•Artificial intelligence is used for assessing response to therapy in rectal cancer.•Textural features extraction from high resolution 3 T MR images.•Artificial intelligence model helps personalize ...therapeutic strategy.•Decisions curves analysis confirm clinical utility.
To develop and validate an Artificial Intelligence (AI) model based on texture analysis of high-resolution T2 weighted MR images able 1) to predict pathologic Complete Response (CR) and 2) to identify non-responders (NR) among patients with locally-advanced rectal cancer (LARC) after receiving neoadjuvant chemoradiotherapy (CRT).
Fifty-five consecutive patients with LARC were retrospectively enrolled in this study. Patients underwent 3 T Magnetic Resonance Imaging (MRI) acquiring T2-weighted images before, during and after CRT. All patients underwent complete surgical resection and histopathology was the gold standard. Textural features were automatically extracted using an open-source software. A sub-set of statistically significant textural features was selected and two AI models were built by training a Random Forest (RF) classifier on 28 patients (training cohort). Model performances were estimated on 27 patients (validation cohort) using a ROC curve and a decision curve analysis.
Sixteen of 55 patients achieved CR. The AI model for CR classification showed good discrimination power with mean area under the receiver operating curve (AUC) of 0.86 (95% CI: 0.70, 0.94) in the validation cohort. The discriminatory power for the NR classification showed a mean AUC of 0.83 (95% CI: 0.71,0.92). Decision curve analysis confirmed higher net patient benefit when using AI models compared to standard-of-care.
AI models based on textural features of MR images of patients with LARC may help to identify patients who will show CR at the end of treatment and those who will not respond to therapy (NR) at an early stage of the treatment.
Charmed baryonium Cotugno, G; Faccini, R; Polosa, A D ...
Physical review letters,
04/2010, Letnik:
104, Številka:
13
Journal Article
Recenzirano
We reanalyze the published data on the Y(4630)-->Lambda(c) Lambda(c) and the Y(4660)-->psi(2S)pi pi with a consistent ansatz and we find that the two observations are likely to be due to the same ...state Y(B), produced via initial state radiation (ISR), with M(Y(B))=4660.7+/-8.7 MeV and Gamma(Y(B))=61+/-23 MeV. Under this hypothesis and reanalyzing the e+e- -->J/psi pi pi gamma(ISR) spectrum we find B(Y(B))-->Lambda(c) Lambda(c))/B(Y(B))-->psi(2S)pi pi)=117+/-44, B(Y(B))-->J/psi pi pi)/B(Y(B))-->psi(2S)pi pi)<0.46@90% C.L., B(Y(4350)-->J/psi pi pi)/B(Y(4350)-->psi(2S)pi pi)<3.4x10(-3)@90% C.L., and B(Y(B))-->psi(2S)sigma)/B(Y(B))-->psi(2S)f0)=2.0+/-0.3. These conclusions strongly support the hypothesis of Y(B) being the first observation of a charmed baryonium constituted by four quarks. Analyzing the mass spectrum we show that Y(4350) and Y(B) are, respectively, consistent with the ground state and first radial excitation of the l=1 state.
The radiation used in hadrontherapy treatments interacts with the patient body producing secondary particles, either neutral or charged, that can be used for dose and Bragg peak monitoring and to ...provide a fast feedback on the treatment plans. Recent results obtained from the authors on simplified setups (mono-energetic primary beams interacting with homogeneous tissue-like target) have already indicated the correlation that exists between the flux of these secondaries coming from the target (e.g. protons and photons) and the position of the primary beam Bragg peak. In this paper, the measurements of charged particle fluxes produced by the interaction of a 220 MeV/u carbon ion beam at GSI, Darmstadt, with a polymethyl methacrylate target are reported. The emission region of protons (p), deuterons (d) and tritons (t) has been characterized using a drift chamber while the particle time-of-flight, used to compute the kinetic energy spectra, was measured with a LYSO scintillator. The energy released in the LYSO crystal was used for particle identification purposes. The measurements were repeated with the setup at 60° and 90° with respect to the primary beam direction. The accuracy on the fragments emission profile reconstruction and its relationship with the Bragg peak position have been studied. Based on the acquired experimental evidence, a method to monitor the dose profile and the position of the Bragg peak inside the target is proposed.
Cosmic rays have the potential to significantly affect the atmospheric composition by increasing the rate and changing the types of chemical reactions through ion production. The amount and states of ...ionization, and the spatial distribution of ions produced are still open questions for atmospheric models. To precisely estimate these quantities, it is necessary to simulate particle–molecule interactions, down to very low energies. Models enabling such simulations require interaction probabilities over a broad energy range and for all energetically allowed scattering processes.
In this paper, we focus on electron interaction with the two most abundant molecules in the atmosphere, i.e., N2 and O2, as an initial step. A set of elastic and inelastic cross section models for electron transportation in oxygen and nitrogen molecules valid in the energy range 10 eV – 1 MeV, is presented. Comparison is made with available theoretical and experimental data and a reasonable good agreement is observed. Stopping power is calculated and compared with published data to assess the general consistency and reliability of our results. Good overall agreement is observed, with relative differences lower than 6% with the ESTAR database.
•Cosmic rays ionization can significantly affect chemical reactions in the atmosphere.•The role of ions is still poorly explained by current atmospheric models.•We propose accurate physical models for electron impact interaction with N2 and O2.•We reimplemented these models in C++, and we obtained promising preliminary results.•These models will be included in Geant4-DNA in the near future.
Radio-Guided Surgery (RGS) is a nuclear medicine technique to support the surgeon during surgery towards a complete tumor resection. It is based on intraoperative detection of radiation emitted by a ...radio-pharmaceutical that bounds selectively to tumoral cells. In the past years, an approach that exploits β− emitting radiotracers has been pursued to overtake some limitations of the traditional RGS based on γ emission.
A particle detector dedicated to this application, demonstrating very high efficiency to β− particles and remarkable transparency to photons, has been thus developed. As a by-product, its characteristics suggested the possibility to utilize it with β+ emitting sources, more commonly in use in nuclear medicine. In this paper, performances of such detector on 18F liquid sources are estimated by means of Monte Carlo simulations (MC) and laboratory measurements. The experimental setup with a 18F saline solution comprised a “positron signal” spot (a 7 × 10 mm cylinder representing the tumor residual), and a surrounding “far background” volume, that represented for the detector an almost isotropic source of annihilation photons.
Experimental results show good agreement with MC predictions, thus confirming the expected performances of the detector with 18F, and the validity of the developed MC simulation as a tool to predict the gamma background determined by a diffuse source of annihilation photons.
•Radio Guided Surgery (RGS) based on β+ radiation extends its range of application.•This novel β-probe can detect 18F betas, with low annihilation photon background.•A simulation has been developed and validated to foresee the impact of background.
The background induced by the high penetration power of the radiation is the main limiting factor of the current radio-guided surgery (RGS). To partially mitigate it, a RGS with β(+)-emitting ...radio-tracers has been suggested in literature. Here we propose the use of β(-)-emitting radio-tracers and β(-) probes and discuss the advantage of this method with respect to the previously explored ones: the electron low penetration power allows for simple and versatile probes and could extend RGS to tumours for which background originating from nearby healthy tissue makes probes less effective. We developed a β(-) probe prototype and studied its performances on phantoms. By means of a detailed simulation we have also extrapolated the results to estimate the performances in a realistic case of meningioma, pathology which is going to be our first in-vivo test case. A good sensitivity to residuals down to 0.1 ml can be reached within 1 s with an administered activity smaller than those for PET-scans thus making the radiation exposure to medical personnel negligible.
Radioguided surgery (RGS) is a medical practice which thanks to a radiopharmaceutical tracer and a probe allows the surgeon to identify tumor residuals up to a millimetric resolution in real-time. ...The employment of β− emitters, instead of γ or β+, reduces background from healthy tissues, administered activity to the patient, and medical exposure. In a previous work the possibility of using a CMOS Imager (Aptina MT9V011), initially designed for visible light imaging, to detect β− from 90Y or 90Sr sources has been established. Because of its possible application as counting probe in RGS, the performances of MT9V011 in clinical-like conditions were studied.11This work financed by Istituto Nazionale Fisica Nucleare, Italy, project CHIR2, and partially supported by Universitá degli Studi di Perugia, Italy , Fondo Ricerca di Base 2017, project SEISIPO.
Through horizontal scans on a collimated 90Sr source of different sizes (1, 3, 5, 7 mm), we have determined relationships between scan fit parameters and the source dimension, namely A quadratic correlation and a linear dependency of, respectively, signal integrated over scan interval, and maximum signal against source diameter, are determined. Horizontal scan measurements on a source, interposing collimators of different size, aim to determine relationships or correlations between scan fit parameters and source dimension. A quadratic correlation and a linear dependency of, respectively, signal integrated over scan interval, and maximum signal against source diameter are determined.
In order to get closer to clinical conditions, agar–agar phantoms containing 90Y with different dimensions and activities were prepared. A 90Y phantom is characterized by a central spot and a ring all around, for simulating both signal (tumor) and background (surrounding healthy tissue). The relationship found between scan maximum and 90Sr source diameter is then exploited to extract the concentration ratio between spot and external ring of the 90Y phantom. This observable, defined as the ratio between the tumor and the nearby healthy tissues uptake simulates the Tumor-to-Non-tumor Ratio (TNR). With the aim of evaluating the sensor’s ability to discriminate signal from background relying on the significance parameter, a further 90Y phantom, featuring a well-known and clinical-like activity will mimic the signal only condition. This result is used to extrapolate to different source sizes, after having estimated the background for various TNR. The obtained significance values suggest that the MT9V011 sensor is capable of distinguishing a signal from an estimated background, depending on the interplay among TNR, acquisition time and tumor diameter.
•A CMOS imager has been used as sensor for beta- emission from isotopes (90Y) of interest in Radioguided surgery.•Using a position scan a correlation between the source dimension and the shape of the response has been found.•The sensitivity of the sensor to tumor detection has been determined by studying the interplay among TNR, acquisition time and tumor diameter.
Organic scintillators are often chosen as radiation detectors for their fast decay time and their low Z, while inorganic ones are used when high light yields are required. In this paper we show that ...a para-terphenyl based detector has a blend of properties of the two categories that can be optimal for energy and position measurements of low-energy charged particles. Using 0.1% diphenylbutadiene doped para-terphenyl samples we measured a light attenuation length λ = 4.73 ±0.06 mm, a quenching factor for α particles Q α = (10.7 ±0.6), and a rejection power ranging between 3 - 11% for 660 keV photons, with respect to electrons of the same energy, depending on the signal threshold. A simulation based on FLUKA properly reproduces the experimental data distributions.
•Radio Guided Surgery (RGS) based on βradiation extends its range of application.•PET radiotracers can be exploited as tumor marker enabling complete resection.•RGS based on β-probe and ...68 Ga-emitters is for neuroendocrine and prostate cancers.
Radio Guided Surgery (RGS) is a technique that helps the surgeon to achieve an as complete as possible tumor resection, thanks to the intraoperative detection of particles emitted by a radio tracer that bounds to tumoral cells.
In the last years, a novel approach to this technique has been proposed that, exploiting β- emitting radio tracers, overtakes some limitations of established γ-RGS.
In this context, a first prototype of an intraoperative β particle detector, based on a high light yield and low density organic scintillator, has been developed and characterised on pure β- emitters, like 90Y. The demonstrated very high efficiency to β- particles, together with the remarkable transparency to photons, suggested the possibility to use this detector also with β+ emitting sources, that have plenty of applications in nuclear medicine. In this paper, we present upgrades and optimisations performed to the detector to reveal such particles.
Laboratory measurement have been performed on liquid Ga68 source, and were used to validate and tune a Monte Carlo simulation.
The upgraded detector has an ~80% efficiency to electrons above ~110keV, reaching a plateau value of ~95%. At the same time, the probe is substantially transparent to photons below ~200keV, reaching a plateau value of ~3%.
The new prototype seems to have promising characteristics to perform RGS also with β+ emitting isotopes.
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