Improved swarm intelligence solution in large scale radiation therapy inverse planning

Author(s):  
Arezoo Modiri ◽  
Xuejun Gu ◽  
Aaron Hagan ◽  
Amit Sawant
Radiology ◽  
1968 ◽  
Vol 90 (4) ◽  
pp. 688-697 ◽  
Author(s):  
Bernard Roswit ◽  
Mary Ellen Patno ◽  
Robert Rapp ◽  
Arnolds Veinbergs ◽  
Bernard Feder ◽  
...  

2020 ◽  
Vol 21 (5) ◽  
pp. 1619 ◽  
Author(s):  
Xiaomin Yang ◽  
Daniela Salado-Leza ◽  
Erika Porcel ◽  
César R. González-Vargas ◽  
Farah Savina ◽  
...  

Nanomedicine has stepped into the spotlight of radiation therapy over the last two decades. Nanoparticles (NPs), especially metallic NPs, can potentiate radiotherapy by specific accumulation into tumors, thus enhancing the efficacy while alleviating the toxicity of radiotherapy. Water radiolysis is a simple, fast and environmentally-friendly method to prepare highly controllable metallic nanoparticles in large scale. In this study, we used this method to prepare biocompatible PEGylated (with Poly(Ethylene Glycol) diamine) platinum nanoflowers (Pt NFs). These nanoagents provide unique surface chemistry, which allows functionalization with various molecules such as fluorescent markers, drugs or radionuclides. The Pt NFs were produced with a controlled aggregation of small Pt subunits through a combination of grafted polymers and radiation-induced polymer cross-linking. Confocal microscopy and fluorescence lifetime imaging microscopy revealed that Pt NFs were localized in the cytoplasm of cervical cancer cells (HeLa) but not in the nucleus. Clonogenic assays revealed that Pt NFs amplify the gamma rays induced killing of HeLa cells with a sensitizing enhancement ratio (SER) of 23%, thus making them promising candidates for future cancer radiation therapy. Furthermore, the efficiency of Pt NFs to induce nanoscopic biomolecular damage by interacting with gamma rays, was evaluated using plasmids as molecular probe. These findings show that the Pt NFs are efficient nano-radio-enhancers. Finally, these NFs could be used to improve not only the performances of radiation therapy treatments but also drug delivery and/or diagnosis when functionalized with various molecules.


2019 ◽  
Vol 81 (06) ◽  
pp. 701-708
Author(s):  
Neil N. Patel ◽  
Ivy W. Maina ◽  
Edward C. Kuan ◽  
Vasiliki Triantafillou ◽  
Michal A. Trope ◽  
...  

Abstract Background Sinonasal adenocarcinoma (SNAC) is a rare malignancy arising from mucus-secreting glandular tissue. Limited large-scale studies are available due to its rarity. We evaluated SNAC in the National Cancer Database (NCDB), a source that affords multi-institutional, population studies of rare cancers and their outcomes. Methods The NCDB was queried for adenocarcinoma in the sinonasal tract. Multivariate analyses were performed to evaluate for factors contributing to overall survival (OS). Results A total of 553 patients were identified. The cohort was composed of 59.3% males. The nasal cavity was the most common primary site, representing 44.1% of cases. About 5.7% of patients presented with nodal disease, while 3.3% had distant metastases. About 40.6% of cases presented with stage IV disease. About 73.5% of patients underwent surgery, 54.2% received radiation therapy, and 27.7% had chemotherapy. Median OS was 71.7 months, while OS at 1, 2, and 5 years was 82, 73.0, and 52%, respectively. On multivariate analysis, advanced age (hazard ratio [HR]: 1.04; 95% confidence interval [CI]: 1.02–1.05), Charlson–Deyo score of 1 (HR: 1.99; 95% CI: 1.20–3.30), advanced tumor grade (HR: 2.73; 95% CI: 1.39–5.34), and advanced tumor stage (HR: 2.71; 95% CI: 1.33–5.50) were associated with worse OS, whereas surgery (HR: 0.34; 95% CI: 0.20–0.60) and radiation therapy (HR: 0.55; 95% CI: 0.33–0.91), but not chemotherapy (HR: 1.16; 95% CI: 0.66–2.05), predicted improved OS. Conclusions SNAC is a rare malignancy with 5-year survival approximating 50%. Surgery and radiation therapy, but not chemotherapy, are associated with improved survival, and likely play a critical role in the interdisciplinary management of SNAC.


2004 ◽  
Vol 29 (3) ◽  
pp. 210-216 ◽  
Author(s):  
Ying Xiao ◽  
Maria Werner-Wasik ◽  
D. Michalski ◽  
C. Houser ◽  
G. Bednarz ◽  
...  

2013 ◽  
Vol 12 (5) ◽  
pp. 391-401
Author(s):  
Yihua Lan ◽  
Haozheng Ren ◽  
Cunhua Li ◽  
Zhifang Min ◽  
Jinxin Wan ◽  
...  

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