A tele-home care system exploiting the DVB-T technology and MHP.

OBJECTIVES: The aim of this research work is the development of a low-cost system for telemedicine based on the DVB-T technology. The diffusion of DVB-T standard and the low cost of DVB-T set-top boxes bring the vision of a capillary distribution of tele-home care monitoring systems with easy-to-use patient's interface. METHODS: Exploiting the potentiality of the DVB-T set-top box, we transformed it into an "on-demand tele-home care interface". The Xlet we developed is able to govern the functionality of an external microcontroller-based unit for the acquisition of the bio-signals of interest. The uplink connection is used to send the exam results to a remote care center. RESULTS: The Xlet providing the patient interface on the set-top box is uploaded by a DVB-T broadcaster without any intervention in the patient's home. A prototypal low-cost base station for the acquisition of the patient's signals (1-lead ECG) has been developed. It is able to be connected to the set-top box via an infrared link. A smart-card-based system is in charge for the customization of the Xlet for every patient. CONCLUSIONS: The proposed system, based on a currently widespread infrastructure, is able to allow the patients monitoring from home without any installation procedure. Even untrained (or elderly) people can easily use such system due to their practice with the basic DVB-T home-entertainment equipments.

The GEANT4 toolkit for microdosimetry calculations: application to microbeam radiation therapy (MRT).

Theoretical dose distributions for microbeam radiation therapy (MRT) are computed in this paper using the GEANT4 Monte Carlo (MC) simulation toolkit. MRT is an innovative experimental radiotherapy technique carried out using an array of parallel microbeams of synchrotron-wiggler-generated x rays. Although the biological mechanisms underlying the effects of microbeams are still largely unknown, the effectiveness of MRT can be traced back to the natural ability of normal tissues to rapidly repair small damages to the vasculature, and on the lack of a similar healing process in tumoral tissues. Contrary to conventional therapy, in which each beam is at least several millimeters wide, the narrowness of the microbeams allows a rapid regeneration of the blood vessels along the beams' trajectories. For this reason the calculation of the "valley" dose is of crucial importance and the correct use of MC codes for such purposes must be understood. GEANT4 offers, in addition to the standard libraries, a specialized package specifically designed to deal with electromagnetic interactions of particles with matter for energies down to 250 eV. This package implements two different approaches for electron and photon transport, one based on evaluated data libraries, the other adopting analytical models. These features are exploited to cross-check theoretical computations for MRT. The lateral and depth dose profiles are studied for the irradiation of a 20 cm diameter, 20 cm long cylindrical phantom, with cylindrical sources of different size and energy. Microbeam arrays are simulated with the aid of superposition algorithms, and the ratios of peak-to-valley doses are computed for typical cases used in preclinical assays. Dose profiles obtained using the GEANT4 evaluated data libraries and analytical models are compared with simulation results previously obtained using the PENELOPE code. The results show that dose profiles computed with GEANT4's analytical model are almost indistinguishable from those obtained with the PENELOPE code, but some noticeable differences appear when the evaluated data libraries are used.

A Simulator for X-ray images.

A simulator for X-ray images is presented based on a virtual X-ray source and a virtual human body obtained from tomographic slices. In the simulator it is possible to modify the tube potential, the anodic current, the exposure time, the filtration and some geometric parameters such as source-skin distance, orientation and field size. The virtual body consists of a three-dimensional voxel matrix in which CT numbers for each point of the body are stored. The interactions of X rays passing through the body are evaluated using the pencil beam technique. The image is obtained by computing the dose absorbed by the detector and converting it into optical density using a proper response function. The image spatial resolution is limited by the voxel size. The influence of each parameter on the image quality can be observed interactively. The dose absorbed in each point of the body is an important parameter obtained as output of the simulator.

[Automation of radiotherapy plans with the use of a personal computer]. / Automazione dei piani di radioterapia con l'uso del personal computer.

A system for the automation of radiotherapy treatment planning is described, implemented by a personal computer, which can be employed with both electromagnetic and corpuscular radiation beams, once the characteristics of the beams employed have been recorded. The use of both moving-field and fixed-field techniques is considered. Along the beams, wedge filters and limitation blocks can be interposed. When calculating the radiation dose, both beam obliquity and inhomogeneous tissue structure are to be considered. Dose distribution can be optimized and adapted to the patient's needs.

Gamma-irradiation effects on phosphatidylcholine multilayer liposomes: calorimetric, NMR, and spectrofluorimetric studies.

Chemical and structural modifications in multilayer liposomes of synthetic phosphatidylcholine induced by gamma irradiation are investigated with different techniques. Fluorescence anisotropy of the DPH probe and differential scanning calorimetry reveal a broadening of the main lipid transition and the disappearance of pretransition. Fluorescence anisotropy is shown to be higher in the irradiated sample and particularly so at low temperatures. NMR and TLC results show that lysolecithin and palmitic acid are formed with a consequent change in bilayer organization. The possibility that these modifications may account for the permeability variations observed in irradiated natural membranes is discussed.

[A program for optimizing radiation beam parameters in radiotherapy (author's transl)]. / Un programma di ottimizzazione dei parametri di irraggiamento in radioterapia.

A very large-use optimization technique for radiation treatment planning is presented. Very few input data are sufficient to enable the program to work out an optimized dose distribution; optimization is obtained by modifying the intersection point of beams and the size, the wedge and the time of each beam. The technique may be extended to moving beam teletherapy. A memorized collection of typical geometric arrangements allows a good saving in operator's time especially during data preparation.