Radioterapia em câncer de mama: importância da determinação da curva de isodose

The study analyzed contours of the thoracic region of patients undergoing radiotherapy of breast tumors in Hospital Manuel de Abreu of Bauru (institution 1) and the Hospital da Faculdade de Medicina of Botucatu (Institution 2). Were prepared isodose curves corresponding to the contours of the patient, which were presented for radiotherapists doctors both hospital services that enabled the choice of the curve isodose that provides the best distribution of radiation dose in the irradiated volume. Some boundaries were digitized in one institution and sent for preparation of isodose lines in the institution 2, both curves plotted in each of the institutions and for the same contour, were compared, showing that the methodology of Curves of distance is feasible and reliable, while optimizing the routine procedures regarding the handling of isodose plans provided by different radiation equipment. It compares the calculation of the exposure time determined using the isodose curve selected by calculating the value obtained considering the PDP at the point of the middle line of separation between the internal and external fields, the difference between the two methods for determining exposure time was around 2.4%. A study on the angle of the radiation beam at the input field (region breast-air) was conducted showing that, once known a tangent angle of the input beam, one can estimate the angle of the wedge filter used in some procedures for uniformity of dose within the irradiated volume compensation and the lack of tissue in the treatment volume. A comparative study between the isodose curves produced manually with the curves obtained in a two-dimensional computer system, the computer system showed that provides further information regarding the dose gradient within the irradiated volume, in addition to reducing the time spent in preparing the curves isodose

Sistema de cálculo computacional da unidade monitora para feixes de elétrons em radioterapia

In radiation theraphy with electron beam, the electrons are produced in linear accelerators, and energy the most used have between 4MeV and 20MeV. Generally, the treatments are done for superficial injuries, because the low penetration of these particles. In this work a system for calculation of monitor units (U.M.) for cases of treatments with electron beam was developed. The Excel program of Microsoft was used and is easily found in the operational system of the personal microcomputers. In the Excel has been inserted the pertinent data of the linear accelerator of Varian, model 2100C, used in the Service of radiation theraphy of the Hospital of the Clinics of the College of Medicine of the UNESP of Botucatu. For some values of the physical parameters, such as: factors field and factors calibration, not supplied in the tests of acceptance of the machine, still proceeded calculations from interpolation and extrapolation. The mathematical formulas for automatic search of these and others factors used in the calculations of the determination of the U.M had been developed in agreement available routines in Excel. For this the functions had been used the function IF (that it imposes search condition) and the PROCH (that looks a value in a column from determined line), beyond the basic functions of addition, multiplication and division. It is intended to optimize the routine of the Services of radiation theraphy that perform through eletrontheraphy procedures, speeding the calculations and minimizing the occurrence of errors and uncertainties deriving of the maken a mistake manipulation of the parameters gotten in tables of data of electron beams

Caracterização estrutural da Zona de Falha de Cássia-MG

A Zona de Falha de Cássia constitui um feixe de falhas de direção preferencial NW-SE e aproximadamente 2 km de largura. Dados de campo, petrográficos e microestruturais evidenciam uma longa história deformacional da zona de falha. Assim, foram caracterizadas três fases de atividade/movimentação da Zona de Falha de Cássia. A primeira fase (précambriana) é caracterizada por deformação em regime dúctil, acarretando na geração de milonitos formados em condições metamórficas de fácies xisto verde. Este é o estágio de formação da falha, apresentando caráter transcorrente oblíqua, com movimentação sinistral inversa. A segunda fase corresponde a uma reativação da zona de falha como uma falha normal, com bloco alto a NE e bloco baixo a SW da referida estrutura. Seu registro é dado pela ocorrência localizada de brechas e cataclasitos. Este episódio de deformação eminentemente rúptil é correlacionado com o Soerguimento do Alto Paranaíba, o que indica movimentação da falha no Neocretáceo. A terceira e última fase é marcada pela formação de depósitos sedimentares plio-pleistocênicos compostos por brecha sedimentar de leques aluviais e sedimentos argilosos lacustres. Tais depósitos são interpretados como originados pelo represamento da drenagem subatual e conseqüente mudança do nível de base local, em decorrência de uma reativação da Zona de Falha de Cássia. O referido pacote sedimentar apresenta-se localmente cortado por fraturas, zonas brechadas e falhas, caracterizando atividade neotectônica na região. Além disso, foi mostrada a forte influência da zona de falha no desenvolvimento da paisagem da região, sendo constatada a inversão do relevo e da drenagem na área estudada.

Anatomia de órgãos foliares de Mapania Aubl. (Mapanioideae, Cyperaceae)

Estudou-se a anatomia dos órgãos foliares (folhas basais, ou catafilos, no caso de folhas ausentes, e brácteas involucrais) de três espécies de Mapania Aubl. Os espécimes de Mapania macrophylla (Boeck) H.Pfeiff. e M. pycnostachya (Benth.) T.Koyama, pertencentes à seção Pycnocephala, e M. sylvatica Aubl., pertencente à seção Mapania, foram coletados durante expedições científicas na Reserva Florestal Ducke em Manaus, AM, e constituem representantes de um mesmo gênero que ocupam três ambientes distintos da Floresta Amazônica. Em todos os órgãos, as espécies apresentam epiderme uniestratificada, com células de paredes delgadas, e estômatos paracíticos na face abaxial, no mesmo nível ou um pouco acima das demais células epidérmicas. O mesofilo é homogêneo e apresenta dois padrões distintos nos órgãos foliares: o primeiro com feixes vasculares em um único nível, sem extensão de bainha, idioblastos fenólicos abundantes e aerênquima não conspícuo; e o segundo padrão com feixes vasculares maiores e menores intercalados, com extensão de bainha do feixe e interrompidos por aerênquima conspícuo com células translúcidas. O primeiro padrão foi encontrado em brácteas involucrais de M. sylvatica e o segundo em todos os órgãos foliares das demais espécies. Essa diferença corrobora com as seções estabelecidas e é importante na diferenciação de espécies dentro do gênero. No pseudopecíolo de M. pycnostachya foi observada a presença de hipoderme, caráter importante na diferenciação de Mapania e Hypolytrum e que, portanto, necessita ser melhor estudado no gênero. Ainda, a presença de aerênquima, células epidérmicas com parede delgada e posição dos estômatos refletem a adaptação dessas espécies a ambientes úmidos de várzea e igapó onde são encontradas

Análise quantitativa dos parâmetros físicos e radiométricos de procedimetnos radioterapicos em tumores de mama

The paper presents the radiometric parameters determined by the medical physicist during routine radiotherapy planning service in cases of breast cancer . The contours of the breast volume in patients undergoing radiation breast tumors at the Hospital das Clinicas, Faculty of Medicine , UNESP, Botucatu ( HCFMB ) during the year 2012 were analyzed . In order to analyze the influence of physical and radiometric parameters for the determination of the dose distribution of irradiated breast volume , four measurements of isodose curves were prepared in four different heights breast , and compared with the isodose curves plotted computationally . In the routine of planning , the medical physicist must determine the isodose curve that gives the best dose distribution homogeneity in the irradiated volume . The choice of the treatment plan can be done by dedicated computer systems , which require significantly costly investments available services having better financial support . In the Service of Medical Physics , Department of Radiotherapy , HC FMB , we use a two-dimensional software for determination of isodose curves , however , this software is out of date and frequently becomes inoperable due to the lack of maintenance and it is a closed system without feasibility of interference from computer professionals . This fact requires manual preparation of isodose curves , which are subject to uncertainties due to the subjectivity in the clinical interpretation of medical radiation oncologist and medical physicist responsible for planning , plus dispendiar significant calculation time . The choice of the optimal isodose curve depends on the energy of the radiation beam , the geometry and dimensions of the irradiated area . The contours of the breast studied in this work evaluations showed that , for a given energy input , such as the energy of 1.25 MeV of gamma radiation Unit Telecobaltoterapia , the determination of the percentage depth dose ( PDP ) ...

Controle de qualidade e levantamento radiométrico em aparelho de Raios-X médico convencional

Along with the advance of technology, in terms of the expansion of medical exams that uses the ionizing radiation for diagnosis, there is also the concern about quality control for maintaining quality in radiographic imaging and for delivering low dose to the patient. Based on the Federal Order 453 of the Secretariat of Health Surveillance, which takes account of the practical and justification of individual medical exposures, the optimization of radiological protection, limitation of individual dose, and the prevention of accidents, were done through this paper radiodiagnostic tests on medical equipment in order to accept it or not, according to SVS-453. Along with the help and support of P&R Consulting and Medical Physics Marilia, SP, were made Quality Control and Radiometric Control in equipment from various cities across the state of São Paulo. The equipment discussed in this work is classified as conventional X-ray. According to the Federal Order SVS-453, the quality control in the program of quality assurance should include the following minimum set of constancy tests, with following minimum frequency: biennial tests for representative values of dose given to the patients of radiography and CT performed in the service; annual tests for accuracy of the indicator tube voltage (kVp), accuracy of exposure time, half-value layer, aligning the central axis of the beam of x-ray tube, performance (mGy / mA.min.m²), linearity of the rate of kerma on air with the mAs, reproducibility of the kerma on air rates, reproducibility of the automatic exposure, focal spot size, integrity of accessories and clothing for individual protection; semiannually for collimation system accuracy; weekly for temperature processing system and sensitometry processing system. For the room Radiometric Survey it was done a sketch...(Complete abstract click electronic access below)

Avaliação das doses de cães submetidos a exames radiográficos de pulmão

This study aims to determine surface skin doses in dogs (with suspected pulmonary metastasis) submitted to chest X-rays using the technique of thermoluminescence dosimetry. Twenty seven exams from different dogs were performed at the Faculdade de Medicina Veterinária e Zootecnia da Universidade Estadual Paulista (FMVZ-UNESP/Botucatu). The doses were evaluated using thermoluminescent dosimeters of calcium sulphate doped with dysprosium (CaSO4:Dy) produced by the Instituto de Pesquisas Energéticas e Nucleares (IPEN-CNEN). The pulmonary metastasis exams are carried out in three projections, one dorsal-ventral and two lateral-lateral. During the procedures the projection thicknesses and source-skin surface distances were registered. To simulate the dog phantom the dosimeters were positioned in a cubic simulator (30x30x30 cm) of polymethylmethacrylate (PMMA) filled with water and irradiated according to the parameters of projections with the X-ray energies ranging from 45 to 70 kV. To estimate the surface skin dose the dose-response curves were obtained for X-ray energies of 50 and 70 kV using the diagnostic X-ray beam machine of the Instruments Calibration Laboratory of IPEN for doses of 1.5, 2.0, 2.5, 3.5 and 4.0 mGy. The main difficulty of this work was the dog immobilization that is reflected in poor-quality diagnostic imaging and, consequently, demands the repetition of the exams, which contributes to the increase of the doses received by the animals being studied and the clinical staff. The doses evaluated in this type of procedure are between 0.43 and 4.22 mGy. This research has shown to be extremely important for the assessment of doses involved in veterinary diagnostic radiology procedures, and as a parameter in the individual monitoring of pet’s owners who assist the animal positioning and occupationally exposed workers of the Department of Veterinary Radiology

Retrospecto de lesões radiológicas da cabeça de cães e gatos

Pós-graduação em Cirurgia Veterinária - FCAV

Micromorfologia e anatomia floral das seções neotropicais de Bulbophyllum Thouars (Orchidaceae, Asparagales): considerações taxonômicas e evolutivas

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Leishmaniose visceral canina: estudo imagiológico em cães naturalmente infectados

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Planejamento de reativos em sistemas elétricos de potência multi-área através de modelos estocásticos

Pós-graduação em Engenharia Elétrica - FEIS

Implantes nanotopograficamente modificados pela ação do laser Yb-YAG

Titanium has proven its suitability as an implant material in surgery over many years. Excellent biocompatibility and corrosion resistance are outstanding features. Implant surfaces always causes concern and interest in scientific communities, due to its close relationship with the time required for osseointegration. Surface modification can be performed by several methods, being laser irradiation one of them. Titanium implants with two different surfaces were inserted in rabbits: Group I (G-I: machined surface, control group), and group II (G-II: laser irradiated, test group) being processed 30 and 60 days after surgery for histological analysis. Surface characterization was performed with SEM-EDS, contact angle measurement, and mean roughness (Ra) parameters. Surface analysis in the GII group showed a nanomorphology affected by melt and quick solidification zones following laser irradiation (SEM), as well as total wettability and Ra mean values significantly higher than in the G-I group. The laser treatment resulted in a homogenized, porous surface, with increased surface area and volume. Histological analysis of bone-implant contact linear extension (BIC) showed better results in G-II at 30 days (39.26 ± 18.23 and 68.41 ± 13.68 for G-I and G-II groups, respectively). Titanium implants modified by laser irradiation showed important features that may accelerate early osseointegration.

Caracterização anatômica e perfi l químico da lâmina foliar de Laguncularia racemosa (L.) Gaertn, de manguezais impactados e não impactados do litoral de São Paulo

Anatomical characterization and chemical profi le of Laguncularia racemosa (L.) Gaertn leaf blades, from impacted and non-impacted mangroves of the São Paulo Coast. Several sources of environmental impact have caused great damage to the fl ora in mangroves. Therefore, this study aimed to analyze the anatomy and chemical composition of Laguncularia racemosa (L.) Gaertn leaf blades, from impacted (Municipality of Santos) and non-impacted mangroves (Municipality of Peruíbe) of the São Paulo Coast. For the leaf anatomy studies, light microscopy and scanning electron microscopy (SEM) were used. For chemical analysis, high performance liquid chromatography (HPLC) was conducted. The biometry revealed leaf tissues of plants from impacted mangroves with a less thick epidermis and mesophyll and higher width of the central vascular beam. A smaller number of stomata and higher amounts of druses in these leaves were also observed. Results were confi rmed by the Student t-test (α = 5%). The chemical profi les revealed a higher ammount of secondary metabolites in leaves from the impacted environment.

Estabilidade esquelética da multisegmentação maxilar

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Avaliação dos efeitos da terapia fotodinâmica com hipericina-glucamina no tratamento da doen ça periodontal induzida em ratos

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)