Valutazione dosimetrica e aspetti tecnici di trattamenti VMAT (Volumetric Modulated Arc Therapy) in radioterapia oncologica

La VMAT (Volumetric Modulated Arc Therapy) è una delle più recenti tecniche radioterapiche, in cui, oltre alla modulazione geometrica della fluenza del campo di radiazione come avviene nell’IMRT (Intensity Modulated Radiotherapy), sono variati durante il trattamento anche la velocità del gantry e il rateo di dose. La radiazione è erogata senza interruzioni lungo uno o più archi continui della testata dell’acceleratore, così da ridurre i tempi di trattamento in modo sostanziale rispetto all’IMRT. Nelle tecniche ad intensità modulata, ed in particolare nella VMAT, il lettino porta paziente modifica la distribuzione di dose durante gli irraggiamenti posteriori, riducendo quella al target e aumentando quella superficiale. Il presente lavoro di tesi, che ha proprio l’obiettivo di valutare questi aspetti dosimetrici in un’ottica pre-clinica, è stato svolto presso il Servizio di Fisica Sanitaria del Policlinico S.Orsola–Malpighi, Azienda Ospedaliero-Universitaria di Bologna. Le misure sono state effettuate presso le U.O. Radioterapia-Morganti e Radioterapia-Frezza f.f. della medesima Azienda Sanitaria, al fine di caratterizzare dal punto di vista dosimetrico il lettino di trattamento iBEAM evo dell’acceleratore lineare Synergy Elekta. L’attenuazione misurata in caso di incidenza perpendicolare del fascio sul lettino, in buon accordo con gli articoli di riferimento, è stata: (2.81±0.06)% per fotoni di energia di 6 MV, (1.81±0.10)% a 10 MV e (1.38±0.05)% a 15 MV. L’attenuazione massima misurata con fotoni di energia di 6 MV si è avvicinata al 4% negli irraggiamenti obliqui. Infine, è stato analizzato il confronto con statistica gamma fra distribuzione di dose pianificata e misurata prima e dopo aver modellizzato le caratteristiche del lettino nel software per l’elaborazione del piano di trattamento. Solo dopo tale operazione, i due casi VMAT analizzati (tumore dell’orofaringe e prostatico) superano i criteri più restrittivi e affidabili utilizzati nella pratica clinica.

Computational design of a new type of sandwich cross-section for a defined solution of a tree-like column produced by wire-and-arc additive manufacturing

When it comes to designing a structure, architects and engineers want to join forces in order to create and build the most beautiful and efficient building. From finding new shapes and forms to optimizing the stability and the resistance, there is a constant link to be made between both professions. In architecture, there has always been a particular interest in creating new shapes and types of a structure inspired by many different fields, one of them being nature itself. In engineering, the selection of optimum has always dictated the way of thinking and designing structures. This mindset led through studies to the current best practices in construction. However, both disciplines were limited by the traditional manufacturing constraints at a certain point. Over the last decades, much progress was made from a technological point of view, allowing to go beyond today's manufacturing constraints. With the emergence of Wire-and-Arc Additive Manufacturing (WAAM) combined with Algorithmic-Aided Design (AAD), architects and engineers are offered new opportunities to merge architectural beauty and structural efficiency. Both technologies allow for exploring and building unusual and complex structural shapes in addition to a reduction of costs and environmental impacts. Through this study, the author wants to make use of previously mentioned technologies and assess their potential, first to design an aesthetically appreciated tree-like column with the idea of secondly proposing a new type of standardized and optimized sandwich cross-section to the construction industry. Parametric algorithms to model the dendriform column and the new sandwich cross-section are developed and presented in detail. A catalog draft of the latter and methods to establish it are then proposed and discussed. Finally, the buckling behavior of this latter is assessed considering standard steel and WAAM material properties.

Design, fabrication and mechanical characterization of a structural node made using Wire and Arc Additive Manufacturing (WAAM) technology

Additive Manufacturing (AM), also known as “3D printing”, is a recent production technique that allows the creation of three-dimensional elements by depositing multiple layers of material. This technology is widely used in various industrial sectors, such as automotive, aerospace and aviation. With AM, it is possible to produce particularly complex elements for which traditional techniques cannot be used. These technologies are not yet widespread in the civil engineering sector, which is slowly changing thanks to the advantages of AM, such as the possibility of realizing elements without geometric restrictions, with less material usage and a higher efficiency, in particular employing Wire-and-Arc Additive Manufacturing (WAAM) technology. Buildings that benefit most from AM are all those structures designed using form-finding and free-form techniques. These include gridshells, where joints are the most critical and difficult elements to design, as the overall behaviour of the structure depends on them. It must also be considered that, during the design, the engineer must try to minimize the structure's own weight. Self-weight reductions can be achieved by Topological Optimization (TO) of the joint itself, which generates complex geometries that could not be made using traditional techniques. To sum up, weight reductions through TO combined with AM allow for several potential benefits, including economic ones. In this thesis, the roof of the British Museum is considered as a case study, analysing the gridshell structure of which a joint will be chosen to be designed and manufactured, using TO and WAAM techniques. Then, the designed joint will be studied in order to understand its structural behaviour in terms of stiffness and strength. Finally, a printing test will be performed to assess the production feasibility using WAAM technology. The computational design and fabrication stages were carried out at Technische Universität Braunschweig in Germany.

Calibration of design strength values of Wire and Arc Additive Manufacturing inclined bars and intersections

Although being studied only for few years, Wire and Arc Additive Manufacturing (WAAM) will become the predominant way of producing stainless-steel elements in a near-like future. The analysis and study of such elements has yet to be defined in a proper way, but the projects regarding this subject are innovating more and more thanks to the findings discovered by the latter. This thesis is focused on an initial stage on the analysis of mechanical and geometrical properties of such stainless-steel elements produced by MX3D laboratories in Amsterdam, and to perform a calibration of the design strength values by means of Annex D of Eurocode 0, which talks about the analysis of the semi-probabilistic safety factors, hence the definition of characteristic values. Moreover, after testing the stainless-steel specimens by means of strain gauges and after obtaining mechanical and geometrical properties, a statistical analysis of such properties and an evaluation of characteristic values is performed. After this, there is to execute the calibration of design strength values of WAAM inclined bars and intersections.