hypofractionated Radiotherapy

    SciTech Connect

    Xie Yaoqin; Djajaputra, David; King, Christopher R.; Hossain, Sabbir; Ma Lijun; Xing Lei

    2008-09-01

    Purpose: To report the characteristics of prostate motion as tracked by the stereoscopic X-ray images of the implanted fiducials during hypofractionated radiotherapy with CyberKnife. Methods and Materials: Twenty-one patients with prostate cancer who were treated with CyberKnife between January 2005 and September 2007 were selected for this retrospective study. The CyberKnife uses a stereoscopic X-ray system to obtain the position of the prostate target through the monitoring of implanted gold fiducial markers. If there is a significant deviation, the treatment is paused while the patient is repositioned by moving the couch. The deviations calculated from X-ray images acquired within the time interval between two consecutive couch motions constitute a data set. Results: Included in the analysis were 427 data sets and 4,439 time stamps of X-ray images. The mean duration for each data set was 697 sec. At 30 sec, a motion >2 mm exists in about 5% of data sets. The percentage is increased to 8%, 11%, and 14% at 60 sec, 90 sec, and 120 sec, respectively. A similar trend exists for other values of prostate motion. Conclusions: With proper monitoring and intervention during treatment, the prostate shifts observed among patients can be kept within the tracking range of the CyberKnife. On average, a sampling rate of {approx}40 sec between consecutive X-rays is acceptable to ensure submillimeter tracking. However, there is significant movement variation among patients, and a higher sampling rate may be necessary in some patients.

  10. Adaptive radiation of venomous marine snail lineages and the accelerated evolution of venom peptide genes

    PubMed Central

    Olivera, Baldomero M.; Watkins, Maren; Bandyopadhyay, Pradip; Imperial, Julita S.; de la Cotera, Edgar P. Heimer; Aguilar, Manuel B.; Vera, Estuardo López; Concepcion, Gisela P.; Lluisma, Arturo

    2012-01-01

    An impressive biodiversity (>10,000 species) of marine snails (suborder Toxoglossa or superfamily Conoidea) have complex venoms, containing ca. 100 biologically active, disulfide-rich peptides. In the genus Conus, the most intensively investigated toxoglossan lineage (~500 species), a small set of venom gene superfamilies undergo rapid sequence hyperdiversification within their mature toxin regions. Each major lineage of Toxoglossa has its own distinct set of venom gene superfamilies. Two recently identified venom gene superfamilies are expressed in the large Turridae clade, but not in Conus. Thus, as major venomous molluscan clades expand, a small set of lineage specific venom gene superfamilies undergo accelerated evolution. The juxtaposition of extremely conserved signal sequences with hypervariable mature peptide regions is unprecedented and raises the possibility that in these gene superfamilies, the signal sequences are conserved as a result of an essential role they play in enabling rapid sequence evolution of the region of the gene that encodes the active toxin. PMID:22954218

  11. Validation of an accelerated 'demons' algorithm for deformable image registration in radiation therapy

    NASA Astrophysics Data System (ADS)

    Wang, He; Dong, Lei; O'Daniel, Jennifer; Mohan, Radhe; Garden, Adam S.; Kian Ang, K.; Kuban, Deborah A.; Bonnen, Mark; Chang, Joe Y.; Cheung, Rex

    2005-06-01

    A greyscale-based fully automatic deformable image registration algorithm, originally known as the 'demons' algorithm, was implemented for CT image-guided radiotherapy. We accelerated the algorithm by introducing an 'active force' along with an adaptive force strength adjustment during the iterative process. These improvements led to a 40% speed improvement over the original algorithm and a high tolerance of large organ deformations. We used three methods to evaluate the accuracy of the algorithm. First, we created a set of mathematical transformations for a series of patient's CT images. This provides a 'ground truth' solution for quantitatively validating the deformable image registration algorithm. Second, we used a physically deformable pelvic phantom, which can measure deformed objects under different conditions. The results of these two tests allowed us to quantify the accuracy of the deformable registration. Validation results showed that more than 96% of the voxels were within 2 mm of their intended shifts for a prostate and a head-and-neck patient case. The mean errors and standard deviations were 0.5 mm ± 1.5 mm and 0.2 mm ± 0.6 mm, respectively. Using the deformable pelvis phantom, the result showed a tracking accuracy of better than 1.5 mm for 23 seeds implanted in a phantom prostate that was deformed by inflation of a rectal balloon. Third, physician-drawn contours outlining the tumour volumes and certain anatomical structures in the original CT images were deformed along with the CT images acquired during subsequent treatments or during a different respiratory phase for a lung cancer case. Visual inspection of the positions and shapes of these deformed contours agreed well with human judgment. Together, these results suggest that the accelerated demons algorithm has significant potential for delineating and tracking doses in targets and critical structures during CT-guided radiotherapy.

  12. Validation of an accelerated 'demons' algorithm for deformable image registration in radiation therapy.

    PubMed

    Wang, He; Dong, Lei; O'Daniel, Jennifer; Mohan, Radhe; Garden, Adam S; Ang, K Kian; Kuban, Deborah A; Bonnen, Mark; Chang, Joe Y; Cheung, Rex

    2005-06-21

    A greyscale-based fully automatic deformable image registration algorithm, originally known as the 'demons' algorithm, was implemented for CT image-guided radiotherapy. We accelerated the algorithm by introducing an 'active force' along with an adaptive force strength adjustment during the iterative process. These improvements led to a 40% speed improvement over the original algorithm and a high tolerance of large organ deformations. We used three methods to evaluate the accuracy of the algorithm. First, we created a set of mathematical transformations for a series of patient's CT images. This provides a 'ground truth' solution for quantitatively validating the deformable image registration algorithm. Second, we used a physically deformable pelvic phantom, which can measure deformed objects under different conditions. The results of these two tests allowed us to quantify the accuracy of the deformable registration. Validation results showed that more than 96% of the voxels were within 2 mm of their intended shifts for a prostate and a head-and-neck patient case. The mean errors and standard deviations were 0.5 mm+/-1.5 mm and 0.2 mm+/-0.6 mm, respectively. Using the deformable pelvis phantom, the result showed a tracking accuracy of better than 1.5 mm for 23 seeds implanted in a phantom prostate that was deformed by inflation of a rectal balloon. Third, physician-drawn contours outlining the tumour volumes and certain anatomical structures in the original CT images were deformed along with the CT images acquired during subsequent treatments or during a different respiratory phase for a lung cancer case. Visual inspection of the positions and shapes of these deformed contours agreed well with human judgment. Together, these results suggest that the accelerated demons algorithm has significant potential for delineating and tracking doses in targets and critical structures during CT-guided radiotherapy.

  13. Five year outcomes of hypofractionated simultaneous integrated boost irradiation in breast conserving therapy; patterns of recurrence.

    PubMed

    Bantema-Joppe, Enja J; Vredeveld, Eline J; de Bock, Geertruida H; Busz, Dianne M; Woltman-van Iersel, Marleen; Dolsma, Wil V; van der Laan, Hans Paul; Langendijk, Johannes A; Maduro, John H

    2013-08-01

    In 2005, we introduced hypofractionated 3-dimensional conformal radiotherapy with a simultaneous integrated boost (3D-CRT-SIB) technique after breast conserving surgery. In a consecutive series of 752 consecutive female invasive breast cancer patients (stages I-III) the 5-year actuarial rate for local control was 98.9%. This new technique gives excellent 5-year local control.

  14. Optical transition radiation used in the diagnostic of low energy and low current electron beams in particle accelerators

    NASA Astrophysics Data System (ADS)

    Silva, T. F.; Bonini, A. L.; Lima, R. R.; Maidana, N. L.; Malafronte, A. A.; Pascholati, P. R.; Vanin, V. R.; Martins, M. N.

    2012-09-01

    Optical transition radiation (OTR) plays an important role in beam diagnostics for high energy particle accelerators. Its linear intensity with beam current is a great advantage as compared to fluorescent screens, which are subject to saturation. Moreover, the measurement of the angular distribution of the emitted radiation enables the determination of many beam parameters in a single observation point. However, few works deals with the application of OTR to monitor low energy beams. In this work we describe the design of an OTR based beam monitor used to measure the transverse beam charge distribution of the 1.9-MeV electron beam of the linac injector of the IFUSP microtron using a standard vision machine camera. The average beam current in pulsed operation mode is of the order of tens of nano-Amps. Low energy and low beam current make OTR observation difficult. To improve sensitivity, the beam incidence angle on the target was chosen to maximize the photon flux in the camera field-of-view. Measurements that assess OTR observation (linearity with beam current, polarization, and spectrum shape) are presented, as well as a typical 1.9-MeV electron beam charge distribution obtained from OTR. Some aspects of emittance measurement using this device are also discussed.

  15. Optical transition radiation used in the diagnostic of low energy and low current electron beams in particle accelerators.

    PubMed

    Silva, T F; Bonini, A L; Lima, R R; Maidana, N L; Malafronte, A A; Pascholati, P R; Vanin, V R; Martins, M N

    2012-09-01

    Optical transition radiation (OTR) plays an important role in beam diagnostics for high energy particle accelerators. Its linear intensity with beam current is a great advantage as compared to fluorescent screens, which are subject to saturation. Moreover, the measurement of the angular distribution of the emitted radiation enables the determination of many beam parameters in a single observation point. However, few works deals with the application of OTR to monitor low energy beams. In this work we describe the design of an OTR based beam monitor used to measure the transverse beam charge distribution of the 1.9-MeV electron beam of the linac injector of the IFUSP microtron using a standard vision machine camera. The average beam current in pulsed operation mode is of the order of tens of nano-Amps. Low energy and low beam current make OTR observation difficult. To improve sensitivity, the beam incidence angle on the target was chosen to maximize the photon flux in the camera field-of-view. Measurements that assess OTR observation (linearity with beam current, polarization, and spectrum shape) are presented, as well as a typical 1.9-MeV electron beam charge distribution obtained from OTR. Some aspects of emittance measurement using this device are also discussed.

  16. Shielding data for hadron-therapy ion accelerators: Attenuation of secondary radiation in concrete

    NASA Astrophysics Data System (ADS)

    Agosteo, S.; Mereghetti, A.; Sagia, E.; Silari, M.

    2014-01-01

    The secondary radiation field produced by seven different ion species (from hydrogen to nitrogen), impinging onto thick targets made of either iron or ICRU tissue, was simulated with the FLUKA Monte Carlo code, and transported through thick concrete shields: the ambient dose equivalent was estimated and shielding parameters evaluated. The energy for each ion beam was set in order to reach a maximum penetration in ICRU tissue of 290 mm (equivalent to the therapeutic range of 430 MeV/amu carbon ions). Source terms and attenuation lengths are given as a function of emission angle and ion species, along with fits to the Monte Carlo data, for shallow depth and deep penetration in the shield. Trends of source terms and attenuation lengths as a function of neutron emission angle and ion species impinging on target are discussed. A comparison of double differential distributions of neutrons with results from similar simulation works reported in the literature is also included. The aim of this work is to provide shielding data for the design of future light-ion radiation therapy facilities.

  17. Early-Stage Breast Cancer Treated With 3-Week Accelerated Whole-Breast Radiation Therapy and Concomitant Boost

    SciTech Connect

    Chadha, Manjeet; Woode, Rudolph; Sillanpaa, Jussi; Lucido, David; Boolbol, Susan K.; Kirstein, Laurie; Osborne, Michael P.; Feldman, Sheldon; Harrison, Louis B.

    2013-05-01

    Purpose: To report early outcomes of accelerated whole-breast radiation therapy with concomitant boost. Methods and Materials: This is a prospective, institutional review board-approved study. Eligibility included stage TisN0, T1N0, and T2N0 breast cancer. Patients receiving adjuvant chemotherapy were ineligible. The whole breast received 40.5 Gy in 2.7-Gy fractions with a concomitant lumpectomy boost of 4.5 Gy in 0.3-Gy fractions. Total dose to the lumpectomy site was 45 Gy in 15 fractions over 19 days. Results: Between October 2004 and December 2010, 160 patients were treated; stage distribution was as follows: TisN0, n=63; T1N0, n=88; and T2N0, n=9. With a median follow-up of 3.5 years (range, 1.5-7.8 years) the 5-year overall survival and disease-free survival rates were 90% (95% confidence interval [CI] 0.84-0.94) and 97% (95% CI 0.93-0.99), respectively. Five-year local relapse-free survival was 99% (95% CI 0.96-0.99). Acute National Cancer Institute/Common Toxicity Criteria grade 1 and 2 skin toxicity was observed in 70% and 5%, respectively. Among the patients with ≥2-year follow-up no toxicity higher than grade 2 on the Late Effects in Normal Tissues–Subjective, Objective, Management, and Analytic scale was observed. Review of the radiation therapy dose–volume histogram noted that ≥95% of the prescribed dose encompassed the lumpectomy target volume in >95% of plans. The median dose received by the heart D{sub 05} was 215 cGy, and median lung V{sub 20} was 7.6%. Conclusions: The prescribed accelerated schedule of whole-breast radiation therapy with concomitant boost can be administered, achieving acceptable dose distribution. With follow-up to date, the results are encouraging and suggest minimal side effects and excellent local control.

  18. A Phase I Study of Short-Course Accelerated Whole Brain Radiation Therapy for Multiple Brain Metastases

    SciTech Connect

    Caravatta, Luciana; Deodato, Francesco; Ferro, Marica; Macchia, Gabriella; Massaccesi, Mariangela; Cilla, Savino; Padula, Gilbert D.A.; Mignogna, Samantha; Tambaro, Rosa; Carrozza, Francesco; Flocco, Mariano; Cantore, Giampaolo; Scapati, Andrea; Buwenge, Milly; and others

    2012-11-15

    Purpose: To define the maximum tolerated dose (MTD) of a SHort-course Accelerated whole brain RadiatiON therapy (SHARON) in the treatment of patients with multiple brain metastases. Methods and Materials: A phase 1 trial in 4 dose-escalation steps was designed: 12 Gy (3 Gy per fraction), 14 Gy (3.5 Gy per fraction), 16 Gy (4 Gy per fraction), and 18 Gy (4.5 Gy per fraction). Eligibility criteria included patients with unfavorable recursive partitioning analysis (RPA) class > or =2 with at least 3 brain metastases or metastatic disease in more than 3 organ systems, and Eastern Cooperative Oncology Group (ECOG) performance status {<=}3. Treatment was delivered in 2 days with twice-daily fractionation. Patients were treated in cohorts of 6-12 to define the MTD. The dose-limiting toxicity (DLT) was defined as any acute toxicity {>=}grade 3, according to the Radiation Therapy Oncology Group scale. Information on the status of the main neurologic symptoms and quality of life were recorded. Results: Characteristics of the 49 enrolled patients were as follows: male/female, 30/19; median age, 66 years (range, 23-83 years). ECOG performance status was <3 in 46 patients (94%). Fourteen patients (29%) were considered to be in recursive partitioning analysis (RPA) class 3. Grade 1-2 acute neurologic (26.4%) and skin (18.3%) toxicities were recorded. Only 1 patient experienced DLT (neurologic grade 3 acute toxicity). With a median follow-up time of 5 months (range, 1-23 months), no late toxicities have been observed. Three weeks after treatment, 16 of 21 symptomatic patients showed an improvement or resolution of presenting symptoms (overall symptom response rate, 76.2%; confidence interval 0.95: 60.3-95.9%). Conclusions: Short-course accelerated radiation therapy in twice-daily fractions for 2 consecutive days is tolerated up to a total dose of 18 Gy. A phase 2 study has been planned to evaluate the efficacy on overall survival, symptom control, and quality of life indices.

  19. Short-pulse, high-energy radiation generation from laser-wakefield accelerated electron beams

    NASA Astrophysics Data System (ADS)

    Schumaker, Will

    2013-10-01

    Recent experimental results of laser wakefield acceleration (LWFA) of ~GeV electrons driven by the 200TW HERCULES and the 400TW ASTRA-GEMINI laser systems and their subsequent generation of photons, positrons, and neutrons are presented. In LWFA, high-intensity (I >1019 W /cm2), ultra-short (τL < 1 / (2 πωpe)) laser pulses drive highly nonlinear plasma waves which can trap ~ nC of electrons and accelerate them to ~GeV energies over ~cm lengths. These electron beams can then be converted by a high-Z target via bremsstrahlung into low-divergence (< 20 mrad) beams of high-energy (<600 MeV) photons and subsequently into positrons via the Bethe-Heitler process. By increasing the material thickness and Z, the resulting Ne+ /Ne- ratio can approach unity, resulting in a near neutral density plasma jet. These quasi-neutral beams are presumed to retain the short-pulse (τL < 40 fs) characteristic of the electron beam, resulting in a high peak density of ne- /e+ ~ 1016 cm-3 , making the source an excellent candidate for laboratory study of astrophysical leptonic jets. Alternatively, the electron beam can be interacted with a counter-propagating, ultra-high intensity (I >1021 W /cm2) laser pulse to undergo inverse Compton scattering and emit a high-peak brightness beam of high-energy photons. Preliminary results and experimental sensitivities of the electron-laser beam overlap are presented. The high-energy photon beams can be spectrally resolved using a forward Compton scattering spectrometer. Moreover, the photon flux can be characterized by a pixelated scintillator array and by nuclear activation and (γ,n) neutron measurements from the photons interacting with a secondary solid target. Monte-Carlo simulations were performed using FLUKA to support the yield estimates. This research was supported by DOE/NSF-PHY 0810979, NSF CAREER 1054164, DARPA AXiS N66001-11-1-4208, SF/DNDO F021166, and the Leverhulme Trust ECF-2011-383.

  20. The problem of the acceleration of electrons of the outer radiation belt and magnetospheric substorms

    NASA Astrophysics Data System (ADS)

    Antonova, E. E.; Stepanova, M. V.

    2015-09-01

    Predicting of the location of the maximum in high-energy electron fluxes filling a new radiation belt is an endeavor being carried out by physicists studying the magnetosphere. We analyzed the data from the Defense Meteorological Satellite Program (DMSP) satellites and ground-based magnetometers obtained during geomagnetic storm on 8-9 October 2012. The minimum value of the disturbance storm time (Dst) was -111 nT, and the maximum in high-energy electron fluxes that appeared during the recovery phase was observed at L = 4 Re. At the same time, we analyzed the motion of the auroral oval toward lower latitudes and related substorm activity using the data of the low-orbiting DMSP satellites and the IMAGE magnetic meridian network. It was found from the DMSP satellites' measurements that the maximum of the energy density of precipitating ions, the maximum of the plasma pressure, and the most equatorial part of the westward auroral electrojet are all located at the 60° geomagnetic latitude. This value corresponds to L = 4 Re, i.e., it coincides with the location of the maximum in high-energy electron fluxes. This L-value also agrees with the predictions of the Tverskaya relation between the minimum in Dst variation and the location of the maximum of the energetic electron fluxes, filling a new radiation belt. The obtained results show that the location of this maximum could be predicted solely from the data of the auroral particle precipitations and/or ground-based magnetic observations.

  1. Accelerating 3D radiative transfer for realistic OCO-2 cloud-aerosol scenes

    NASA Astrophysics Data System (ADS)

    Schmidt, S.; Massie, S. T.; Platnick, S. E.; Song, S.

    2014-12-01

    The recently launched NASA OCO-2 satellite is expected to provide important information about the carbon dioxide distribution in the troposphere down to Earth's surface. Among the challenges in accurately retrieving CO2 concentration from the hyperspectral observations in each of the three OCO-2 bands are cloud and aerosol impacts on the observed radiances. Preliminary studies based on idealized cloud fields have shown that they can lead to spectrally dependent radiance perturbations which differ from band to band and may lead to biases in the derived products. Since OCO-2 was inserted into the A-Train, it is only natural to capitalize on sensor synergies with other instruments, in this case on the cloud and aerosol scene context that is provided by MODIS and CALIOP. Our approach is to use cloud imagery (especially for inhomogeneous scenes) for predicting the hyperspectral observations within a collocated OCO-2 footprint and comparing with the observations, which allows a systematic assessment of the causes for biases in the retrievals themselves, and their manifestation in spectral residuals for various different cloud types and distributions. Simulating a large number of cases with line-by-line calculations using a 3D code is computationally prohibitive even on large parallel computers. Therefore, we developed a number of acceleration approaches. In this contribution, we will analyze them in terms of their speed and accuracy, using cloud fields from airborne imagery collected during a recent NASA field experiment (SEAC4RS) as proxy for different types of inhomogeneous cloud fields. The broader goal of this effort is to improve OCO-2 retrievals in the vicinity of cloud fields, and to extend the range of conditions under which the instrument will provide useful results.

  2. Individualized Positron Emission Tomography–Based Isotoxic Accelerated Radiation Therapy Is Cost-Effective Compared With Conventional Radiation Therapy: A Model-Based Evaluation

    SciTech Connect

    Bongers, Mathilda L.; Coupé, Veerle M.H.; De Ruysscher, Dirk; Oberije, Cary; Lambin, Philippe; Uyl-de Groot, Cornelia A.

    2015-03-15

    Purpose: To evaluate long-term health effects, costs, and cost-effectiveness of positron emission tomography (PET)-based isotoxic accelerated radiation therapy treatment (PET-ART) compared with conventional fixed-dose CT-based radiation therapy treatment (CRT) in non-small cell lung cancer (NSCLC). Methods and Materials: Our analysis uses a validated decision model, based on data of 200 NSCLC patients with inoperable stage I-IIIB. Clinical outcomes, resource use, costs, and utilities were obtained from the Maastro Clinic and the literature. Primary model outcomes were the difference in life-years (LYs), quality-adjusted life-years (QALYs), costs, and the incremental cost-effectiveness and cost/utility ratio (ICER and ICUR) of PET-ART versus CRT. Model outcomes were obtained from averaging the predictions for 50,000 simulated patients. A probabilistic sensitivity analysis and scenario analyses were carried out. Results: The average incremental costs per patient of PET-ART were €569 (95% confidence interval [CI] €−5327-€6936) for 0.42 incremental LYs (95% CI 0.19-0.61) and 0.33 QALYs gained (95% CI 0.13-0.49). The base-case scenario resulted in an ICER of €1360 per LY gained and an ICUR of €1744 per QALY gained. The probabilistic analysis gave a 36% probability that PET-ART improves health outcomes at reduced costs and a 64% probability that PET-ART is more effective at slightly higher costs. Conclusion: On the basis of the available data, individualized PET-ART for NSCLC seems to be cost-effective compared with CRT.

  3. Exposure to radiation accelerates normal brain aging and produces deficits in spatial learning and memory

    NASA Astrophysics Data System (ADS)

    Shukitt-Hale, B.; Casadesus, G.; Carey, A.; Rabin, B. M.; Joseph, J. A.

    Previous studies have shown that radiation exposure, particularly to particles of high energy and charge (HZE particles), produces deficits in spatial learning and memory. These adverse behavioral effects are similar to those seen in aged animals. It is possible that these shared effects may be produced by the same mechanism; oxidative stress damage to the central nervous system caused by an increased release of reactive oxygen species is likely responsible for the deficits seen in aging and following irradiation. Both aged and irradiated rats display cognitive impairment in tests of spatial learning and memory such as the Morris water maze and the radial arm maze. These rats have decrements in the ability to build spatial representations of the environment and they utilize non-spatial strategies to solve tasks. Furthermore, they show a lack of spatial preference, due to a decline in the ability to process or retain place (position of a goal with reference to a "map" provided by the configuration of numerous cues in the environment) information. These declines in spatial memory occur in measures dependent on both reference and working memory, and in the flexibility to reset mental images. These results show that irradiation with high-energy particles produces age-like decrements in cognitive behavior that may impair the ability of astronauts to perform critical tasks during long-term space travel beyond the magnetosphere. Supported by NASA Grants NAG9-1190 and NAG9-1529

  4. SU-E-T-03: 3D GPU-Accelerated Secondary Checks of Radiation Therapy Treatment Plans

    SciTech Connect

    Clemente, F; Perez, C

    2014-06-01

    Purpose: Redundant treatment verifications in conformal and intensity-modulated radiation therapy techniques are traditionally performed with single point calculations. New solutions can replace these checks with 3D treatment plan verifications. This work describes a software tool (Mobius3D, Mobius Medical Systems) that uses a GPU-accelerated collapsed cone algorithm to perform 3D independent verifications of TPS calculations. Methods: Mobius3D comes with reference beam models for common linear accelerators. The system uses an independently developed collapsed cone algorithm updated with recent enhancements. 144 isotropically-spaced cones are used for each voxel for calculations. These complex calculations can be sped up by using GPUs. Mobius3D calculate dose using DICOM information coming from TPS (CT, RT Struct, RT Plan RT Dose). DVH-metrics and 3D gamma tests can be used to compare both TPS and secondary calculations. 170 patients treated with all common techniques as 3DCFRT (including wedged), static and dynamic IMRT and VMAT have been successfully verified with this solution. Results: Calculation times are between 3–5 minutes for 3DCFRT treatments and 15–20 for most complex dMLC and VMAT plans. For all PTVs mean dose and 90% coverage differences are (1.12±0.97)% and (0.68±1.19)%, respectively. Mean dose discrepancies for all OARs is (0.64±1.00)%. 3D gamma (global, 3%/3 mm) analysis shows a mean passing rate of (97.8 ± 3.0)% for PTVs and (99.0±3.0)% for OARs. 3D gamma pasing rate for all voxels in CT has a mean value of (98.5±1.6)%. Conclusion: Mobius3D is a powerful tool to verify all modalities of radiation therapy treatments. Dose discrepancies calculated by this system are in good agreement with TPS. The use of reference beam data results in time savings and can be used to avoid the propagation of errors in original beam data into our QA system. GPU calculations permit enhanced collapsed cone calculations with reasonable calculation times.

  5. Incorporating Cancer Stem Cells in Radiation Therapy Treatment Response Modeling and the Implication in Glioblastoma Multiforme Treatment Resistance

    SciTech Connect

    Yu, Victoria Y.; Nguyen, Dan; Pajonk, Frank; Kupelian, Patrick; Kaprealian, Tania; Selch, Michael; Low, Daniel A.; Sheng, Ke

    2015-03-15

    Purpose: To perform a preliminary exploration with a simplistic mathematical cancer stem cell (CSC) interaction model to determine whether the tumor-intrinsic heterogeneity and dynamic equilibrium between CSCs and differentiated cancer cells (DCCs) can better explain radiation therapy treatment response with a dual-compartment linear-quadratic (DLQ) model. Methods and Materials: The radiosensitivity parameters of CSCs and DCCs for cancer cell lines including glioblastoma multiforme (GBM), non–small cell lung cancer, melanoma, osteosarcoma, and prostate, cervical, and breast cancer were determined by performing robust least-square fitting using the DLQ model on published clonogenic survival data. Fitting performance was compared with the single-compartment LQ (SLQ) and universal survival curve models. The fitting results were then used in an ordinary differential equation describing the kinetics of DCCs and CSCs in response to 2- to 14.3-Gy fractionated treatments. The total dose to achieve tumor control and the fraction size that achieved the least normal biological equivalent dose were calculated. Results: Smaller cell survival fitting errors were observed using DLQ, with the exception of melanoma, which had a low α/β = 0.16 in SLQ. Ordinary differential equation simulation indicated lower normal tissue biological equivalent dose to achieve the same tumor control with a hypofractionated approach for 4 cell lines for the DLQ model, in contrast to SLQ, which favored 2 Gy per fraction for all cells except melanoma. The DLQ model indicated greater tumor radioresistance than SLQ, but the radioresistance was overcome by hypofractionation, other than the GBM cells, which responded poorly to all fractionations. Conclusion: The distinct radiosensitivity and dynamics between CSCs and DCCs in radiation therapy response could perhaps be one possible explanation for the heterogeneous intertumor response to hypofractionation and in some cases superior outcome from

  6. Treatment of nasopharyngeal carcinoma using simultaneous modulated accelerated radiation therapy via helical tomotherapy: a phase II study

    PubMed Central

    Du, Lei; Zhang, Xin Xin; Feng, Lin Chun; Chen, Jing; Yang, Jun; Liu, Hai Xia; Xu, Shou Ping; Xie, Chuan Bin

    2016-01-01

    Abstract Background The aim of the study was to evaluate short-term safety and efficacy of simultaneous modulated accelerated radiation therapy (SMART) delivered via helical tomotherapy in patients with nasopharyngeal carcinoma (NPC). Methods Between August 2011 and September 2013, 132 newly diagnosed NPC patients were enrolled for a prospective phase II study. The prescription doses delivered to the gross tumor volume (pGTVnx) and positive lymph nodes (pGTVnd), the high risk planning target volume (PTV1), and the low risk planning target volume (PTV2), were 67.5 Gy (2.25 Gy/F), 60 Gy (2.0 Gy/F), and 54 Gy (1.8 Gy/F), in 30 fractions, respectively. Acute toxicities were evaluated according to the established RTOG/EORTC criteria. This group of patients was compared with the 190 patients in the retrospective P70 study, who were treated between September 2004 and August 2009 with helical tomotherapy, with a dose of 70-74 Gy/33F/6.5W delivered to pGTVnx and pGTVnd. Results The median follow-up was 23.7 (12–38) months. Acute radiation related side-effects were mainly problems graded as 1 or 2. Only a small number of patients suffered from grade 4 leucopenia (4.5%) or thrombocytopenia (2.3%). The local relapse-free survival (LRFS), nodal relapse-free survival (NRFS), local-nodal relapse-free survival (LNRFS), distant metastasis-free survival (DMFS) and overall survival (OS) were 96.7%, 95.5%, 92.2%, 92.7% and 93.2%, at 2 years, respectively, with no significant difference compared with the P70 study. Conclusions Smart delivered via the helical tomotherapy technique appears to be associated with an acceptable acute toxicity profile and favorable short-term outcomes for patients with NPC. Long-term toxicities and patient outcomes are under investigation. PMID:27247555

  7. Hypofractionated passively scattered proton radiotherapy for low- and intermediate-risk prostate cancer is not associated with post-treatment testosterone suppression

    PubMed Central

    2013-01-01

    Background. To investigate post-treatment changes in serum testosterone in low- and intermediate-risk prostate cancer patients treated with hypofractionated passively scattered proton radiotherapy. Material and methods. Between April 2008 and October 2011, 228 patients with low- and intermediate-risk prostate cancer were enrolled into an institutional review board-approved prospective protocol. Patients received doses ranging from 70 Cobalt Gray Equivalent (CGE) to 72.5 CGE at 2.5 CGE per fraction using passively scattered protons. Three patients were excluded for receiving androgen deprivation therapy (n = 2) or testosterone supplementation (n = 1) before radiation. Of the remaining 226 patients, pretreatment serum testosterone levels were available for 217. Of these patients, post-treatment serum testosterone levels were available for 207 in the final week of treatment, 165 at the six-month follow-up, and 116 at the 12-month follow-up. The post-treatment testosterone levels were compared with the pretreatment levels using Wilcoxon's signed-rank test for matched pairs. Results. The median pretreatment serum testosterone level was 367.7 ng/dl (12.8 nmol/l). The median changes in post-treatment testosterone value were as follows: +3.0 ng/dl (+0.1 nmol/l) at treatment completion; +6.0 ng/dl (+0.2 nmol/l) at six months after treatment; and +5.0 ng/dl (0.2 nmol/l) at 12 months after treatment. None of these changes were statistically significant. Conclusion. Patients with low- and intermediate-risk prostate cancer treated with hypofractionated passively scattered proton radiotherapy do not experience testosterone suppression. Our findings are consistent with physical measurements demonstrating that proton radiotherapy is associated with less scatter radiation exposure to tissues beyond the beam paths compared with intensity-modulated photon radiotherapy. PMID:23477360

  8. Hypofractionated high-dose irradiation for the treatment of malignant astrocytomas using simultaneous integrated boost technique by IMRT

    SciTech Connect

    Iuchi, Toshihiko; Hatano, Kazuo; Narita, Yuichiro; Kodama, Takashi; Yamaki, Tomohiro; Osato, Katsunobu

    2006-04-01

    Purpose: We evaluated the clinical significance of hypofractionated high-dose irradiation using simultaneous integrated boost technique with intensity-modulated radiation therapy (IMRT) for the treatment of malignant astrocytomas (MAs). Methods and Materials: Twenty-five patients with MAs were treated by IMRT. Three layered planning target volumes (PTVs) were contoured. PTV-1 was the area of enhanced lesion with 5-mm margin; PTV-2 was the area with 15-mm margin surrounding the PTV-1; PTV-3 was the area of perifocal edema. Irradiation was performed in 8 fractions, and only the dose for PTV-1 was escalated from 48 Gy to 68 Gy while maintaining the dose for PTV-2 (40 Gy) and PTV-3 (32 Gy). The clinical outcome of IMRT was compared with 60 MA patients treated by conventional external beam irradiation (EBI). Results: The progression-free survival of patients in the IMRT group was significantly longer than that in the EBI group (p < 0.0001). No distant failure was observed in both groups. In the IMRT group, dissemination was the most frequent cause of death (70%). The overall survival of patients in the IMRT group was better than that in the EBI group (p = 0.043). Conclusions: Our regimen of IMRT contributed to the control of both the regional and infiltrating tumors, resulting in better survival of patients.

  9. X-class Solar Flare Energy Partition into Radiative, Non-Thermal Acceleration of Electrons and Peak Thermal Plasma Components - Methodology and Results

    NASA Astrophysics Data System (ADS)

    Moore, Christopher S.; Chamberlin, Phillip; Dennis, Brian R.; Hock, Rachel

    2015-08-01

    Solar flares are among the most energetic processes in the solar system. X-class flares are the largest and can convert up to 1033 ergs of magnetic energy into the acceleration of charged particles and the heating of plasma. They are often accompanied by coronal mass ejections (CMEs). We discuss the methodology and results of the energy partition into three main components: (1) radiative energy, (2) non-thermal acceleration of electrons, and (3) the peak thermal energy content, for a subset of the largest eruptive events from Solar Cycle 23, as derived from satellite observations and empirical models. The bolometric energy content is on the order of 1031 - 1032 ergs and is extracted from Total Solar Irradiance (TSI) measurements by the Total Irradiance Monitor (TIM) onboard the SOlar Radiation and Climate Experiment (SORCE). The Vacuum Ultraviolet (VUV) contribution of the total radiative output is obtained by implementing the Flare Irradiance Spectral Model (FISM). Furthermore, we partition the radiative release into impulsive and gradual phases. X-ray spectra from the Ramaty High Energy Solar Spectroscopic Imager (RHESSI) are used to deduce the energy in the non-thermal accelerated electrons, generally found to be 1031 -1032 ergs, and the peak thermal energy content of around 1030 - 1031 ergs. Aside from the CME kinetic energy, these three components contain a substantial amount of the initial available magnetic energy.

  10. Phase-contrast imaging using radiation sources based on laser-plasma wakefield accelerators: state of the art and future development

    NASA Astrophysics Data System (ADS)

    Reboredo., D.; Cipiccia, S.; Grant, P. A.; Welsh, G. H.; Grant, D. W.; McKendrick, G.; Subiel, A.; Maneuski, D.; Wiggins, S. M.; Jaroszynski, D. A.

    2015-03-01

    Both the laser-plasma wakefield accelerator (LWFA) and X-ray phase-contrast imaging (XPCi) are promising technologies that are attracting the attention of the scientific community. Conventional X-ray absorption imaging cannot be used as a means of imaging biological material because of low contrast. XPCi overcomes this limitation by exploiting the variation of the refraction index of materials. The contrast obtained is higher than for conventional absorption imaging and requires a lower dose. The LWFA is a new concept of acceleration where electrons are accelerated to very high energy (~150 MeV) in very short distances (mm scale) by surfing plasma waves excited by the passage of an ultra-intense laser pulse (~1018 Wcm-2) through plasma. Electrons in the LWFA can undergo transverse oscillation and emit synchrotron-like (betatron) radiation in a narrow cone around the propagation axis. The properties of the betatron radiation produced by LWFA, such as source size and spectrum, make it an excellent candidate for XPCi. In this work we present the characterization of betatron radiation produced by the LWFA in the ALPHA-X laboratory (University of Strathclyde). We show how phase contrast images can be obtained using the betatron radiation in a free-space propagation configuration and we discuss the potential and limitation of the LWFA driven XPCi.

  11. Using the FLUKA Monte Carlo Code to Simulate the Interactions of Ionizing Radiation with Matter to Assist and Aid Our Understanding of Ground Based Accelerator Testing, Space Hardware Design, and Secondary Space Radiation Environments

    NASA Technical Reports Server (NTRS)

    Reddell, Brandon

    2015-01-01

    Designing hardware to operate in the space radiation environment is a very difficult and costly activity. Ground based particle accelerators can be used to test for exposure to the radiation environment, one species at a time, however, the actual space environment cannot be duplicated because of the range of energies and isotropic nature of space radiation. The FLUKA Monte Carlo code is an integrated physics package based at CERN that has been under development for the last 40+ years and includes the most up-to-date fundamental physics theory and particle physics data. This work presents an overview of FLUKA and how it has been used in conjunction with ground based radiation testing for NASA and improve our understanding of secondary particle environments resulting from the interaction of space radiation with matter.

  12. Salvage Treatment With Hypofractionated Radiotherapy in Patients With Recurrent Small Hepatocellular Carcinoma

    SciTech Connect

    Bae, Sun Hyun; Park, Hee Chul; Lim, Do Hoon; Lee, Jung Ae; Gwak, Geum Yeon; Choi, Moon Seok; Lee, Joon Hyoek; Koh, Kwang Cheol; Paik, Seung Woon; Yoo, Byung Chul

    2012-03-15

    Purpose: To investigate the rates of tumor response and local control in patients with recurrent small hepatocellular carcinoma (HCC) treated with hypofractionated radiotherapy (RT) as a salvage treatment and to evaluate treatment-related toxicities. Methods and Materials: Between 2006 and 2009, a total of 20 patients with recurrent small HCC were treated with hypofractionated RT after the failure of previous treatment. The eligibility criteria for hypofractionated RT were as follows: 1) HCC less than 5 cm, 2) HCC not adjacent to critical organs, 3) HCC without portal vein tumor thrombosis, and 4) less than 15% of normal liver volume that would be irradiated with 50% of prescribed dose. The RT dose was 50 Gy in 10 fractions. The tumor response was determined by CT scans performed 3 months after the end of RT. Results: The median follow-up period after RT was 22 months. The overall survival rates at 1 and 2 years were 100% and 87.9%, respectively. Complete response (CR) was achieved in seven of 20 lesions (35%) evaluated by CT scans performed 3 months after the end of RT. In-field local control was achieved in 85% of patients. Fourteen patients (70%) developed intra-hepatic metastases. Six patients developed grade 1 nausea or anorexia during RT, and two patients had progression of ascites after RT. There was no grade 3 or greater treatment-related toxicities. Conclusions: The current study showed a favorable outcome with respect to hypofractionated RT for small HCC. Partial liver irradiation with 50 Gy in 10 fractions is considered tolerable without severe complications.

  13. A feasibility study of treatment verification using EPID cine images for hypofractionated lung radiotherapy

    NASA Astrophysics Data System (ADS)

    Tang, Xiaoli; Lin, Tong; Jiang, Steve

    2009-09-01

    We propose a novel approach for potential online treatment verification using cine EPID (electronic portal imaging device) images for hypofractionated lung radiotherapy based on a machine learning algorithm. Hypofractionated radiotherapy requires high precision. It is essential to effectively monitor the target to ensure that the tumor is within the beam aperture. We modeled the treatment verification problem as a two-class classification problem and applied an artificial neural network (ANN) to classify the cine EPID images acquired during the treatment into corresponding classes—with the tumor inside or outside of the beam aperture. Training samples were generated for the ANN using digitally reconstructed radiographs (DRRs) with artificially added shifts in the tumor location—to simulate cine EPID images with different tumor locations. Principal component analysis (PCA) was used to reduce the dimensionality of the training samples and cine EPID images acquired during the treatment. The proposed treatment verification algorithm was tested on five hypofractionated lung patients in a retrospective fashion. On average, our proposed algorithm achieved a 98.0% classification accuracy, a 97.6% recall rate and a 99.7% precision rate. This work was first presented at the Seventh International Conference on Machine Learning and Applications, San Diego, CA, USA, 11-13 December 2008.

  14. Quantification and reduction of peripheral dose from leakage radiation on Siemens Primus accelerators in electron therapy mode.

    PubMed

    Yeboah, Collins; Karotki, Alex; Hunt, Dylan; Holly, Rick

    2010-06-15

    In this work, leakage radiation from EA200 series electron applicators on Siemens Primus accelerators is quantified, and its penetration ability in water and/or the shielding material Xenolite-NL established. Initially, measurement of leakage from 10 x 10 - 25 x 25 cm2 applicators was performed as a function of height along applicator and of lateral distance from applicator body. Relative to central-axis ionization maximum in solid water, the maximum leakage in air observed with a cylindrical ion chamber with 1 cm solid water buildup cap at a lateral distance of 2 cm from the front and right sidewalls of applicators were 17% and 14%, respectively; these maxima were recorded for 18 MeV electron beams and applicator sizes of >or=20 x 20 cm2. In the patient plane, the applicator leakage gave rise to a broad peripheral dose off-axis distance peak that shifted closer to the field edge as the electron energy increases. The maximum peripheral dose from normally incident primary electron beams at a depth of 1 cm in a water phantom was observed to be equal to 5% of the central-axis dose maximum and as high as 9% for obliquely incident beams with angles of obliquity radiation through the shielding material Xenolite-NL showed a 4 mm thick sheet of this material is required to attenuate the leakage from 9 MeV beams by two-thirds, and that for every additional 3 MeV increase in the primary electron beam energy, an additional Xenolite-NL thickness of roughly 2 mm is needed to achieve the aforementioned attenuation level. Finally, attachment of a 1 mm thick sheet of lead to the outer surface of applicator sidewalls resulted in a reduction of the peripheral dose by up to 80% and 74% for 9 and 18MeV beams

  15. New method of collecting output factors for commissioning linear accelerators with special emphasis on small fields and Intensity Modulated Radiation Therapy

    NASA Astrophysics Data System (ADS)

    Smith, Cindy D.

    Common methods for commissioning linear accelerators often neglect beam data for small fields. Examining the methods of beam data collection and modeling for commissioning linear accelerators revealed little to no discussion of the protocols for fields smaller than 4 cm x 4 cm. This leads to decreased confidence levels in the dose calculations and associated monitor units (MUs) for Intensity Modulated Radiation Therapy (IMRT). The parameters of commissioning the Novalis linear accelerator (linac) on the Eclipse Treatment Planning System (TPS) led to the study of challenges collecting data for very small fields. The focus of this thesis is the examination of the protocols for output factor collection and their impact on dose calculations by the TPS for IMRT treatment plans. Improving output factor collection methods, led to significant improvement in absolute dose calculations which correlated with the complexity of the plans.

  16. The Weathering of Plastics Materials in the Tropics. 6. The Further Evaluation of a Solar Radiation Concentrating Device (EMMA) as a Means of Accelerating the Weathering of Plastics

    DTIC Science & Technology

    1981-01-01

    in the Tropics: Part 6 Further Evaluation of a Solar Radiation Concentrating Device (EMMA) as a means of Accelerating the Weathering of Plastics by...specimens were cut using a cutter meeting the requirements of BS 903 Part A2 (Type E). 2.3 Polyacetal Specimens The polyacetal specimens were marhined...52 weeks. These periods were based, in part , on the previous trial results and also in the expectation that the specimens on static exposure would

  17. GPU-Accelerated Monte Carlo Electron Transport Methods: Development and Application for Radiation Dose Calculations Using Six GPU cards

    NASA Astrophysics Data System (ADS)

    Su, Lin; Du, Xining; Liu, Tianyu; Xu, X. George

    2014-06-01

    An electron-photon coupled Monte Carlo code ARCHER - Accelerated Radiation-transport Computations in Heterogeneous EnviRonments - is being developed at Rensselaer Polytechnic Institute as a software testbed for emerging heterogeneous high performance computers that utilize accelerators such as GPUs. This paper presents the preliminary code development and the testing involving radiation dose related problems. In particular, the paper discusses the electron transport simulations using the class-II condensed history method. The considered electron energy ranges from a few hundreds of keV to 30 MeV. For photon part, photoelectric effect, Compton scattering and pair production were modeled. Voxelized geometry was supported. A serial CPU code was first written in C++. The code was then transplanted to the GPU using the CUDA C 5.0 standards. The hardware involved a desktop PC with an Intel Xeon X5660 CPU and six NVIDIA Tesla™ M2090 GPUs. The code was tested for a case of 20 MeV electron beam incident perpendicularly on a water-aluminum-water phantom. The depth and later dose profiles were found to agree with results obtained from well tested MC codes. Using six GPU cards, 6x106 electron histories were simulated within 2 seconds. In comparison, the same case running the EGSnrc and MCNPX codes required 1645 seconds and 9213 seconds, respectively. On-going work continues to test the code for different medical applications such as radiotherapy and brachytherapy.

  18. Three-Year Outcomes of a Canadian Multicenter Study of Accelerated Partial Breast Irradiation Using Conformal Radiation Therapy

    SciTech Connect

    Berrang, Tanya S.; Olivotto, Ivo; Kim, Do-Hoon; Nichol, Alan; Cho, B.C. John; Mohamed, Islam G.; Parhar, Tarnjit; Wright, J.R.; Truong, Pauline; Tyldesley, Scott; Sussman, Jonathan; Wai, Elaine; Whelan, Tim

    2011-12-01

    Purpose: To report 3-year toxicity, cosmesis, and efficacy of a multicenter study of external beam, accelerated partial breast irradiation (APBI) for early-stage breast cancer. Methods and Materials: Between March 2005 and August 2006, 127 women aged {>=}40 years with ductal carcinoma in situ or node-negative invasive breast cancer {<=}3 cm in diameter, treated with breast-conserving surgery achieving negative margins, were accrued to a prospective study involving five Canadian cancer centers. Women meeting predefined dose constraints were treated with APBI using 3 to 5 photon beams, delivering 35 to 38.5 Gy in 10 fractions, twice a day, over 1 week. Patients were assessed for treatment-related toxicities, cosmesis, and efficacy before APBI and at specified time points for as long as 3 years after APBI. Results: 104 women had planning computed tomography scans showing visible seromas, met dosimetric constraints, and were treated with APBI to doses of 35 Gy (n = 9), 36 Gy (n = 33), or 38.5 Gy (n = 62). Eighty-seven patients were evaluated with minimum 3-year follow-up after APBI. Radiation dermatitis, breast edema, breast induration, and fatigue decreased from baseline levels or stabilized by the 3-year follow-up. Hypopigmentation, hyperpigmentation, breast pain, and telangiectasia slightly increased from baseline levels. Most toxicities at 3 years were Grade 1. Only 1 patient had a Grade 3 toxicity with telangiectasia in a skin fold inside the 95% isodose. Cosmesis was good to excellent in 86% (89/104) of women at baseline and 82% (70/85) at 3 years. The 3-year disease-free survival was 97%, with only one local recurrence that occurred in a different quadrant away from the treated site and two distant recurrences. Conclusions: At 3 years, toxicity and cosmesis were acceptable, and local control and disease-free survival were excellent, supporting continued accrual to randomized APBI trials.

  19. Validating Fiducial Markers for Image-Guided Radiation Therapy for Accelerated Partial Breast Irradiation in Early-Stage Breast Cancer

    SciTech Connect

    Park, Catherine K.; Pritz, Jakub; Zhang, Geoffrey G.; Forster, Kenneth M.; Harris, Eleanor E.R.

    2012-03-01

    Purpose: Image-guided radiation therapy (IGRT) may be beneficial for accelerated partial breast irradiation (APBI). The goal was to validate the use of intraparenchymal textured gold fiducials in patients receiving APBI. Methods and Materials: Twenty-six patients were enrolled on this prospective study that had three or four textured gold intraparenchymal fiducials placed at the periphery of the lumpectomy cavity and were treated with three-dimensional (3D) conformal APBI. Free-breathing four-dimensional computed tomography image sets were obtained pre- and posttreatment, as were daily online megavoltage (MV) orthogonal images. Intrafraction motion, variations in respiratory motion, and fiducial marker migration were calculated using the 3D coordinates of individual fiducials and a calculated center of mass (COM) of the fiducials. We also compared the relative position of the fiducial COM with the geometric center of the seroma. Results: There was less than 1 mm of intrafraction respiratory motion, variation in respiratory motion, or fiducial marker migration. The change in seroma position relative to the fiducial COM was 1 mm {+-} 1 mm. The average position of the geometric seroma relative to the fiducial COM pretreatment compared with posttreatment was 1 mm {+-} 1 mm. The largest daily variation in displacement when using bony landmark was in the anteroposterior direction and two standard deviations (SD) of this variation was 10 mm. The average variation in daily separation between the fiducial pairs from daily MV images was 3 mm {+-} 3 mm therefore 2 SD is 6 mm. Conclusion: Fiducial markers are stable throughout the course of APBI. Planning target volume margins when using bony landmarks should be 10 mm and can be reduced to 6 mm if using fiducials.

  20. Characteristics of radiation and propagation of seismic waves in the Baikal Rift Zone estimated by simulations of acceleration time histories of the recorded earthquakes

    NASA Astrophysics Data System (ADS)

    Pavlenko, O. V.; Tubanov, Ts. A.

    2017-01-01

    The regularities in the radiation and propagation of seismic waves within the Baikal Rift Zone in Buryatia are studied to estimate the ground motion parameters from the probable future strong earthquakes. The regional parameters of seismic radiation and propagation are estimated by the stochastic simulation (which provides the closest agreement between the calculations and observations) of the acceleration time histories of the earthquakes recorded by the Ulan-Ude seismic station. The acceleration time histories of the strongest earthquakes ( M W 3.4-4.8) that occurred in 2006-2011 at the epicentral distances of 96-125 km and had source depths of 8-12 km have been modeled. The calculations are conducted with estimates of the Q-factor which were previously obtained for the region. The frequency-dependent attenuation and geometrical spreading are estimated from the data on the deep structure of the crust and upper mantle (velocity sections) in the Ulan-Ude region, and the parameters determining the wave forms and duration of acceleration time histories are found by fitting. These parameters fairly well describe all the considered earthquakes. The Ulan-Ude station can be considered as the reference bedrock station with minimum local effects. The obtained estimates for the parameters of seismic radiation and propagation can be used for forecasting the ground motion from the future strong earthquakes and for constructing the seismic zoning maps for Buryatia.

  1. Hypofractionation Results in Reduced Tumor Cell Kill Compared to Conventional Fractionation for Tumors With Regions of Hypoxia

    SciTech Connect

    Carlson, David J.; Keall, Paul J.; Loo, Billy W.; Chen, Zhe J.; Brown, J. Martin

    2011-03-15

    Purpose: Tumor hypoxia has been observed in many human cancers and is associated with treatment failure in radiation therapy. The purpose of this study is to quantify the effect of different radiation fractionation schemes on tumor cell killing, assuming a realistic distribution of tumor oxygenation. Methods and Materials: A probability density function for the partial pressure of oxygen in a tumor cell population is quantified as a function of radial distance from the capillary wall. Corresponding hypoxia reduction factors for cell killing are determined. The surviving fraction of a tumor consisting of maximally resistant cells, cells at intermediate levels of hypoxia, and normoxic cells is calculated as a function of dose per fraction for an equivalent tumor biological effective dose under normoxic conditions. Results: Increasing hypoxia as a function of distance from blood vessels results in a decrease in tumor cell killing for a typical radiotherapy fractionation scheme by a factor of 10{sup 5} over a distance of 130 {mu}m. For head-and-neck cancer and prostate cancer, the fraction of tumor clonogens killed over a full treatment course decreases by up to a factor of {approx}10{sup 3} as the dose per fraction is increased from 2 to 24 Gy and from 2 to 18 Gy, respectively. Conclusions: Hypofractionation of a radiotherapy regimen can result in a significant decrease in tumor cell killing compared to standard fractionation as a result of tumor hypoxia. There is a potential for large errors when calculating alternate fractionations using formalisms that do not account for tumor hypoxia.

  2. Radiation dose measurements and Monte Carlo calculations for neutron and photon reactions in a human head phantom for accelerator-based boron neutron capture therapy

    NASA Astrophysics Data System (ADS)

    Kim, Don-Soo

    Dose measurements and radiation transport calculations were investigated for the interactions within the human brain of fast neutrons, slow neutrons, thermal neutrons, and photons associated with accelerator-based boron neutron capture therapy (ABNCT). To estimate the overall dose to the human brain, it is necessary to distinguish the doses from the different radiation sources. Using organic scintillators, human head phantom and detector assemblies were designed, constructed, and tested to determine the most appropriate dose estimation system to discriminate dose due to the different radiation sources that will ultimately be incorporated into a human head phantom to be used for dose measurements in ABNCT. Monoenergetic and continuous energy neutrons were generated via the 7Li(p,n)7Be reaction in a metallic lithium target near the reaction threshold using the 5.5 MV Van de Graaff accelerator at the University of Massachusetts Lowell. A human head phantom was built to measure and to distinguish the doses which result from proton recoils induced by fast neutrons, alpha particles and recoil lithium nuclei from the 10B(n,alpha)7Li reaction, and photons generated in the 7Li accelerator target as well as those generated inside the head phantom through various nuclear reactions at the same time during neutron irradiation procedures. The phantom consists of two main parts to estimate dose to tumor and dose to healthy tissue as well: a 3.22 cm3 boron loaded plastic scintillator which simulates a boron containing tumor inside the brain and a 2664 cm3 cylindrical liquid scintillator which represents the surrounding healthy tissue in the head. The Monte Carlo code MCNPX(TM) was used for the simulation of radiation transport due to neutrons and photons and extended to investigate the effects of neutrons and other radiation on the brain at various depths.

  3. Equivalent normalized total dose estimates in cyberknife radiotherapy dose delivery in prostate cancer hypofractionation regimens.

    PubMed

    Sudahar, H; Kurup, P G G; Murali, V; Mahadev, P; Velmurugan, J

    2012-04-01

    As the α/β value of prostate is very small and lower than the surrounding critical organs, hypofractionated radiotherapy became a vital mode of treatment of prostate cancer. Cyberknife (Accuray Inc., Sunnyvale, CA, USA) treatment for localized prostate cancer is performed in hypofractionated dose regimen alone. Effective dose escalation in the hypofractionated regimen can be estimated if the corresponding conventional 2 Gy per fraction equivalent normalized total dose (NTD) distribution is known. The present study aims to analyze the hypofractionated dose distribution of localized prostate cancer in terms of equivalent NTD. Randomly selected 12 localized prostate cases treated in cyberknife with a dose regimen of 36.25 Gy in 5 fractions were considered. The 2 Gy per fraction equivalent NTDs were calculated using the formula derived from the linear quadratic (LQ) model. Dose distributions were analyzed with the corresponding NTDs. The conformity index for the prescribed target dose of 36.25 Gy equivalent to the NTD dose of 90.63 Gy (α/β = 1.5) or 74.31 Gy (α/β = 3) was ranging between 1.15 and 1.73 with a mean value of 1.32 ± 0.15. The D5% of the target was 111.41 ± 8.66 Gy for α/β = 1.5 and 90.15 ± 6.57 Gy for α/β = 3. Similarly, the D95% was 91.98 ± 3.77 Gy for α/β = 1.5 and 75.35 ± 2.88 Gy for α/β = 3. The mean values of bladder and rectal volume receiving the prescribed dose of 36.25 Gy were 0.83 cm3 and 0.086 cm3, respectively. NTD dose analysis shows an escalated dose distribution within the target for low α/β (1.5 Gy) with reasonable sparing of organs at risk. However, the higher α/β of prostate (3 Gy) is not encouraging the fact of dose escalation in cyberknife hypofractionated dose regimen of localized prostate cancer.

  4. Acute and Late Toxicity in a Randomized Trial of Conventional Versus Hypofractionated Three-Dimensional Conformal Radiotherapy for Prostate Cancer

    SciTech Connect

    Arcangeli, Giorgio; Fowler, Jack; Gomellini, Sara; Arcangeli, Stefano; Saracino, Biancamaria; Petrongari, Maria Grazia; Benassi, Marcello; Strigari, Lidia

    2011-03-15

    Purpose: To compare the toxicity between hypofractionation vs. conventional fractionation schedules in patients with high-risk prostate cancer. Methods and Materials: Between January 2003 and December 2007, 168 patients were randomized to receive either hypofractionated (62 Gy in 20 fractions within 5 weeks, 4 fractions/wk) or conventionally fractionated (80 Gy in 40 fractions within 8 weeks) three-dimensional conformal radiotherapy to the prostate and seminal vesicles. All patients had undergone a 9-month course of total androgen deprivation, with radiotherapy starting 2 months after initiation of the total androgen deprivation. Results: The median follow-up was 32 and 35 months in the hypofractionation and conventional fractionation arms, respectively. For the patients developing acute toxicity, no difference between the two fractionation groups was found in either severity or duration of gastrointestinal or genitourinary toxicity. Also, no difference was found in the incidence and severity of late gastrointestinal and genitourinary toxicity between the two treatment schedules, with a 3-year rate of Grade 2 or greater toxicity of 17% and 16% for the hypofractionation arm and 14% and 11% for the conventional fractionation arm, respectively. A statistically significant correlation between acute and late gastrointestinal toxicity was found only in the conventional fractionation group. Conclusion: Our findings suggest that the hypofractionation regimen used in our study is safe, with only a slight, nonsignificant increase in tolerable and temporary acute toxicity compared with the conventional fractionation schedule. The severity and frequency of late complications was equivalent between the two treatment groups.

  5. Phase II Study to Assess the Efficacy of Hypofractionated Stereotactic Radiotherapy in Patients With Large Cavernous Sinus Hemangiomas

    SciTech Connect

    Wang Xin; Liu Xiaoxia; Mei Guanghai; Dai Jiazhong; Pan Li; Wang Enmin

    2012-06-01

    Purpose: Cavernous sinus hemangioma is a rare vascular tumor. The direct microsurgical approach usually results in massive hemorrhage. Although radiosurgery plays an important role in managing cavernous sinus hemangiomas as a treatment alternative to microsurgery, the potential for increased toxicity with single-session treatment of large tumors is a concern. The purpose of this study was to assess the efficacy of hypofractionated stereotactic radiotherapy in patients with large cavernous sinus hemangiomas. Methods: Fourteen patients with large (volume >20 cm{sup 3}) cavernous sinus hemangiomas were enrolled in a prospective Phase II study between December 2007 and December 2010. The hypofractionated stereotactic radiotherapy dose was 21 Gy delivered in 3 fractions. Results: After a mean follow-up of 15 months (range, 6-36 months), the magnetic resonance images showed a mean of 77% tumor volume reduction (range, 44-99%). Among the 6 patients with cranial nerve impairments before hypofractionated stereotactic radiotherapy, 1 achieved symptomatic complete resolution and 5 had improvement. No radiotherapy-related complications were observed during follow-up. Conclusion: Our current experience, though preliminary, substantiates the role of hypofractionated stereotactic radiotherapy for large cavernous sinus hemangiomas. Although a longer and more extensive follow-up is needed, hypofractionated stereotactic radiotherapy of 21 Gy delivered in 3 fractions is effective in reducing the tumor volume without causing any new deficits and can be considered as a treatment modality for large cavernous sinus hemangiomas.

  6. Montecarlo simulation code in optimisation of the IntraOperative Radiation Therapy treatment with mobile dedicated accelerator

    NASA Astrophysics Data System (ADS)

    Catalano, M.; Agosteo, S.; Moretti, R.; Andreoli, S.

    2007-06-01

    The principle of optimisation of the EURATOM 97/43 directive foresees that for all medical exposure of individuals for radiotherapeutic purposes, exposures of target volumes shall be individually planned, taking into account that doses of non-target volumes and tissues shall be as low as reasonably achievable and consistent with the intended radiotherapeutic purpose of the exposure. Treatment optimisation has to be carried out especially in non conventional radiotherapic procedures, as Intra Operative Radiation Therapy (IORT) with mobile dedicated LINear ACcelerator (LINAC), which does not make use of a Treatment Planning System. IORT is carried out with electron beams and refers to the application of radiation during a surgical intervention, after the removal of a neoplastic mass and it can also be used as a one-time/stand alone treatment in initial cancer of small volume. IORT foresees a single session and a single beam only; therefore it is necessary to use protection systems (disks) temporary positioned between the target volume and the underlying tissues, along the beam axis. A single high Z shielding disk is used to stop the electrons of the beam at a certain depth and protect the tissues located below. Electron back scatter produces an enhancement in the dose above the disk, and this can be reduced if a second low Z disk is placed above the first. Therefore two protection disks are used in clinical application. On the other hand the dose enhancement at the interface of the high Z disk and the target, due to back scattering radiation, can be usefully used to improve the uniformity in treatment of thicker target volumes. Furthermore the dose above the disks of different Z material has to be evaluated in order to study the optimal combination of shielding disks that allow both to protect the underlying tissues and to obtain the most uniform dose distribution in target volumes of different thicknesses. The dose enhancement can be evaluated using the electron

  7. Strong radiation damping effects in a gamma-ray source generated by the interaction of a high intensity laser with a wakefield accelerated electron beam

    NASA Astrophysics Data System (ADS)

    Thomas, Alexander; Ridgers, Christopher; Bulanov, Stepan; Griffin, Blake; Mangles, Stuart

    2012-10-01

    We present numerical calculations of the angularly resolved radiation spectrum from a relativistic electron beam interacting with an ultrashort laser pulse. These calculations include the effect of semi-classical radiation reaction forces including a Gaunt factor for synchrotron radiation. For a laser of 5x10^21 Wcm-2 intensity interacting with a 200 MeV electron beam with an emittance similar to that in laser wakefield acceleration experiments, radiation reaction does not produce a significant change in the angular and energy distribution of photons. However the effects of radiation reaction are clear when observing the electron beam properties. The result is that near-term experiments using such a counter-propagating beam-laser geometry should be able to measure the effects of quantum effects in radiation reaction. The calculations also show that the brilliance of this source is very high, with a peak spectral brilliance exceeding 10^29 photons,s-1mm-2mrad-2(0.1% bandwidth)-1 with approximately 2% efficiency and with a peak energy of 10 MeV.

  8. Radiation in 1.5 GeV and 12 GeV Laser Wakefield Acceleration Stages from PIC Simulations

    SciTech Connect

    Martins, J. L.; Martins, S. F.; Silva, L. O.

    2010-11-04

    A massivelly parallel post-processing radiation diagnostic for PIC codes is presented, which is then used to study the main features of the radiation from single LWFA stages (1.5 GeV and 12 GeV). This diagnostic also allows to examine radiation signatures associated with the physics of self-injection.

  9. Long-term Outcomes in Treatment of Invasive Bladder Cancer With Concomitant Boost and Accelerated Hyperfractionated Radiation Therapy

    SciTech Connect

    Canyilmaz, Emine; Yavuz, Melek Nur; Serdar, Lasif; Uslu, Gonca Hanedan; Zengin, Ahmet Yasar; Aynaci, Ozlem; Haciislamoglu, Emel; Bahat, Zumrut; Yoney, Adnan

    2014-11-01

    Purpose: The aim of this study was to evaluate the long-term clinical efficacy and toxicity of concomitant boost and accelerated hyperfractionated radiation therapy (CBAHRT) in patients with invasive bladder cancer. Methods and Materials: Between October 1997 and September 2012, 334 patients with diagnoses of invasive bladder cancer were selected. These patients received CBAHRT as a bladder-conserving approach. The treatment consisted of a dose of 45 Gy/1.8 Gy to the whole pelvis with a daily concomitant boost of 1.5 Gy to the tumor. Total dose was 67.5 Gy in 5 weeks. A total of 32 patients (10.3%) had a diagnosis of stage T1, 202 (64.3%) were at stage T2, 46 (14.6%) were at stage T3a, 22 (7%) were at stage T3b, and 12 (3.8%) were at stage T4a. Results: The follow-up period was 33.1 months (range, 4.3-223.3 months). Grade 3 late intestinal toxicity was observed in 9 patients (2.9%), whereas grade 3 late urinary toxicity was observed in 8 patients (2.5%). The median overall survival (OS) was 26.3 months (95% confidence interval [CI]: 21.4-31.2). The 5-, 10, and 15-year OS rates were 32.1% (standard error [SE], ± 0.027), 17.9% (SE, ± 0.025) and 12.5% (SE, ± 0.028), respectively. The median cause-specific survival (CSS) was 42.1 months (95% CI: 28.7-55.5). The 5-, 10-, and 15-year CSS rates were 43.2% (SE, ± 0.03), 30.3% (SE, ± 0.03), and 28% (SE, ± 0.04), respectively. The median relapse-free survival (RFS) was 111.8 months (95% CI: 99.6-124). The 5-, 10-, and 15-year RFS rates were 61.9% (SE, ± 0.03), 57.6% (SE, ± 0.04), and 48.2% (SE, ± 0.07), respectively. Conclusions: The CBAHRT technique demonstrated acceptable toxicity and local control rates in patients with invasive bladder cancer, and this therapy facilitated bladder conservation. In selected patients, the CBAHRT technique is a practical alternative treatment option with acceptable 5-, 10-, and 15-year results in patients undergoing cystectomy as well as concurrent chemoradiation therapy.

  10. Radioprotectors and Radiomitigators for Improving Radiation Therapy: The Small Business Innovation Research (SBIR) Gateway for Accelerating Clinical Translation.

    PubMed

    Prasanna, Pataje G S; Narayanan, Deepa; Hallett, Kory; Bernhard, Eric J; Ahmed, Mansoor M; Evans, Gregory; Vikram, Bhadrasain; Weingarten, Michael; Coleman, C Norman

    2015-09-01

    Although radiation therapy is an important cancer treatment modality, patients may experience adverse effects. The use of a radiation-effect modulator may help improve the outcome and health-related quality of life (HRQOL) of patients undergoing radiation therapy either by enhancing tumor cell killing or by protecting normal tissues. Historically, the successful translation of radiation-effect modulators to the clinic has been hindered due to the lack of focused collaboration between academia, pharmaceutical companies and the clinic, along with limited availability of support for such ventures. The U.S. Government has been developing medical countermeasures against accidental and intentional radiation exposures to mitigate the risk and/or severity of acute radiation syndrome (ARS) and the delayed effects of acute radiation exposures (DEARE), and there is now a drug development pipeline established. Some of these medical countermeasures could potentially be repurposed for improving the outcome of radiation therapy and HRQOL of cancer patients. With the objective of developing radiation-effect modulators to improve radiotherapy, the Small Business Innovation Research (SBIR) Development Center at the National Cancer Institute (NCI), supported by the Radiation Research Program (RRP), provided funding to companies from 2011 to 2014 through the SBIR contracts mechanism. Although radiation-effect modulators collectively refer to radioprotectors, radiomitigators and radiosensitizers, the focus of this article is on radioprotection and mitigation of radiation injury. This specific SBIR contract opportunity strengthened existing partnerships and facilitated new collaborations between academia and industry. In this commentary, we assess the impact of this funding opportunity, outline the review process, highlight the organ/site-specific disease needs in the clinic for the development of radiation-effect modulators, provide a general understanding of a framework for gathering

  11. Radioprotectors and Radiomitigators for Improving Radiation Therapy: The Small Business Innovation Research (SBIR) Gateway for Accelerating Clinical Translation

    PubMed Central

    Prasanna, Pataje G. S.; Narayanan, Deepa; Hallett, Kory; Bernhard, Eric J.; Ahmed, Mansoor M.; Evans, Gregory; Vikram, Bhadrasain; Weingarten, Michael; Coleman, C. Norman

    2015-01-01

    Although radiation therapy is an important cancer treatment modality, patients may experience adverse effects. The use of a radiation-effect modulator may help improve the outcome and health-related quality of life (HRQOL) of patients undergoing radiation therapy either by enhancing tumor cell killing or by protecting normal tissues. Historically, the successful translation of radiation-effect modulators to the clinic has been hindered due to the lack of focused collaboration between academia, pharmaceutical companies and the clinic, along with limited availability of support for such ventures. The U.S. Government has been developing medical countermeasures against accidental and intentional radiation exposures to mitigate the risk and/or severity of acute radiation syndrome (ARS) and the delayed effects of acute radiation exposures (DEARE), and there is now a drug development pipeline established. Some of these medical countermeasures could potentially be repurposed for improving the outcome of radiation therapy and HRQOL of cancer patients. With the objective of developing radiation-effect modulators to improve radiotherapy, the Small Business Innovation Research (SBIR) Development Center at the National Cancer Institute (NCI), supported by the Radiation Research Program (RRP), provided funding to companies from 2011 to 2014 through the SBIR contracts mechanism. Although radiation-effect modulators collectively refer to radioprotectors, radiomitigators and radiosensitizers, the focus of this article is on radioprotection and mitigation of radiation injury. This specific SBIR contract opportunity strengthened existing partnerships and facilitated new collaborations between academia and industry. In this commentary, we assess the impact of this funding opportunity, outline the review process, highlight the organ/site-specific disease needs in the clinic for the development of radiation-effect modulators, provide a general understanding of a framework for gathering

  12. A comparison of mutations induced by accelerated iron particles versus those induced by low earth orbit space radiation in the FEM-3 gene of Caenorhabditis elegans

    NASA Technical Reports Server (NTRS)

    Hartman, P. S.; Hlavacek, A.; Wilde, H.; Lewicki, D.; Schubert, W.; Kern, R. G.; Kazarians, G. A.; Benton, E. V.; Benton, E. R.; Nelson, G. A.

    2001-01-01

    The fem-3 gene of Caenorhabditis elegans was employed to determine the mutation frequency as well as the nature of mutations induced by low earth orbit space radiation ambient to Space Shuttle flight STS-76. Recovered mutations were compared to those induced by accelerated iron ions generated by the AGS synchrotron accelerator at Brookhaven National Laboratory. For logistical reasons, dauer larvae were prepared at TCU, transported to either Kennedy Space Center or Brookhaven National Laboratory, flown in space or irradiated, returned to TCU and screened for mutants. A total of 25 fem-3 mutants were recovered after the shuttle flight and yielded a mutation frequency of 2.1x10(-5), roughly 3.3-fold higher than the spontaneous rate of 6.3x10(-6). Four of the mutations were homozygous inviable, suggesting that they were large deletions encompassing fem-3 as well as neighboring, essential genes. Southern blot analyses revealed that one of the 25 contained a polymorphism in fem-3, further evidence that space radiation can induce deletions. While no polymorphisms were detected among the iron ion-induced mutations, three of the 15 mutants were homozygous inviable, which is in keeping with previous observations that high LET iron particles generate deficiencies. These data provide evidence, albeit indirect, that an important mutagenic component of ambient space radiation is high LET charged particles such as iron ions.

  13. Electron acceleration and emission in a field of a plane and converging dipole wave of relativistic amplitudes with the radiation reaction force taken into account

    SciTech Connect

    Bashinov, Aleksei V; Gonoskov, Arkady A; Kim, A V; Marklund, Mattias; Mourou, G; Sergeev, Aleksandr M

    2013-04-30

    A comparative analysis is performed of the electron emission characteristics as the electrons move in laser fields with ultra-relativistic intensity and different configurations corresponding to a plane or tightly focused wave. For a plane travelling wave, analytical expressions are derived for the emission characteristics, and it is shown that the angular distribution of the radiation intensity changes qualitatively even when the wave intensity is much less than that in the case of the radiation-dominated regime. An important conclusion is drawn that the electrons in a travelling wave tend to synchronised motion under the radiation reaction force. The characteristic features of the motion of electrons are found in a converging dipole wave, associated with the curvature of the phase front and nonuniformity of the field distribution. The values of the maximum achievable longitudinal momenta of electrons accelerated to the centre, as well as their distribution function are determined. The existence of quasi-periodic trajectories near the focal region of the dipole wave is shown, and the characteristics of the emission of both accelerated and oscillating electrons are analysed. (extreme light fields and their applications)

  14. X-ray phase contrast imaging of biological specimens with femtosecond pulses of betatron radiation from a compact laser plasma wakefield accelerator

    SciTech Connect

    Kneip, S.; McGuffey, C.; Dollar, F.; Chvykov, V.; Kalintchenko, G.; Krushelnick, K.; Maksimchuk, A.; Mangles, S. P. D.; Matsuoka, T.; Schumaker, W.; Thomas, A. G. R.; Yanovsky, V.; Bloom, M. S.; Najmudin, Z.; Palmer, C. A. J.; Schreiber, J.

    2011-08-29

    We show that x-rays from a recently demonstrated table top source of bright, ultrafast, coherent synchrotron radiation [Kneip et al., Nat. Phys. 6, 980 (2010)] can be applied to phase contrast imaging of biological specimens. Our scheme is based on focusing a high power short pulse laser in a tenuous gas jet, setting up a plasma wakefield accelerator that accelerates and wiggles electrons analogously to a conventional synchrotron, but on the centimeter rather than tens of meter scale. We use the scheme to record absorption and phase contrast images of a tetra fish, damselfly and yellow jacket, in particular highlighting the contrast enhancement achievable with the simple propagation technique of phase contrast imaging. Coherence and ultrafast pulse duration will allow for the study of various aspects of biomechanics.

  15. A self-consistent combined radiative transfer hydrodynamic and particle acceleration model for the X1.0 class flare on March 29, 2014

    NASA Astrophysics Data System (ADS)

    Rubio da Costa, F.; Kleint, L.; Sainz Dalda, A.; Petrosian, V.; Liu, W.

    2015-12-01

    The X1.0 flare on March 29, 2014 was well observed, covering its emission at several wavelengths from the photosphere to the corona. The RHESSI spectra images allow us to estimate the temporal variation of the electron spectra using regularized inversion techniques. Using this as input for a combined particle acceleration and transport (Stanford-Flare) and radiative transfer hydrodynamic (Radyn) code, we calculate the response of the atmosphere to the electron heating. We will present the evolution of the thermal continuum and several line emissions. Comparing them with GOES soft X-ray and high resolution observations from IRIS, SDO and DST/IBIS allows us to test the basic mechanism(s) of acceleration and to constrain its characteristics. We will also present perspectives on how to apply this methodology and related diagnostics to other flares.

  16. Phase II Trial of Hypofractionated Image-Guided Intensity-Modulated Radiotherapy for Localized Prostate Adenocarcinoma

    SciTech Connect

    Martin, Jarad M.; Rosewall, Tara; Bayley, Andrew; Bristow, Robert; Chung, Peter; Crook, Juanita; Gospodarowicz, Mary; McLean, Michael; Menard, Cynthia; Milosevic, Michael; Warde, Padraig; Catton, Charles

    2007-11-15

    Purpose: To assess in a prospective trial the feasibility and late toxicity of hypofractionated radiotherapy (RT) for prostate cancer. Methods and Materials: Eligible patients had clinical stage T1c-2cNXM0 disease. They received 60 Gy in 20 fractions over 4 weeks with intensity-modulated radiotherapy including daily on-line image guidance with intraprostatic fiducial markers. Results: Between June 2001 and March 2004, 92 patients were treated with hypofractionated RT. The cohort had a median prostate-specific antigen value of 7.06 ng/mL. The majority had Gleason grade 5-6 (38%) or 7 (59%) disease, and 82 patients had T1c-T2a clinical staging. Overall, 29 patients had low-risk, 56 intermediate-risk, and 7 high-risk disease. Severe acute toxicity (Grade 3-4) was rare, occurring in only 1 patient. Median follow-up was 38 months. According to the Phoenix definition for biochemical failure, the rate of biochemical control at 14 months was 97%. According to the previous American Society for Therapeutic Radiology and Oncology definition, biochemical control at 3 years was 76%. The incidence of late toxicity was low, with no severe (Grade {>=}3) toxicity at the most recent assessment. Conclusions: Hypofractionated RT using 60 Gy in 20 fractions over 4 weeks with image guidance is feasible and is associated with low rates of late bladder and rectal toxicity. At early follow-up, biochemical outcome is comparable to that reported for conventionally fractionated controls. The findings are being tested in an ongoing, multicenter, Phase III trial.

  17. Dosimetric Feasibility of Hypofractionated Proton Radiotherapy for Neoadjuvant Pancreatic Cancer Treatment

    SciTech Connect

    Kozak, Kevin R.; Kachnic, Lisa A.; Adams, Judith C; Crowley, Elizabeth M.; Alexander, Brian M.; Mamon, Harvey J.; Ryan, David P.; DeLaney, Thomas F.; Hong, Theodore S. . E-mail: tshong1@partners.org

    2007-08-01

    Purpose: To evaluate tumor and normal tissue dosimetry of a 5 cobalt gray equivalent (CGE) x 5 fraction proton radiotherapy schedule, before initiating a clinical trial of neoadjuvant, short-course proton radiotherapy for pancreatic adenocarcinoma. Methods and Materials: The first 9 pancreatic cancer patients treated with neoadjuvant intensity-modulated radiotherapy (1.8 Gy x 28) at the Massachusetts General Hospital had treatment plans generated using a 5 CGE x 5 fraction proton regimen. To facilitate dosimetric comparisons, clinical target volumes and normal tissue volumes were held constant. Plans were optimized for target volume coverage and normal tissue sparing. Results: Hypofractionated proton and conventionally fractionated intensity-modulated radiotherapy plans both provided acceptable target volume coverage and dose homogeneity. Improved dose conformality provided by the hypofractionated proton regimen resulted in significant sparing of kidneys, liver, and small bowel, evidenced by significant reductions in the mean doses, expressed as percentage prescribed dose, to these structures. Kidney and liver sparing was most evident in low-dose regions ({<=}20% prescribed dose for both kidneys and {<=}60% prescribed dose for liver). Improvements in small-bowel dosimetry were observed in high- and low-dose regions. Mean stomach and duodenum doses, expressed as percentage prescribed dose, were similar for the two techniques. Conclusions: A proton radiotherapy schedule consisting of 5 fractions of 5 CGE as part of neoadjuvant therapy for adenocarcinoma of the pancreas seems dosimetrically feasible, providing excellent target volume coverage, dose homogeneity, and normal tissue sparing. Hypofractionated proton radiotherapy in this setting merits Phase I clinical trial investigation.

  18. Local Tumor Control, Visual Acuity, and Survival After Hypofractionated Stereotactic Photon Radiotherapy of Choroidal Melanoma in 212 Patients Treated Between 1997 and 2007

    SciTech Connect

    Dunavoelgyi, Roman; Dieckmann, Karin; Gleiss, Andreas; Sacu, Stefan; Kircher, Karl; Georgopoulos, Michael; Georg, Dietmar; Zehetmayer, Martin; Poetter, Richard

    2011-09-01

    Purpose: To evaluate long-term local tumor control, visual acuity, and survival after hypofractionated linear accelerator-based stereotactic photon radiotherapy in patients with choroidal melanoma. Methods and Materials: Between 1997 and 2007, 212 patients with choroidal melanoma unsuitable for ruthenium-106 brachytherapy or local resection were treated stereotactically at a linear accelerator with 6-MV photon beams at the Medical University of Vienna in five fractions over 7 days. Twenty-four patients received a total dose of 70 Gy (five fractions of 14 Gy), 158 a total dose of 60 Gy (five fractions of 12 Gy) and 30 patients a total dose of 50 Gy (five fractions of 10 Gy) applied on the 80% isodose. Ophthalmologic examinations were performed at baseline and every 3 months in the first 2 years, every 6 months until 5 years, and once a year thereafter until 10 years after radiotherapy. Assessment of visual acuity, routine ophthalmologic examinations, and measurement of tumor base dimension and height using standardized A-scan and B-scan echography were done at each visit. Funduscopy and fluorescein angiography were done when necessary to document tumor response. Results: Median tumor height and volume decreased from 4.8 mm and 270.7 mm{sup 3} at baseline to 2.6 mm and 86.6 mm{sup 3} at the last individual follow-up, respectively (p < 0.001, p < 0.001). Median visual acuity decreased from 0.55 at baseline to hand motion at the last individual follow-up (p < 0.001). Local tumor control was 95.9% after 5 years and 92.6% after 10 years. Thirty-two patients developed metastatic disease, and 22 of these patients died during the follow-up period. Conclusion: Hypofractionated stereotactic photon radiotherapy with 70 to 50 Gy delivered in five fractions in 7 days is sufficient to achieve excellent local tumor control in patients with malignant melanoma of the choroid. Disease outcome and vision are comparable to those achieved with proton beam radiotherapy. Decreasing the

  19. Characterization of the radiation environment at the UNLV accelerator facility during operation of the Varian M6 linac

    NASA Astrophysics Data System (ADS)

    Hodges, M.; Barzilov, A.; Chen, Y.; Lowe, D.

    2016-10-01

    The bremsstrahlung photon flux from the UNLV particle accelerator (Varian M6 model) was determined using MCNP5 code for 3 MeV and 6 MeV incident electrons. Human biological equivalent dose rates due to accelerator operation were evaluated using the photon flux with the flux-to-dose conversion factors. Dose rates were computed for the accelerator facility for M6 linac use under different operating conditions. The results showed that the use of collimators and linac internal shielding significantly reduced the dose rates throughout the facility. It was shown that the walls of the facility, in addition to the earthen berm enveloping the building, provide equivalent shielding to reduce dose rates outside to below the 2 mrem/h limit.

  20. Strong Radiation-Damping Effects in a Gamma-Ray Source Generated by the Interaction of a High-Intensity Laser with a Wakefield-Accelerated Electron Beam

    NASA Astrophysics Data System (ADS)

    Thomas, A. G. R.; Ridgers, C. P.; Bulanov, S. S.; Griffin, B. J.; Mangles, S. P. D.

    2012-10-01

    A number of theoretical calculations have studied the effect of radiation-reaction forces on radiation distributions in strong-field counterpropagating electron-beam-laser interactions, but could these effects—including quantum corrections—be observed in interactions with realistic bunches and focusing fields, as is hoped in a number of soon-to-be-proposed experiments? We present numerical calculations of the angularly resolved radiation spectrum from an electron bunch with parameters similar to those produced in laser-wakefield-acceleration experiments, interacting with an intense, ultrashort laser pulse. For our parameters, the effect of radiation damping on the angular distribution and energy distribution of photons is not easily discernible for a realistic moderate-emittance electron beam. However, experiments using such a counterpropagating beam-laser geometry should be able to measure these effects using current laser systems through measurement of the electron-beam properties. In addition, the brilliance of this source is very high, with peak spectral brilliance exceeding 1029photonss-1mm-2mrad-2(0.1%bandwidth)-1 with an approximately 2% conversion efficiency and with a peak energy of 10 MeV.

  1. Hypofractionated ablative radiotherapy for locally advanced pancreatic cancer

    PubMed Central

    Crane, Christopher H.

    2016-01-01

    The role of radiation in locally advanced unresectable pancreatic cancer (LAPC) is controversial. Randomized trials evaluating standard doses of chemoradiation have not shown a significant benefit from the use of consolidative radiation. Results from non-randomized studies of 3–5-fraction stereotactic body radiotherapy (SBRT) have been similar to standard chemoradiation, but with less toxicity and a shorter treatment time. Doses of SBRT have been reduced to subablative levels for the sake of tolerability. The benefit of both options is unclear. In contrast, ablative doses can be delivered using an SBRT technique in 15–28 fractions. The keys to the delivery of ablative doses are computed tomography (CT) image guidance and respiratory gating. Higher doses have resulted in encouraging long-term survival results. In this review, we present a comprehensive solution to achieving ablative doses for selected patients with pancreatic tumors by using a combination of classical, modern and novel concepts of radiotherapy: fractionation, CT image guidance, respiratory gating, intentional dose heterogeneity, and simultaneous integrated protection. PMID:27029741

  2. Multi-Institutional Phase II Study of High-Dose Hypofractionated Proton Beam Therapy in Patients With Localized, Unresectable Hepatocellular Carcinoma and Intrahepatic Cholangiocarcinoma

    PubMed Central

    Wo, Jennifer Y.; Yeap, Beow Y.; Ben-Josef, Edgar; McDonnell, Erin I.; Blaszkowsky, Lawrence S.; Kwak, Eunice L.; Allen, Jill N.; Clark, Jeffrey W.; Goyal, Lipika; Murphy, Janet E.; Javle, Milind M.; Wolfgang, John A.; Drapek, Lorraine C.; Arellano, Ronald S.; Mamon, Harvey J.; Mullen, John T.; Yoon, Sam S.; Tanabe, Kenneth K.; Ferrone, Cristina R.; Ryan, David P.; DeLaney, Thomas F.; Crane, Christopher H.; Zhu, Andrew X.

    2016-01-01

    Purpose To evaluate the efficacy and safety of high-dose, hypofractionated proton beam therapy for hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (ICC). Materials and Methods In this single-arm, phase II, multi-institutional study, 92 patients with biopsy-confirmed HCC or ICC, determined to be unresectable by multidisciplinary review, with a Child-Turcotte-Pugh score (CTP) of A or B, ECOG performance status of 0 to 2, no extrahepatic disease, and no prior radiation received 15 fractions of proton therapy to a maximum total dose of 67.5 Gy equivalent. Sample size was calculated to demonstrate > 80% local control (LC) defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.0 criteria at 2 years for HCC patients, with the parallel goal of obtaining acceptable precision for estimating outcomes for ICC. Results Eighty-three patients were evaluable: 44 with HCC, 37 with ICC, and two with mixed HCC/ICC. The CTP score was A for 79.5% of patients and B for 15.7%; 4.8% of patients had no cirrhosis. Prior treatment had been given to 31.8% of HCC patients and 61.5% of ICC patients. The median maximum dimension was 5.0 cm (range, 1.9 to 12.0 cm) for HCC patients and 6.0 cm (range, 2.2 to 10.9 cm) for ICC patients. Multiple tumors were present in 27.3% of HCC patients and in 12.8% of ICC patients. Tumor vascular thrombosis was present in 29.5% of HCC patients and in 28.2% of ICC patients. The median dose delivered to both HCC and ICC patients was 58.0 Gy. With a median follow-up among survivors of 19.5 months, the LC rate at 2 years was 94.8% for HCC and 94.1% for ICC. The overall survival rate at 2 years was 63.2% for HCC and 46.5% ICC. Conclusion High-dose hypofractionated proton therapy demonstrated high LC rates for HCC and ICC safely, supporting ongoing phase III trials of radiation in HCC and ICC. PMID:26668346

  3. Therapeutic administration of recombinant human granulocyte colony-stimulating factor accelerates hemopoietic regeneration and enhances survival in a murine model of radiation-induced myelosuppression

    SciTech Connect

    Patchen, M.L.; MacVittie, T.J.; Solberg, B.D.; Souza, L.M.

    1990-01-01

    The primary cause of death after radiation exposure is infection resulting from myelosuppression. Because granulocytes play a critical role in host defense against infection and because granulocyte proliferation and differentiation are enhanced by granulocyte colony-stimulating factor (G-CSF), this agent was evaluated for the ability to accelerate hemopoietic regeneration and to enhance survival in irradiated mice. C3H/HeN mice were irradiated and G-CSF or saline was administered on days 3-12, 1-12 or 0-12 post-irradiation. Bone marrow, splenic and peripheral blood cellularity and bone marrow and splenic granulocyte-macrophage progenitor cell recoveries were evaluated in mice exposed to 6.5 Gy. Mice exposed to 8 Gy were evaluated for multipotent hemopoietic stem cell recovery (using endogenous spleen colony-forming units) and enhanced survival. Results demonstrated that therapeutic G-CSF (1) accelerates hemopoietic regeneration after radiation-induced myelosuppression, (2) enhances survival after potentially lethal irradiation and (3) is most effective when initiated 1 h following exposure.

  4. Therapeutic administration of recombinant human granulocyte colony-stimulating factor accelerates hemopoietic regeneration and enhances survival in a murine model of radiation-induced myelosuppression

    SciTech Connect

    Patchen, M.L.; MacVittie, T.J.; Solberg, B.D.; Souza, L.M. )

    1990-03-01

    The primary cause of death after radiation exposure is infection resulting from myelosuppression. Because granulocytes play a critical role in host defense against infection and because granulocyte proliferation and differentiation are enhanced by granulocyte colony-stimulating factor (G-CSF), this agent was evaluated for the ability to accelerate hemopoietic regeneration and to enhance survival in irradiated mice. C3H/HeN mice were irradiated and G-CSF (2.5 micrograms/day, s.c.) or saline was administered on days 3-12, 1-12 or 0-12 post-irradiation. Bone marrow, splenic and peripheral blood cellularity, and bone marrow and splenic granulocyte-macrophage progenitor cell recoveries were evaluated in mice exposed to 6.5 Gy. Mice exposed to 8 Gy were evaluated for multipotent hemopoietic stem cell recovery (using endogenous spleen colony-forming units) and enhanced survival. Results demonstrated that therapeutic G-CSF (1) accelerates hemopoietic regeneration after radiation-induced myelosuppression, (2) enhances survival after potentially lethal irradiation and (3) is most effective when initiated 1 h following exposure.

  5. Enhanced laser-radiation-pressure-driven proton acceleration by moving focusing electric-fields in a foil-in-cone target

    SciTech Connect

    Zou, D. B.; Zhuo, H. B. Yu, T. P.; Yang, X. H.; Shao, F. Q.; Ma, Y. Y.; Yin, Y.; Ge, Z. Y.; Wu, H. C.

    2015-02-15

    A foil-in-cone target is proposed to enhance stable laser-radiation-pressure-driven proton acceleration by avoiding the beam degradation in whole stage of acceleration. Two and three-dimensional particle-in-cell simulations demonstrate that the guiding cone can substantially improve the spectral and spatial properties of the ion beam and lead to better preservation of the beam quality. This can be attributed to the focusing effect of the radial sheath electric fields formed on the inner walls of the cone, which co-move with the accelerated foil and effectively suppress the undesirable transverse explosion of the foil. It is shown that, by using a transversely Gaussian laser pulse with intensity of ∼2.74 × 10{sup 22 }W∕cm{sup 2}, a quasi-monoenergetic proton beam with a peak energy of ∼1.5 GeV/u, density ∼10n{sub c}, and transverse size ∼1λ{sub 0} can be obtained.

  6. Achieving Stable Radiation Pressure Acceleration of Heavy Ions via Successive Electron Replenishment from Ionization of a High-Z Material Coating

    NASA Astrophysics Data System (ADS)

    Shen, X. F.; Qiao, B.; Chang, H. X.; Kar, S.; Zhou, C. T.; Borghesi, M.; He, X. T.

    2016-10-01

    Generation of monoenergetic heavy ion beams aroused more scientific interest in recent years. Radiation pressure acceleration (RPA) is an ideal mechanism for obtaining high-quality heavy ion beams, in principle. However, to achieve the same energy per nucleon (velocity) as protons, heavy ions undergo much more serious Rayleigh-Taylor-like (RT) instability and afterwards much worse Coulomb explosion due to loss of co-moving electrons. This leads to premature acceleration termination of heavy ions and very low energy attained in experiment. The utilization of a high-Z coating in front of the target may suppress the RT instability and Coulomb explosion by continuously replenishing the accelerating heavy ion foil with co-moving electrons due to its successive ionization under laser fields with Gaussian temporal and spatial profiles. Thus stable RPA can be realized. Two-dimensional and three-dimensional particles-in-cell simulations with dynamic ionization show that a monoenergetic Al13+ beam with peak energy 4.0GeV and particle number 1010 (charge > 20nC) can be obtained at intensity 1022 W/cm2. Supported by the NSF, Nos. 11575298 and 1000-Talents Program of China.

  7. Measurement of back-scattered radiation from micro multileaf collimator into the beam monitor chamber from a dual energy linear accelerator

    PubMed Central

    Muralidhar, K. R.; Murthy, P. Narayana; Sresty, N. V. N. M.; Dixit, Pramod Kumar; Kumar, Rajneesh; Raju, A. K.

    2007-01-01

    Measurements designed to find the collimator backscatter into the beam monitor chamber from Micro Multileaf collimator of 6 MV photon beams of the Siemens Primus linear accelerator were made with the help of dose rate feedback control. The photons and electrons backscattered from the upper and lower secondary collimator jaws give rise to a significant increase in the ion charge measured by monitor chamber. This increase varies between the different accelerators. The output measurements were carried out in air at the isocenter. The effect of collimator backscatter was investigated by measuring the pulse width, number of beam pulses per monitor unit, monitor unit rate and dose for different mMLC openings. These measurements were made with and without dose rate feedback control, i.e., with constant electron beam current in the accelerator. Monitor unit rate (MU/min) was almost constant for all field sizes. The maximum variation between the open and the closed feedback control circuits was 2.5%. There was no difference in pulse width and negligible difference in pulse frequency. Maximum value of backscattered radiation from the micro Multileaf collimator into the beam monitor chamber was found to be 0.5%. PMID:21157537

  8. Outcomes and Toxicity for Hypofractionated and Single-Fraction Image-Guided Stereotactic Radiosurgery for Sarcomas Metastasizing to the Spine

    SciTech Connect

    Folkert, Michael R.; Bilsky, Mark H.; Tom, Ashlyn K.; Oh, Jung Hun; Alektiar, Kaled M.; Laufer, Ilya; Tap, William D.; Yamada, Yoshiya

    2014-04-01

    Purpose: Conventional radiation treatment (20-40 Gy in 5-20 fractions, 2-5 Gy per fraction) for sarcoma metastatic to the spine provides subtherapeutic doses, resulting in poor durable local control (LC) (50%-77% at 1 year). Hypofractionated (HF) and/or single-fraction (SF) image-guided stereotactic radiosurgery (IG-SRS) may provide a more effective means of managing these lesions. Methods and Materials: Patients with pathologically proven high-grade sarcoma metastatic to the spine treated with HF and SF IG-SRS were included. LC and overall survival (OS) were analyzed by the use of Kaplan-Meier statistics. Univariate and multivariate analyses were performed by the use of Cox regression with competing-risks analysis; all confidence intervals are 95%. Toxicities were assessed according to Common Terminology Criteria for Adverse Events, version 4.0. Results: From May 2005 to November 11, 2012, 88 patients with 120 discrete metastases received HF (3-6 fractions; median dose, 28.5 Gy; n=52, 43.3%) or SF IG-SRS (median dose, 24 Gy; n=68, 56.7%). The median follow-up time was 12.3 months. At 12 months, LC was 87.9% (confidence interval [CI], 81.3%-94.5%), OS was 60.6% (CI, 49.6%-71.6%), and median survival was 16.9 months. SF IG-SRS demonstrated superior LC to HF IG-SRS (12-month LC of 90.8% [CI, 83%-98.6%] vs 84.1% [CI, 72.9%-95.3%] P=.007) and retained significance on multivariate analysis (P=.030, hazard ratio 0.345; CI, 0.132-0.901]. Treatment was well tolerated, with 1% acute grade 3 toxicity, 4.5% chronic grade 3 toxicity, and no grade >3 toxicities. Conclusions: In the largest series of metastatic sarcoma to the spine to date, IG-SRS provides excellent LC in the setting of an aggressive disease with low radiation sensitivity and poor prognosis. Single-fraction IG-SRS is associated with the highest rates of LC with minimal toxicity.

  9. Hypo-Fractionated Conformal Radiation Therapy to the Tumor Bed After Segmental Mastectomy

    DTIC Science & Technology

    2005-07-01

    ROSENSTEN et al. 1397 Table 3. Dosimetric comparison of EBRT partial breast techniques Ipsilateral breast coverage PTV/TBV* Lung doset Cardiac dose...G, Swindell R, et al: Conservation of the breast using "two different radiotherapy techniques : interim report of a clinical trial. .40 treatment ... breast radiotherapy , delivered by an external beam simple technique over 5 fractions was feasible and very well tolerated. These results need to be

  10. Hypofractionated Image Guided Radiation Therapy in Treating Patients With Stage IV Breast Cancer

    ClinicalTrials.gov

    2016-06-24

    Central Nervous System Metastases; Invasive Ductal Breast Carcinoma; Invasive Ductal Breast Carcinoma With Predominant Intraductal Component; Invasive Lobular Breast Carcinoma; Invasive Lobular Breast Carcinoma With Predominant in Situ Component; Liver Metastases; Lobular Breast Carcinoma in Situ; Lung Metastases; Male Breast Cancer; Medullary Ductal Breast Carcinoma With Lymphocytic Infiltrate; Mucinous Ductal Breast Carcinoma; Papillary Ductal Breast Carcinoma; Recurrent Breast Cancer; Stage IV Breast Cancer; Tubular Ductal Breast Carcinoma; Tumors Metastatic to Brain

  11. Transient noise characterization and filtration in CCD cameras exposed to stray radiation from a medical linear accelerator.

    PubMed

    Archambault, Louis; Briere, Tina Marie; Beddar, Sam

    2008-10-01

    Charge coupled devices (CCDs) are being increasingly used in radiation therapy for dosimetric purposes. However, CCDs are sensitive to stray radiation. This effect induces transient noise. Radiation-induced noise strongly alters the image and therefore limits its quantitative analysis. The purpose of this work is to characterize the radiation-induced noise and to develop filtration algorithms to restore image quality. Two models of CCD were used for measurements close to a medical linac. The structure of the transient noise was first characterized. Then, four methods of noise filtration were compared: median filtering of a time series of identical images, uniform median filtering of single images, an adaptive filter with switching mechanism, and a modified version of the adaptive switch filter. The intensity distribution of noisy pixels was similar in both cameras. However, the spatial distribution of the noise was different: The average noise cluster size was 1.2 +/- 0.6 and 3.2 +/- 2.7 pixels for the U2000 and the Luca, respectively. The median of a time series of images resulted in the best filtration and minimal image distortion. For applications where time series is impractical, the adaptive switch filter must be used to reduce image distortion. Our modified version of the switch filter can be used in order to handle nonisolated groups of noisy pixels.

  12. HELIOS: An Open-source, GPU-accelerated Radiative Transfer Code for Self-consistent Exoplanetary Atmospheres

    NASA Astrophysics Data System (ADS)

    Malik, Matej; Grosheintz, Luc; Mendonça, João M.; Grimm, Simon L.; Lavie, Baptiste; Kitzmann, Daniel; Tsai, Shang-Min; Burrows, Adam; Kreidberg, Laura; Bedell, Megan; Bean, Jacob L.; Stevenson, Kevin B.; Heng, Kevin

    2017-02-01

    We present the open-source radiative transfer code named HELIOS, which is constructed for studying exoplanetary atmospheres. In its initial version, the model atmospheres of HELIOS are one-dimensional and plane-parallel, and the equation of radiative transfer is solved in the two-stream approximation with nonisotropic scattering. A small set of the main infrared absorbers is employed, computed with the opacity calculator HELIOS-K and combined using a correlated-k approximation. The molecular abundances originate from validated analytical formulae for equilibrium chemistry. We compare HELIOS with the work of Miller-Ricci & Fortney using a model of GJ 1214b, and perform several tests, where we find: model atmospheres with single-temperature layers struggle to converge to radiative equilibrium; k-distribution tables constructed with ≳ 0.01 cm‑1 resolution in the opacity function (≲ {10}3 points per wavenumber bin) may result in errors ≳ 1%–10% in the synthetic spectra; and a diffusivity factor of 2 approximates well the exact radiative transfer solution in the limit of pure absorption. We construct “null-hypothesis” models (chemical equilibrium, radiative equilibrium, and solar elemental abundances) for six hot Jupiters. We find that the dayside emission spectra of HD 189733b and WASP-43b are consistent with the null hypothesis, while the latter consistently underpredicts the observed fluxes of WASP-8b, WASP-12b, WASP-14b, and WASP-33b. We demonstrate that our results are somewhat insensitive to the choice of stellar models (blackbody, Kurucz, or PHOENIX) and metallicity, but are strongly affected by higher carbon-to-oxygen ratios. The code is publicly available as part of the Exoclimes Simulation Platform (exoclime.net).

  13. Radiation

    NASA Video Gallery

    Outside the protective cocoon of Earth's atmosphere, the universe is full of harmful radiation. Astronauts who live and work in space are exposed not only to ultraviolet rays but also to space radi...

  14. Simulated real time image guided intrafraction tracking-delivery for hypofractionated prostate IMRT

    SciTech Connect

    Hossain, Sabbir; Xia Ping; Chuang, Cynthia; Verhey, Lynn; Gottschalk, Alexander R.; Mu Guanwei; Ma Lijun

    2008-09-15

    Hypofractionated stereotactic body radiotherapy (SBRT) has been tested for prostate cancer radiotherapy. This study aims to investigate the dosimetric effects of intrafraction prostate motion on the target and the normal structures for SBRT. For prostate cancer patients treated with an image-tracking CyberKnife system, the intrafraction prostate movements were recorded during 50-70 min treatment time. Based on the recorded intrafraction prostate movements, treatment plans were created for these cases using intensity modulated beams while scaling the average time patterns from the CyberKnife treatment to simulate hypofractionated intensity modulated radiotherapy (IMRT) delivery. The effect of delivery time on the intrafraction organ motion was investigated. For a nominal single fraction delivery of 9.5 Gy with IMRT, we found that the dosimetric effect of the intrafraction prostate movement is case dependent. For most cases, the dose volume histograms exhibited very small changes from the treatment plans that assumed no intrafractional prostate motion when the maximum intrafraction movements were within {+-}5 mm. However, when sporadic prostate movements greater than 5 mm were present in any one direction, significant changes were found. For example, the V{sub 100%} for the prostate could be reduced by more than 10% to less than 85% of the prostate volume coverage. If these large movements could be excluded by some active correction strategies, then the average V{sub 100%} for the simulated plan could be restored to within approximately 2% of the ideal treatment plans. On average, the sporadic intrafraction motion has less dosimetric impact on the prolonged treatment delivery versus fast treatment delivery. For example, the average V{sub 100%} for the clinical target volume was reduced from the original 95.1% to 92.1{+-} 3.7% for prolonged treatment, and to 91.3{+-}5.4% when the treatment time was shortened by 50%. Due to the observed large sporadic prostate motions

  15. The solution of radiative transfer problems in molecular bands without the LTE assumption by accelerated lambda iteration methods

    NASA Technical Reports Server (NTRS)

    Kutepov, A. A.; Kunze, D.; Hummer, D. G.; Rybicki, G. B.

    1991-01-01

    An iterative method based on the use of approximate transfer operators, which was designed initially to solve multilevel NLTE line formation problems in stellar atmospheres, is adapted and applied to the solution of the NLTE molecular band radiative transfer in planetary atmospheres. The matrices to be constructed and inverted are much smaller than those used in the traditional Curtis matrix technique, which makes possible the treatment of more realistic problems using relatively small computers. This technique converges much more rapidly than straightforward iteration between the transfer equation and the equations of statistical equilibrium. A test application of this new technique to the solution of NLTE radiative transfer problems for optically thick and thin bands (the 4.3 micron CO2 band in the Venusian atmosphere and the 4.7 and 2.3 micron CO bands in the earth's atmosphere) is described.

  16. INTERACTION OF LASER RADIATION WITH MATTER. LASER PLASMA: Ion acceleration by ultrahigh-power ultrashort laser pulses

    NASA Astrophysics Data System (ADS)

    Brantov, A. V.; Bychenkov, V. Yu; Rozmus, V.

    2007-09-01

    Two- and three-dimensional numerical simulations of fast-ion generation under ultrashort high-power laser pulse irradiation of stratified targets of different density and thickness are performed by the 'particle-in-cell' technique. The intent of these simulations was to determine the optimal target for maximising the ion energy for a given energy of the laser pulse. The simulations were carried out for the presently highest laser radiation intensities.

  17. Estimate of the risk of radiation-induced cancers after linear-accelerator-based breast-cancer radiotherapy

    NASA Astrophysics Data System (ADS)

    Koh, Eui Kwan; Seo, Jungju; Baek, Tae Seong; Chung, Eun Ji; Yoon, Myonggeun; Lee, Hyun-ho

    2013-07-01

    The aim of this study is to assess and compare the excess absolute risks (EARs) of radiation-induced cancers following conformal (3D-CRT), fixed-field intensity-modulated (IMRT) and volumetric modulated arc (RapidArc) radiation therapy in patients with breast cancer. 3D-CRT, IMRT and RapidArc were planned for 10 breast cancer patients. The organ-specific EAR for cancer induction was estimated using the organ equivalent dose (OED) based on computed dose volume histograms (DVHs) and the secondary doses measured at various points from the field edge. The average secondary dose per Gy treatment dose from 3D-CRT, measured 10 to 50 cm from the field edge, ranged from 8.27 to 1.04 mGy. The secondary doses per Gy from IMRT and RapidArc, however, ranged between 5.86 and 0.54 mGy, indicating that IMRT and RapidArc are associated with smaller doses of secondary radiation than 3D-CRT. The organ specific EARs for out-of-field organs, such as the thyroid, liver and colon, were higher with 3D-CRT than with IMRT or RapidArc. In contrast, EARs for in-field organs were much lower with 3D-CRT than with IMRT or RapidArc. The overall estimate of EAR indicated that the radiation-induced cancer risk was 1.8-2.0 times lower with 3D-CRT than with IMRT or RapidArc. Comparisons of EARs during breast irradiation suggested that the predicted risk of secondary cancers was lower with 3D-CRT than with IMRT or RapidArc.

  18. Hypofractionated breast cancer radiotherapy. Helical tomotherapy in supine position or classic 3D-conformal radiotherapy in prone position: which is better?

    PubMed

    Cammarota, Fabrizio; Giugliano, Francesca Maria; Iadanza, Luciano; Cutillo, Luisa; Muto, Matteo; Toledo, Diego; Ravo, Vincenzo; Falivene, Sara; Muto, Paolo

    2014-03-01

    We propose a comparative dosimetric study of whole-breast hypofractionated radiation therapy using helical tomotherapy (HT) in supine position and 3-D conformal radiotherapy (3D-CRT) in prone position. Twelve patients undergoing breast-conserving therapy were retrospectively selected from October to December 2012. Specific dose-volume parameters were selected for the study. The target coverage was adequate in all patients for both techniques. Significant differences in lung dose distribution were observed: maximum dose (mean value over the 12 plans) was 23.41 Gy in HT plans and 6.65 Gy in 3D-CRT; V20 (i.e. the lung volume receiving 20 Gy) was 0.31% in HT plans and 0.0% in 3D-CRT plans. The mean dose to the heart was 5.57 Gy and 0.93 Gy, respectively. The differences between the two techniques were significant (p<0.05) only for some parameters. We noted better results in the prone position, but with HT, dose constraints were mentioned for the whole set of considered organs.

  19. Suppressing longitudinal double-layer oscillations by using elliptically polarized laser pulses in the hole-boring radiation pressure acceleration regime

    SciTech Connect

    Wu Dong; Yan, X. Q.; Zheng, C. Y.; Zhou, C. T.; He, X. T.; Yu, M. Y.

    2013-02-15

    It is shown that well collimated mono-energetic ion beams with a large particle number can be generated in the hole-boring radiation pressure acceleration regime by using an elliptically polarized laser pulse with appropriate theoretically determined laser polarization ratio. Due to the J Multiplication-Sign B effect, the double-layer charge separation region is imbued with hot electrons that prevent ion pileup, thus suppressing the double-layer oscillations. The proposed mechanism is well confirmed by Particle-in-Cell simulations, and after suppressing the longitudinal double-layer oscillations, the ion beams driven by the elliptically polarized lasers own much better energy spectrum than those by circularly polarized lasers.

  20. Dosimetric characteristics of electron beams produced by two mobile accelerators, Novac7 and Liac, for intraoperative radiation therapy through Monte Carlo simulation.

    PubMed

    Righi, Sergio; Karaj, Evis; Felici, Giuseppe; Di Martino, Fabio

    2013-01-07

    The Novac7 and Liac are linear accelerators (linacs) dedicated to intraoperative radiation therapy (IORT), which produce high energy, very high dose-per-pulse electron beams. The characteristics of the accelerators heads of the Novac7 and Liac are different compared to conventional electron accelerators. The aim of this work was to investigate the specific characteristics of the Novac7 and Liac electron beams using the Monte Carlo method. The Monte Carlo code BEAMnrc has been employed to model the head and simulate the electron beams. The Monte Carlo simulation was preliminarily validated by comparing the simulated dose distributions with those measured by means of EBT radiochromic film. Then, the energy spectra, mean energy profiles, fluence profiles, photon contamination, and angular distributions were obtained from the Monte Carlo simulation. The Spencer-Attix water-to-air mass restricted collision stopping power ratios (sw,air) were also calculated. Moreover, the modifications of the percentage depth dose in water (backscatter effect) due to the presence of an attenuator plate composed of a sandwich of a 2 mm aluminum foil and a 4 mm lead foil, commonly used for breast treatments, were evaluated. The calculated sw,air values are in agreement with those tabulated in the IAEA TRS-398 dosimetric code of practice within 0.2% and 0.4% at zref (reference depth in water) for the Novac7 and Liac, respectively. These differences are negligible for practical dosimetry. The attenuator plate is sufficient to completely absorb the electron beam for each energy of the Novac7 and Liac; moreover, the shape of the dose distribution in water strongly changes with the introduction of the attenuator plate. This variation depends on the energy of the beam, and it can give rise to an increase in the maximum dose in the range of 3%-9%.

  1. The Role of Hypofractionation Radiotherapy for Diffuse Intrinsic Brainstem Glioma in Children: A Pilot Study

    SciTech Connect

    Janssens, Geert O.R.J. Gidding, Corrie E.M.; Lindert, Erik J. van; Oldenburger, Foppe R.; Erasmus, Corrie E.; Schouten-Meeteren, Antoinette Y.N.; Kaanders, Johannes H.A.M.

    2009-03-01

    Purpose: Most children with a diffuse intrinsic brainstem glioma will die within 1 year after diagnosis. To reduce patient burden, we investigated the feasibility of a radical hypofractionation radiotherapy schedule, given over 3 weeks, as an alternative to the standard regimen (30 fractions over 6 weeks). Methods and Materials: Nine children, ages 3-13, were treated by 13 fractions of 3 Gy (n = 8) or 6 fractions of 5.5 Gy (n = 1) given over 3 weeks. All patients had symptoms for {<=}3 months and {>=}2 signs of the neurologic triad (long tract signs, ataxia, cranial nerve deficit). Bilateral involvement of the pons (n = 8), encasement of the basilar artery (n = 7) and extension into the cerebellar peduncle (n = 6) was visible on magnetic resonance imaging. Results: Symptom improvement occurred in all patients within 2 weeks after start of radiotherapy. At a mean follow-up time of 15 months, 7 patients have died. Median time to progression and overall survival was 4.9 and 8.6 months, respectively. Median time to death after progression was 3.6 months. No Grade 3 or 4 toxicity was observed. In a recently published review of clinical trials, median time to progression, overall survival, and time between progression and death ranged from 5.0-8.8, 7.0-16, and 1.0-4.5 months, respectively, with more aggressive regimens. Conclusion: This radical hypofractionation radiotherapy regimen for children with diffuse intrinsic brainstem glioma is feasible and associated with no Grade 3 or 4 toxicities. With a minimal overall treatment time, it offers quick symptom relief and outcome results within the range of published data.

  2. Electron acceleration and generation of high-brilliance x-ray radiation in kilojoule, subpicosecond laser-plasma interactions

    NASA Astrophysics Data System (ADS)

    Ferri, J.; Davoine, X.; Kalmykov, S. Y.; Lifschitz, A.

    2016-10-01

    Petawatt, picosecond laser pulses offer rich opportunities in generating synchrotron x-rays. This paper concentrates on the regimes accessible with the PETAL laser, which is a part of the Laser Megajoule (LMJ) facility. We explore two physically distinct scenarios through Particle-in-Cell simulations. The first one realizes in a dense plasma, such that the period of electron Langmuir oscillations is much shorter than the pulse duration. Hallmarks of this regime are longitudinal breakup ("self-modulation") of the picosecond-scale laser pulse and excitation of a rapidly evolving broken plasma wake. It is found that electron beams with a charge of several tens of nC can be obtained, with a quasi-Maxwellian energy distribution extending to a few-GeV level. In the second scenario, at lower plasma densities, the pulse is shorter than the electron plasma period. The pulse blows out plasma electrons, creating a single accelerating cavity, while injection on the density downramp creates a nC quasi-monoenergetic electron bunch within the cavity. This bunch accelerates without degradation beyond 1 GeV. The x-ray sources in the self-modulated regime offer a high number of photons (˜1 012) with the slowly decaying energy spectra extending beyond 60 keV. In turn, quasimonoenergetic character of the electron beam in the blowout regime results in the synchrotron-like spectra with the critical energy around 10 MeV and a number of photons >1 09 . Yet, much smaller source duration and transverse size increase the x-ray brilliance by more than an order of magnitude against the self-modulated case, also favoring high spatial and temporal resolution in x-ray imaging. In all explored cases, accelerated electrons emit synchrotron x-rays of high brilliance, B >1 020 photons /s /mm2/mrad2/0.1 %BW . Synchrotron sources driven by picosecond kilojoule lasers may thus find an application in x-ray diagnostics on such facilities such as the LMJ or National Ignition Facility (NIF).

  3. Particle Acceleration in Jets

    NASA Technical Reports Server (NTRS)

    Nishikawa, Ken-Ichi

    2005-01-01

    Nonthermal radiation observed from astrophysical systems containing relativistic jets and shocks, e.g., active galactic nuclei (AGNs), gamma ray burst (GRBs), and Galactic microquasar systems usually have power-law emission spectra. Fermi acceleration is the mechanism usually assumed for the acceleration of particles in astrophysical environments.

  4. The foxhole accelerating structure

    SciTech Connect

    Fernow, R.C.; Claus, J.

    1992-07-17

    This report examines some properties of a new type of open accelerating structure. It consists of a series of rectangular cavities, which we call foxholes, joined by a beam channel. The power for accelerating the particles comes from an external radiation source and enters the cavities through their open upper surfaces. Analytic and computer calculations are presented showing that the foxhole is a suitable structure for accelerating relativistic electrons.

  5. Large Amplitude Whistler Waves and Electron Acceleration in the Earth's Radiation Belts: A Review of STEREO and Wind Observations

    NASA Technical Reports Server (NTRS)

    Cattell, Cynthia; Breneman, A.; Goetz, K.; Kellogg, P.; Kersten, K.; Wygant, J.; Wilson, L. B., III; Looper, Mark D.; Blake, J. Bernard; Roth, I.

    2012-01-01

    One of the critical problems for understanding the dynamics of Earth's radiation belts is determining the physical processes that energize and scatter relativistic electrons. We review measurements from the Wind/Waves and STEREO S/Waves waveform capture instruments of large amplitude whistler-mode waves. These observations have provided strong evidence that large amplitude (100s mV/m) whistler-mode waves are common during magnetically active periods. The large amplitude whistlers have characteristics that are different from typical chorus. They are usually nondispersive and obliquely propagating, with a large longitudinal electric field and significant parallel electric field. We will also review comparisons of STEREO and Wind wave observations with SAMPEX observations of electron microbursts. Simulations show that the waves can result in energization by many MeV and/or scattering by large angles during a single wave packet encounter due to coherent, nonlinear processes including trapping. The experimental observations combined with simulations suggest that quasilinear theoretical models of electron energization and scattering via small-amplitude waves, with timescales of hours to days, may be inadequate for understanding radiation belt dynamics.

  6. Clinical outcome of hypofractionated conventional conformation radiotherapy for patients with single and no more than three metastatic brain tumors, with noninvasive fixation of the skull without whole brain irradiation

    SciTech Connect

    Aoki, Masahiko . E-mail: maoki-rad@umin.ac.jp; Abe, Yoshinao; Hatayama, Yoshiomi; Kondo, Hidehiro; Basaki, Kiyoshi

    2006-02-01

    Purpose: To evaluate the efficacy and toxicity of hypofractionated conventional conformation radiotherapy (HCCRT) with noninvasive fixation of the skull on patients with single or several brain metastases. Methods and Materials: The subjects were 44 patients who had three or fewer brain metastases (26 solitary, 18 multiple). Treatment was conducted on 65 metastases by rotational conformal beam or multiple fixed coplanar beams with a standard linear accelerator. The planning target volume consisted of the tumor and a 1-cm safety margin. The median isocentric dose was 24 Gy (range, 18-30 Gy) in 3-5 fractions. Whole-brain irradiation was not applied as an initial treatment. Results: Actuarial local tumor control rates at 6 months and 1 year were 78.4% and 71.9%, respectively. In-field recurrence was noted in 10 of 65 tumors, and repeat HCCRT was applied in 5 tumors. Actuarial overall survival rates at 1 year, 2 years, and the median survival time were 50.8%, 24.1%, and 5.8 months, respectively. The patients with an active primary cancer and poor performance status had a poorer prognosis than those without those factors. Actuarial freedom from second brain metastases rates at 6 months, 1 year, and 2 years were 86.6%, 69.0%, and 40.9%, respectively. Second brain metastases were observed in 9 of 44 patients. Lung adenocarcinomas had a higher risk of second brain metastasis than others. Treatment-related severe early or late complications were not observed in this series. Conclusions: Hypofractionated conventional conformation radiotherapy achieved sufficient tumor control and survival. The results suggest that HCCRT would be one of the alternatives for patients with either solitary or several brain metastases.

  7. The quantum nonthermal radiation and horizon surface gravity of an arbitrarily accelerating black hole with electric charge and magnetic charge

    NASA Astrophysics Data System (ADS)

    Xie, Zhi-Kun; Pan, Wei-Zhen; Yang, Xue-Jun

    2013-03-01

    Using a new tortoise coordinate transformation, we discuss the quantum nonthermal radiation characteristics near an event horizon by studying the Hamilton-Jacobi equation of a scalar particle in curved space-time, and obtain the event horizon surface gravity and the Hawking temperature on that event horizon. The results show that there is a crossing of particle energy near the event horizon. We derive the maximum overlap of the positive and negative energy levels. It is also found that the Hawking temperature of a black hole depends not only on the time, but also on the angle. There is a problem of dimension in the usual tortoise coordinate, so the present results obtained by using a correct-dimension new tortoise coordinate transformation may be more reasonable.

  8. Acceleration of wound repair by curcumin in the excision wound of mice exposed to different doses of fractionated γ radiation.

    PubMed

    Jagetia, Ganesh Chandra; Rajanikant, Golgod Krishnamurthy

    2012-02-01

    Fractionated irradiation (IR) before or after surgery of malignant tumours causes a high frequency of wound healing complications. Our aim was to investigate the effect of curcumin (CUM) on the healing of deep excision wound of mice exposed to fractionated IR by mimicking clinical conditions. A full-thickness dermal excision wound was created on the shaved dorsum of mice that were orally administered or not with 100 mg of CUM per kilogram body weight before partial body exposure to 10, 20 or 40 Gy given as 2 Gy/day for 5, 10 or 20 days. The wound contraction was determined periodically by capturing video images of the wound from day 1 until complete healing of wounds. Fractionated IR caused a dose-dependent delay in the wound contraction and prolonged wound healing time, whereas CUM administration before fractionated IR caused a significant elevation in the wound contraction and reduced mean wound healing time. Fractionated IR reduced the synthesis of collagen, deoxyribonucleic acid (DNA) and nitric oxide (NO) at different post-IR times and treatment of mice with CUM before IR elevated the synthesis of collagen, DNA and NO significantly. Histological examination showed a reduction in the collagen deposition, fibroblast and vascular densities after fractionated IR, whereas CUM pre-treatment inhibited this decline significantly. Our study shows that CUM pre-treatment accelerated healing of irradiated wound and could be a substantial therapeutic strategy in the management of irradiated wounds.

  9. Quasi-monoenergetic ion generation by hole-boring radiation pressure acceleration in inhomogeneous plasmas using tailored laser pulses

    SciTech Connect

    Weng, S. M. Murakami, M.; Azechi, H.; Wang, J. W.; Tasoko, N.; Chen, M.; Sheng, Z. M.; Mulser, P.; Yu, W.; Shen, B. F.

    2014-01-15

    It is proposed that laser hole-boring at a steady speed in inhomogeneous overdense plasma can be realized by the use of temporally tailored intense laser pulses, producing high-fluence quasi-monoenergetic ion beams. A general temporal profile of such laser pulses is formulated for arbitrary plasma density distribution. As an example, for a precompressed deuterium-tritium fusion target with an exponentially increasing density profile, its matched laser profile for steady hole-boring is given theoretically and verified numerically by particle-in-cell simulations. Furthermore, we propose to achieve fast ignition by the in-situ hole-boring accelerated ions using a tailored laser pulse. Simulations show that the effective energy fluence, conversion efficiency, energy spread, and collimation of the resulting ion beam can be significantly improved as compared to those found with un-tailored laser profiles. For the fusion fuel with an areal density of 1.5 g cm{sup –2}, simulation indicates that it is promising to realize fast ion ignition by using a tailored driver pulse with energy about 65 kJ.

  10. A Fundamental Theorem on Particle Acceleration

    SciTech Connect

    Xie, Ming

    2003-05-01

    A fundamental theorem on particle acceleration is derived from the reciprocity principle of electromagnetism and a rigorous proof of the theorem is presented. The theorem establishes a relation between acceleration and radiation, which is particularly useful for insightful understanding of and practical calculation about the first order acceleration in which energy gain of the accelerated particle is linearly proportional to the accelerating field.

  11. Section 7.3. accelerator facilities. Technology review of accelerator facilities

    NASA Astrophysics Data System (ADS)

    McKeown, Joseph

    New initiatives in basic science, accelerator engineering and market development, continue to stimulate applications of electron accelerators. Contributions from scientific experts in each of these segments have been assimulated to reflect the present status of accelerator technology in radiation processing.

  12. Linear Accelerators

    NASA Astrophysics Data System (ADS)

    Sidorin, Anatoly

    2010-01-01

    In linear accelerators the particles are accelerated by either electrostatic fields or oscillating Radio Frequency (RF) fields. Accordingly the linear accelerators are divided in three large groups: electrostatic, induction and RF accelerators. Overview of the different types of accelerators is given. Stability of longitudinal and transverse motion in the RF linear accelerators is briefly discussed. The methods of beam focusing in linacs are described.

  13. Acute and Short-Term Toxicities of Conventionally Fractionated Versus Hypofractionated Whole Breast Irradiation in a Prospective, Randomized Trial

    PubMed Central

    Shaitelman, Simona F.; Schlembach, Pamela J.; Arzu, Isidora; Ballo, Matthew; Bloom, Elizabeth S.; Buchholz, Daniel; Chronowski, Gregory M.; Dvorak, Tomas; Grade, Emily; Hoffman, Karen E.; Kelly, Patrick; Ludwig, Michelle; Perkins, George H.; Reed, Valerie; Shah, Shalin; Stauder, Michael C.; Strom, Eric A.; Tereffe, Welela; Woodward, Wendy A.; Ensor, Joe; Baumann, Donald; Thompson, Alastair M.; Amaya, Diana; Davis, Tanisha; Guerra, William; Hamblin, Lois; Hortobagyi, Gabriel; Hunt, Kelly K.; Buchholz, Thomas A.; Smith, Benjamin D.

    2015-01-01

    IMPORTANCE The most appropriate dose-fractionation for whole breast irradiation (WBI) remains uncertain. OBJECTIVE To assess acute and six-month toxicity and quality of life (QoL) with conventionally fractionated WBI (CF-WBI) versus hypofractionated WBI (HF-WBI). DESIGN Unblinded randomized trial of CF-WBI (n=149; 50 Gy/25 fractions + boost [10–14 Gy/5–7 fractions]) versus HF-WBI (n=138; 42.56 Gy/16 fractions + boost [10–12.5 Gy/4–5 fractions]). SETTING Community-based and academic cancer centers. PARTICIPANTS 287 women age ≥ 40 years with stage 0–II breast cancer treated with breast-conserving surgery for whom whole breast irradiation without addition of a third field was recommended. 76% (n=217) were overweight or obese. Patients were enrolled from February 2011 through February 2014. INTERVENTION(S) FOR CLINICAL TRIALS CF-WBI versus HF-WBI. MAIN OUTCOME MEASURES Physician-reported acute and six-month toxicities using NCICTCv4.0 and patient-reported QoL using the FACT-B version 4. All analyses were intention-to-treat, with outcomes compared using chi-square, Cochran-Armitage test, and ordinal logistic regression. Patients were followed for a minimum of 6 months. RESULTS Treatment arms were well-matched for baseline characteristics including FACT-B total score (P=0.46) and individual QoL items such as lack of energy (P=0.86) and trouble meeting family needs (P=0.54). Maximal physician-reported acute dermatitis (P<0.001), pruritus (P<0.001), breast pain (P=0.001), hyperpigmentation (P=0.002), and fatigue (P=0.02) during radiation were lower in patients randomized to HF-WBI. Overall grade ≥2 acute toxicity was less with HF-WBI vs. CF-WBI (47% vs. 78%; P<0.001). Six months after radiation, physicians reported less fatigue in patients randomized to HF-WBI (P=0.01), and patients randomized to HF-WBI reported less lack of energy (P<0.001) and less trouble meeting family needs (P=0.01). Multivariable regression confirmed the superiority of HF-WBI in terms

  14. Dose-Response Modeling of the Visual Pathway Tolerance to Single-Fraction and Hypofractionated Stereotactic Radiosurgery.

    PubMed

    Hiniker, Susan M; Modlin, Leslie A; Choi, Clara Y; Atalar, Banu; Seiger, Kira; Binkley, Michael S; Harris, Jeremy P; Liao, Yaping Joyce; Fischbein, Nancy; Wang, Lei; Ho, Anthony; Lo, Anthony; Chang, Steven D; Harsh, Griffith R; Gibbs, Iris C; Hancock, Steven L; Li, Gordon; Adler, John R; Soltys, Scott G

    2016-04-01

    Patients with tumors adjacent to the optic nerves and chiasm are frequently not candidates for single-fraction stereotactic radiosurgery (SRS) due to concern for radiation-induced optic neuropathy. However, these patients have been successfully treated with hypofractionated SRS over 2-5 days, though dose constraints have not yet been well defined. We reviewed the literature on optic tolerance to radiation and constructed a dose-response model for visual pathway tolerance to SRS delivered in 1-5 fractions. We analyzed optic nerve and chiasm dose-volume histogram (DVH) data from perioptic tumors, defined as those within 3mm of the optic nerves or chiasm, treated with SRS from 2000-2013 at our institution. Tumors with subsequent local progression were excluded from the primary analysis of vision outcome. A total of 262 evaluable cases (26 with malignant and 236 with benign tumors) with visual field and clinical outcomes were analyzed. Median patient follow-up was 37 months (range: 2-142 months). The median number of fractions was 3 (1 fraction n = 47, 2 fraction n = 28, 3 fraction n = 111, 4 fraction n = 10, and 5 fraction n = 66); doses were converted to 3-fraction equivalent doses with the linear quadratic model using α/β = 2Gy prior to modeling. Optic structure dose parameters analyzed included Dmin, Dmedian, Dmean, Dmax, V30Gy, V25Gy, V20Gy, V15Gy, V10Gy, V5Gy, D50%, D10%, D5%, D1%, D1cc, D0.50cc, D0.25cc, D0.20cc, D0.10cc, D0.05cc, D0.03cc. From the plan DVHs, a maximum-likelihood parameter fitting of the probit dose-response model was performed using DVH Evaluator software. The 68% CIs, corresponding to one standard deviation, were calculated using the profile likelihood method. Of the 262 analyzed, 2 (0.8%) patients experienced common terminology criteria for adverse events grade 4 vision loss in one eye, defined as vision of 20/200 or worse in the affected eye. One of these patients had received 2 previous courses of radiotherapy to the optic structures

  15. Charged particle accelerator grating

    DOEpatents

    Palmer, Robert B.

    1986-01-01

    A readily disposable and replaceable accelerator grating for a relativistic particle accelerator. The grating is formed for a plurality of liquid droplets that are directed in precisely positioned jet streams to periodically dispose rows of droplets along the borders of a predetermined particle beam path. A plurality of lasers are used to direct laser beams into the droplets, at predetermined angles, thereby to excite the droplets to support electromagnetic accelerating resonances on their surfaces. Those resonances operate to accelerate and focus particles moving along the beam path. As the droplets are distorted or destroyed by the incoming radiation, they are replaced at a predetermined frequency by other droplets supplied through the jet streams.

  16. Charged particle accelerator grating

    DOEpatents

    Palmer, Robert B.

    1986-09-02

    A readily disposable and replaceable accelerator grating for a relativistic particle accelerator. The grating is formed for a plurality of liquid droplets that are directed in precisely positioned jet streams to periodically dispose rows of droplets along the borders of a predetermined particle beam path. A plurality of lasers are used to direct laser beams into the droplets, at predetermined angles, thereby to excite the droplets to support electromagnetic accelerating resonances on their surfaces. Those resonances operate to accelerate and focus particles moving along the beam path. As the droplets are distorted or destroyed by the incoming radiation, they are replaced at a predetermined frequency by other droplets supplied through the jet streams.

  17. Ultraviolet radiation exposure accelerates the accumulation of the aging-dependent T414G mitochondrial DNA mutation in human skin.

    PubMed

    Birket, Matthew J; Birch-Machin, Mark A

    2007-08-01

    The accumulation of mitochondrial DNA (mtDNA) mutations has been proposed as an underlying cause of the aging process. Such mutations are thought to be generated principally through mechanisms involving oxidative stress. Skin is frequently exposed to a potent mutagen in the form of ultraviolet (UV) radiation and mtDNA deletion mutations have previously been shown to accumulate with photoaging. Here we report that the age-related T414G point mutation originally identified in skin fibroblasts from donors over 65 years also accumulates with age in skin tissue. Moreover, there is a significantly greater incidence of this mutation in skin from sun-exposed sites (chi(2)= 6.8, P < 0.01). Identification and quantification of the T414G mutation in dermal skin tissue from 108 donors ranging from 8 to 97 years demonstrated both increased occurrence with photoaging as well as an increase in the proportion of molecules affected. In addition, we have discovered frequent genetic linkage between a common photoaging-associated mtDNA deletion and the T414G mutation. This linkage indicates that mtDNA mutations such as these are unlikely to be distributed equally across the mtDNA population within the skin tissue, increasing their likelihood of exerting focal effects at the cellular level. Taken together, these data significantly contribute to our understanding of the DNA damaging effects of UV exposure and how resultant mutations may ultimately contribute towards premature aging.

  18. Acceleration of atherogenesis in ApoE−/− mice exposed to acute or low-dose-rate ionizing radiation

    PubMed Central

    Mancuso, Mariateresa; Pasquali, Emanuela; Braga-Tanaka, Ignacia; Tanaka, Satoshi; Pannicelli, Alessandro; Giardullo, Paola; Pazzaglia, Simonetta; Tapio, Soile; Atkinson, Michael J.; Saran, Anna

    2015-01-01

    There is epidemiological evidence for increased non-cancer mortality, primarily due to circulatory diseases after radiation exposure above 0.5 Sv. We evaluated the effects of chronic low-dose rate versus acute exposures in a murine model of spontaneous atherogenesis. Female ApoE−/− mice (60 days) were chronically irradiated for 300 days with gamma rays at two different dose rates (1 mGy/day; 20 mGy/day), with total accumulated doses of 0.3 or 6 Gy. For comparison, age-matched ApoE−/− females were acutely exposed to the same doses and sacrificed 300 days post-irradiation. Mice acutely exposed to 0.3 or 6 Gy showed increased atherogenesis compared to age-matched controls, and this effect was persistent. When the same doses were delivered at low dose rate over 300 days, we again observed a significant impact on global development of atherosclerosis, although at 0.3 Gy effects were limited to the descending thoracic aorta. Our data suggest that a moderate dose of 0.3 Gy can have persistent detrimental effects on the cardiovascular system, and that a high dose of 6 Gy poses high risks at both high and low dose rates. Our results were clearly nonlinear with dose, suggesting that lower doses may be more damaging than predicted by a linear dose response. PMID:26359350

  19. Outcome Evaluation of Oligometastatic Patients Treated with Surgical Resection Followed by Hypofractionated Stereotactic Radiosurgery (HSRS) on the Tumor Bed, for Single, Large Brain Metastases

    PubMed Central

    Pessina, Federico; Navarria, Pierina; Cozzi, Luca; Ascolese, Anna Maria; Maggi, Giulia; Riva, Marco; Masci, Giovanna; D’Agostino, Giuseppe; Finocchiaro, Giovanna; Santoro, Armando; Bello, Lorenzo; Scorsetti, Marta

    2016-01-01

    Purpose The aim of this study was to evaluate the benefit of a combined treatment, surgery followed by adjuvant hypofractionated stereotactic radiosurgery (HSRS) on the tumor bed, in oligometastatic patients with single, large brain metastasis (BM). Methods and Materials Fom January 2011 to March 2015, 69 patients underwent complete surgical resection followed by HSRS with a total dose of 30Gy in 3 daily fractions. Clinical outcome was evaluated by neurological examination and MRI 2 months after radiotherapy and then every 3 months. Local progression was defined as radiographic increase of the enhancing abnormality in the irradiated volume, and brain distant progression as the presence of new brain metastases or leptomeningeal enhancement outside the irradiated volume. Surgical morbidity and radiation-therapy toxicity, local control (LC), brain distant progression (BDP), and overall survival (OS) were evaluated. Results The median preoperative volume and maximum diameter of BM was 18.5cm3 (range 4.1–64.2cm3) and 3.6cm (range 2.1-5-4cm); the median CTV was 29.0cm3 (range 4.1–203.1cm3) and median PTV was 55.2cm3 (range 17.2–282.9cm3). The median follow-up time was 24 months (range 4–33 months). The 1-and 2-year LC in site of treatment was 100%; the median, 1-and 2-year BDP was 11.9 months, 19.6% and 33.0%; the median, 1-and 2-year OS was 24 months (range 4–33 months), 91.3% and 73.0%. No severe postoperative morbidity or radiation therapy toxicity occurred in our series. Conclusions Multimodal approach, surgery followed by HSRS, can be an effective treatment option for selected patients with single, large brain metastases from different solid tumors. PMID:27348860

  20. Tumor Control Outcomes After Hypofractionated and Single-Dose Stereotactic Image-Guided Intensity-Modulated Radiotherapy for Extracranial Metastases From Renal Cell Carcinoma

    SciTech Connect

    Zelefsky, Michael J.; Greco, Carlo; Motzer, Robert; Magsanoc, Juan Martin; Pei Xin; Lovelock, Michael; Mechalakos, Jim; Zatcky, Joan; Fuks, Zvi; Yamada, Yoshiya

    2012-04-01

    Purpose: To report tumor local progression-free outcomes after treatment with single-dose, image-guided, intensity-modulated radiotherapy and hypofractionated regimens for extracranial metastases from renal cell primary tumors. Patients and Methods: Between 2004 and 2010, 105 lesions from renal cell carcinoma were treated with either single-dose, image-guided, intensity-modulated radiotherapy to a prescription dose of 18-24 Gy (median, 24) or hypofractionation (three or five fractions) with a prescription dose of 20-30 Gy. The median follow-up was 12 months (range, 1-48). Results: The overall 3-year actuarial local progression-free survival for all lesions was 44%. The 3-year local progression-free survival for those who received a high single-dose (24 Gy; n = 45), a low single-dose (<24 Gy; n = 14), or hypofractionation regimens (n = 46) was 88%, 21%, and 17%, respectively (high single dose vs. low single dose, p = .001; high single dose vs. hypofractionation, p < .001). Multivariate analysis revealed the following variables were significant predictors of improved local progression-free survival: 24 Gy dose compared with a lower dose (p = .009) and a single dose vs. hypofractionation (p = .008). Conclusion: High single-dose, image-guided, intensity-modulated radiotherapy is a noninvasive procedure resulting in high probability of local tumor control for metastatic renal cell cancer generally considered radioresistant according to the classic radiobiologic ranking.

  1. Tumor Control Outcomes Following Hypofractionated and Single-Dose Stereotactic Image-Guided Intensity-Modulated Radiotherapy for Extracranial Metastases from Renal Cell Carcinoma

    PubMed Central

    Zelefsky, Michael J; Greco, Carlo; Motzer, Robert; Magsanoc, Juan Martin; Pei, Xin; Lovelock, Michael; Mechalakos, Jim; Zatcky, Joan; Fuks, Zvi; Yamada, Yoshiya

    2014-01-01

    Purpose To report tumor local progression-free outcomes following treatment with single-dose image-guided intensity-modulated radiotherapy (SD-IGRT) and hypofractionated regimens for extracranial metastases from renal cell primary tumors. Methods and Materials Between 2004 and 2010, a total of 105 lesions from renal cell carcinomas were treated with either SD-IGRT to prescription doses of 18–24 Gy (median, 24 Gy) or hypofractionation (3 or 5 fractions) with prescription doses ranging between 20 and 30 Gy. The median follow-up was 12 months (range, 1–48 months). Results The overall 3-year actuarial local progression-free survival (LPFS) for all lesions was 44%. The 3-year LPFS for those who received high single-dose (24 Gy; n = 45), low single-dose (< 24 Gy; n = 14), and hypofractionation regimens (n = 46) were 88%, 21%, and 17%, respectively (high single dose versus low single dose, p = 0.001; high single dose versus hypofractionation, p < 0.001). Multivariate analysis revealed the following variables as significant predictors of improved LPFS: dose of 24 Gy compared with lower dose (p = 0.009), and single dose versus hypofractionation (p = 0.008). Conclusion High-dose SD-IGRT is a non-invasive procedure resulting in high probability of local tumor control for metastatic renal cell cancers, generally considered radioresistant according to classical radiobiological ranking. PMID:21596489

  2. Preoperative bi-fractionated accelerated radiation therapy for combined treatment of locally advanced rectal cancer in a consectutive series of unselected patients

    PubMed Central

    Biffi, Roberto; Marsiglia, Hugo; Fossa, Barbara Jereczek; Leonardi, Maria Cristina; Cante, Domenico; Lazzari, Roberta; Chiappa, Antonio; Cenciarelli, Sabine; Andreoni, Bruno; Zampino, Maria Giulia; Orecchia, Roberto

    2007-01-01

    Background although preoperative RT (Radiation Therapy) is becoming the preferred approach for combined treatment of locally a