Preventing the spread of norovirus-like infections by the airborne route using plasma assisted catalytic technology (PACT).

Zoonoses are frequently reported, and outbreaks of the highly pathogenic influenza virus, severe acute respiratory syndrome, and Middle East respiratory syndrome have occurred recently, in Africa, the Middle East, and Southeast Asia. Sterilization using a chemical reactor with plasma assisted catalytic technology (PACT) was investigated. Tests were carried out on the feline calicivirus (FCV) vaccine strain F9, which is a surrogate of airborne pathogen human norovirus. Results showed that the PACT device could inactivate FCV, which passed through the plasma chamber. Sterilization rate may be more than 99.99% (below the detection limit). These results indicate that PACT may be an effective mean to inactivate many viruses, including human norovirus, and potentially other airborne, infectious microorganisms.

[Improvement of quantitative accuracy using phase-based respiratory-gated PET/CT in phantom and clinical studies].

OBJECTIVE: The present study aimed at determining the quantitative accuracy of phase-based respiratory-gated PET/CT imaging using phantom and clinical studies. METHODS: The effects of target size, target-to-background ratio (TBR), and respiratory motion on PET images were estimated using a NEMA body phantom comprising six spheres (diameter 10-37mm) in a solution of F-18 of three different TBRs (4, 6, 8). The phantom was moved in a superior-inferior direction at motion displacements of 0, 10, 20 and 30 mm. Stationary images of the phantom as well as non-gated (3D) and gated (4D) images of the phantom while moving were reconstructed and the recovery coefficient (RC) of individual spheres was calculated from each image. We then determined the RC improvement rate to evaluate improvements conferred by 4D-PET/CT. We retrospectively analyzed data from 14 patients with lung cancer who were examined by 3D- and 4D-PET/CT. Each lesion on the 3D-PET/CT and each of the five phases of the 4D-PET/CT were analyzed. RESULTS: Larger motion displacement and TBR resulted in increased RC degradation for small spheres. The RC improvement rate showed that 4D acquisition improved the RC of spheres with larger motion displacement exceeding 13 mm in diameter. 4D-PET/CT alone can reduce the effects of motion blurring, but partial volume effects may still be the dominant source of quantitative inaccuracy for small lesions. The trends of phantom and clinical studies for evaluating the improvement rate were similar. CONCLUSIONS: 4D-PET/CT significantly improved the quantitative accuracy of PET images particularly when larger motion displacement exceeded 17mm in diameter such as in lung cancer.

[Comparison of (18)F-fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography image quality between commercial and in-house supply of FDG radiopharmaceuticals].

OBJECTIVE: PET images are affected by scanner model, reconstruction conditions, injected dose, scan duration, patient health status and FDG radiopharmaceutical supply systems. The present study compares images of 40 patients using commercial and in-house FDG systems with one PET scanner (Aquiduo). METHODS: The PET images were evaluated using the physical indexes of NECpatient, NECdensity and SNRliver proposed by the Japanese guidelines for oncological FDG-PET/CT, and by visual assessment. RESULTS: There were no significant differences in the physical indexes between PET images generated using commercial and in-house FDG. The physical indexes were also acceptable according to the recommended Japanese guidelines. NECdensity was higher when a higher dose/body weight of commercial FDG was injected (correlation coefficient: r=0.576, p<0.001) and lower when BMI was lower and in-house FDG was injected (r=-0.786, p<0.0001). These results suggest that scan duration should be increased if the injected dose of commercial FDG/body weight is <5.5 MBq/kg, and if individuals with BMI >21.4 kg/m(2) are injected with in-house FDG. CONCLUSIONS: Scan duration should be varied depending on FDG supply systems to ensure more accurate image quality and quantitative values during evaluations of response to therapy and prognostic prediction.

[Relationship between image quality and cross-sectional area of phantom in three-dimensional positron emission tomography scan].

The image quality in (18)FDG PET/CT often degrades as the body size increases. The purpose of this study was to evaluate the relationship between image quality and the body size using original phantoms of variable cross-sectional areas in PET/CT. We produced five water phantoms with different cross-sectional areas. The long axis of phantom was 925 mm, and the cross-sectional area was from 324 to 1189 cm(2). These phantoms with the sphere (diameter 10 mm) were filled with (18)F-FDG solution. The radioactivity concentration of background in the phantom was 1.37, 2.73, 4.09 and 5.46 kBq/mL. The scanning duration was 30 min in list mode acquisition for each measurement. Background variability (N(10 mm)), noise equivalent count rates (NECR(phantom)), hot sphere contrast (Q(H,10 mm)) as physical evaluation and visual score of sphere detection were measured, respectively. The relationship between image quality and the various cross-sectional areas was also analyzed under the above-mentioned conditions. As cross-sectional area increased, NECR(phantom) progressively decreased. Furthermore, as cross-sectional area increased, N(10 mm) increased and Q(H,10 mm) decreased. Image quality became degraded as body weight increased because noise and contrast contributed to image quality. The visual score of sphere detection deteriorated in high background radioactivity concentration because a false positive detection in cross-sectional area of the phantom increased. However, additional increases in scanning periods could improve the visual score. We assessed tendencies in the relationship between image quality and body size in PET/CT. Our results showed that time adjustment was more effective than dose adjustment for stable image quality of heavier patients in terms of the large cross-sectional area.

Mutations in the essential Escherichia coli gene, yqgF, and their effects on transcription.

The Escherichia coli yqgF gene is highly conserved across a broad spectrum of bacterial genomes. The gene was first identified as being essential for cell growth during screening for targets for broad-spectrum antibiotics. YqgF is structurally similar to RuvC, a Holliday junction resolvase, but its function has not been established. This study describes the isolation of a temperature-sensitive yqgF mutant, the growth of which was inhibited by rho or nusA multicopy plasmids, indicating that YqgF is involved in transcription. Rho is a global transcription termination factor that acts at Rho-dependent terminator sites, which exist not only at the ends of genes but also within genes. The transcription of genes possessing intragenic, or upstream, Rho-dependent terminators was reduced in temperature-sensitive yqgF mutants. This transcription inhibition was sensitive to the Rho inhibitor, bicyclomycin. In addition, the transcription of mutant tnaA genes defective for upstream Rho-dependent termination was not significantly affected by the yqgF mutation. Taken together, these results suggest that YqgF is involved in anti-termination at Rho-dependent terminators in vivo.

Characteristics of bacteroids in indeterminate nodules of the leguminous tree Leucaena glauca.

Rhizobia establish symbiosis with legumes. Bacteroids in indeterminate nodules of Inverted Repeat Lacking Clade (IRLC) legumes undergo terminal differentiation caused by Nodule-specific Cysteine-Rich peptides (NCRs). Microscopic observations of bacteroids and the detection of NCRs in indeterminate nodules of the non-IRLC legume Leucaena glauca were performed. A portion of the bacteroids showed moderate cell elongation, loss of membrane integrity, and multiple nucleoids. The symbiosome contained multiple bacteroids and NCR-like peptides were not detectable. These results indicate that bacteroid differentiation in L. glauca is different from that in IRLC legumes although both hosts form indeterminate nodules.

[Respiratory management of CT-transmission for accuracy fusion in PET/CT: a comparison between normal expiration and free breathing in 600 experiences].

Image misregistration can occur in fusion PET/CT, because of motion artifacts caused by the management of respiration. The standard imaging protocol of the CT component of PET/CT is normal expiration (NormExp) or free breathing (FB). The objective of this study was to compare NormExp and FB for the optimal breathing protocol for PET/CT scans. A total of 600 consecutive patients were examined using lutetium oxyorthosilicate (LSO)-based PET/CT. CT was acquired during NormExp (i.e., the level reached when the patient exhaled without forcing expiration and then held the breath) in 300 patients and during FB in 300 patients. The profile of liver measured along body axis was assessed. The distance of profile centers between the PET image and the CT image was measured. The misalignment between profile centers (PET) and profile centers (CT) was compared between NormExp and FB using the histogram of patients. An F test was used to test if the variances of two misalignments are equal. Next, the relationship between misalignment and age was evaluated in two managements of respiration. There was no significant difference between NormExp and FB in the histogram. However, significant misalignments (>10 cm) were found with NormExp. Patient age may have influenced the mismatch. FB is recommended for geriatric patients during acquisition of attenuation correction CT data sets.

Effects of density changes in the chest on lung stereotactic radiotherapy.

To experimentally and theoretically evaluate dose distribution during lung stereotactic radiotherapy, we investigated the relative electron densities in lung and tumor tissues using X-ray computed tomography images obtained from 30 patients in three breathing states: free breathing, inspiration breath-hold, and expiration breath-hold. We also calculated dose distribution using Monte Carlo simulation for lung tissue with two relative electron densities. The effect of changes in relative electron density on dose distribution in lung tissue was evaluated using calculated differential and integral dose volume histograms. The relative electron density of lung tissue was 0.22 in free breathing, 0.23 in shallow expiration, and 0.17 in shallow inspiration, and there was a tendency for relative electron density to decrease with age. The relative electron density of tumor tissue was approximately 0.9, with little variation due to differences in breathing state. As the relative electron density of lung tissue decreases, the low-dose region expands and leads to changes in the marginal dose.

[Absorbed dose measurement of photon beam with Farmer-type ionization chambers in Japanese dosimetry protocols].

The Japan Society of Medical Physics (JSMP) has published a new dosimetry protocol "JSMP-01" (standard dosimetry of absorbed dose in external beam radiotherapy) which conforms to the recommendations of the International Atomic Energy Agency (IAEA TRS-398) and the American Association of Physicists in Medicine (AAPM TG-51) protocols for the calibration of radiotherapy beams. Since the new protocol offers the physical data for the Famer-type ionization chambers of the various wall materials, the user can measure the absorbed dose at reference point (D(r)) using most of the commercially available Famer-type ionization chambers. In this paper, the six Famer-type ionization chambers of the various wall materials are examined for photon beam by two ways. To verify the JSMP-01 protocol as the first way, D(r) was cross-measured based on the JSMP-01 protocol using a Farmer-type ionization chamber of the acrylic wall material which is called "JARP-chamber" and the Farmer-type ionization chambers of the various wall materials, and compared. To compare the basic data in previous and new protocols as the second way, D(r) was measured based on the previous protocol (JSMP-86) and the JSMP-01 protocol using the Farmer-type ionization chambers of the various wall materials. Dose calculation was made using common exposure calibration factor for (60)Co gamma-rays (Nc) for each of the Farmer-type ionization chambers. Measurement was made with each ionization chamber for 6 and 10 MV photon beams in two facilities. D(r) were found to agree to that of JARP-chamber within about +/- 1% despite significant differences of ratio of calibration factor (k(D,X)) and beam quality conversion factor (k(Q)) for photon beams. The ratios JSMP-01/JSMP-86 of the reference dose were found to lie on between 0.999 and 1.004 for 6 MV and on between 0.999 and 1.005 for 10 MV depending upon the Farmer-type ionization chambers used. The largest discrepancies between the previous and new protocols arise from the use of different data of k(D,x) x k(Q) and C(lambda) for the absorbed dose conversion factors of each ionization chamber.