Three-dimensional electron beam dose calculations

The MDAH pencil-beam algorithm developed by Hogstrom et al (1981) has been widely used in clinics for electron beam dose calculations for radiotherapy treatment planning. The primary objective of this research was to address several deficiencies of that algorithm and to develop an enhanced version. Two enhancements have been incorporated into the pencil-beam algorithm; one models fluence rather than planar fluence, and the other models the bremsstrahlung dose using measured beam data. Comparisons of the resulting calculated dose distributions with measured dose distributions for several test phantoms have been made. From these results it is concluded (1) that the fluence-based algorithm is more accurate to use for the dose calculation in an inhomogeneous slab phantom, and (2) the fluence-based calculation provides only a limited improvement to the accuracy the calculated dose in the region just downstream of the lateral edge of an inhomogeneity. The source of the latter inaccuracy is believed primarily due to assumptions made in the pencil beam's modeling of the complex phantom or patient geometry.^ A pencil-beam redefinition model was developed for the calculation of electron beam dose distributions in three dimensions. The primary aim of this redefinition model was to solve the dosimetry problem presented by deep inhomogeneities, which was the major deficiency of the enhanced version of the MDAH pencil-beam algorithm. The pencil-beam redefinition model is based on the theory of electron transport by redefining the pencil beams at each layer of the medium. The unique approach of this model is that all the physical parameters of a given pencil beam are characterized for multiple energy bins. Comparisons of the calculated dose distributions with measured dose distributions for a homogeneous water phantom and for phantoms with deep inhomogeneities have been made. From these results it is concluded that the redefinition algorithm is superior to the conventional, fluence-based, pencil-beam algorithm, especially in predicting the dose distribution downstream of a local inhomogeneity. The accuracy of this algorithm appears sufficient for clinical use, and the algorithm is structured for future expansion of the physical model if required for site specific treatment planning problems. ^

Forward treatment planning for modulated electron radiotherapy (MERT) employing Monte Carlo methods

PURPOSE This paper describes the development of a forward planning process for modulated electron radiotherapy (MERT). The approach is based on a previously developed electron beam model used to calculate dose distributions of electron beams shaped by a photon multi leaf collimator (pMLC). METHODS As the electron beam model has already been implemented into the Swiss Monte Carlo Plan environment, the Eclipse treatment planning system (Varian Medical Systems, Palo Alto, CA) can be included in the planning process for MERT. In a first step, CT data are imported into Eclipse and a pMLC shaped electron beam is set up. This initial electron beam is then divided into segments, with the electron energy in each segment chosen according to the distal depth of the planning target volume (PTV) in beam direction. In order to improve the homogeneity of the dose distribution in the PTV, a feathering process (Gaussian edge feathering) is launched, which results in a number of feathered segments. For each of these segments a dose calculation is performed employing the in-house developed electron beam model along with the macro Monte Carlo dose calculation algorithm. Finally, an automated weight optimization of all segments is carried out and the total dose distribution is read back into Eclipse for display and evaluation. One academic and two clinical situations are investigated for possible benefits of MERT treatment compared to standard treatments performed in our clinics and treatment with a bolus electron conformal (BolusECT) method. RESULTS The MERT treatment plan of the academic case was superior to the standard single segment electron treatment plan in terms of organs at risk (OAR) sparing. Further, a comparison between an unfeathered and a feathered MERT plan showed better PTV coverage and homogeneity for the feathered plan, with V95% increased from 90% to 96% and V107% decreased from 8% to nearly 0%. For a clinical breast boost irradiation, the MERT plan led to a similar homogeneity in the PTV compared to the standard treatment plan while the mean body dose was lower for the MERT plan. Regarding the second clinical case, a whole breast treatment, MERT resulted in a reduction of the lung volume receiving more than 45% of the prescribed dose when compared to the standard plan. On the other hand, the MERT plan leads to a larger low-dose lung volume and a degraded dose homogeneity in the PTV. For the clinical cases evaluated in this work, treatment plans using the BolusECT technique resulted in a more homogenous PTV and CTV coverage but higher doses to the OARs than the MERT plans. CONCLUSIONS MERT treatments were successfully planned for phantom and clinical cases, applying a newly developed intuitive and efficient forward planning strategy that employs a MC based electron beam model for pMLC shaped electron beams. It is shown that MERT can lead to a dose reduction in OARs compared to other methods. The process of feathering MERT segments results in an improvement of the dose homogeneity in the PTV.

Cone beam computed tomography (CBCT) for diagnosis and treatment planning in periodontology: A systematic review.

OBJECTIVE The improvement in diagnostic accuracy and optimization of treatment planning in periodontology through the use of three-dimensional imaging with cone beam computed tomography (CBCT) is discussed controversially in the literature. The objective was to identify the best available external evidence for the indications of CBCT for periodontal diagnosis and treatment planning in specific clinical situations. DATA SOURCES A systematic literature search was performed for articles published by 2 March 2015 using electronic databases and hand search. Two reviewers performed the study selection, data collection, and validity assessment. PICO and PRISMA criteria were applied. From the combined search, seven studies were finally included. CONCLUSION The case series were published from the years 2009 to 2014. Five of the included publications refer to maxillary and/or mandibular molars and two to aspects related to vertical bony defects. Two studies show a high accuracy of CBCT in detecting intrabony defect morphology when compared to periapical radiographs. Particularly, in maxillary molars, CBCT provides high accuracy for detecting furcation involvement and morphology of surrounding periodontal tissues. CBCT has demonstrated advantages, when more invasive treatment approaches were considered in terms of decision making and cost benefit. Within their limits, the available data suggest that CBCT may improve diagnostic accuracy and optimize treatment planning in periodontal defects, particularly in maxillary molars with furcation involvement, and that the higher irradiation doses and cost-benefit ratio should be carefully analyzed before using CBCT for periodontal diagnosis and treatment planning.

Improving 4D plan quality for PBS-based liver tumour treatments by combining online image guided beam gating with rescanning.

Pencil beam scanned (PBS) proton therapy has many advantages over conventional radiotherapy, but its effectiveness for treating mobile tumours remains questionable. Gating dose delivery to the breathing pattern is a well-developed method in conventional radiotherapy for mitigating tumour-motion, but its clinical efficiency for PBS proton therapy is not yet well documented. In this study, the dosimetric benefits and the treatment efficiency of beam gating for PBS proton therapy has been comprehensively evaluated. A series of dedicated 4D dose calculations (4DDC) have been performed on 9 different 4DCT(MRI) liver data sets, which give realistic 4DCT extracting motion information from 4DMRI. The value of 4DCT(MRI) is its capability of providing not only patient geometries and deformable breathing characteristics, but also includes variations in the breathing patterns between breathing cycles. In order to monitor target motion and derive a gating signal, we simulate time-resolved beams' eye view (BEV) x-ray images as an online motion surrogate. 4DDCs have been performed using three amplitude-based gating window sizes (10/5/3 mm) with motion surrogates derived from either pre-implanted fiducial markers or the diaphragm. In addition, gating has also been simulated in combination with up to 19 times rescanning using either volumetric or layered approaches. The quality of the resulting 4DDC plans has been quantified in terms of the plan homogeneity index (HI), total treatment time and duty cycle. Results show that neither beam gating nor rescanning alone can fully retrieve the plan homogeneity of the static reference plan. Especially for variable breathing patterns, reductions of the effective duty cycle to as low as 10% have been observed with the smallest gating rescanning window (3 mm), implying that gating on its own for such cases would result in much longer treatment times. In addition, when rescanning is applied on its own, large differences between volumetric and layered rescanning have been observed as a function of increasing number of re-scans. However, once gating and rescanning is combined, HI to within 2% of the static plan could be achieved in the clinical target volume, with only moderately prolonged treatment times, irrespective of the rescanning strategy used. Moreover, these results are independent of the motion surrogate used. In conclusion, our results suggest image guided beam gating, combined with rescanning, is a feasible, effective and efficient motion mitigation approach for PBS-based liver tumour treatments.

COMPARISON OF MEASUREMENTS OF ABSORBED DOSE TO WATER USING A WATER CALORIMETER AND IONIZATION CHAMBERS FOR CLINICAL RADIOTHERAPY PHOTON AND ELECTRON BEAMS

With the development of the water calorimeter direct measurement of absorbed dose in water becomes possible. This could lead to the establishment of an absorbed dose rather than an exposure related standard for ionization chambers for high energy electrons and photons. In changing to an absorbed dose standard it is necessary to investigate the effect of different parameters, among which are the energy dependence, the air volume, wall thickness and material of the chamber. The effect of these parameters is experimentally studied and presented for several commercially available chambers and one experimental chamber, for photons up to 25 MV and electrons up to 20 MeV, using a water calorimeter as the absorbed dose standard and the most recent formalism to calculate the absorbed dose with ion chambers.^ For electron beams, the dose measured with the calorimeter was 1% lower than the dose calculated with the chambers, independent of beam energy and chamber.^ For photon beams, the absorbed dose measured with the calorimeter was 3.8% higher than the absorbed dose calculated from the chamber readings. Such differences were found to be chamber and energy independent.^ The results for the photons were found to be statistically different from the results with the electron beams. Such difference could not be attributed to a difference in the calorimeter response. ^

Scanned Ion Beam Therapy for Thoracic Tumors

Although frequently cured of Hodgkin lymphoma, adolescents and young adults can develop radiation induced second cancers. These patients could potentially benefit from scanned ion radiotherapy yet likely would require motion mitigation strategies. In theory, four-dimensional (4D) optimization of ion beam fields for individual motion states of respiration can enable superior sparing of healthy tissue near moving targets, compared to other motion mitigation strategies. Furthermore, carbon-ion therapy can sometimes provide greater relative biological effectiveness (RBE) for cell sterilization in a target but nearly equivalent RBE in tissue upstream of the target, compared to proton therapy. Thus, we expected that for some patients with Hodgkin lymphoma, carbon-ion therapy would reduce the predicted risk of second cancer incidence in the breast compared with proton therapy. The purpose of this work was to determine whether 4D-optimized carbon-ion therapy would significantly reduce the predicted risk of radiation induced second cancers in the breast for female Hodgkin lymphoma patients while preserving tumor control compared with proton therapy. To achieve our goals, we first investigated whether 4D-optimized carbon beam tracking could reduce dose to volumes outside a moving target compared with 3D-optimized carbon beam tracking while preserving target dose coverage. To understand the reliability of scanned carbon beam tracking, we studied the robustness of dose distributions in thoracic targets to uncertainties in patient motion. Finally, we investigated whether using carbon-ion therapy instead of proton therapy would significantly reduce the predicted risk of second cancer in the breast for a sample of Hodgkin lymphoma patients. We found that 4D-optimized ion beam tracking therapy can reduce the maximum dose to critical structures near a moving target by as much as 53%, compared to 3D-optimized ion beam tracking therapy. We validated these findings experimentally using a scanned carbon ion synchrotron and a motion phantom. We found scanned carbon beam tracking to be sensitive to a number of motion uncertainties, most notably phase delays in tracking, systematic spatial errors, and interfractional motion changes. Our findings indicate that a lower risk of second cancer in the breast might be expected for some Hodgkin lymphoma patients using carbon-ion therapy instead of proton therapy. For our reference scenario, we found the ratio of risk to be 0.77 ± 0.35 for radiogenic breast cancer after carbon-ion therapy versus proton therapy. Our findings were dependent on the RBE values for tumor induction and the radiosensitivity of breast tissue, as well as the physical dose distribution.

Pencil -beam redefinition algorithm dose calculations for electron therapy treatment planning

The electron pencil-beam redefinition algorithm (PBRA) of Shiu and Hogstrom has been developed for use in radiotherapy treatment planning (RTP). Earlier studies of Boyd and Hogstrom showed that the PBRA lacked an adequate incident beam model, that PBRA might require improved electron physics, and that no data existed which allowed adequate assessment of the PBRA-calculated dose accuracy in a heterogeneous medium such as one presented by patient anatomy. The hypothesis of this research was that by addressing the above issues the PBRA-calculated dose would be accurate to within 4% or 2 mm in regions of high dose gradients. A secondary electron source was added to the PBRA to account for collimation-scattered electrons in the incident beam. Parameters of the dual-source model were determined from a minimal data set to allow ease of beam commissioning. Comparisons with measured data showed 3% or better dose accuracy in water within the field for cases where 4% accuracy was not previously achievable. A measured data set was developed that allowed an evaluation of PBRA in regions distal to localized heterogeneities. Geometries in the data set included irregular surfaces and high- and low-density internal heterogeneities. The data was estimated to have 1% precision and 2% agreement with accurate, benchmarked Monte Carlo (MC) code. PBRA electron transport was enhanced by modeling local pencil beam divergence. This required fundamental changes to the mathematics of electron transport (divPBRA). Evaluation of divPBRA with the measured data set showed marginal improvement in dose accuracy when compared to PBRA; however, 4% or 2mm accuracy was not achieved by either PBRA version for all data points. Finally, PBRA was evaluated clinically by comparing PBRA- and MC-calculated dose distributions using site-specific patient RTP data. Results show PBRA did not agree with MC to within 4% or 2mm in a small fraction (<3%) of the irradiated volume. Although the hypothesis of the research was shown to be false, the minor dose inaccuracies should have little or no impact on RTP decisions or patient outcome. Therefore, given ease of beam commissioning, documentation of accuracy, and calculational speed, the PBRA should be considered a practical tool for clinical use. ^

High power beam dump project for the accelerator prototype LIPAc: Cooling design and analysis

En el campo de la fusión nuclear y desarrollándose en paralelo a ITER (International Thermonuclear Experimental Reactor), el proyecto IFMIF (International Fusion Material Irradiation Facility) se enmarca dentro de las actividades complementarias encaminadas a solucionar las barreras tecnológicas que aún plantea la fusión. En concreto IFMIF es una instalación de irradiación cuya misión es caracterizar materiales resistentes a condiciones extremas como las esperadas en los futuros reactores de fusión como DEMO (DEMOnstration power plant). Consiste de dos aceleradores de deuterones que proporcionan un haz de 125 mA y 40 MeV cada uno, que al colisionar con un blanco de litio producen un flujo neutrónico intenso (1017 neutrones/s) con un espectro similar al de los neutrones de fusión [1], [2]. Dicho flujo neutrónico es empleado para irradiar los diferentes materiales candidatos a ser empleados en reactores de fusión, y las muestras son posteriormente examinadas en la llamada instalación de post-irradiación. Como primer paso en tan ambicioso proyecto, una fase de validación y diseño llamada IFMIFEVEDA (Engineering Validation and Engineering Design Activities) se encuentra actualmente en desarrollo. Una de las actividades contempladas en esta fase es la construcción y operación de una acelarador prototipo llamado LIPAc (Linear IFMIF Prototype Accelerator). Se trata de un acelerador de deuterones de alta intensidad idéntico a la parte de baja energía de los aceleradores de IFMIF. Los componentes del LIPAc, que será instalado en Japón, son suministrados por diferentes países europeos. El acelerador proporcionará un haz continuo de deuterones de 9 MeV con una potencia de 1.125 MW que tras ser caracterizado con diversos instrumentos deberá pararse de forma segura. Para ello se requiere un sistema denominado bloque de parada (Beam Dump en inglés) que absorba la energía del haz y la transfiera a un sumidero de calor. España tiene el compromiso de suministrar este componente y CIEMAT (Centro de Investigaciones Energéticas Medioambientales y Tecnológicas) es responsable de dicha tarea. La pieza central del bloque de parada, donde se para el haz de iones, es un cono de cobre con un ángulo de 3.5o, 2.5 m de longitud y 5 mm de espesor. Dicha pieza está refrigerada por agua que fluye en su superficie externa por el canal que se forma entre el cono de cobre y otra pieza concéntrica con éste. Este es el marco en que se desarrolla la presente tesis, cuyo objeto es el diseño del sistema de refrigeración del bloque de parada del LIPAc. El diseño se ha realizado utilizando un modelo simplificado unidimensional. Se han obtenido los parámetros del agua (presión, caudal, pérdida de carga) y la geometría requerida en el canal de refrigeración (anchura, rugosidad) para garantizar la correcta refrigeración del bloque de parada. Se ha comprobado que el diseño permite variaciones del haz respecto a la situación nominal siendo el flujo crítico calorífico al menos 2 veces superior al nominal. Se han realizado asimismo simulaciones fluidodinámicas 3D con ANSYS-CFX en aquellas zonas del canal de refrigeración que lo requieren. El bloque de parada se activará como consecuencia de la interacción del haz de partículas lo que impide cualquier cambio o reparación una vez comenzada la operación del acelerador. Por ello el diseño ha de ser muy robusto y todas las hipótesis utilizadas en la realización de éste deben ser cuidadosamente comprobadas. Gran parte del esfuerzo de la tesis se centra en la estimación del coeficiente de transferencia de calor que es determinante en los resultados obtenidos, y que se emplea además como condición de contorno en los cálculos mecánicos. Para ello por un lado se han buscado correlaciones cuyo rango de aplicabilidad sea adecuado para las condiciones del bloque de parada (canal anular, diferencias de temperatura agua-pared de decenas de grados). En un segundo paso se han comparado los coeficientes de película obtenidos a partir de la correlación seleccionada (Petukhov-Gnielinski) con los que se deducen de simulaciones fluidodinámicas, obteniendo resultados satisfactorios. Por último se ha realizado una validación experimental utilizando un prototipo y un circuito hidráulico que proporciona un flujo de agua con los parámetros requeridos en el bloque de parada. Tras varios intentos y mejoras en el experimento se han obtenido los coeficientes de película para distintos caudales y potencias de calentamiento. Teniendo en cuenta la incertidumbre de las medidas, los valores experimentales concuerdan razonablemente bien (en el rango de 15%) con los deducidos de las correlaciones. Por motivos radiológicos es necesario controlar la calidad del agua de refrigeración y minimizar la corrosión del cobre. Tras un estudio bibliográfico se identificaron los parámetros del agua más adecuados (conductividad, pH y concentración de oxígeno disuelto). Como parte de la tesis se ha realizado asimismo un estudio de la corrosión del circuito de refrigeración del bloque de parada con el doble fin de determinar si puede poner en riesgo la integridad del componente, y de obtener una estimación de la velocidad de corrosión para dimensionar el sistema de purificación del agua. Se ha utilizado el código TRACT (TRansport and ACTivation code) adaptándalo al caso del bloque de parada, para lo cual se trabajó con el responsable (Panos Karditsas) del código en Culham (UKAEA). Los resultados confirman que la corrosión del cobre en las condiciones seleccionadas no supone un problema. La Tesis se encuentra estructurada de la siguiente manera: En el primer capítulo se realiza una introducción de los proyectos IFMIF y LIPAc dentro de los cuales se enmarca esta Tesis. Además se describe el bloque de parada, siendo el diseño del sistema de rerigeración de éste el principal objetivo de la Tesis. En el segundo y tercer capítulo se realiza un resumen de la base teórica así como de las diferentes herramientas empleadas en el diseño del sistema de refrigeración. El capítulo cuarto presenta los resultados del relativos al sistema de refrigeración. Tanto los obtenidos del estudio unidimensional, como los obtenidos de las simulaciones fluidodinámicas 3D mediante el empleo del código ANSYS-CFX. En el quinto capítulo se presentan los resultados referentes al análisis de corrosión del circuito de refrigeración del bloque de parada. El capítulo seis se centra en la descripción del montaje experimental para la obtención de los valores de pérdida de carga y coeficiente de transferencia del calor. Asimismo se presentan los resultados obtenidos en dichos experimentos. Finalmente encontramos un capítulo de apéndices en el que se describen una serie de experimentos llevados a cabo como pasos intermedios en la obtención del resultado experimental del coeficiente de película. También se presenta el código informático empleado para el análisis unidimensional del sistema de refrigeración del bloque de parada llamado CHICA (Cooling and Heating Interaction and Corrosion Analysis). ABSTRACT In the nuclear fusion field running in parallel to ITER (International Thermonuclear Experimental Reactor) as one of the complementary activities headed towards solving the technological barriers, IFMIF (International Fusion Material Irradiation Facility) project aims to provide an irradiation facility to qualify advanced materials resistant to extreme conditions like the ones expected in future fusion reactors like DEMO (DEMOnstration Power Plant). IFMIF consists of two constant wave deuteron accelerators delivering a 125 mA and 40 MeV beam each that will collide on a lithium target producing an intense neutron fluence (1017 neutrons/s) with a similar spectra to that of fusion neutrons [1], [2]. This neutron flux is employed to irradiate the different material candidates to be employed in the future fusion reactors, and the samples examined after irradiation at the so called post-irradiative facilities. As a first step in such an ambitious project, an engineering validation and engineering design activity phase called IFMIF-EVEDA (Engineering Validation and Engineering Design Activities) is presently going on. One of the activities consists on the construction and operation of an accelerator prototype named LIPAc (Linear IFMIF Prototype Accelerator). It is a high intensity deuteron accelerator identical to the low energy part of the IFMIF accelerators. The LIPAc components, which will be installed in Japan, are delivered by different european countries. The accelerator supplies a 9 MeV constant wave beam of deuterons with a power of 1.125 MW, which after being characterized by different instruments has to be stopped safely. For such task a beam dump to absorb the beam energy and take it to a heat sink is needed. Spain has the compromise of delivering such device and CIEMAT (Centro de Investigaciones Energéticas Medioambientales y Tecnológicas) is responsible for such task. The central piece of the beam dump, where the ion beam is stopped, is a copper cone with an angle of 3.5o, 2.5 m long and 5 mm width. This part is cooled by water flowing on its external surface through the channel formed between the copper cone and a concentric piece with the latter. The thesis is developed in this realm, and its objective is designing the LIPAc beam dump cooling system. The design has been performed employing a simplified one dimensional model. The water parameters (pressure, flow, pressure loss) and the required annular channel geometry (width, rugoisty) have been obtained guaranteeing the correct cooling of the beam dump. It has been checked that the cooling design allows variations of the the beam with respect to the nominal position, being the CHF (Critical Heat Flux) at least twice times higher than the nominal deposited heat flux. 3D fluid dynamic simulations employing ANSYS-CFX code in the beam dump cooling channel sections which require a more thorough study have also been performed. The beam dump will activateasaconsequenceofthe deuteron beam interaction, making impossible any change or maintenance task once the accelerator operation has started. Hence the design has to be very robust and all the hypotheses employed in the design mustbecarefully checked. Most of the work in the thesis is concentrated in estimating the heat transfer coefficient which is decisive in the obtained results, and is also employed as boundary condition in the mechanical analysis. For such task, correlations which applicability range is the adequate for the beam dump conditions (annular channel, water-surface temperature differences of tens of degrees) have been compiled. In a second step the heat transfer coefficients obtained from the selected correlation (Petukhov- Gnielinski) have been compared with the ones deduced from the 3D fluid dynamic simulations, obtaining satisfactory results. Finally an experimental validation has been performed employing a prototype and a hydraulic circuit that supplies a flow with the requested parameters in the beam dump. After several tries and improvements in the experiment, the heat transfer coefficients for different flows and heating powers have been obtained. Considering the uncertainty in the measurements the experimental values agree reasonably well (in the order of 15%) with the ones obtained from the correlations. Due to radiological reasons the quality of the cooling water must be controlled, hence minimizing the copper corrosion. After performing a bibligraphic study the most adequate water parameters were identified (conductivity, pH and dissolved oxygen concentration). As part of this thesis a corrosion study of the beam dump cooling circuit has been performed with the double aim of determining if corrosion can pose a risk for the copper beam dump , and obtaining an estimation of the corrosion velocitytodimension the water purification system. TRACT code(TRansport and ACTivation) has been employed for such study adapting the code for the beam dump case. For such study a collaboration with the code responsible (Panos Karditsas) at Culham (UKAEA) was established. The work developed in this thesis has supposed the publication of three articles in JCR journals (”Journal of Nuclear Materials” y ”Fusion Engineering and Design”), as well as presentations in more than four conferences and relevant meetings.

Contribution to the analysis and design of reflectarray antennas for reconfigurable beam applications at frequencies above 100 GHz using liquid crystal technology

El trabajo contenido en esta tesis doctoral está encuadrado en el desarrollo de antenas reconfigurables electrónicamente capaces de proporcionar prestaciones competitivas a las aplicaciones cada vez más comunes que operan a frecuencias superiores a 60 GHz. En concreto, esta tesis se centra en el estudio, diseño, e implementación de las antenas reflectarray, a las que se introduce la tecnología de cristal líquido como elemento característico con el que se consigue reconfigurabilidad de haz de forma electrónica. Desde un punto de vista muy general, se puede describir un cristal líquido como un material cuya permitividad eléctrica es variable y controlada por una excitación externa, que generalmente suele corresponderse con un campo eléctrico quasi-estático (AC). Las antenas reflectarray de cristal líquido se han escogido como objeto de estudio por varias razones. La primera de ellas tiene que ver con las ventajas que los reflectarrays, y en especial aquellos realizados en configuración planar, proporcionan con respecto a otras antenas de alta ganancia como los reflectores o los “phased-arrays”. En los reflectarrays, la alimentación a través de una fuente primaria común (característica de reflectores) y el elevado número de grados de libertad de las celdas que los componen (característica de arrays) hacen que estas antenas puedan proporcionar prestaciones eléctricas iguales o mejores que las anteriores, a un coste más reducido y con estructuras de antena más compactas. La segunda razón radica en la flexibilidad que ofrece el cristal líquido a ser confinado y polarizado en recintos de geometría variada, como consecuencia de su fluidez (propiedad de los líquidos). Por ello, la tecnología de cristal líquido permite que el propio elemento reconfigurable en las celdas de reflectarray se adapte a la configuración planar de manera que en sí mismo, el cristal líquido sea una o varias de las capas características de esta configuración. Esto simplifica de forma drástica la estructura y la fabricación de este tipo de antenas, incluso si se comparan con reflectarrays reconfigurables basados en otras tecnologías como diodos, MEMS, etc. Por tanto, su coste y desarrollo es muy reducido, lo que hace que se puedan fabricar reflectarrays reconfigurables eléctricamente grandes, a bajo coste, y en producción elevada. Un ejemplo claro de una estructura similar, y que ha tenido éxito comercial, son las pantallas de cristal líquido. La tercera razón reside en el hecho de que el cristal líquido es, hasta la fecha, de las pocas tecnologías capaces de ofrecer reconfigurabilidad del haz a frecuencias superiores a 60 GHz. De hecho, el cristal líquido permite reconfigurabilidad en un amplio margen de frecuencias, que va desde DC a frecuencias del espectro visible, incluyendo las microondas y los THz. Otras tecnologías, como los materiales ferroeléctricos, el grafeno o la tecnología CMOS “on chip” permiten también conmutar el haz en estas frecuencias. Sin embargo, la tecnología CMOS tiene un elevado coste y actualmente está limitada a frecuencias inferiores a 150 GHz, y aunque los materiales ferroeléctricos o el grafeno puedan conmutar a frecuencias más altas y en un rango más amplio, tienen serias dificultades que los hacen aún inmaduros. En el caso de los materiales ferroeléctricos, los elevados voltajes para conmutar el material los hacen poco atractivos, mientras que en el caso del grafeno, su modelado aún está en discusión, y todavía no se han arrojado resultados experimentales que validen su idoneidad. Estas tres razones hacen que los reflectarrays basados en cristal líquido sean atractivos para multitud de aplicaciones de haz reconfigurable a frecuencias superiores a 60 GHz. Aplicaciones como radar de escaneo de imágenes de alta resolución, espectroscopia molecular, radiómetros para observación atmosférica, o comunicaciones inalámbricas de alta frecuencia (WiGig) son algunas de ellas. La tesis está estructurada en tres partes. En la primera de ellas se describen las características más comunes de los cristales líquidos, centrándonos en detalle en aquellas propiedades ofrecidas por este material en fase nemática. En concreto, se estudiará la anisotropía dieléctrica (Ae) de los cristales líquidos uniaxiales, que son los que se emplean en esta tesis, definida como la diferencia entre la permitividad paralela (£//) y la perpendicular (e±): Ae = e,, - e±. También se estudiará la variación de este parámetro (Ae) con la frecuencia, y el modelado electromagnético macroscópico más general que, extraído a partir de aquella, permite describir el cristal líquido para cada tensión de polarización en celdas de geometría planar. Este modelo es de suma importancia para garantizar precisión en el desfasaje proporcionado por las diferentes celdas reconfigurables para reflectarrays que se describirán en la siguiente parte de la tesis. La segunda parte de la tesis se centra en el diseño de celdas reflectarray resonantes basadas en cristal líquido. La razón por la que se escogen estos tipos de celdas reside en el hecho de que son las únicas capaces de proporcionar rangos de fase elevados ante la reducida anisotropía dieléctrica que ofrecen los cristales líquidos. El objetivo de esta parte trata, por tanto, de obtener estructuras de celdas reflectarray que sean capaces de proporcionar buenas prestaciones eléctricas a nivel de antena, mejorando sustancialmente las prestaciones de las celdas reportadas en el estado del arte, así como de desarrollar una herramienta de diseño general para aquellas. Para ello, se estudian las prestaciones eléctricas de diferentes tipos de elementos resonantes de cristal líquido que van, desde el más sencillo, que ha limitado el estado de la técnica hasta el desarrollo de esta tesis y que está formado por un sólo resonador, a elementos que constan de varios resonadores (multi-resonantes) y que pueden ser monocapa o multicapa. En un primer paso, el procedimiento de diseño de estas estructuras hace uso de un modelo convencional de cristal líquido que ha venido siendo usado en el estado del arte para este tipo de celdas, y que considera el cristal líquido como un material homogéneo e isótropo cuya permitividad varía entre (e/7) y (e±). Sin embargo, en esta parte de la tesis se demuestra que dicho modelado no es suficiente para describir de forma genérica el comportamiento del cristal líquido en las celdas tipo reflectarray. En la tesis se proponen procedimientos más exactos para el análisis y diseño basados en un modelo más general que define el cristal líquido como un material anisótropo e inhomogeneo en tres dimensiones, y se ha implementado una técnica que permite optimizar celdas multi-resonantes de forma eficiente para conseguir elevadas prestaciones en cuanto a ancho de banda, rango de fase, pérdidas, o sensibilidad al ángulo de incidencia. Los errores cometidos en el uso del modelado convencional a nivel de celda (amplitud y fase) se han analizado para varias geometrías, usando medidas de varios prototipos de antena que usan un cristal líquido real a frecuencias superiores a 100 GHz. Las medidas se han realizado en entorno periódico mediante un banco cuasi-óptico, que ha sido diseñado especialmente para este fin. Uno de estos prototipos se ha optimizado a 100 GHz para conseguir un ancho de banda relativamente elevado (10%), pérdidas reducidas, un rango de fase mayor de 360º, baja sensibilidad al ángulo de incidencia, y baja influencia de la inhomogeneidad transversal del cristal líquido en la celda. Estas prestaciones a nivel de celda superan de forma clara aquellas conseguidas por otros elementos que se han reportado en la literatura, de manera que dicho prototipo se ha usado en la última parte de la tesis para realizar diversas antenas de barrido. Finalmente, en esta parte se presenta una estrategia de caracterización de la anisotropía macroscópica a partir de medidas de los elementos de reflectarray diseñados en banco cuasi-óptico, obteniendo resultados tanto en las frecuencias de interés en RF como en AC, y comparándolas con aquellas obtenidas mediante otros métodos. La tercera parte de la tesis consiste en el estudio, diseño, fabricación y medida de antenas reconfigurables basadas en cristal líquido en configuraciones complejas. En reflectarrays pasivos, el procedimiento de diseño de la antena se limita únicamente al ajuste en cada celda de la antena de las dimensiones de las metalizaciones que se emplean para el control de fase, mediante procesos de optimización bien conocidos. Sin embargo, en el caso de reflectarrays reconfigurables basados en cristal líquido, resulta necesario un paso adicional, que consiste en calcular de forma adecuada las tensiones de control en cada celda del reflectarray para configurar la fase requerida en cada una de ellas, así como diseñar la estructura y los circuitos de control que permitan direccionar a cada elemento su tensión correspondiente. La síntesis de tensiones es por tanto igual o más importante que el diseño de la geometría de las celdas, puesto que éstas son las que están directamente relacionadas con la fase. En el estado del arte, existen varias estrategias de síntesis de tensiones que se basan en la caracterización experimental de la curva de fase respecto al voltaje. Sin embargo, esta caracterización sólo puede hacerse a un solo ángulo de incidencia y para unas determinadas dimensiones de celda, lo que produce que las tensiones sintetizadas sean diferentes de las adecuadas, y en definitiva que se alcancen errores de fase mayores de 70º. De esta forma, hasta la fecha, las prestaciones a nivel de antena que se han conseguido son reducidas en cuanto a ancho de banda, rango de escaneo o nivel de lóbulos secundarios. En esta última parte de la tesis, se introduce una nueva estrategia de síntesis de tensiones que es capaz de predecir mediante simulaciones, y con alta precisión, las tensiones que deben introducirse en cada celda teniendo en cuenta su ángulo de incidencia, sus dimensiones, la frecuencia, así como la señal de polarización definida por su frecuencia y forma de onda AC. Esta estrategia se basa en modelar cada uno de los estados de permitividad del cristal líquido como un sustrato anisótropo con inhomogeneidad longitudinal (1D), o en ciertos casos, como un tensor equivalente homogéneo. La precisión de ambos modelos electromagnéticos también se discute. Con el objetivo de obtener una herramienta eficiente de cálculo de tensiones, también se ha escrito e implementado una herramienta de análisis basada en el Método de los Momentos en el Dominio Espectral (SD-MoM) para sustratos estratificados anisótropos, que se usa en cada iteración del procedimiento de síntesis para analizar cada una de las celdas de la antena. La síntesis de tensiones se ha diseñado además para reducir al máximo el efecto del rizado de amplitud en el diagrama de radiación, que es característico en los reflectarrays que están formados por celdas con pérdidas elevadas, lo que en sí, supone un avance adicional para la obtención de mejores prestaciones de antena. Para el cálculo de los diagramas de radiación empleados en el procedimiento de síntesis, se asume un análisis elemento a elemento considerando periodicidad local, y se propone el uso de un método capaz de modelar el campo incidente de forma que se elimine la limitación de la periodicidad local en la excitación. Una vez definida la estrategia adecuada de cálculo de las tensiones a aplicar al cristal líquido en cada celda, la estructura de direccionamiento de las mismas en la antena, y diseñados los circuitos de control, se diseñan, fabrican y miden dos prototipos diferentes de antena de barrido electrónico a 100 GHz usando las celdas anteriormente presentadas. El primero de estos prototipos es un reflectarray en configuración “single offset” con capacidad de escaneo en un plano (elevación o azimut). Aunque previamente se realizan diseños de antenas de barrido en 2D a varias frecuencias en el rango de milimétricas y sub-milimétricas, y se proponen ciertas estrategias de direccionamiento que permiten conseguir este objetivo, se desarrolla el prototipo con direccionamiento en una dimensión con el fin de reducir el número de controles y posibles errores de fabricación, y así también validar la herramienta de diseño. Para un tamaño medio de apertura (con un numero de filas y columnas entre 30 y 50 elementos, lo que significa un reflectarray con un número de elementos superior a 900), la configuración “single offset” proporciona rangos de escaneo elevados, y ganancias que pueden oscilar entre los 20 y 30 dBi. En concreto, el prototipo medido proporciona un haz de barrido en un rango angular de 55º, en el que el nivel de lóbulos secundarios (SLL) permanece mejor de -13 dB en un ancho de banda de un 8%. La ganancia máxima es de 19.4 dBi. Estas prestaciones superan de forma clara aquellas conseguidas por otros autores. El segundo prototipo se corresponde con una antena de doble reflector que usa el reflectarray de cristal líquido como sub-reflector para escanear el haz en un plano (elevación o azimut). El objetivo básico de esta geometría es obtener mayores ganancias que en el reflectarray “single offset” con una estructura más compacta, aunque a expensas de reducir el rango de barrido. En concreto, se obtiene una ganancia máxima de 35 dBi, y un rango de barrido de 12º. Los procedimientos de síntesis de tensiones y de diseño de las estructuras de las celdas forman, en su conjunto, una herramienta completa de diseño precisa y eficiente de antenas reflectarray reconfigurables basados en cristales líquidos. Dicha herramienta se ha validado mediante el diseño, la fabricación y la medida de los prototipos anteriormente citados a 100 GHz, que consiguen algo nunca alcanzado anteriormente en la investigación de este tipo de antenas: unas prestaciones competitivas y una predicción excelente de los resultados. El procedimiento es general, y por tanto se puede usar a cualquier frecuencia en la que el cristal líquido ofrezca anisotropía dieléctrica, incluidos los THz. Los prototipos desarrollados en esta tesis doctoral suponen también unas de las primeras antenas de barrido real a frecuencias superiores a 100 GHz. En concreto, la antena de doble reflector para escaneo de haz es la primera antena reconfigurable electrónicamente a frecuencias superiores a 60 GHz que superan los 25 dBi de ganancia, siendo a su vez la primera antena de doble reflector que contiene un reflectarray reconfigurable como sub-reflector. Finalmente, se proponen ciertas mejoras que aún deben se deben realizar para hacer que estas antenas puedan ser un producto completamente desarrollado y competitivo en el mercado. ABSTRACT The work presented in this thesis is focused on the development of electronically reconfigurable antennas that are able to provide competitive electrical performance to the increasingly common applications operating at frequencies above 60 GHz. Specifically, this thesis presents the study, design, and implementation of reflectarray antennas, which incorporate liquid crystal (LC) materials to scan or reconfigure the beam electronically. From a general point of view, a liquid crystal can be defined as a material whose dielectric permittivity is variable and can be controlled with an external excitation, which usually corresponds with a quasi-static electric field (AC). By changing the dielectric permittivity at each cell that makes up the reflectarray, the phase shift on the aperture is controlled, so that a prescribed radiation pattern can be configured. Liquid Crystal-based reflectarrays have been chosen for several reasons. The first has to do with the advantages provided by the reflectarray antenna with respect to other high gain antennas, such as reflectors or phased arrays. The RF feeding in reflectarrays is achieved by using a common primary source (as in reflectors). This arrangement and the large number of degrees of freedom provided by the cells that make up the reflectarray (as in arrays), allow these antennas to provide a similar or even better electrical performance than other low profile antennas (reflectors and arrays), but assuming a more reduced cost and compactness. The second reason is the flexibility of the liquid crystal to be confined in an arbitrary geometry due to its fluidity (property of liquids). Therefore, the liquid crystal is able to adapt to a planar geometry so that it is one or more of the typical layers of this configuration. This simplifies drastically both the structure and manufacture of this type of antenna, even when compared with reconfigurable reflectarrays based on other technologies, such as diodes MEMS, etc. Therefore, the cost of developing this type of antenna is very small, which means that electrically large reconfigurable reflectarrays could be manufactured assuming low cost and greater productions. A paradigmatic example of a similar structure is the liquid crystal panel, which has already been commercialized successfully. The third reason lies in the fact that, at present, the liquid crystal is one of the few technologies capable of providing switching capabilities at frequencies above 60 GHz. In fact, the liquid crystal allows its permittivity to be switched in a wide range of frequencies, which are from DC to the visible spectrum, including microwaves and THz. Other technologies, such as ferroelectric materials, graphene or CMOS "on chip" technology also allow the beam to be switched at these frequencies. However, CMOS technology is expensive and is currently limited to frequencies below 150 GHz, and although ferroelectric materials or graphene can switch at higher frequencies and in a wider range, they have serious difficulties that make them immature. Ferroelectric materials involve the use of very high voltages to switch the material, making them unattractive, whereas the electromagnetic modelling of the graphene is still under discussion, so that the experimental results of devices based on this latter technology have not been reported yet. These three reasons make LC-based reflectarrays attractive for many applications that involve the use of electronically reconfigurable beams at frequencies beyond 60 GHz. Applications such as high resolution imaging radars, molecular spectroscopy, radiometers for atmospheric observation, or high frequency wireless communications (WiGig) are just some of them. This thesis is divided into three parts. In the first part, the most common properties of the liquid crystal materials are described, especially those exhibited in the nematic phase. The study is focused on the dielectric anisotropy (Ac) of uniaxial liquid crystals, which is defined as the difference between the parallel (e/7) and perpendicular (e±) permittivities: Ae = e,, - e±. This parameter allows the permittivity of a LC confined in an arbitrary volume at a certain biasing voltage to be described by solving a variational problem that involves both the electrostatic and elastic energies. Thus, the frequency dependence of (Ae) is also described and characterised. Note that an appropriate LC modelling is quite important to ensure enough accuracy in the phase shift provided by each cell that makes up the reflectarray, and therefore to achieve a good electrical performance at the antenna level. The second part of the thesis is focused on the design of resonant reflectarray cells based on liquid crystal. The reason why resonant cells have been chosen lies in the fact that they are able to provide enough phase range using the values of the dielectric anisotropy of the liquid crystals, which are typically small. Thus, the aim of this part is to investigate several reflectarray cell architectures capable of providing good electrical performance at the antenna level, which significantly improve the electrical performance of the cells reported in the literature. Similarly, another of the objectives is to develop a general tool to design these cells. To fulfill these objectives, the electrical yields of different types of resonant reflectarray elements are investigated, beginning from the simplest, which is made up of a single resonator and limits the state of the art. To overcome the electrical limitations of the single resonant cell, several elements consisting of multiple resonators are considered, which can be single-layer or multilayer. In a first step, the design procedure of these structures makes use of a conventional electromagnetic model which has been used in the literature, which considers that the liquid crystal behaves as homogeneous and isotropic materials whose permittivity varies between (e/7) y (e±). However, in this part of the thesis it is shown that the conventional modelling is not enough to describe the physical behaviour of the liquid crystal in reflectarray cells accurately. Therefore, a more accurate analysis and design procedure based on a more general model is proposed and developed, which defines the liquid crystal as an anisotropic three-dimensional inhomogeneous material. The design procedure is able to optimize multi-resonant cells efficiently to achieve good electrical performance in terms of bandwidth, phase range, losses, or sensitivity to the angle of incidence. The errors made when the conventional modelling (amplitude and phase) is considered have been also analysed for various cell geometries, by using measured results from several antenna prototypes made up of real liquid crystals at frequencies above 100 GHz. The measurements have been performed in a periodic environment using a quasi-optical bench, which has been designed especially for this purpose. One of these prototypes has been optimized to achieve a relatively large bandwidth (10%) at 100 GHz, low losses, a phase range of more than 360º, a low sensitivity to angle of incidence, and a low influence of the transversal inhomogeneity of the liquid crystal in the cell. The electrical yields of this prototype at the cell level improve those achieved by other elements reported in the literature, so that this prototype has been used in the last part of the thesis to perform several complete antennas for beam scanning applications. Finally, in this second part of the thesis, a novel strategy to characterise the macroscopic anisotropy using reflectarray cells is presented. The results in both RF and AC frequencies are compared with those obtained by other methods. The third part of the thesis consists on the study, design, manufacture and testing of LCbased reflectarray antennas in complex configurations. Note that the design procedure of a passive reflectarray antenna just consists on finding out the dimensions of the metallisations of each cell (which are used for phase control), using well-known optimization processes. However, in the case of reconfigurable reflectarrays based on liquid crystals, an additional step must be taken into account, which consists of accurately calculating the control voltages to be applied to each cell to configure the required phase-shift distribution on the surface of the antenna. Similarly, the structure to address the voltages at each cell and the control circuitry must be also considered. Therefore, the voltage synthesis is even more important than the design of the cell geometries (dimensions), since the voltages are directly related to the phase-shift. Several voltage synthesis procedures have been proposed in the state of the art, which are based on the experimental characterization of the phase/voltage curve. However, this characterization can be only carried out at a single angle of incidence and at certain cell dimensions, so that the synthesized voltages are different from those needed, thus giving rise to phase errors of more than 70°. Thus, the electrical yields of the LCreflectarrays reported in the literature are limited in terms of bandwidth, scanning range or side lobes level. In this last part of the thesis, a new voltage synthesis procedure has been defined and developed, which allows the required voltage to be calculated at each cell using simulations that take into account the particular dimensions of the cells, their angles of incidence, the frequency, and the AC biasing signal (frequency and waveform). The strategy is based on the modelling of each one of the permittivity states of the liquid crystal as an anisotropic substrate with longitudinal inhomogeneity (1D), or in certain cases, as an equivalent homogeneous tensor. The accuracy of both electromagnetic models is also discussed. The phase errors made by using the proposed voltage synthesis are better than 7º. In order to obtain an efficient tool to analyse and design the reflectarray, an electromagnetic analysis tool based on the Method of Moments in the spectral domain (SD-MoM) has also written and developed for anisotropic stratified media, which is used at each iteration of the voltage synthesis procedure. The voltage synthesis is also designed to minimize the effect of amplitude ripple on the radiation pattern, which is typical of reflectarrays made up of cells exhibiting high losses and represents a further advance in achieving a better antenna performance. To calculate the radiation patterns used in the synthesis procedure, an element-by-element analysis is assumed, which considers the local periodicity approach. Under this consideration, the use of a novel method is proposed, which avoids the limitation that the local periodicity imposes on the excitation. Once the appropriate strategy to calculate the voltages to be applied at each cell is developed, and once it is designed and manufactured both the structure to address the voltages to the antenna and the control circuits, two complete LC-based reflectarray antennas that operate at 100 GHz have been designed, manufactured and tested using the previously presented cells. The first prototype consists of a single offset reflectarray with beam scanning capabilities on one plane (elevation and azimuth). Although several LC-reflectarray antennas that provide 2-D scanning capabilities are also designed, and certain strategies to achieve the 2-D addressing of the voltage are proposed, the manufactured prototype addresses the voltages in one dimension in order to reduce the number of controls and manufacturing errors, and thereby validating the design tool. For an average aperture size (with a number of rows and columns of between 30 and 50 elements, which means a reflectarray with more than 900 cells), the single offset configuration provides an antenna gain of between 20 and 30 dBi and a large scanning range. The prototype tested at 100 GHz exhibits an electronically scanned beam in an angular range of 55º and 8% of bandwidth, in which the side lobe level (SLL) remains better than -13 dB. The maximum gain is 19.4 dBi. The electrical performance of the antenna is clearly an improvement on those achieved by other authors in the state of the art. The second prototype corresponds to a dual reflector antenna with a liquid crystal-based reflectarray used as a sub-reflector for beam scanning in one plane (azimuth or elevation). The main objective is to obtain a higher gain than that provided by the single offset configuration, but using a more compact architecture. In this case, a maximum gain of 35 dBi is achieved, although at the expense of reducing the scanning range to 12°, which is inherent in this type of structure. As a general statement, the voltage synthesis and the design procedure of the cells, jointly make up a complete, accurate and efficient design tool of reconfigurable reflectarray antennas based on liquid crystals. The tool has been validated by testing the previously mentioned prototypes at 100 GHz, which achieve something never reached before for this type of antenna: a competitive electrical performance, and an excellent prediction of the results. The design procedure is general and therefore can be used at any frequency for which the liquid crystal exhibits dielectric anisotropy. The two prototypes designed, manufactured and tested in this thesis are also some of the first antennas that currently operate at frequencies above 100 GHz. In fact, the dual reflector antenna is the first electronically scanned dual reflector antenna at frequencies above 60 GHz (the operation frequency is 100 GHz) with a gain greater than 25 dBi, being in turn the first dual-reflector antenna with a real reconfigurable sub-reflectarray. Finally, some improvements that should be still investigated to make these antennas commercially competitive are proposed.

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.

Comparison of beam theory and finite-element analysis with in vivo bone strain data from the alligator cranium

The mechanical behavior of the vertebrate skull is often modeled using free-body analysis of simple geometric structures and, more recently, finite-element (FE) analysis. In this study, we compare experimentally collected in vivo bone strain orientations and magnitudes from the cranium of the American alligator with those extrapolated from a beam model and extracted from an FE model. The strain magnitudes predicted from beam and FE skull models bear little similarity to relative and absolute strain magnitudes recorded during in vivo biting experiments. However, quantitative differences between principal strain orientations extracted from the FE skull model and recorded during the in vivo experiments were smaller, and both generally matched expectations from the beam model. The differences in strain magnitude between the data sets may be attributable to the level of resolution of the models, the material properties used in the FE model, and the loading conditions (i.e., external forces and constraints). This study indicates that FE models and modeling of skulls as simple engineering structures may give a preliminary idea of how these structures are loaded, but whenever possible, modeling results should be verified with either in vitro or preferably in vivo testing, especially if precise knowledge of strain magnitudes is desired. (c) 2005 Wiley-Liss, Inc.

Recent advances in the field of vertical-external-cavity surface-emitting lasers

Vertical-external-cavity surface-emitting lasers (VECSELs) have proved to be versatile lasers which allow for various emission schemes which on the one hand include remarkably high-power multi-mode or single-frequency continuouswave operation, and on the other hand two-color as well as mode-locked emission. Particularly, the combination of semiconductor gain medium and external cavity provides a unique access to high-brightness output, a high beam quality and wavelength flexibility. Moreover, the exploitation of intra-cavity frequency conversion further extends the achievable radiation wavelength, spanning a spectral range from the UV to the THz. In this work, recent advances in the field of VECSELs are summarized and the demonstration of self-mode-locking (SML) VECSELs with sub-ps pulses is highlighted. Thereby, we present studies which were not only performed for a quantum-well-based VECSEL, but also for a quantum-dot VECSEL.

CT Image Electron Density Quantification in Regions with Metal Implants: Implications for Radiotherapy Treatment Planning

In radiotherapy planning, computed tomography (CT) images are used to quantify the electron density of tissues and provide spatial anatomical information. Treatment planning systems use these data to calculate the expected spatial distribution of absorbed dose in a patient. CT imaging is complicated by the presence of metal implants which cause increased image noise, produce artifacts throughout the image and can exceed the available range of CT number values within the implant, perturbing electron density estimates in the image. Furthermore, current dose calculation algorithms do not accurately model radiation transport at metal-tissue interfaces. Combined, these issues adversely affect the accuracy of dose calculations in the vicinity of metal implants. As the number of patients with orthopedic and dental implants grows, so does the need to deliver safe and effective radiotherapy treatments in the presence of implants. The Medical Physics group at the Cancer Centre of Southeastern Ontario and Queen's University has developed a Cobalt-60 CT system that is relatively insensitive to metal artifacts due to the high energy, nearly monoenergetic Cobalt-60 photon beam. Kilovoltage CT (kVCT) images, including images corrected using a commercial metal artifact reduction tool, were compared to Cobalt-60 CT images throughout the treatment planning process, from initial imaging through to dose calculation. An effective metal artifact reduction algorithm was also implemented for the Cobalt-60 CT system. Electron density maps derived from the same kVCT and Cobalt-60 CT images indicated the impact of image artifacts on estimates of photon attenuation for treatment planning applications. Measurements showed that truncation of CT number data in kVCT images produced significant mischaracterization of the electron density of metals. Dose measurements downstream of metal inserts in a water phantom were compared to dose data calculated using CT images from kVCT and Cobalt-60 systems with and without artifact correction. The superior accuracy of electron density data derived from Cobalt-60 images compared to kVCT images produced calculated dose with far better agreement with measured results. These results indicated that dose calculation errors from metal image artifacts are primarily due to misrepresentation of electron density within metals rather than artifacts surrounding the implants.

Gold nanoparticle induced vasculature damage in radiotherapy: Comparing protons, megavoltage photons, and kilovoltage photons

Purpose: The purpose of this work is to investigate the radiosensitizing effect of gold nanoparticle (GNP) induced vasculature damage for proton, megavoltage (MV) photon, and kilovoltage (kV) photon irradiation. Methods: Monte Carlo simulations were carried out using tool for particle simulation (TOPAS) to obtain the spatial dose distribution in close proximity up to 20 µm from the GNPs. The spatial dose distribution from GNPs was used as an input to calculate the dose deposited to the blood vessels. GNP induced vasculature damage was evaluated for three particle sources (a clinical spread out Bragg peak proton beam, a 6 MV photon beam, and two kV photon beams). For each particle source, various depths in tissue, GNP sizes (2, 10, and 20 nm diameter), and vessel diameters (8, 14, and 20 µm) were investigated. Two GNP distributions in lumen were considered, either homogeneously distributed in the vessel or attached to the inner wall of the vessel. Doses of 30 Gy and 2 Gy were considered, representing typical in vivo enhancement studies and conventional clinical fractionation, respectively. Results: These simulations showed that for 20 Au-mg/g GNP blood concentration homogeneously distributed in the vessel, the additional dose at the inner vascular wall encircling the lumen was 43% of the prescribed dose at the depth of treatment for the 250 kVp photon source, 1% for the 6 MV photon source, and 0.1% for the proton beam. For kV photons, GNPs caused 15% more dose in the vascular wall for 150 kVp source than for 250 kVp. For 6 MV photons, GNPs caused 0.2% more dose in the vascular wall at 20 cm depth in water as compared to at depth of maximum dose (Dmax). For proton therapy, GNPs caused the same dose in the vascular wall for all depths across the spread out Bragg peak with 12.7 cm range and 7 cm modulation. For the same weight of GNPs in the vessel, 2 nm diameter GNPs caused three times more damage to the vessel than 20 nm diameter GNPs. When the GNPs were attached to the inner vascular wall, the damage to the inner vascular wall can be up to 207% of the prescribed dose for the 250 kVp photon source, 4% for the 6 MV photon source, and 2% for the proton beam. Even though the average dose increase from the proton beam and MV photon beam was not large, there were high dose spikes that elevate the local dose of the parts of the blood vessel to be higher than 15 Gy even for 2 Gy prescribed dose, especially when the GNPs can be actively targeted to the endothelial cells. Conclusions: GNPs can potentially be used to enhance radiation therapy by causing vasculature damage through high dose spikes caused by the addition of GNPs especially for hypofractionated treatment. If GNPs are designed to actively accumulate at the tumor vasculature walls, vasculature damage can be increased significantly. The largest enhancement is seen using kilovoltage photons due to the photoelectric effect. Although no significant average dose enhancement was observed for the whole vasculature structure for both MV photons and protons, they can cause high local dose escalation (>15 Gy) to areas of the blood vessel that can potentially contribute to the disruption of the functionality of the blood vessels in the tumor.