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1.
Isotopes Environ Health Stud ; 39(1): 69-82, 2003 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-12812256

RESUMO

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.


Assuntos
Clima Desértico , Populus/fisiologia , Salix/fisiologia , Tamaricaceae/fisiologia , Água/metabolismo , Adaptação Fisiológica , Arizona , Monitoramento Ambiental , Gases/farmacocinética , Folhas de Planta/fisiologia , Estações do Ano , Árvores
3.
Tree Physiol ; 21(4): 233-41, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11276417

RESUMO

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.


Assuntos
Folhas de Planta/fisiologia , Árvores/fisiologia , Arizona , Clima Desértico , Fotossíntese/fisiologia , Transpiração Vegetal/fisiologia
4.
Cardiovasc Radiat Med ; 2(3): 181-90, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11786325

RESUMO

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.


Assuntos
Braquiterapia , Paládio/uso terapêutico , Radioisótopos/uso terapêutico , Planejamento da Radioterapia Assistida por Computador , Stents , Humanos , Imageamento Tridimensional , Método de Monte Carlo , Dosagem Radioterapêutica , Água
5.
Med Dosim ; 24(3): 177-8, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10555055

RESUMO

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


Assuntos
Doses de Radiação , Meia-Vida , Humanos
6.
J Immunol ; 161(12): 6480-6, 1998 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-9862671

RESUMO

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.


Assuntos
Doenças Autoimunes/prevenção & controle , Encefalomielite Autoimune Experimental/prevenção & controle , Interleucina-6/fisiologia , Ativação Linfocitária , Subpopulações de Linfócitos T/imunologia , Animais , Doenças Autoimunes/imunologia , Autoimunidade , Diferenciação Celular , Concanavalina A/imunologia , Progressão da Doença , Encefalomielite Autoimune Experimental/imunologia , Imunidade Inata , Imunização , Interleucina-6/deficiência , Interleucina-6/genética , Interleucina-6/imunologia , Camundongos , Camundongos Knockout , Proteínas da Mielina , Glicoproteína Associada a Mielina/imunologia , Glicoproteína Mielina-Oligodendrócito , Ovalbumina/imunologia , Subpopulações de Linfócitos T/patologia
7.
Cell Immunol ; 190(1): 83-9, 1998 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-9826450

RESUMO

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.


Assuntos
Encefalomielite Autoimune Experimental/etiologia , Molécula 1 de Adesão Intercelular/fisiologia , Animais , Autoimunidade , Diferenciação Celular , Encefalomielite Autoimune Experimental/imunologia , Encefalomielite Autoimune Experimental/patologia , Feminino , Molécula 1 de Adesão Intercelular/genética , Leucócitos/imunologia , Leucócitos/patologia , Ativação Linfocitária , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Proteína Básica da Mielina/imunologia , Células Th1/imunologia , Células Th1/patologia , Células Th2/imunologia , Células Th2/patologia
8.
Cell Immunol ; 188(2): 118-24, 1998 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-9756642

RESUMO

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.


Assuntos
Encefalomielite Autoimune Experimental/etiologia , Interleucina-10/fisiologia , Animais , Células Cultivadas , Feminino , Interleucina-10/deficiência , Interleucina-4/fisiologia , Ativação Linfocitária , Camundongos , Camundongos Endogâmicos C57BL , Proteínas da Mielina , Glicoproteína Associada a Mielina/imunologia , Glicoproteína Mielina-Oligodendrócito
9.
Int Immunol ; 10(4): 491-8, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9620605

RESUMO

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.


Assuntos
Antígenos de Diferenciação/imunologia , Tolerância Imunológica/imunologia , Imunoconjugados , Abatacepte , Administração Oral , Animais , Antígenos/administração & dosagem , Antígenos/imunologia , Antígenos CD , Antígeno B7-1/imunologia , Antígenos CD28/imunologia , Antígeno CTLA-4 , Relação Dose-Resposta a Droga , Feminino , Ativação Linfocitária/imunologia , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Transgênicos , Transdução de Sinais/fisiologia , Linfócitos T/imunologia
10.
Trends Ecol Evol ; 13(6): 232-5, 1998 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-21238277

RESUMO

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.
Artigo em Inglês | MEDLINE | ID: mdl-28307549

RESUMO

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.
Artigo em Inglês | MEDLINE | ID: mdl-9329958

RESUMO

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.


Assuntos
Artrite Reumatoide/terapia , Terapia Genética/métodos , Glicoproteínas de Membrana/uso terapêutico , Adenoviridae/genética , Animais , Apoptose , Artrite Reumatoide/induzido quimicamente , Artrite Reumatoide/imunologia , Colágeno/imunologia , Proteína Ligante Fas , Tolerância Imunológica , Inflamação/terapia , Injeções Intralesionais , Interferon gama/biossíntese , Articulações/efeitos dos fármacos , Masculino , Glicoproteínas de Membrana/genética , Camundongos , Camundongos Endogâmicos DBA , Proteínas Recombinantes/uso terapêutico , Linfócitos T/imunologia
13.
J Mol Med (Berl) ; 75(8): 603-8, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9297628

RESUMO

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.


Assuntos
Antígenos de Diferenciação de Linfócitos T , Encefalomielite Autoimune Experimental/imunologia , Glicoproteínas de Membrana/antagonistas & inibidores , Células Th1/imunologia , Células Th2/imunologia , Animais , Anticorpos Bloqueadores/farmacologia , Antígenos CD40/metabolismo , Ligante de CD40 , Diferenciação Celular/efeitos dos fármacos , Citocinas , Encefalomielite Autoimune Experimental/patologia , Encefalomielite Autoimune Experimental/prevenção & controle , Feminino , Tolerância Imunológica , Imunização , Camundongos , Camundongos Endogâmicos , Proteína Básica da Mielina/imunologia , Proteínas Recombinantes , Células Th1/citologia , Células Th1/efeitos dos fármacos , Células Th2/citologia , Células Th2/efeitos dos fármacos
14.
Int Immunol ; 9(11): 1663-8, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9418127

RESUMO

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.


Assuntos
Apoptose/fisiologia , Antígeno B7-1/fisiologia , Ativação Linfocitária/fisiologia , Linfócitos T/fisiologia , Animais , Morte Celular/fisiologia , Epitopos , Antígenos de Histocompatibilidade Classe II/fisiologia , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Transgênicos , Ovalbumina/imunologia , Ovalbumina/farmacologia , Receptores de Antígenos de Linfócitos T/genética , Linfócitos T/citologia , Linfócitos T/imunologia , Timo/citologia , Timo/imunologia
15.
Med Phys ; 23(11): 1903-8, 1996 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8947905

RESUMO

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%.


Assuntos
Braquiterapia/métodos , Neoplasias Brônquicas/radioterapia , Planejamento da Radioterapia Assistida por Computador/métodos , Humanos , Dosagem Radioterapêutica , Fatores de Tempo
16.
Int J Radiat Oncol Biol Phys ; 35(4): 809-20, 1996 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-8690651

RESUMO

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.


Assuntos
Radioterapia (Especialidade) , Adulto , Idoso , Humanos , Pessoa de Meia-Idade , Fatores de Tempo , Estados Unidos , Recursos Humanos
17.
Med Phys ; 23(4): 521-2, 1996 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9157264

RESUMO

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.


Assuntos
Aceleradores de Partículas/instrumentação , Aceleradores de Partículas/normas , Fenômenos Biofísicos , Biofísica , Elétrons/uso terapêutico , Falha de Equipamento , Humanos , Garantia da Qualidade dos Cuidados de Saúde , Radiometria , Espalhamento de Radiação , Aço Inoxidável
18.
Med Phys ; 23(4): 523-5, 1996 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9157265

RESUMO

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.


Assuntos
Radioisótopos de Cobalto/uso terapêutico , Teleterapia por Radioisótopo/instrumentação , Teleterapia por Radioisótopo/normas , Fenômenos Biofísicos , Biofísica , Falha de Equipamento , Humanos , Garantia da Qualidade dos Cuidados de Saúde , Radiometria
19.
Med Dosim ; 21(4): 219-26, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8985927

RESUMO

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.


Assuntos
Pulmão/efeitos da radiação , Dosagem Radioterapêutica , Humanos , Neoplasias Pulmonares/radioterapia , Radioterapia de Alta Energia
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