Programação linear no planejamento do tratamento de câncer por radiocirurgia

Medical Physics has been reaching an important role among several lines in Science, providing means for the improvement of several theories and procedures. Currently, its main application is related with the use of ionizing radiations, specially, in treatment procedures such as Radiotherapy. Radiosurgery is a Radiotherapy technique which consists in administering a single tumoricidal dose of radiation exclusively to the tumorous lesion. It becomes then an interesting alternative to surgical treatment, mainly in cerebral metastases, which are the most frequent cerebral tumors in the central nervous system. The radio neurosurgical team works out a planning for the Radiosurgery treatment, aiming for obtaining an appropriate ideal treatment for each case. For the working out of this treatment planning, Computed Tomography images of the region to be treated are obtained, digitalized and later, fused with nuclear magnetic resonance images. Through these images, critical structures, organs at risk and lesions are localized. After this, calculations are made to determine three-dimensional positions of isocenters, isodose curves, prescribed dose, collimators sizes, position, numbers and respective weight of isocentric conformal fields, and others. The treatment planning is commonly based in desired levels of dose for specific types of tumors and organs at risk concerning the irradiated region. Theses levels of dose are chosen in a way that a high probability of cure may be achieved and meanwhile, that the probability of complications, in whichever organ at risk, may be minimal. Thus, many researches have been carried out, showing that mathematical techniques may help to obtain an optimal planning for the treatment of cerebral metastases. Among the methods of optimization in the study...(Complete abstract click electronic access below)

Projeto de restauro e revitalização do Complexo Crypta Balbi: edificações da Via Dei Delfini, Roma (Itália)

O presente trabalho será desenvolvido em uma quadra urbana no centro da cidade de Roma que compreende o Complexo da Crypta Balbi em cujo espaço é possível realizar uma leitura do ponto de vista arquitetônico e urbano ao longo da história e ver refletida a cidade ao longo de seu desenvolvimento através de vestígios arqueológicos do início da formação de Roma (III a.C.) até construções do século XIX . O trabalho visa a restauração e reabilitação do Complexo, mais especificamente das edificações localizadas na Via del Delfini a fim de abrigar um edifício de uso público assim como a requalificação do espaço aberto no interior do quarteirão permitindo sua integração com o entorno imediato e com os edifícios da quadra

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 ) ...

Braquiterapia com sementes de iodo-125: manufatura e tratamento

According to the National Institute of Cancer – INCA, 466.730 new cancer cases will occur in Brazil in 2009. Prostate and Lung cancer in man are the most incident types (in exception of the non-melanoma cancer). The brachytherapy with 125-iodine sources is an important method of prostate cancer treatment. The implant with iodine-125 seeds uses aproximately 100 seeds that are imported impossibilitating the treatment in large scale. For this reason, a multidisciplinary group was created at the Energetic and Nuclear Research Institute – Radiation Technology Center (IPEN –CTR / SP) to develop a national 125-iodine source and established a facility for local production. The seeds manufacture in Brazil will diminish the cost of treatment and prostate brachytherapy will be offered to more patients. This work aim is to observe and discuss the methods used in seeds manufacture there are being developed in Brazil and to present an prostate cancer case folloied in A.C. Camargo Hospital. The 125-iodine is adsorbed in an silver wire, then deposited at titanium coat. The weld is made by an process of plasm sealing. The seeds goes through several test to guarantee that there is no leakage. The result is an high quality and cheaper product. The implant tecnique is an fast and save procedure. The medical physicst preplan the case to stipulate the quantity of seeds there will be used. At the dat of the implant the medical physicst replan the procedure due to changes of volume in the organ. That assure the correct dose distribution in the target. Besides, the 125-iodine low energy is absorbed at the volume of interrest saving sourronding healthy tissues such as the rectum and the urethra

Classificação e quantificação de tecidos Biológicos para construção de fantomas pediátricos

Paediatric diagnostic radiology can be considered as a separate specialty and with distinct characteristics of the radiology applied in adult patients. This in reason of the variability in the anatomical structures size and bigger sensitivity of tissues. The literature present in its majority methodologies for segmentation and tissue classification in adult patients, and works on tissue quantification are rare. This work had for objective the development of a biological tissue classifier and quantifier algorithm, from histograms, and that converts the quantified average thickness of these tissues for its respective simulator materials. The results will be used in the optimization process of paediatrics images, in future works, since these patients are frequently over exposed to the radiation in the repeated attempts of if getting considered good quality radiographic images. The developed algorithm was capable to read and store the name of all the archives, in the operational system, to filter artifacs, to count and quantify each biological tissues from the histogram of the examination, to obtain the biological tissues average thicknesses and to convert this value into its respective simulator material. The results show that it is possible to distinguish bone, soft, fat and pulmonary tissues from histograms of tomographic examinations of thorax. The quantification of the constituent materials of anthropomorphic phantom made by the algorithm, compared with the data of literature shows that the biggest difference was of 21,6% for bone. However, the literature shows that variations of up to 30% in bone thickness do not influence of significant form in the radiographic image quality. The average thicknesses of biological tissues, quantified for paediatrics patients, show that one phantom can simulate patients with distinct DAP ranges, since variations... (Complete abstract click electronic access below)

Compostos fenólicos de 10 variedades de uva

Phenolic compounds represent one of the main groups of secondary metabolites. Due to their chemical diversity, they have a variety of functions in plants, such as protection against ultraviolet radiation, herbivores and pathogens, and attraction of pollinators or dispersers of fruits and seeds. For human, the phenolic compounds are used like food colorings and flavors and, due to their pharmacological properties, mainly to antioxidant activity, they are associated with several health benefits, such as delay senility, prevention and therapy of cardiovascular diseases and of some cancers. The grapes are considered one of the main source of phenolic compounds and the fruit and its products are consumed in Brazil and worldwide. Considering the phenolic compounds diversity and their different distribution in the grape parts, this work had like aims the extraction, identification and quantification of the main classes of phenolic compounds of 10 grape varieties. The content of total phenols, flavanols and anthocyanins were determined, respectively, according to the Folin-Ciocalteu, DMACA and comparison of pH spectrophotometric methods. The content of total phenols varied from 142.75 + 1.86 to 483.39 + 5.90 mg.L-1 in the peel and from 86.50 + 0.54 to 146.32 + 9.97 mg.L-1 in the pulp. The amount of total flavanols varied from 3.68 + 0.03 to 6.92 + 0.26 mg.L-1 in the peel and from 0.90 + 0.00 to 1.36 + 0.00 mg.L-1 in the pulp. The content of total anthocyanins varied from 7.00 + 0.99 to 406.56 + 39.50 mg.L-1 in the peel and from 2.88 + 0.28 to 46.36 + 1.89 mg.L-1 in the pulp. The phenolic compounds concentration was higher in the peel than in the pulp. The total phenols and anthocyanins varied a lot while the total flavanols were more constant. The flavanols represent the smaller portion of phenolic compounds

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)

Produção de partículas secundárias em reações de “spallation” induzidas por prótons

Cosmic radiation has been identi ed as one of the main hazard to crew, aircraft and sensitive equipments involved in long-term missions and even high-altitude commercial ights. Generally, shields are used in spatial units to avoid excessive exposure, by holding the incident radiation. Unfortunatelly, shielding in space is problematic, especially when high-energy cosmic particles are considered, due to the production of large number of secondary particles, mainly neutrons, protons and alpha particles, caused by spallation reactions and quasi-elastic processes of the corpuscular radiation with the shield. Good parameters for checking the secondary particle production at target material are diferential cross section and energy deposited in the shield. Addition experiments, some computer codes based on Monte Carlo method show themselves a suitable tool to calculate shield parameters, due to have evaluated nuclear data libraries implemented on the algorithm. In view of this, the aim of this work is determining the parameters evaluated in shielding materials, by using MCNPX code, who shows good agreement with experimental data from literature. Among the materials, Aluminium had lower emission and production of secondary particles

Influência do condicionamento ambiental sobre as propriedades viscoelásticas de compósitos aramida/epóxi

The increasing application of structural composites in the aerospace industry is mainly due to its low specific weight coupled with its excellent mechanical properties when in service. As a result of climatic variations that pass the aircraft is of paramount importance to study the influence of weathering on this type of material when subjected to such changes. The purpose of this work is to evaluate the mechanical behavior of specimens of kevlar fiber /epoxy matrix composites, by dynamic mechanical thermal analysis (DMA) and interlaminar shear strength tests (ILSS), after passing through three environmental conditioning: saline fog, hygrothermal and ultraviolet radiation. From the results, we concluded that the laminate was molded supplied homogeneously, not presenting problems such as porosity, delaminations or cracks inside. After a period of 625 hours of exposure to hygrothermal conditioning, we observed a 1,2% maximum of absorption of moisture. Samples subjected to the conditioning by UV irradiation (600 hours) and salt spray showed a reduction of about 24,30% and 32,30%, respectively, on the shear strength (ILSS). In DMA analysis is not observed significant changes on the glass transition temperature. However, when considering the storage modulus of the samples conditioned by UV radiation (1200 hours), salt spray and hygrothermal conditioning there is an increase of 5,34% , 7,19% and 5,57% respectively

Cálculo estrutural de barreiras: Desenvolvimento de um programa computacional de interface online

This study aimed to develop a computer program which systematizes the structural shielding design calculation in diagnostic radiology facilities. For this purpose methodology of the National Council of Radiation Protection and Measurements (NCRP 147[5]) was used. By comparative statistics studies, it was verified if reference parameters values suggested by the US publication correspond to the average national values. The World Wide Web was chosen because of its characteristics as a powerful mean of communication, especially in terms of the wide variety of useful resources and easy access. To compare the reference values of some parameters proposed by NCRP 147 to Brazilian average, studies about the normalized workload per patient, performance of X-ray tube and primary air kerma, unshielded, at one meter from the focal point of the X-ray tube were made. Through this research, relative differences were found. In workload values this differences reached up to 50% in mammography compared to those presented by the NCRP 147; in X-ray tube performance the percentage differences reached 69% in dental radiology, and air kerma results amounted 31% in fluoroscopy. This demonstrates the importance of validation of international protocols to local realities

Análise dosimétrica de aplicadores de Betaterapia

Betatherapy is a special medical technique using a radioactive source of strontium-90 for the treatment of superficial lesions, especially in dermatology and ophthalmology. Strontium-90 sources emit β radiation, which possesses high ionization power, but a very short distance propagation into matter. This work presents a method of dosimetric analysis of betatherapy using strontium- 90-based instrumentation, commonly used against superficial diseases, such as keloid and pterygium, aiming the description of the dosimetry analysis procedures, which can be easily implemented on tradiotherapy services that offers the betatherapy treatment. IBF-MEDIX radiographic films (conventional films) were exposed to betatherapy applicators during different time intervals according to the activity of the source, and afterwards the optical densities (O. D.) of the radiographic images were measured using an optical densitometer MACBETH. Therefore, the parameters used to make the dosimetric analysis in betatherapy were standardized, as the exposure time depended on the geometry and size of the source, providing an efficient and fast method of dosimetric analysis of the betatherapy equipment of the services, the majority of which do not have the scientific structure to perform this study

Análise da atividade de peroxidases e polifenoloxidases em diferentes órgãos vegetativos de espécies arbóreas nativas de diferentes grupos sucessionais

As formações vegetais são altamente dinâmicas e dependem principalmente da taxa de crescimento das espécies vegetais, entretanto, esta está intimamente relacionada e suscetível a estresses abióticos, como elevada ou baixa radiação solar, temperaturas extremas, e bióticos, como taque de patógenos e de herbívoros, o que faz com que as plantas necessitem de um sistema de defesa altamente eficiente o qual consiste na atuação de compostos secundários, e de enzimas como por exemplo peroxidases e polifenoloxidases. A atividade das peroxidases constitui a mais importante via do sistema de defesa vegetal a patógenos no que se refere a cicatrização de ferimentos e à herbivoria, propiciando um aumento da lignificação nos tecidos lesados, o que aumenta a resistência dos mesmos, dificultando assim a ocorrência de novas lesões. Quanto às polifenoloxidases, também pertencentes ao grupo das oxidorredutases, são enzimas que também atuam diretamente na via de defesa das plantas ao ataque de patógenos e na cicatrização de ferimentos e processos de senescência. Por meio da extração e análise da atividade de Peroxidases e Polifenoloxidases em porção de raiz, caule, ápice e em folhas de indivíduos de Erythrina speciosa Andrews, Eugenia uniflora L., Hevea brasiliensis M. Arg., Hymenaea courbaril L. var. stilbocarpa (Hayne) Lee et Lang, Joannesia princeps Vell., Licania tomentosa (Benth.) Fritsch, Pachira aquatica Aubl. e Psidium guajava L., obteve-se comportamento pioneiro para as espécies Eugenia uniflora L., Hymenaea courbaril L. var. stilbocarpa (Hayne) Lee et Lang, Joannesia princeps Vell. e Psidium guajava L., e comportamento não-pioneiro para as espécies Erythrina speciosa Andrews, Hevea brasiliensis M. Arg., Licania tomentosa (Benth.) Fritsch e Pachira aquatica Aubl.. Dessa maneira foi possível verificar que a análise da atividade peroxidásica... (Resumo completo, clicar acesso eletrônico abaixo)

Estudo da deposição de energia das radiofrequências através do método das diferenças finitas dependentes do tempo Monografia

Radiotherapy in veterinary practice is already known and widely distributed in large specialized centers of developed countries. In early 2000, there were about 30 radiotherapy equipment specifically designed for the veterinary clinic in the United States. In Brazil, the veterinary radiotherapy is still confined to research in universities, where most of the procedures is radiation therapy performed with superficial x-ray machines, with a voltage between 50 and 150 kVp, focus-distance surface (DFS) between 20,0cm and 40,0cm. As that occurs in human medicine, new research strengthens the development and prospects for the use of radiotherapy as a safe option for treating cancer in animals. This paper presents a methodology for calculating the exposure time for superficial radiotherapy procedures in veterinary medicine for small animals (dogs and cats). The dosimetric parameters of X-rays are determined using a spreadsheet tool for Microsoft Office Excel, developed in this paper for a device Dermopan 2, Veterinary Hospital of UNESP in Araçatuba. Using the worksheet helps the veterinarian to determine the time of exposure to radiation determined for each clinical case, optimize the workflow for professionals in veterinary radiotherapy procedures, which often lack the medical physics in team and at the time of radiotherapy. The correct use of spreadsheet decreases the chances of errors in dose rates of radiation, providing a higher quality of care

Métodos de Calibração e Dosimetria de Aplicadores de Betaterapia

The sources of betatherapy for clinical use in Brazil are, the vast majority of strontium-90, radioactive element that is not produced in the country, and therefore requires importation of international laboratories accredited by the International Atomic Energy Agency (IAEA).The use of these resources is always limited the crediting of characteristic values supplied by the manufacturer tables that provide the nominal value of activity and dose distribution to determine the irradiation time of the injury. The Institute of Nuclear Energy Research (IPEN / CNEN-SP) has recently researching the emission profile of these types of radiation sources, and some jobs are being developed with ionization chambers extrapolation for the purpose of standardizing a systematic calibration sources betatherapy. Other studies using parallel measures dosimeters (TLD's) and simulations with the Monte Carlo method. Radiological films have also been used in studies of applicators dosimetric analysis of strontium-90. This paper seeks to analyze the different methods for calibration of applicators betatherapy, already consolidated in studies by examining the advantages and disadvantages of each procedure

Aplicações práticas de proteção radiológica nas áreas de medicina nuclear e radiodiagnóstico em instalações hospitalares

After the discovery of ionizing radiation, its applications in various fields of science began to take significant proportions. In the case of medicine, there are the application areas in radiotherapy, diagnostic radiology and nuclear medicine. It was then necessary to create the field of radiological protection to establish the conditions necessary for the safe use of such ionizing radiation. Apply knowledge obtained during the graduation stage and in the practice of radiological protection in the areas of nuclear medicine and diagnostic radiology. In the area of nuclear medicine, tests were made in the Geiger-Muller counters (GM) and the dose calibrator (curiometer), the monitoring tests of radiation, waste management, clean of the Therapeutic room and testing the quality control of gamma-chambers. In the area of radiology, were performed tests of quality control equipment for conventional X-ray equipment and x-ray fluoroscopy, all following the rules of the National Health Surveillance Agency (ANVISA), and reporting of tests. The routine developed in the fields of nuclear medicine in hospitals has proved very useful, since the quality control of GM counters contribute to the values of possible contamination are more reliable. The control of dose calibrator enables the patient not to receive different doses of the recommended amounts, which prevents the repetition of tests and unnecessary exposure to radiation. The management of waste following the rules and laws established and required for its management. Tests for quality control of gamma chambers help to evaluate its medical performance through image. In part of diagnostic radiology, tests for quality control are performed in order to verify that the equipment is acceptable for usage or if repairs are needed. The knowledge acquired at the internship consolidated the learning of graduation course