ABSTRACT
The purposes of this retrospective study were to analyze local control of squamous cell carcinoma of the cervix treated with computed tomography (CT)-based image-guided brachytherapy (IGBT), as well as the factors affecting local control. A total of 39 patients were analyzed. The prescribed dose to the pelvis was 45-50 Gy with or without central shielding (CS). IGBT was delivered in 1-5 fractions. The total dose for high-risk clinical target volume (HR-CTV) was calculated as the biologically equivalent dose in 2-Gy fractions. The median follow-up period was 29.3 months. The 2-year overall survival and local control rates were 97% and 91%, respectively. In univariate analysis, the dose covering 90% of the HR-CTV (D90) and tumor size were found to be significant factors for local control. The cutoff values of tumor size and D90 for local control were 4.3 cm (area under the curve [AUC] 0.75) and 67.7 Gy (AUC 0.84) in the CS group and 5.3 cm (AUC 0.75) and 73.7 Gy (AUC 0.78) in the group without CS, respectively. However, though the local control of CT-based IGBT was favorable, the results suggested that the dose required for tumor control may differ depending on the presence of CS.
Subject(s)
Brachytherapy/methods , Carcinoma, Squamous Cell/radiotherapy , Radiotherapy, Conformal/methods , Uterine Cervical Neoplasms/radiotherapy , Adult , Aged , Aged, 80 and over , Carcinoma, Squamous Cell/pathology , Female , Humans , Imaging, Three-Dimensional , Middle Aged , Radiotherapy Dosage , Retrospective Studies , Tomography, X-Ray Computed , Uterine Cervical Neoplasms/pathologyABSTRACT
The blue coloration of Morpho butterflies has anomalously low angular dependence despite the production of color with a selected wavelength based on an interference effect. A key to the mechanism of the specific Morpho-color was suggested to be the randomness of its scale. Using finite-difference time-domain (FDTD) analysis, the role of different kinds of randomness in the structure of the Morpho butterfly's scale was investigated, which was impossible by conventional analytical calculations. The results revealed that incoherence in the incident light plays an essential role, which cannot be realized only by structural randomness. On the other hand, the lateral and vertical randomness, and the number of random components were found each to have an independent role to realize the specific Morpho-color preventing the sharp reflective angular dependence. The direction obtained by the numerical simulations to analyze optically complex random structures will serve not only to understand the scientific principles, but also to design the optical properties of artificial materials.
Subject(s)
Butterflies/chemistry , Butterflies/physiology , Color , Models, Biological , Models, Chemical , Animals , Computer Simulation , Light , Refractometry , Scattering, RadiationABSTRACT
Chronic expanding hematoma is rare and occasionally misdiagnosed as malignant neoplasm. We describe a case in the female pelvis and correlate findings from pathology and magnetic resonance imaging. On diffusion-weighted images (DWI), our patient's hematoma showed 2 different signal intensities, which corresponded to pathological features of fresh and altered blood components. DWI can distinguish between such pathological features of a chronic expanding hematoma.
