RADIANCE-A planning software for intra-operative radiation therapy

In the last decades accumulated clinical evidence has proven that intra-operative radiation therapy (IORT) is a very valuable technique. In spite of that, planning technology has not evolved since its conception, being outdated in comparison to current state of the art in other radiotherapy techniques and therefore slowing down the adoption of IORT. RADIANCE is an IORT planning system, CE and FDA certified, developed by a consortium of companies, hospitals and universities to overcome such technological backwardness. RADIANCE provides all basic radiotherapy planning tools which are specifically adapted to IORT. These include, but are not limited to image visualization, contouring, dose calculation algorithms-Pencil Beam (PB) and Monte Carlo (MC), DVH calculation and reporting. Other new tools, such as surgical simulation tools have been developed to deal with specific conditions of the technique. Planning with preoperative images (preplanning) has been evaluated and the validity of the system being proven in terms of documentation, treatment preparation, learning as well as improvement of surgeons/radiation oncologists (ROs) communication process. Preliminary studies on Navigation systems envisage benefits on how the specialist to accurately/safely apply the pre-plan into the treatment, updating the plan as needed. Improvements on the usability of this kind of systems and workflow are needed to make them more practical. Preliminary studies on Intraoperative imaging could provide an improved anatomy for the dose computation, comparing it with the previous pre-plan, although not all devices in the market provide good characteristics to do so. DICOM.RT standard, for radiotherapy information exchange, has been updated to cover IORT particularities and enabling the possibility of dose summation with external radiotherapy. The effect of this planning technology on the global risk of the IORT technique has been assessed and documented as part of a failure mode and effect analysis (FMEA). Having these technological innovations and their clinical evaluation (including risk analysis) we consider that RADIANCE is a very valuable tool to the specialist covering the demands from professional societies (AAPM, ICRU, EURATOM) for current radiotherapy procedures.

Análisis de la reglamentación europea, promulgada a raíz de los accidentes nucleares, y la determinación de la emisión gamma en alimentos importados

Novel scientific and technological progress require to seek new sources of electricity. Such response is, inter alia, nuclear energy. Nuclear power stations currently produce around a third of the electricity and 14% of the energy consumed in the European Union. A thorough aspect in the use and development of nuclear energy as power source is safety. Nuclear facilities are designed so that the probability of an accident that may affect people and environment was very low. Reasonably, preventive emergency plans take place in the own nuclear facilities in order to mitigate and minimize the consequences, and otherwise another emergency nuclear plans take place outside facilities. Monitoring programs are also conducted in the nearby nuclear facilities, according to the Recommendation reached on 8th June 2000 by the European Commission on the application of Article 36 of the Euratom Treaty for the checking of the levels of radioactivity in the environment, in order to assess the exposure to the whole population. The main objectives of these plans are to check the presence and evolution of radioactive elements and the radiation levels in the environment; to determinate the causes of its increase, if succeed; to estimate the radiological risk to the population; to set corrected measures, if necessary; to ensure legal compliance on the premises and; to verify the suitability of effluent monitoring program to detect radionuclides leaks and transfer to the environment...