A review of lactate-lactylation in malignancy: its potential in immunotherapy.

Lactic acid was formerly regarded as a byproduct of metabolism. However, extensive investigations into the intricacies of cancer development have revealed its significant contributions to tumor growth, migration, and invasion. Post-translational modifications involving lactate have been widely observed in histone and non-histone proteins, and these modifications play a crucial role in regulating gene expression by covalently attaching lactoyl groups to lysine residues in proteins. This discovery has greatly enhanced our comprehension of lactic acid's involvement in disease pathogenesis. In this article, we provide a comprehensive review of the intricate relationship between lactate and tumor immunity, the occurrence of lactylation in malignant tumors, and the exploitation of targeted lactate-lactylation in tumor immunotherapy. Additionally, we discuss future research directions, aiming to offer novel insights that could inform the investigation, diagnosis, and treatment of related diseases.

Impact of Physical Interventions, Phosphorus Fertilization, and the Utilization of Soil Amendments on the Absorption of Cadmium by Lettuce Grown in a Solar-Powered Greenhouse.

This study aimed to evaluate the effects of physical measures and the applications of phosphorus fertilizer and soil conditioner on the growth of lettuce (Lactuca sativa) and its uptake of cadmium (Cd). In a solar greenhouse that contained soil enriched with cadmium (Cd) (1.75 ± 0.41 mg/kg) with lettuce used as a test plant, field experimental methods were utilized to explore the influence of physical measures, such as deep plowing and soil covering, and the applications of phosphorus fertilizer, including diammonium phosphate (DAP), calcium magnesium phosphate (CMP), and calcium superphosphate (SSP), and soil conditioners, such as biochar, attapulgite clay, and nano-hydroxyapatite, on the uptake of Cd in lettuce. The results indicated that the concentrations of Cd in the aboveground parts of lettuce were 1.49 ± 0.45, 1.26 ± 0.02, 1.00 ± 0.21, and 0.24 ± 0.13 mg/kg when the soil was plowed 30, 40, and 50 cm deep, respectively, and when the soil was covered with 15 cm, this resulted in reductions of 27.5%, 38.3%, 51.4%, and 88.4%, respectively, compared with the control treatment that entailed plowing to 15 cm. When 75, 150, and 225 kg/ha of phosphorus pentoxide (P2O5) were applied compared with the lack of application, the contents of Cd in the aboveground parts of lettuce increased by 2.0%, 54.5%, and 73.7%, respectively, when DAP was applied; by 52.5%, 48.5%, and 8.1%, respectively, when CMP was applied; and by 13.1%, 61.6%, and 90.9%, respectively, when SSP was applied. When the amounts of biochar applied were 0, 2, 4, 6, 8, 10, and 12 t/ha, the contents of Cd in the aboveground parts of lettuce were 1.36 ± 0.27, 1.47 ± 0.56, 1.80 ± 0.73, 1.96 ± 0.12, 1.89 ± 0.52, 1.44 ± 0.30, and 1.10 ± 0.27 mg/kg, respectively. Under concentrations of 0, 40, 80, 120, 160, and 200 kg/ha, the application of nano-hydroxyapatite resulted in Cd contents of 1.34 ± 0.56, 1.47 ± 0.10, 1.60 ± 0.44, 1.70 ± 0.21, 1.31 ± 0.09, and 1.51 ± 0.34 mg/kg, respectively. The concentrations of Cd in the aboveground parts of lettuce treated with attapulgite clay were 1.44 ± 0.48, 1.88 ± 0.67, 2.10 ± 0.80, 2.24 ± 0.75, 1.78 ± 0.41, and 1.88 ± 0.48 mg/kg, respectively. In summary, under the conditions in this study, deep plowing and soil covering measures can reduce the concentration of Cd in the aboveground parts of lettuce. The application of phosphorus fertilizer increased the concentration of Cd in the aboveground parts of lettuce. The application of higher amounts of DAP and SSP led to greater concentrations of Cd in the aboveground parts of lettuce. The application of higher amounts of CMP caused a lower concentration of Cd in the aboveground parts of lettuce. When biochar, attapulgite clay, and nano-hydroxyapatite were applied, the concentration of Cd in the aboveground parts of lettuce increased in parallel with the increase in the concentration of application when low amounts were applied. In contrast, when high amounts were applied, the concentration of Cd in the aboveground parts of lettuce began to decrease.

Work Function Prediction by Graph Neural Networks for Configurationally Hybridized Boron-Doped Graphene.

Graphene, serving as electrodes, is widely applied in electronic and optoelectronic devices. Work function as one of the fundamental intrinsic characteristics of graphene directly affects the interfacial properties of the electrodes, thereby affecting the performance of the devices. Much work has been done to regulate the work function of graphene to expand its application fields, and doping has been demonstrated as an effective method. However, the numerous types of doped graphene make the investigation of its work function time-consuming and labor-intensive. In order to quickly obtain the relationship between the structure and property, a deep learning method is employed to predict the work function in this study. Specifically, a data set of over 30,000 compositions with the work function on boron-doped graphene at different concentrations and doping positions via density functional theory simulations was established through ab initio calculations. Then, a novel fusion model (GT-Net) combining transformers and graph neural networks (GNNs) was proposed. After that, improved effective GNN-based descriptors were developed. Finally, three different GNN methods were compared, and the results show that the proposed method could accurately predicate the work function with the R2 = 0.975 and RMSE = 0.027. This study not only provides the possibility of designing materials with specific properties at the atomic level but also demonstrates the performance of GNNs on graph-level tasks with the same graph structure and atomic number.

pH-Responsive Amphiphilic Triblock Fluoropolymers as Assemble Oxygen Nanoshuttles for Enhancing PDT against Hypoxic Tumor.

Photodynamic therapy (PDT) is a cancer treatment strategy that utilizes photosensitizers to convert oxygen within tumors into reactive singlet oxygen (1O2) to lyse tumor cells. Nevertheless, pre-existing tumor hypoxia and oxygen consumption during PDT can lead to an insufficient oxygen supply, potentially reducing the photodynamic efficacy. In response to this issue, we have devised a pH-responsive amphiphilic triblock fluorinated polymer (PDP) using copper-mediated RDRP. This polymer, composed of poly(ethylene glycol) methyl ether acrylate, 2-(diethylamino)ethyl methacrylate, and (perfluorooctyl)ethyl acrylate, self-assembles in an aqueous environment. Oxygen, chlorine e6 (Ce6), and doxorubicin (DOX) can be codelivered efficiently by PDP. The incorporation of perfluorocarbon into the formulation enhances the oxygen-carrying capacity of PDP, consequently extending the lifetime of 1O2. This increased lifetime, in turn, amplifies the PDT effect and escalates the cellular cytotoxicity. Compared with PDT alone, PDP@Ce6-DOX-O2 NPs demonstrated significant inhibition of tumor growth. This study proposes a novel strategy for enhancing the efficacy of PDT.

Effect of brackish water irrigation on cadmium migration in a soil-maize system.

Phytoremediation is an effective way to reduce heavy metal content in agricultural soil. The effects of brackish water irrigation on phytoremediation efficiency of plants have not yet been completely understood. In this study, the effects of brackish water irrigation on cadmium (Cd) uptake by maize as the phytoremediator were investigated. In a pot experiment, maize seedlings were grown in soil with exogenously added Cd (0, 5, 10, or 15 mg kg-1) and irrigated with deionized water (T1), natural brackish water (T2), or water with NaCl with salinity equal to that of natural brackish water (T3). Salt stress and cation antagonism caused by brackish water affected maize plant growth and Cd uptake. Under 5, 10, and 15 mg kg-1 Cd, Cd accumulation in maize shoots was 5.55, 7.08, and 5.71 µg plant-1; 4.08, 3.04, and 5.38 µg plant-1; and 2.48, 3.44, and 5.33 µg plant-1 under the T1, T2, and T3 treatments, respectively. Cd accumulation in the shoots was significantly lower under the T2 and T3 treatments than under the T1 treatment at 5 and 10 mg kg-1 Cd; however, no significant differences were observed among all treatments at 15 mg kg-1 Cd. These findings indicated that phytoremediation efficiency decreased in response to both salt stress and cation antagonism caused by brackish water under low soil-Cd concentrations; however, this effect was negligible under high soil-Cd concentration. Therefore, brackish water irrigation can be considered for the phytoremediation of soils contaminated with high Cd levels to save freshwater resources.

PEGA-BA@Ce6@PFCE Micelles as Oxygen Nanoshuttles for Tumor Hypoxia Relief and Enhanced Photodynamic Therapy.

Tumor hypoxia, which is mainly caused by the inefficient microvascular systems induced by rapid tumor growth, is a common characteristic of most solid tumors and has been found to hinder treatment outcomes for many types of cancer therapeutics. In this study, an amphiphilic block copolymer, poly (ethylene glycol) methyl ether acrylate-block-n-butyl acrylate (PEGA-BA), was prepared via the ATRP method and self-assembled into core-shell micelles as nano radiosensitizers. These micelles encapsulated a photosensitizer, Chlorin e6 (Ce6), and demonstrated well-defined morphology, a uniform size distribution, and high oxygen loading capacity. Cell experiments showed that PEGA-BA@Ce6@PFCE micelles could effectively enter cells. Further in vitro anticancer studies demonstrated that the PEGA-BA@Ce6@PFCE micelles significantly suppressed the tumor cell survival rate when exposed to a laser.

Chromatic aberration correction based on cross-channel information alignment in microscopy.

A microscope usually consists of dozens of complex lenses and requires careful assembly, alignment, and testing before use. Chromatic aberration correction is a significant step in the design of microscopes. Reducing chromatic aberration by improving optical design will inevitably increase the overall weight and size of the microscope, leading to more cost in manufacturing and maintenance. Nevertheless, the improvement in hardware can only achieve limited correction. In this paper, we propose an algorithm based on cross-channel information alignment to shift some of the correction tasks from optical design to post-processing. Additionally, a quantitative framework is established to evaluate the performance of the chromatic aberration algorithm. Our algorithm outperforms the other state-of-the-art methods in both visual appearance and objective assessments. The results indicate that the proposed algorithm can effectively obtain higher-quality images without changing the hardware or engaging the optical parameters.

An Automatic Clock-Induced-Spurs Detector Based on Energy Detection for Direct Digital Frequency Synthesizer.

A clock-induced-spurs detector, composed of a programmable low-pass filter (LPF), energy detector and spur detection algorithm, is presented and applied to a four-channel 1 gigabit-samples-per-second (GSPS) direct digital frequency synthesizer (DDS). The proposed detector realizes the detection of spurs based on energy-detection, and the spur detection algorithm is adopted to automatically extract the amplitude and phase of clock-induced spurs, generated by the intermodulation of harmonic spurs and multiple clocks. Finally, the extracted features are sent to auxiliary DDS to decrease the target spur, following which the detector can be turned off to save power. Additionally, the detected characteristics under different output conditions can be read out through the interface for rapid frequency switching. The proposed detector integrated into a DDS is fabricated with a 65 nm complementary metal oxide semiconductor (CMOS) process and has an area of 190 µm × 320 µm. The measured power consumption is roughly 38 mW, consuming 6% that of a single-channel DDS. The test results show that the spurious-free dynamic range (SFDR) of this DDS can be successfully enhanced from -43.1 dBc to roughly -59.9 dBc without any off-chip instruments. This effectively proves that the detection accuracy of this detector can reach around -81 dBm.

Correlates of loneliness in older adults in Shanghai, China: does age matter?

BACKGROUND: Loneliness is a public health concern with serious health consequences in older adults. Despite a large body of research on the correlates of loneliness, little is known about the age group differences in the correlates. Given that the older adult population is heterogeneous, this study aims to examine the correlates of loneliness in older adults in Shanghai, and to explore how the correlates vary across different age groups. METHODS: We used the Shanghai Urban Neighborhood Survey (SUNS) which was conducted in 2016 and 2017. The total sample size of older adults included in the analysis was 2770. Loneliness was measured using the sum of the 6 items derived from the De Jong Gierveld Loneliness Scale. Correlates include demographic variables, health conditions, social factors, and new media use. Regression analysis was used to examine the correlates of loneliness first in the whole sample, and then in the young old (60-79 years old) and the old old (80+ years old) separately. RESULTS: The mean of loneliness score was 18.48 (SD = 5.77). The old old reported a higher level of loneliness than the young old. Variables, including age, living arrangement, marital status, education, health, family functioning, volunteering, square dancing, and new media use were found to be significant in the whole sample. Most of the significant correlates observed in the young old were identical to the findings reported for the total sample, with an exception for living arrangement. Self-rated health (SRH) and family functioning were two important correlates for the old old. CONCLUSIONS: Correlates of loneliness vary for the young old and the old old. The older adults at higher risk of loneliness deserve more attention and concern. Future interventions should be tailored to the young old and the old old to better help older adults alleviate loneliness and enhance their well-being.

Photon caliper to achieve submillimeter positioning accuracy.

The purpose of this study was to demonstrate the feasibility of using a commercial two-dimensional (2D) detector array with an inherent detector spacing of 5 mm to achieve submillimeter accuracy in localizing the radiation isocenter. This was accomplished by delivering the Vernier 'dose' caliper to a 2D detector array where the nominal scale was the 2D detector array and the non-nominal Vernier scale was the radiation dose strips produced by the high-definition (HD) multileaf collimators (MLCs) of the linear accelerator. Because the HD MLC sequence was similar to the picket fence test, we called this procedure the Vernier picket fence (VPF) test. We confirmed the accuracy of the VPF test by offsetting the HD MLC bank by known increments and comparing the known offset with the VPF test result. The VPF test was able to determine the known offset within 0.02 mm. We also cross-validated the accuracy of the VPF test in an evaluation of couch hysteresis. This was done by using both the VPF test and the ExacTrac optical tracking system to evaluate the couch position. We showed that the VPF test was in agreement with the ExacTrac optical tracking system within a root-mean-square value of 0.07 mm for both the lateral and longitudinal directions. In conclusion, we demonstrated the VPF test can determine the offset between a 2D detector array and the radiation isocenter with submillimeter accuracy. Until now, no method to locate the radiation isocenter using a 2D detector array has been able to achieve such accuracy.

Electromagnetic navigational bronchoscopy-guided fiducial markers for lung stereotactic body radiation therapy: analysis of safety, feasibility, and interfraction stability.

BACKGROUND: Embolization coils as fiducial markers for pulmonary stereotactic body radiation therapy (SBRT) are perceived to be the optimal marker type, given their ability to conform and anchor within the small airways. The aim of our study was to assess retention, placement, migration, feasibility, and safety of electromagnetic navigational bronchoscopy (ENB)-guided embolization coil markers throughout courses of SBRT. METHODS: Thirty-one patients with 34 nodules underwent ENB-guided fiducial placement of several 4 mm fibered platinum embolization coils before SBRT. Patient and nodule positioning was confirmed with daily pretreatment cone-beam computed tomography (CBCT). Fiducial positional characteristics were analyzed utilizing radiation treatment-planning software comparing the simulation CT with daily CBCTs. RESULTS: Of 105 fiducials placed, 103 were identifiable on simulation CT (retention rate: 98.1%). Incidence of asymptomatic pneumothoraces was 6%. One patient experienced hemoptysis requiring hospitalization. Eighty-six percent of fiducials were placed within 1 cm of the nodule, with 52% of fiducials placed directly on the nodule surface. Throughout a 5-fraction SBRT course, fiducial displacement was <7, 5, and 2 mm in 98%, 96%, and 67% of pretreatment CBCTs. CONCLUSIONS: ENB placement of embolization coils as fiducials for lung SBRT image guidance is associated with a low rate of iatrogenic pneumothoraces, and resulted in reliable placement of the fiducials in close proximity to the lung nodule. Embolization coils retained their relative position to the nodule throughout the course of SBRT, and provide an excellent alternative to linear gold seeds.

[Analysis on volatile constituents of Semen Ziziphi Spinosae by HS-SPME-GC-MS].

OBJECTIVE: To establish a rapid and simple method for the determination of volatile constituents in Semen Ziziphi Spinosae. METHODS: The volatile constituents in Semen Ziziphi Spinosae were extracted by head space solid-phase microextraction (HS-SPME) and analysed by GC-MS. RESULTS: Powder of sample was pre-heated for 30 min at 90 degrees C, then headspace-extracted with 65 microm PDMS/DVB fiber for 50 min. After desorbed for 5 min at 250 degrees C, the separation was well completed on a Rxi -50 capillary column. 126 kinds of volatile compounds were isolated and 116 compounds were identified. The amounts of compound from the volatile constituents were determined by area normalization method. The main components extracted by HS-SPME were alkane (32.08%), terpenoid and derivatives of oxygenated terpenoid (27.06%). CONCLUSION: The method is simple, fast and accurate, and it is suitable for the determination of the volatile constituents in fruit of Ziziphus jujuba.

Development and clinical evaluation of a three-dimensional cone-beam computed tomography estimation method using a deformation field map.

PURPOSE: To develop a three-dimensional (3D) cone-beam computed tomography (CBCT) estimation method using a deformation field map, and to evaluate and optimize the efficiency and accuracy of the method for use in the clinical setting. METHODS AND MATERIALS: We propose a method to estimate patient CBCT images using prior information and a deformation model. Patients' previous CBCT data are used as the prior information, and the new CBCT volume to be estimated is considered as a deformation of the prior image volume. The deformation field map is solved by minimizing deformation energy and maintaining new projection data fidelity using a nonlinear conjugate gradient method. This method was implemented in 3D form using hardware acceleration and multi-resolution scheme, and it was evaluated for different scan angles, projection numbers, and scan directions using liver, lung, and prostate cancer patient data. The accuracy of the estimation was evaluated by comparing the organ volume difference and the similarity between estimated CBCT and the CBCT reconstructed from fully sampled projections. RESULTS: Results showed that scan direction and number of projections do not have significant effects on the CBCT estimation accuracy. The total scan angle is the dominant factor affecting the accuracy of the CBCT estimation algorithm. Larger scan angles yield better estimation accuracy than smaller scan angles. Lung cancer patient data showed that the estimation error of the 3D lung tumor volume was reduced from 13.3% to 4.3% when the scan angle was increased from 60° to 360° using 57 projections. CONCLUSIONS: The proposed estimation method is applicable for 3D DTS, 3D CBCT, four-dimensional CBCT, and four-dimensional DTS image estimation. This method has the potential for significantly reducing the imaging dose and improving the image quality by removing the organ distortion artifacts and streak artifacts shown in images reconstructed by the conventional Feldkamp-Davis-Kress (FDK) algorithm.

Digital tomosynthesis for respiratory gated liver treatment: clinical feasibility for daily image guidance.

PURPOSE: Breath-hold (BH) treatment minimizes internal target volumes (ITV) when treating sites prone to motion. Digital tomosynthesis (DTS) imaging has advantages over cone-beam CT (CBCT) for BH imaging: BH-DTS scan can be completed during a single breath-hold, whereas BH-CBCT is usually acquired by parsing the gantry rotation into multiple BH segments. This study evaluates the localization accuracy of DTS for BH treatment of liver tumors. METHODS: Both planning CT and on-board DTS/CBCT images were acquired under BH, using the planning CT BH window as reference. Onboard imaging data sets included two independent DTS orientations (coronal and sagittal), and CBCT images. Soft tissue target positioning was measured by each imaging modality and translated into couch shifts. Performance of the two DTS orientations was evaluated by comparing target positioning with the CBCT benchmark, determined by two observers. RESULTS: Image data sets were collected from thirty-eight treatment fractions (14 patients). Mean differences between the two DTS methods and the CBCT method were <1 mm in all directions (except the lateral direction with sagittal-DTS: 1.2 mm); the standard deviation was in the range of 2.1-3.5 mm for all techniques. The Pearson correlation showed good interobserver agreement for the coronal-DTS (0.72-0.78). The interobserver agreement for the sagittal-DTS was good for the in-plane directions (0.70-0.82), but poor in the out-of-plane direction (lateral, 0.26). CONCLUSIONS: BH-DTS may be a simpler alternative to BH-CBCT for onboard soft tissue localization of the liver, although the precision of DTS localization appears to be somewhat lower because of the presence of subtle out-of-plane blur.

Radiation-induced reductions in regional lung perfusion: 0.1-12 year data from a prospective clinical study.

PURPOSE: To assess the time and regional dependence of radiation therapy (RT)-induced reductions in regional lung perfusion 0.1-12 years post-RT, as measured by single photon emission computed tomography (SPECT) lung perfusion. MATERIALS/METHODS: Between 1991 and 2005, 123 evaluable patients receiving RT for tumors in/around the thorax underwent SPECT lung perfusion scans before and serially post-RT (0.1-12 years). Registration of pre- and post-RT SPECT images with the treatment planning computed tomography, and hence the three-dimensional RT dose distribution, allowed changes in regional SPECT-defined perfusion to be related to regional RT dose. Post-RT follow-up scans were evaluated at multiple time points to determine the time course of RT-induced regional perfusion changes. Population dose response curves (DRC) for all patients at different time points, different regions, and subvolumes (e.g., whole lungs, cranial/caudal, ipsilateral/contralateral) were generated by combining data from multiple patients at similar follow-up times. Each DRC was fit to a linear model, and differences statistically analyzed. RESULTS: In the overall groups, dose-dependent reductions in perfusion were seen at each time post-RT. The slope of the DRC increased over time up to 18 months post-RT, and plateaued thereafter. Regional differences in DRCs were only observed between the ipsilateral and contralateral lungs, and appeared due to tumor-associated changes in regional perfusion. CONCLUSIONS: Thoracic RT causes dose-dependent reductions in regional lung perfusion that progress up to approximately 18 months post-RT and persists thereafter. Tumor shrinkage appears to confound the observed dose-response relations. There appears to be similar dose response for healthy parts of the lungs at different locations.

Regional lung density changes after radiation therapy for tumors in and around thorax.

PURPOSE: To study the temporal nature of regional lung density changes and to assess whether the dose-dependent nature of these changes is associated with patient- and treatment-associated factors. METHODS AND MATERIALS: Between 1991 and 2004, 118 patients with interpretable pre- and post-radiation therapy (RT) chest computed tomography (CT) scans were evaluated. Changes in regional lung density were related to regional dose to define a dose-response curve (DRC) for RT-induced lung injury using three-dimensional planning tools and image fusion. Multiple post-RT follow-up CT scans were evaluated by fitting linear-quadratic models of density changes on dose with time as the covariate. Various patient- and treatment-related factors were examined as well. RESULTS: There was a dose-dependent increase in regional lung density at nearly all post-RT follow-up intervals. The population volume-weighted changes evolved over the initial 6-month period after RT and reached a plateau thereafter (p < 0.001). On univariate analysis, patient age greater than 65 years (p = 0.003) and/or the use of pre-RT surgery (p < 0.001) were associated with significantly greater changes in CT density at both 6 and 12 months after RT, but the magnitude of this effect was modest. CONCLUSIONS: There appears to be a temporal nature for the dose-dependent increases in lung density. Nondosimetric clinical factors tend to have no, or a modest, impact on these changes.

Comparing digital tomosynthesis to cone-beam CT for position verification in patients undergoing partial breast irradiation.

PURPOSE: To evaluate digital tomosynthesis (DTS) technology for daily positioning of patients receiving accelerated partial breast irradiation (APBI) and to compare the positioning accuracy of DTS to three-dimensional cone-beam computed tomography (CBCT). METHODS AND MATERIALS: Ten patients who underwent APBI were scanned daily with on-board CBCT. A subset of the CBCT projections was used to reconstruct a stack of DTS image slices. To optimize soft-tissue visibility, the DTS images were reconstructed in oblique directions so that the tumor bed, breast tissue, ribs, and lungs were well separated. Coronal and sagittal DTS images were also reconstructed. Translational shifts of DTS images were obtained on different days from the same patients and were compared with the translational shifts of corresponding CBCT images. Seventy-seven CBCT scans and 291 DTS scans were obtained from nine evaluable patients. RESULTS: Tumor beds were best visible in the oblique DTS scans. One-dimensional positioning differences between DTS and CBCT images were 0.8-1.7 mm for the six patients with clips present and 1.2-2.0 mm for the three patients without clips. Because of the limited DTS scan angle, the DTS registration accuracy along the off-plane direction is lower than the accuracy along the in-plane directions. CONCLUSIONS: For patients receiving APBI, DTS localization offers comparable accuracy to CBCT localization for daily patient positioning while reducing mechanical constraints and imaging dose.

Association between RT-induced changes in lung tissue density and global lung function.

PURPOSE: To assess the association between radiotherapy (RT)-induced changes in computed tomography (CT)-defined lung tissue density and pulmonary function tests (PFTs). METHODS AND MATERIALS: Patients undergoing incidental partial lung RT were prospectively assessed for global (PFTs) and regional (CT and single photon emission CT [SPECT]) lung function before and, serially, after RT. The percent reductions in the PFT and the average changes in lung density were compared (Pearson correlations) in the overall group and subgroups stratified according to various clinical factors. Comparisons were also made between the CT- and SPECT-based computations using the Mann-Whitney U test. RESULTS: Between 1991 and 2004, 343 patients were enrolled in this study. Of these, 111 patients had a total of 203 concurrent post-RT evaluations of changes in lung density and PFTs available for the analyses, and 81 patients had a total of 141 concurrent post-RT SPECT images. The average increases in lung density were related to the percent reductions in the PFTs, albeit with modest correlation coefficients (range, 0.20-0.43). The analyses also indicated that the association between lung density and PFT changes is essentially equivalent to the corresponding association with SPECT-defined lung perfusion. CONCLUSION: We found a weak quantitative association between the degree of increase in lung density as defined by CT and the percent reduction in the PFTs.

Dosimetric characteristics of novalis Tx system with high definition multileaf collimator.

A new Novalis Tx system equipped with a high definition multileaf collimator (HDMLC) recently became available to perform both image-guided radiosurgery and conventional radiotherapy. It is capable of delivering a highly conformal radiation dose with three energy modes: 6 MV photon energy, 15 MV photon energy, and 6 MV photon energy in a stereotactic radiosurgery mode with 1000 MU/min dose rate. Dosimetric characteristics of the new Novalis Tx treatment unit with the HDMLC are systematically measured for commissioning. A high resolution diode detector and miniion-chamber detector are used to measure dosimetric data for a range of field sizes from 4 x 4 mm to 400 x 400 mm. The commissioned Novalis Tx system has passed the RPC stereotactic radiosurgery head phantom irradiation test. The Novalis Tx system not only expands its capabilities with three energy modes, but also achieves better beam conformity and sharer beam penumbra with HDMLC. Since there is little beam data information available for the new Novalis Tx system, we present in this work the dosimetric data of the new modality for reference and comparison.

A novel digital tomosynthesis (DTS) reconstruction method using a deformation field map.

We developed a novel digital tomosynthesis (DTS) reconstruction method using a deformation field map to optimally estimate volumetric information in DTS images. The deformation field map is solved by using prior information, a deformation model, and new projection data. Patients' previous cone-beam CT (CBCT) or planning CT data are used as the prior information, and the new patient volume to be reconstructed is considered as a deformation of the prior patient volume. The deformation field is solved by minimizing bending energy and maintaining new projection data fidelity using a nonlinear conjugate gradient method. The new patient DTS volume is then obtained by deforming the prior patient CBCT or CT volume according to the solution to the deformation field. This method is novel because it is the first method to combine deformable registration with limited angle image reconstruction. The method was tested in 2D cases using simulated projections of a Shepp-Logan phantom, liver, and head-and-neck patient data. The accuracy of the reconstruction was evaluated by comparing both organ volume and pixel value differences between DTS and CBCT images. In the Shepp-Logan phantom study, the reconstructed pixel signal-to-noise ratio (PSNR) for the 60 degrees DTS image reached 34.3 dB. In the liver patient study, the relative error of the liver volume reconstructed using 60 degrees projections was 3.4%. The reconstructed PSNR for the 60 degrees DTS image reached 23.5 dB. In the head-and-neck patient study, the new method using 60 degrees projections was able to reconstruct the 8.1 degrees rotation of the bony structure with 0.0 degrees error. The reconstructed PSNR for the 60 degrees DTS image reached 24.2 dB. In summary, the new reconstruction method can optimally estimate the volumetric information in DTS images using 60 degrees projections. Preliminary validation of the algorithm showed that it is both technically and clinically feasible for image guidance in radiation therapy.