Consultoria em física médica e radioproteção

The Quality Control services for diagnostic imaging is essential to ensure that their activities occur as planned. Procedures are aimed at a positive cost-benefit to the institution and risk-benefit to the patients. And this requires trained and skilled professionals working with high technology equipment. The company PhyMED Consultores em Física Médica e Radioproteção Ltda., a Pioneer in the field of Medica Physics in Rio Grande do Sul, is dedicated to providing consulting services in healthcare. Physicists are experienced working in many areas of diagnostic imaging

Desenvolvimento, otimização e caracterização física de um novo sistema multi-sensores de Biosusceptometria de Corrente Alternada (BAC) para obtenção de imagens biomagnéticas

A novel AC Biosusceptometry (ACB) system with thirteen sensors it was implemented and characterized in vitro using magnetic phantoms. The system presenting coils in a coaxial arrangement with one pair of excitation coil outside and thirteen pairs of detection coils inside. A first-order gradiometric configuration was utilized for optimal detection of magnetic signals. Several physical parameters such as baseline, number of turns, excitation field and diameters were studied for improvement of the signal/noise ratio. This system exhibits an enhanced sensitivity and spatial resolution, due to the higher density of sensors/area. In the future those characteristics will turn possible to obtain images of magnetic marker or tracer in the gastrointestinal tract focusing on physiological and pharmaceutical studies. ACB emerged due to its interesting nature, noninvasiveness and low cost to investigate gastrointestinal parameters and this system can contribute for more accurate interpretation of biomedical signals and images

Dosimetria Física e Controle de Qualidade em Radioterapia

Radiotherapy is a multidisciplinary speciality which uses complex equipment and radiation sources for delivery of treatment, using high-energy ionizing radiation to treat cancer at several stages of complexity. Since radiation therapy is a technique which involves a precalculated radiation dose, it shall be established quality assurance programs that provide an efficient and safety treatment. The International Commission on Radiation Units and Measurements (ICRU) report No. 50 has recommended dose uniformity between 5% of the prescribed dose throughout the region of interest. This is one of the most primordial points that justify the importance of a suitable attendance of the equipments quality and performance. For quality control, the medical physicist will be involved with establishing and running a Quality Control Program (QCP). He must adapt or develop the procedures of equipment acceptance and commissioning, besides verifying the use of principles and accepted protocols of national and international reports to assure the correct quality, quantity, and placement of radiation during the performance of a radiological procedure, establishing adequate protocols to ensure accurate patient dosimetry. This present work consists of a description of the activities carried through the Sectors of Radiation Therapy of the Hospital of Clinics of the Campinas State University (Unicamp), particularly in the implementation of the Quality Control Program

Análise física da estrutura do tecido ósseo bovino

There are diseases in vertebrates associated with the structure of bone tissue that directly affect the locomotor system of the animal. Being a endoskeleton, the diagnosis of these diseases becomes difficult in vivo. The characterization of the physical structure of the bone tissue of healthy animals becomes a major tool in the diagnosis comparison of live animals. Thus, the objective of this work is to determine the average value of the key physical properties of the bone structure used in the clinical diagnosis, such as: bone density, porosity, and mass attenuation coefficient of 59.6 keV photons of bone tissue and bovine and equine check variations in these values. The samples were provided by the pathology department of the Faculty of Veterinary Medicine and Zootechny of Botucatu-SP, which are of one male equine and one female bovine animals, using the radio and metacarpus, together with these materials were supplied the historic them. They were withdrawn ten samples in cuts of 10cm over the bone . These samples were submitted to the wet method of immersion in water for the density, by the method of attenuation of gamma radiation of radioisotope 241Am, it is estimated the mass attenuation coefficient, and then were dried in the oven for determining the content moisture. In determining the porosity of the samples was tight ground, in order to obtain the density of particles. The results for the mass attenuation coefficient of gamma radiation to the levels of saturated humidity, environment humidity, dry humidity respectively 0289 ± 0039; 0286 ± 0040 and 0297 ± 0042. And the density of particles was 2.2691 g/cm3

Usando a antimatéria na medicina moderna

Neste artigo, fazemos uma breve exposição de como um dos conceitos fundamentais da física moderna, a existência de antimatéria, tem aplicação na medicina, na chamada tomografia por emissão de pósitrons (PET na sigla em inglês). Ela consiste na produção de imagens tomográficas digitais do organismo que são obtidas pela detecção da radiação produzida na aniquilação do pósitron com o elétron.

Radioterapia de Intensidade Modulada (IMRT): princípios e técnicas

Neste trabalho, o tema central será a Radioterapia de Intensidade Modulada (IMRT). Quanto a metodologia, trata-se fundamentalmente de uma pesquisa bibliográfica somada ao acompanhamento da rotina da IMRT no Hospital Sírio Libanês e do acompanhamento do controle de qualidade do planejamento com o equipamento MapCHECK no Hospital A. C. Camargo. Os principais objetivos deste trabalho são: descrever a técnica, os seus princípios de funcionamento, os testes de aceite, o comissionamento, o controle de qualidade e a rotina clínica. Para desta maneira, avaliar a IMRT, a sua viabilidade e a importância do físico e da equipe multiprofissional no processo de implementação

Desenvolvimento de algoritmos para a avaliação quantitativa de imagens de fantomas mamográficos

There are many advantages when using a phantom for the evaluation of the mammographic images, one of them is to test the visibility of the distribution of objects that constitute it, and then, set the best image in order to obtain a diagnostic medical insurance, trying to reach the best risk - benefit ratio for the patient. Typically, the quality of the mammographic image is performed by subjective and quantitative assessments. This study developed algorithms that can quantitatively evaluate digital images (DICOM), obtained from mammographic phantom consisting of test objects. The results were adjusted by the response of the subjective evaluation performed by experts in radiology. This procedure aims to create an independence of the experts in radiology in daily tests of quality control in routine clinical diagnostic radiology

Análise comparativa da expressão de RNAm de aquaporinas em sapos hidratados e submetidos ao estresse hídrico

A maior parte das espécies de anuros adultos terrestres está constantemente exposta a altas taxas de perda de água por evaporação através da pele. A manutenção do balanço hídrico nestes animais envolve a absorção de água através da mancha pélvica, uma região da pele ventral altamente permeável à água, além da reabsorção de água a partir do fluido filtrado nos glomérulos ao longo do sistema tubular dos néfrons, bem como a partir da urina formada e estocada na bexiga urinária, em resposta à arginina vasotocina (AVT). O movimento de água através da membrana plasmática ocorre através de poros formados por proteínas integrais de membrana, conhecidas como aquaporinas (AQPs), e a regulação osmótica exercida pelo AVT envolve translocação de vesículas contendo AQPs do citoplasma para a membrana apical e, provavelmente, alteração na expressão de alguns tipos de AQPs. Resultados previamente obtidos no laboratório demonstraram a existência de variação interespecífica nas taxas de reidratação de três espécies de Rhinella, sendo que R. ornata apresentou taxas de reidratação significativamente menores que aquelas apresentadas por R. schneideri e R. icterica. Uma possível explicação para esta variação em taxas de reidratação poderia envolver diferenças na expressão de aquaporinas na mancha pélvica. Desta forma, o objetivo do projeto foi identificar e quantificar a expressão do RNAm de aquaporinas do tipo 1 (AQP-1) e de aquaporinas AVT dependentes pertencentes ao tipo 2a (AQP-t2 e AQP-t3) - quanto à classificação das AQPs entenda-se AQP -t aquelas que apresentam sequência gênica referentes a Rinella marina AQP -h a Hyla japonica.- nos seguintes tecidos: pele dorsal e pele ventral (mancha pélvica) de espécimes de R. schneideri e R. ornata totalmente hidratados e após submissão à desidratação correspondente a 70% da massa corpórea padrão. As hipótese ...

Avaliação das condições de uso de um equipamento de tomografia computadorizada e otimização de protocolos de crânio empregados na rotina do HCFMB-UNESP

Almost forty years computed tomography (CT) has been one of the most powerful tools in diagnostic imaging. However, this modality delivers relatively high doses to their patients. It is known that the inappropriate use and unnecessary radiation may be associated with a significant risk of cancer, especially in pediatric patients. Moreover, the quality assurance in CT, provided and required by Portaria 453/98 and the guide of the RE 1016/05, ensures that the images generated by computer tomography provide reliable diagnostic information with doses as low as reasonably achievable. This research aimed to make the quality control (QC) of CT equipment; establish a better relationship between dose and noise on the image to protocols of skull CT according to the study of optimization proposed in 2005 by Daros; and assess the dose distribution in different cranial organs for protocols of adult and pediatric use in the routine of the Department of Diagnostic Imaging of HCFMB-UNESP. The equipment used for testing QC, optimization and dosimetry was a third generation tomograph GE Sytec 3000i

Análise de propriedades topológicas das redes biológicas integradas da Escherichia coli e da Saccharomyces cerevisiae

Biological processes are complex and possess emergent properties that can not be explained or predict by reductionism methods. To overcome the limitations of reductionism, researchers have been used a group of methods known as systems biology, a new interdisciplinary eld of study aiming to understand the non-linear interactions among components embedded in biological processes. These interactions can be represented by a mathematical object called graph or network, where the elements are represented by nodes and the interactions by edges that link pair of nodes. The networks can be classi- ed according to their topologies: if node degrees follow a Poisson distribution in a given network, i.e. most nodes have approximately the same number of links, this is a random network; if node degrees follow a power-law distribution in a given network, i.e. small number of high-degree nodes and high number of low-degree nodes, this is a scale-free network. Moreover, networks can be classi ed as hierarchical or non-hierarchical. In this study, we analised Escherichia coli and Saccharomyces cerevisiae integrated molecular networks, which have protein-protein interaction, metabolic and transcriptional regulation interactions. By using computational methods, such as MathematicaR , and data collected from public databases, we calculated four topological parameters: the degree distribution P(k), the clustering coe cient C(k), the closeness centrality CC(k) and the betweenness centrality CB(k). P(k) is a function that calculates the total number of nodes with k degree connection and is used to classify the network as random or scale-free. C(k) shows if a network is hierarchical, i.e. if the clusterization coe cient depends on node degree. CC(k) is an indicator of how much a node it is in the lesse way among others some nodes of the network and the CB(k) is a pointer of how a particular node is among several ...(Complete abstract click electronic access below)

Desenvolvimento de biossensores utilizando eletrodos de Ito modificado com poli (2-vinil piridina)

Há uma grande expectativa para o desenvolvimento de biossensores miniaturizados, que permitam análises mais eficientes e rápidas, em matrizes complexas como as encontradas: no ar, alimentos, águas residuais e em medicamentos. Recentemente, filmes poliméricos inteligentes ativados por estímulo externo têm atraído bastante interesse no desenvolvimento desses tais nanosensores para uso em sistemas químicos e bioquímicos. Estes materiais apresentam uma alta sensibilidade a alterações físicas ou químicas ocorridas na sua interface, e respondem seletivamente a essas mudanças para se adaptarem ao meio. Juntando-se as propriedades estímulo-responsivas desses polímeros com a alta seletividade de reações biológicas tem-se uma excelente combinação para a criação de nano biossensores. A esse tipo de sistema: interfaces/material biológico adota-se a nomenclatura biointerface. As biointerfaces são biossensores em potencial, e na preparação dos biossensores a tarefa mais complicada na sua preparação é o desenvolvimento de superfícies adequadas para o interfaceamento com material biológico, de maneira que a parte biológica possa atuar de forma sensível e estável. A primeira etapa consistiu na produção e caracterização dos polímeros escova (P2VP), os quais serão preparados pelo processo de deposição térmica. A caracterização dos mesmos foi realizada por imagens microscopia de força atômica (AFM), via eletroquímica e por transmissão de ressonância plasmônica de superfície. Na etapa posterior foi estudada a imobilização da glicose oxidase para a preparação do biossensor. O dispositivo fabricado foi empregado para a determinação direta de glicose. Desta forma, esperou-se obter uma metodologia de menor custo e tempo de análise. Logo, este estudo irá contribuir de forma significativa sobre os processos de montagem de biossensores a partir de compostos nanoestruturados. Foram utilizadas técnicas de ...

Estudo teórico da contribuição à dose de partículas secundárias geradas por prótons de energias entre 100 e 200 MeV num Phantom de substituto de tecido MS20

The goal of this project is the reproduction, through the simulation code based on the MCNPX (Monte Carlo N-Particle eXtended) v2.50 method, of the proton beam interaction with the material, since, in proton therapy, only the particle ionization and excitation are analyzed and the occurence of nuclear interactive inelastic process are not considered. This work will help the development of studies concerning the contribution to the total dosis of secondary particles generated by nuclear interaction in proton therapy. They are: alpha particles ( ), deuterium(2H), tritium (3H), neutron (n) and helium (3He). A MS20 tissue substitute phantom was used as the target and the energy of the proton beams was within an interest range of 100 to 200MeV. With the results obtained, it was possible to generate graphics which allows the analysis of the dosis deposition relation with and without nuclear interaction, the percentage of secondary particles deposited dosis, the radial dispersion of neutrons in the material, the secondary particles multiplicity, as well as the relation between the secondary particles spectrum with the próton generated spectrum

Estudo de um método automatizado para o cálculo da profundidade de visualização dos equipamentos de ultrassonografia

Ultrasound is the term that describes the sound waves with higher frequencies than human hearing. Ultrasound used in medical diagnosis is a modality based on the use of sound energy and the acoustic properties of the various parts of the body to produce images of stationary and moving tissues. However, despite the ease of use and security that this modality offers for not using ionizing radiation, one should ensure the accuracy and optimum performance of the equipment, which results in precise diagnoses. To accomplish that, periodic quality control tests must be performed, which include: physical and mechanical inspection of the equipment, image uniformity, depth of penetration/visualization, accuracy of distances, axial and lateral resolution, dead zone and doppler sensitivity. This work intends to study a computerized method for calculating the depth of penetration of ultrasound, comparing it to the observerdependent method currently used. The images were collected during the quality control tests of ultrasound equipment. The results of the comparison between the visual and computerized methods were not conclusive for selecting the safest methodology for obtaining the depth of visualization

Valor de corte para teste respiratório com isótopos estáveis (Carbono 13) no diagnóstico do Helicobacter pylori utilizando IRMS para análise do sopro

After the isolation of Helicobacter pylori from an injury at the stomach mucosa by Marshall and Wareen, work that was recognized with the Nobel Prize of Medicine or Physiology in 2005, many other works showed the relationship between the presence of H. pylori and diseases at the digestive system, such as gastritis, gastric, duodenal and peptic ulcer, and stomach cancer. The 13C-Urea Breath Test - 13C-UBT is a non-invasive diagnostic method that utilizes the breath of a patient to determine the presence of H. pylori through stable isotopes. This work aimed to find an ideal 13C-UBT Isotopic Ratio Mass Spectroscopy cut-off value (a threshold between positive and negative) to diagnose H. pylori infection at Brazilian population. Patients were selected at the UNESP-Botucatu Clinical Hospital Endoscopy Section. With these results it was possible to indicate that the best cut-off value is between 2.5 to 6 ‰ of Delta Over Baseline (DOB)

Aplicações de isótopos estáveis na área da saúde no Brasil

The use of stable isotopes in Brazil is being improved, mainly through research conducted at main universities in the country. Some applications in health allow to studying, for example, processes involving synthesis and protein degradation, energy expenditure, body composition, kinetics of vitamins, mineral absorption and diagnose diseases related to Helicobacter pylori. The big motivation is to encourage the growth of investments in health in the few centers that have mass spectrometers in Brazil, as the technique is harmless to humans, in other words, no has problems to use it like when you use radioactive isotopes