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1.
Isotopes Environ Health Stud ; 39(1): 69-82, 2003 Mar.
Article in English | MEDLINE | ID: mdl-12812256

ABSTRACT

We investigated the environmental water sources used in mid-summer by three Sonoran Desert phreatophytic riparian tree species, Salix gooddingii, Populus fremontii, and the exotic Tamarix spp., at sites that differed in water table depth. Salix gooddingii was most sensitive to water table decline, as evidenced by lower predawn water potentials. Although P. fremontii was less sensitive to water table decline than S. gooddingii, its leaf gas exchange was the most responsive to atmospheric water stress imposed by high leaf-to-air vapor pressure deficit. Tamarix spp. was least sensitive to water table decline and showed no reduction of predawn water potential over the measured range of depth to groundwater. Comparison between D/H of xylem and sampled environmental water sources suggest that S. gooddingii and P. fremontii used groundwater at most sites with no change in water source as depth to groundwater varied. In contrast, xylem D/H of Tamarix spp. was depleted in deuterium compared to groundwater at most sites, suggesting use of water from an unsampled source, or discrimination against deuterium during water uptake. This study highlights the difficulty in sampling all water sources in large-scale studies of riparian ecosystems with complex subsurface hydrogeology.


Subject(s)
Desert Climate , Populus/physiology , Salix/physiology , Tamaricaceae/physiology , Water/metabolism , Adaptation, Physiological , Arizona , Environmental Monitoring , Gases/pharmacokinetics , Plant Leaves/physiology , Seasons , Trees
3.
Tree Physiol ; 21(4): 233-41, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11276417

ABSTRACT

We investigated leaf gas exchange responses to leaf temperature, leaf-to-air vapor pressure deficit (VPD), and predawn and midday shoot water potential (psipd and psimd, respectively) of two native Sonoran Desert riparian tree species, Fremont cottonwood (Populus fremontii S. Wats.) and Goodding willow (Salix gooddingii Ball), and one exotic riparian tree species, saltcedar (Tamarix chinensis Lour. and related species). Measurements were made at two sites over 2 years that differed climatically. Because multiple linear regression models explained less than 29% of the variation in stomatal conductance (gs) and less than 48% of the variation in net photosynthetic rate (Pn) of all species, we used boundary-line analysis to compare gas exchange responses among species. Gas exchange rates were high in all species. The hyperbolic relationship between Pn and gs suggested that initial reductions in gs at high gs did not inhibit Pn. Reductions in gs of cottonwood and willow occurred at psimd values at or below previously reported xylem cavitation thresholds (-1.6 and -1.4 MPa, respectively), indicating tight stomatal regulation of water loss and a narrow cavitation safety margin. In contrast, reductions in gs of saltcedar occurred at psimd values well above the cavitation threshold (-7.0 MPa), but at much lower psimd values than in cottonwood and willow, suggesting a wider cavitation safety margin and less tight regulation of water loss in saltcedar. High VPD had a smaller effect on leaf gas exchange in willow than in cottonwood. In contrast, willow had a less negative psipd threshold for stomatal closure than cottonwood. Compared with cottonwood and willow, leaf gas exchange of saltcedar was more tolerant of high VPD and low psipd. These physiological characteristics of saltcedar explain its widespread success as an invader of riparian ecosystems containing native Fremont cottonwood and Goodding willow in the Sonoran Desert.


Subject(s)
Plant Leaves/physiology , Trees/physiology , Arizona , Desert Climate , Photosynthesis/physiology , Plant Transpiration/physiology
4.
Cardiovasc Radiat Med ; 2(3): 181-90, 2001.
Article in English | MEDLINE | ID: mdl-11786325

ABSTRACT

PURPOSE: This study was designed to assess the suitability of a 103Pd-implanted stent for use in intravascular brachytherapy. MATERIALS AND METHODS: A stent was modeled as a superposition of 201 identical struts and the EGS4/DOSRZ Monte Carlo code was used to calculate the dose distribution for each strut. To verify the simulation parameters, doses along the transverse axis of a Model 200 103Pd interstitial seed were calculated and compared to those calculated by the TG43 method. RESULTS: Dose profiles within 1 mm of the stent's outer surface were heterogeneous and reflected the stent's structure. For a 2-mm outer-diameter 103Pd-implanted stent, approximately 2.68 x 10(7) Bq were required to deliver 31.5 Gy in 28 days at a distance of 0.5 mm along the perpendicular bisector from the stent's outer surface. The Monte Carlo simulation of the 103Pd seed showed relative doses within 7% of the values calculated by the TG43 method. CONCLUSION: The dosimetry about a 103Pd-implanted stent suggests that the stent is suitable for use in intravascular brachytherapy.


Subject(s)
Brachytherapy , Palladium/therapeutic use , Radioisotopes/therapeutic use , Radiotherapy Planning, Computer-Assisted , Stents , Humans , Imaging, Three-Dimensional , Monte Carlo Method , Radiotherapy Dosage , Water
5.
Med Dosim ; 24(3): 177-8, 1999.
Article in English | MEDLINE | ID: mdl-10555055

ABSTRACT

The "rule of 72," commonly applied to financial questions, is discussed as to its applicability in medical physics and dosimetry.


Subject(s)
Radiation Dosage , Half-Life , Humans
6.
J Immunol ; 161(12): 6480-6, 1998 Dec 15.
Article in English | MEDLINE | ID: mdl-9862671

ABSTRACT

Although autoreactive T cells recognizing self myelin Ags are present in most individuals, autoimmune disease of the central nervous system is a relatively rare medical condition. Development of autoimmune disease may require not only the presence of autoreactive T cells but also that autoreactive T cells become activated. Activation of T cells may require a minimum of two signals: an Ag-specific signal delivered by MHC-peptide complex and a second signal delivered by costimulatory molecules or cytokines. Although in vitro studies have suggested that cytokines, especially proinflammatory cytokines such as IL-1, IL-6, and TNF are involved in T cell activation, their precise roles in vivo are not clear. To determine the roles of proinflammatory cytokines in T cell activation in vivo and in the development of autoimmune disease, we have studied experimental autoimmune encephalomyelitis (EAE) in mice deficient in IL-6. We found that IL-6-deficient mice were completely resistant to EAE induced by myelin oligodendrocyte glycoprotein (MOG), whereas IL-6-competent control mice developed EAE characterized by focal inflammation and demyelination in the central nervous system and deficiency in neurologic functions. Furthermore, we established that the resistance to EAE in IL-6-deficient mice was associated with a deficiency of MOG-specific T cells to differentiate into either Th1 or Th2 type effector cells in vivo. These results strongly suggest that IL-6 plays a crucial role in the activation and differentiation of autoreactive T cells in vivo and that blocking IL-6 function can be an effective means to prevent EAE.


Subject(s)
Autoimmune Diseases/prevention & control , Encephalomyelitis, Autoimmune, Experimental/prevention & control , Interleukin-6/physiology , Lymphocyte Activation , T-Lymphocyte Subsets/immunology , Animals , Autoimmune Diseases/immunology , Autoimmunity , Cell Differentiation , Concanavalin A/immunology , Disease Progression , Encephalomyelitis, Autoimmune, Experimental/immunology , Immunity, Innate , Immunization , Interleukin-6/deficiency , Interleukin-6/genetics , Interleukin-6/immunology , Mice , Mice, Knockout , Myelin Proteins , Myelin-Associated Glycoprotein/immunology , Myelin-Oligodendrocyte Glycoprotein , Ovalbumin/immunology , T-Lymphocyte Subsets/pathology
7.
Cell Immunol ; 190(1): 83-9, 1998 Nov 25.
Article in English | MEDLINE | ID: mdl-9826450

ABSTRACT

Intercellular adhesion molecule (ICAM)-1, or CD54, is a member of the immunoglobulin superfamily that binds to lymphocyte function-associated antigen-1 and macrophage-1 antigen. ICAM-1:LFA-1/Mac-1 interaction may be involved in both activation and extravasation of leukocytes. To determine the roles of ICAM-1 in the development of autoimmune disease, we studied experimental autoimmune encephalomyelitis (EAE) in mice deficient in ICAM-1. We found that T cell proliferation and TH1-type cytokine production in response to myelin antigen were significantly reduced in ICAM-1-deficient mice, whereas TH2-type cytokine IL-10 was increased. Unexpectedly, EAE induced by either myelin oligodendrocyte glycoprotein or myelin basic protein was significantly enhanced in mice deficient in ICAM-1. The enhancement was evidenced primarily by the increase in disease severity, mortality, and the degree of central nervous system inflammation. The cellular composition of the inflammatory infiltrates in the central nervous system is similar in control and ICAM-1-deficient mice. These results suggest that (1) ICAM-1 is involved in the activation of autoreactive TH-1, but not TH2 cells, and (2) ICAM-1 plays an important role in down-regulating autoimmune inflammation in the central nervous system.


Subject(s)
Encephalomyelitis, Autoimmune, Experimental/etiology , Intercellular Adhesion Molecule-1/physiology , Animals , Autoimmunity , Cell Differentiation , Encephalomyelitis, Autoimmune, Experimental/immunology , Encephalomyelitis, Autoimmune, Experimental/pathology , Female , Intercellular Adhesion Molecule-1/genetics , Leukocytes/immunology , Leukocytes/pathology , Lymphocyte Activation , Mice , Mice, Inbred C57BL , Mice, Knockout , Myelin Basic Protein/immunology , Th1 Cells/immunology , Th1 Cells/pathology , Th2 Cells/immunology , Th2 Cells/pathology
8.
Cell Immunol ; 188(2): 118-24, 1998 Sep 15.
Article in English | MEDLINE | ID: mdl-9756642

ABSTRACT

Experimental autoimmune encephalomyelitis (EAE) is an inflammatory disease of the central nervous system (CNS) which is often used as an animal model for human multiple sclerosis (MS). The disease is mediated by autoreactive lymphocytes recognizing myelin self-antigens. The autoreactive lymphocytes elicit autoimmune inflammation in the CNS and lead to demyelination and loss of neurological functions. Although autoimmune encephalomyelitis can lead to irreversible nervous tissue injury and demise of animals, EAE is often characterized by spontaneous disease recovery or remission. It is not known how EAE progression is regulated, nor is it clear how autoimmune inflammation in the CNS can resolve while the myelin-specific lymphocytes and myelin self-antigens remain in the animals. Cytokines, especially TH2-type cytokines, have long been suggested to play a role in regulating EAE. However, experiments using recombinant cytokines or neutralizing antibodies to cytokines have generated conflicting results. To determine the roles of interleukin (IL)-4 and IL-10 in experimental autoimmune encephalomyelitis, we have studied mice deficient in IL-4 or IL-10. We found that IL-10- but not IL-4-deficient mice had accelerated EAE following immunization with myelin oligodendrocyte glycoprotein (MOG). Importantly, spontaneous recovery from EAE occurred in normal and IL-4-deficient mice, but not in mice deficient in IL-10. Furthermore, we established that the acceleration of EAE in IL-10-deficient mice was associated with a decrease in IL-4 and an increase in IFN-gamma production in response to MOG antigen. These results strongly suggest that IL-10 plays a crucial role in the progression and recovery of autoimmune encephalomyelitis.


Subject(s)
Encephalomyelitis, Autoimmune, Experimental/etiology , Interleukin-10/physiology , Animals , Cells, Cultured , Female , Interleukin-10/deficiency , Interleukin-4/physiology , Lymphocyte Activation , Mice , Mice, Inbred C57BL , Myelin Proteins , Myelin-Associated Glycoprotein/immunology , Myelin-Oligodendrocyte Glycoprotein
9.
Int Immunol ; 10(4): 491-8, 1998 Apr.
Article in English | MEDLINE | ID: mdl-9620605

ABSTRACT

Mucosal and systemic administrations of high dose antigens induce long-lasting peripheral T cell tolerance. We and others have shown that high dose peripheral T cell tolerance is mediated by anergy or deletion and is preceded by T cell activation. Co-stimulatory molecules B7-1 (CD80)/B7-2 (CD86) and their counter-receptors CD28/CTLA-4 play pivotal roles in T cell activation and immune regulation. In the present study, we examined the roles of the B7 co-stimulation pathway in the generation of high dose peripheral T cell tolerance. We found that blocking B7:CD28/CTLA-4 interaction at the time of tolerance induction partially prevented T cell tolerance, whereas selective blockade of B7:CTLA-4 interaction completely abrogated peripheral T cell tolerance induced by either oral or i.p. antigens. These results suggest that CTLA-4-mediated feedback regulation plays a crucial role in the induction of high dose peripheral T cell tolerance.


Subject(s)
Antigens, Differentiation/immunology , Immune Tolerance/immunology , Immunoconjugates , Abatacept , Administration, Oral , Animals , Antigens/administration & dosage , Antigens/immunology , Antigens, CD , B7-1 Antigen/immunology , CD28 Antigens/immunology , CTLA-4 Antigen , Dose-Response Relationship, Drug , Female , Lymphocyte Activation/immunology , Mice , Mice, Inbred BALB C , Mice, Transgenic , Signal Transduction/physiology , T-Lymphocytes/immunology
10.
Trends Ecol Evol ; 13(6): 232-5, 1998 Jun 01.
Article in English | MEDLINE | ID: mdl-21238277

ABSTRACT

Hydraulic lift is the process by which some deep-rooted plants take in water from lower soil layers and exude that water into upper, drier soil layers. Hydraulic lift is beneficial to the plant transporting the water, and may be an important water source for neighboring plants. Recent evidence shows that hydraulically lifted water can promote greater plant growth, and could have important implications for net primary productivity, as well as ecosystem nutrient cycling and water balance.

11.
Oecologia ; 114(1): 11-19, 1998 Mar.
Article in English | MEDLINE | ID: mdl-28307549

ABSTRACT

Microstegium vimineum (Trin.) A. Camus, a shade-tolerant C4 grass, has spread throughout the eastern United States since its introduction in 1919. This species invades disturbed understory habitats along streambanks and surrounding mesic forests, and has become a major pest in areas such as Great Smoky Mountains National Park. The focus of this study was to characterize the photosynthetic induction responses of M. vimineum, specifically its ability to utilize low light and sunflecks, two factors that may be critical to invasive abilities and survival in the understory. In addition, we were curious about the ability of a grass with the C4 photosynthetic pathway to respond to sunflecks. Plants were grown under 25% and 50% ambient sunlight, and photosynthetic responses to both steady-state and variable light were determined. Plants grown in both 25% and 50% ambient sun became 90% light saturated between 750-850 µmol m-2 s-1; however, plants grown in 50% ambient sun had significantly higher maximum steady-state photosynthetic rates (16.09 ± 1.37 µmol m-2 s-1 vs. 12.71 ± 1.18 µmol m-2 s-1). Both groups of plants induced to 50% of the steady-state rate in 3-5 min, while it took 10-13 min to reach 90% of maximum rates, under both flashing and steady-state light. For both groups of plants, stomatal conductance during induction reached maximum rates in 6-7 min, after which rates decreased slightly. Upon return to low light, rates of induction loss and stomatal closure were very rapid in both groups of plants, but were more rapid in those grown in high light. Rapid induction and the ability to induce under flashing light may enable this species to invade and dominate mesic understory habitats, while rapid induction loss due to stomatal closure may prevent excess water loss when low light constrains photosynthesis. The C4 pathway itself does not appear to present an insurmountable barrier to the ability of this grass species to respond to sunflecks in an understory environment.

12.
J Clin Invest ; 100(8): 1951-7, 1997 Oct 15.
Article in English | MEDLINE | ID: mdl-9329958

ABSTRACT

Both rheumatoid arthritis and animal models of autoimmune arthritis are characterized by hyperactivation of synovial cells and hyperplasia of the synovial membrane. The activated synovial cells produce inflammatory cytokines and degradative enzymes that lead to destruction of cartilage and bones. Effective treatment of arthritis may require elimination of most or all activated synovial cells. The death factor Fas/Apo-1 and its ligand (FasL) play pivotal roles in maintaining self-tolerance and immune privilege. Fas is expressed constitutively in most tissues, and is dramatically upregulated at the site of inflammation. In both rheumatoid arthritis and animal models of autoimmune arthritis, high levels of Fas are expressed on activated synovial cells and infiltrating leukocytes in the inflamed joints. Unlike Fas, however, the levels of FasL expressed in the arthritic joints are extremely low, and most activated synovial cells survive despite high levels of Fas expression. To upregulate FasL expression in the arthritic joints, we have generated a recombinant replication-defective adenovirus carrying FasL gene; injection of the FasL virus into inflamed joints conferred high levels of FasL expression, induced apoptosis of synovial cells, and ameliorated collagen-induced arthritis in DBA/1 mice. The Fas-ligand virus also inhibited production of interferon-gamma by collagen-specific T cells. Coadministration of Fas-immunoglobulin fusion protein with the Fas-ligand virus prevented these effects, demonstrating the specificity of the Fas-ligand virus. Thus, FasL gene transfer at the site of inflammation effectively ameliorates autoimmune disease.


Subject(s)
Arthritis, Rheumatoid/therapy , Genetic Therapy/methods , Membrane Glycoproteins/therapeutic use , Adenoviridae/genetics , Animals , Apoptosis , Arthritis, Rheumatoid/chemically induced , Arthritis, Rheumatoid/immunology , Collagen/immunology , Fas Ligand Protein , Immune Tolerance , Inflammation/therapy , Injections, Intralesional , Interferon-gamma/biosynthesis , Joints/drug effects , Male , Membrane Glycoproteins/genetics , Mice , Mice, Inbred DBA , Recombinant Proteins/therapeutic use , T-Lymphocytes/immunology
13.
J Mol Med (Berl) ; 75(8): 603-8, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9297628

ABSTRACT

Although it is well established that CD40 and its ligand (CD40L) play pivotal roles in the development of humoral immunity, their roles in cell-mediated immunity and cell-mediated autoimmune diseases are not well defined. We report here that CD40:CD40L interaction is crucial for the development of experimental autoimmune encephalomyelitis (EAE), a prototype TH1-cell mediated autoimmune disease. Specific blockade of CD40L at the time of immunization markedly suppressed the incidence, mortality, day of onset, and clinical scores of EAE in (PLJ x SJL) F1 mice. Importantly, the disease suppression was not associated with anergy or deletion of autoreactive T cells but was accompanied by a drastic alteration of their cytokine profiles. The production of interferon (IFN)-gamma was markedly suppressed while that of interleukin (IL)-4 enhanced. These results suggest that CD40:CD40L interaction plays important roles in the differentiation of autoreactive TH1 versus TH2 cells in vivo, and that CD40L blockade is effective in preventing autoimmune encephalomyelitis.


Subject(s)
Antigens, Differentiation, T-Lymphocyte , Encephalomyelitis, Autoimmune, Experimental/immunology , Membrane Glycoproteins/antagonists & inhibitors , Th1 Cells/immunology , Th2 Cells/immunology , Animals , Antibodies, Blocking/pharmacology , CD40 Antigens/metabolism , CD40 Ligand , Cell Differentiation/drug effects , Cytokines , Encephalomyelitis, Autoimmune, Experimental/pathology , Encephalomyelitis, Autoimmune, Experimental/prevention & control , Female , Immune Tolerance , Immunization , Mice , Mice, Inbred Strains , Myelin Basic Protein/immunology , Recombinant Proteins , Th1 Cells/cytology , Th1 Cells/drug effects , Th2 Cells/cytology , Th2 Cells/drug effects
14.
Int Immunol ; 9(11): 1663-8, 1997 Nov.
Article in English | MEDLINE | ID: mdl-9418127

ABSTRACT

Although both B7 and its counter-receptor CD28 are expressed in the thymus, the role of B7 in thymic selection is not clear. We investigated the role of B7 in intrathymic deletion of antigen-specific T cells using a TCR transgenic model specific for antigen ovalbumin (OVA) and H-2Ad. Intraperitoneal injection of OVA induced apoptosis of thymocytes and drastic reduction of thymocyte numbers. This was significantly inhibited by co-injection of CTLA-4-Ig which blocks B7 co-stimulation. Deletion of T cells in the thymus following i.p. injection of OVA was associated with T cell pre-activation as demonstrated by T cell proliferation and cytokine production. Injection of CTLA-4-Ig blocked all these activation events and rescued thymocytes from activation-induced cell death. These results demonstrate that B7 is required for the activation-induced cell death of MHC class II-restricted thymocytes in vivo.


Subject(s)
Apoptosis/physiology , B7-1 Antigen/physiology , Lymphocyte Activation/physiology , T-Lymphocytes/physiology , Animals , Cell Death/physiology , Epitopes , Histocompatibility Antigens Class II/physiology , Mice , Mice, Inbred BALB C , Mice, Transgenic , Ovalbumin/immunology , Ovalbumin/pharmacology , Receptors, Antigen, T-Cell/genetics , T-Lymphocytes/cytology , T-Lymphocytes/immunology , Thymus Gland/cytology , Thymus Gland/immunology
15.
Med Phys ; 23(11): 1903-8, 1996 Nov.
Article in English | MEDLINE | ID: mdl-8947905

ABSTRACT

An empirical method for verifying the total treatment time for either a one- or a two-catheter high-dose-rate procedure has been developed. The method can be performed quickly and allows for easy verification of the accuracy of the treatment time arrived at by a computerized planning system. The method is designed to confirm the treatment time to within 10%.


Subject(s)
Brachytherapy/methods , Bronchial Neoplasms/radiotherapy , Radiotherapy Planning, Computer-Assisted/methods , Humans , Radiotherapy Dosage , Time Factors
16.
Int J Radiat Oncol Biol Phys ; 35(4): 809-20, 1996 Jul 01.
Article in English | MEDLINE | ID: mdl-8690651

ABSTRACT

In summary, the ASTRO Committee on Human Resources believes that there is ample evidence for the existence of an oversupply of radiation oncologists in the United States at the present time. It believes that this oversupply has already affected the specialty in a variety of ways that are difficult to measure, for example, increased competition, conflicts between radiation oncology groups, conflicts between the private sector and academics, and increased costs, and that it is beginning to have a significant effect on the job market. This oversupply came about because of the rapid expansion in medical school enrollment in the 1970s. This led to an increased number of graduates available for enrollment into specialty residencies, one of which was radiation oncology. The actual number of radiation oncology residency positions offered has not changed significantly since 1972. However, only about half of the residency positions were filled in the early years. Since 1986, virtually all radiation oncology training positions in the United States have been filled, and this has led to a significantly greater number of radiation oncologists entering the field than have left the field through death or retirement. Preliminary data suggest that a shift to a managed care system would result in decreased demand for radiation oncology services, and that would increase the manpower problem for our specialty.


Subject(s)
Radiation Oncology , Adult , Aged , Humans , Middle Aged , Time Factors , United States , Workforce
17.
Med Phys ; 23(4): 521-2, 1996 Apr.
Article in English | MEDLINE | ID: mdl-9157264

ABSTRACT

The effects of the mechanical loss of a stainless steel primary scattering foil on a 12-MeV electron beam from a dedicated intraoperative electron accelerator are discussed. Routine quality assurance tests, including dose output constancy, energy constancy, and beam uniformity (flatness and symmetry), were used to determine the nature of the malfunction when it occurred. It is concluded that these quality assurance checks, if done with the frequencies recommended by the AAPM Task Group 40 Report [Med. Phys. 21, 581-619 (1994)] and repeated at the time of occurrence, are sufficient to detect loss of an electron scattering foil.


Subject(s)
Particle Accelerators/instrumentation , Particle Accelerators/standards , Biophysical Phenomena , Biophysics , Electrons/therapeutic use , Equipment Failure , Humans , Quality Assurance, Health Care , Radiometry , Scattering, Radiation , Stainless Steel
18.
Med Phys ; 23(4): 523-5, 1996 Apr.
Article in English | MEDLINE | ID: mdl-9157265

ABSTRACT

Recently, the mechanical failure of one of the upper collimator mechanical trimmers on a cobalt-60 unit resulted in large beam asymmetries and unacceptable flatness characteristics. This malfunction was not detected using currently accepted schedules for quality assurance tests. The incident suggests that the frequency of routine beam profile constancy checks should be increased to weekly for cobalt-60 units.


Subject(s)
Cobalt Radioisotopes/therapeutic use , Radioisotope Teletherapy/instrumentation , Radioisotope Teletherapy/standards , Biophysical Phenomena , Biophysics , Equipment Failure , Humans , Quality Assurance, Health Care , Radiometry
19.
Med Dosim ; 21(4): 219-26, 1996.
Article in English | MEDLINE | ID: mdl-8985927

ABSTRACT

The lung cancer death rate in the U.S. rose 440% between 1957-59 and 1987-89, from 5.4 to 29.4 per 100,000. While surgical resection of small, localized carcinomas offers the best prognosis, only 15-20% of lung cancers fall into this category. The remaining 80-85% of patients are generally candidates for radiation therapy. Typically, the tumor volume (plus a 2 cm margin) and the mediastinum will be irradiated, using parallel opposed anterior and posterior ports, until the spinal cord has reached tolerance at 45 Gy. At this point, an off-cord lateral or oblique treatment technique will be used to complete the prescribed dose to the tumor. The depth to isocenter for oblique ports may easily be 15 cm. With this depth, a high-energy x-ray beam seems to be required; however, the beam may pass through a significant portion of lung tissue, reducing the equivalent depth. Another factor to consider is the build-up region beyond the lower density lung tissue. Two different energy beams, 6 MV and 18 MV, were compared for the oblique treatment ports. Plans were run using a thorax CT slice of an anthropomorphic phantom for parallel opposed oblique fields at these two energies, each with and without CT correction. Further data were collected for comparison by thermoluminescent dosimetry measurements. This paper describes the process and results obtained.


Subject(s)
Lung/radiation effects , Radiotherapy Dosage , Humans , Lung Neoplasms/radiotherapy , Radiotherapy, High-Energy
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