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At least 181 records · Page 10

Physiologically guided approach to characterizing respiratory motion

Purpose: To characterize radiation therapy patient breathing patterns based on measured external surrogate information. Methods: Breathing surrogate data were collected during 4DCT from a cohort of 50 patients including 28 patients with lung cancer and 22 patients without lung cancer. A spirometer and an abdominal pneumatic bellows were used as the surrogates. The relationship between these measurements was assumed to be linear within a small phase difference. The signals were correlated and drift corrected using a previously published method to convert the signal into tidal volume. The airflow was calculated with a first order time derivative of the tidal volume using a window centered on the point of interest and with a window length equal to the CT gantry rotation period. The airflow was compared against the tidal volume to create ellipsoidal patterns that were binned into 25 ml × 25 ml/s bins to determine the relative amount of time spent in each bin. To calculate the variability of the maximum inhalation tidal volume within a free-breathing scan timeframe, a metric based on percentile volume ratios was defined. The free breathing variability metric (κ) was defined as the ratio between extreme inhalation tidal volumes (defined as >93 tidal volume percentile of the measured tidal volume) and normal inhalation tidal volume (defined as >80 tidal volume percentile of the measured tidal volume). Results: There were three observed types of volume-flow curves, labeled Types 1, 2, and 3. Type 1 patients spent a greater duration of time during exhalation withκ = 1.37 ± 0.11. Type 2 patients had equal time duration spent during inhalation and exhalation with κ = 1.28 ± 0.09. The differences between the mean peak exhalation to peak inhalation tidal volume, breathing period, and the 85th tidal volume percentile for Type 1 and Type 2 patients were statistically significant at the 2% significance level. The difference between κ and the 98th tidal volume percentile for Type 1 and Type 2 patients was found to be statistically significant at the 1% significance level. Three patients did not display a breathing stability curve that could be classified as Type 1 or Type 2 due to chaotic breathing patterns. These patients were classified as Type 3 patients. Conclusions: Based on an observed volume-flow curve pattern, the cohort of 50 patients was divided into three categories called Type 1, Type 2, and Type 3. There were statistically significant differences in breathing characteristics between Type 1 and Type 2 patients. The use of volume-flow curves to classify patients has been demonstrated as a physiological characterization metric that has the potential to optimize gating windows in radiation therapy.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Choice reaction time to visual motion during prolonged rotary motion in airline pilots

Thirteen airline pilots were studied to determine the effect of preceding rotary accelerations on the choice reaction time to the horizontal acceleration of a vertical line on a cathode-ray tube. On each trial, one of three levels of rotary and visual acceleration was presented with the rotary stimulus preceding the visual by one of seven periods. The two accelerations were always equal and were presented in the same or opposite directions. The reaction time was found to increase with increases in the time the rotary acceleration preceded the visual acceleration, and to decrease with increased levels of visual and rotary acceleration. The reaction time was found to be shorter when the accelerations were in the same direction than when they were in opposite directions. These results suggest that these findings are a special case of a general effect that the authors have termed 'gyrovisual modulation'.

Stewart, J. D.↗

Life in motion, in motion!

A 120 day limited mobility experiment with young male rats and its results, including retarded growth and degenerative changes in the cardiac muscle, are described. A 120 day strict bedrest experiment with 10 human volunteers and its results are described and discussed. Early subjective complaints, subsequent adaptation and eventual progressive changes in excitability and reactivity, reduction in functional capability of the cerebral cortex, and disturbances in water-salt, protein and fat metabolism, including development of precursors of atherosclerosis, as well as poor results of the orthostatic test after 4 months, are presented. These results are explained as applied to sedentary workers and recommendations are given for such persons to exercise in the morning, at work and in the evening in order to prevent hypokinesis and its physical, mental and physiological effects.

Kovalenko, Y. A.↗

Wireless System and Method for Collecting Motion and Non-Motion Related Data of a Rotating System

A wireless system for collecting data indicative of a tire's characteristics uses at least one open-circuit electrical conductor in a tire. The conductor is shaped such that it can store electrical and magnetic energy. In the presence of a time-varying magnetic field, the conductor resonates to generate a harmonic response having a frequency, amplitude and bandwidth. A magnetic field response recorder is used to (i) wirelessly transmit the time-varying magnetic field to the conductor, and (ii) wirelessly detect the harmonic response and the frequency, amplitude and bandwidth, associated therewith. The recorder is adapted to be positioned in a location that is fixed with respect to the tire as the tire rotates.

Woodard, Stanley E.↗