Balloon-based adjuvant radiotherapy in breast cancer: comparison between 99mTc and HDR 192Ir

Abstract Objective: To perform a comparative dosimetric analysis, based on computer simulations, of temporary balloon implants with 99mTc and balloon brachytherapy with high-dose-rate (HDR) 192Ir, as boosts to radiotherapy. We hypothesized that the two techniques would produce equivalent doses under pre-established conditions of activity and exposure time. Materials and Methods: Simulations of implants with 99mTc-filled and HDR 192Ir-filled balloons were performed with the Siscodes/MCNP5, modeling in voxels a magnetic resonance imaging set related to a young female. Spatial dose rate distributions were determined. In the dosimetric analysis of the protocols, the exposure time and the level of activity required were specified. Results: The 99mTc balloon presented a weighted dose rate in the tumor bed of 0.428 cGy.h-1.mCi-1 and 0.190 cGyh-1.mCi-1 at the balloon surface and at 8-10 mm from the surface, respectively, compared with 0.499 and 0.150 cGyh-1.mCi-1, respectively, for the HDR 192Ir balloon. An exposure time of 24 hours was required for the 99mTc balloon to produce a boost of 10.14 Gy with 1.0 Ci, whereas only 24 minutes with 10.0 Ci segments were required for the HDR 192Ir balloon to produce a boost of 5.14 Gy at the same reference point, or 10.28 Gy in two 24-minutes fractions. Conclusion: Temporary 99mTc balloon implantation is an attractive option for adjuvant radiotherapy in breast cancer, because of its availability, economic viability, and similar dosimetry in comparison with the use of HDR 192Ir balloon implantation, which is the current standard in clinical practice.

La Calotte

1910/10/14 (A5,N214).

Le Capitaliste : journal de la banque parisienne

1885/10/14 (A8,N41).

DWI and complex brain network analysis predicts vascular cognitive impairment in spontaneous hypertensive rats undergoing executive function tests

The identification of biomarkers of vascular cognitive impairment is urgent for its early diagnosis. The aim of this study was to detect and monitor changes in brain structure and connectivity, and to correlate them with the decline in executive function. We examined the feasibility of early diagnostic magnetic resonance imaging (MRI) to predict cognitive impairment before onset in an animal model of chronic hypertension: Spontaneously Hypertensive Rats. Cognitive performance was tested in an operant conditioning paradigm that evaluated learning, memory, and behavioral flexibility skills. Behavioral tests were coupled with longitudinal diffusion weighted imaging acquired with 126 diffusion gradient directions and 0.3 mm(3) isometric resolution at 10, 14, 18, 22, 26, and 40 weeks after birth. Diffusion weighted imaging was analyzed in two different ways, by regional characterization of diffusion tensor imaging (DTI) indices, and by assessing changes in structural brain network organization based on Q-Ball tractography. Already at the first evaluated times, DTI scalar maps revealed significant differences in many regions, suggesting loss of integrity in white and gray matter of spontaneously hypertensive rats when compared to normotensive control rats. In addition, graph theory analysis of the structural brain network demonstrated a significant decrease of hierarchical modularity, global and local efficacy, with predictive value as shown by regional three-fold cross validation study. Moreover, these decreases were significantly correlated with the behavioral performance deficits observed at subsequent time points, suggesting that the diffusion weighted imaging and connectivity studies can unravel neuroimaging alterations even overt signs of cognitive impairment become apparent.

Le Capitaliste : journal de la banque parisienne

1909/10/14 (A32,N41).

Divertimento for str.

Digitoitu 9. 10. 2007.

Kammermusik nr. 1

Soitinnus: jousiorkesteri.

Le Constitutionnel : journal politique et littéraire

1816/10/14 (Numéro 288).

Variações no teor e na composição volátil de Hyptis marrubioides EPL: cultivada no campo e em casa de vegetação

This work describes the chemical composition of the volatile oil of Hyptis marrubioides cultivated in field and greenhouse. The experimental design was completely randomized, with ten replications for each type of cultivation. The volatile oil was extracted by hydrodistillation and analyzed by GC-MS. The highest content of volatile oil was found for plants grown in field. The highest percentage of the compounds present in oils was observed in samples grown in the field, such as germacra-4(15),5,10(14)-trien-1-α-ol (16.34%), β-caryophyllene (10.42%), γ-muurolene (12.83%) and trans-thujone (9.98%). However, some compounds were found only in plants grown in a greenhouse, such as cis-muurol-5-en-4α-ol (10.84%), α-cadinol (3.06%) and eudesma-4(15),7-dien-1β-ol (6.82%).

Le Démocrate : Organe des Républicains radicaux et radicaux-socialistes du pays de Montbéliard

1906/10/14 (A2,N109).

Les Dimanches de la femme : supplément de la "Mode du jour"

1934/10/14 (A13,N658).

Les Dimanches de la femme : supplément de la "Mode du jour"

1923/10/14 (A2,N84).

L'Extrême-gauche (Alliance radicale-socialiste) : paraissant le dimanche

1883/10/14 (A1,N33).

La France mutilée : bulletin ["puis" organe] de l'Union fédérale des associations françaises de blessés, mutilés, réformés, anciens combattants de la grande guerre et de leurs veuves, orphelins et ascendants

1922/10/08 (A3,N104)-1922/10/14.