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At least 1,045 records · Page 58

Intrafraction Variability and Deformation Quantification in the Breast

Purpose: To evaluate intrafraction variability and deformation of the lumpectomy cavity (LC), breast, and nearby organs. Methods and Materials: Sixteen left-sided postlumpectomy and 1 bilateral breast cancer cases underwent free-breathing CT (FBCT) and 10-phase 4-dimensional CT (4DCT). Deformable image registration was used for deformation analysis and contour propagation of breast, heart, lungs, and LC between end-exhale and end-inhale 4DCT phases. Respiration-induced motion was calculated via centroid analysis. Two planning target volumes (PTVs) were compared: PTV{sub FBCT} from the FBCT volume with an isotropic 10 mm expansion (5 mm excursion and 5 mm setup error) and PTV{sub 4DCT} generated from the union of 4DCT contours with isotropic 5 mm margin for setup error. Volume and geometry were evaluated via percent difference and bounding box analysis, respectively. Deformation correlations between breast/cavity, breast/lung, and breast/heart were evaluated. Associations were tested between cavity deformation and proximity to chest wall and breast surface. Results: Population-based 3-dimensional vector excursions were 2.5 ± 1.0 mm (range, 0.8-3.8 mm) for the cavity and 2.0 ± 0.8 mm (range, 0.7-3.0 mm) for the ipsilateral breast. Cavity excursion was predominantly in the anterior and superior directions (1.0 ± 0.8 mm and −1.8 ± 1.2 mm, respectively). Similarly, for all cases, LCs and ipsilateral breasts yielded median deformation values in the superior direction. For 14 of 17 patients, the LCs and breast interquartile ranges tended toward the anterior direction. The PTV{sub FBCT} was 51.5% ± 10.8% larger (P<.01) than PTV{sub 4DCT}. Bounding box analysis revealed that PTV{sub FBCT} was 9.8 ± 1.2 (lateral), 9.0 ± 2.2 (anterior–posterior), and 3.9 ± 1.8 (superior–inferior) mm larger than PTV{sub 4DCT}. Significant associations between breast and cavity deformation were found for 6 of 9 axes. No dependency was found between cavity deformation and proximity to chest wall or breast surface. Conclusions: Lumpectomy cavity and breast deformation and motion demonstrated large variability. A PTV{sub 4DCT} approach showed value in patient-specific margins, particularly if robust interfraction setup analysis can be performed.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Carbon Ion Radiation Therapy for Unresectable Sacral Chordoma: An Analysis of 188 Cases

Purpose: To evaluate the results of carbon ion radiation therapy administered to 188 patients with unresectable primary sacral chordomas. Patients and Methods: One hundred eighty-eight patients were treated with carbon ion radiation therapy at a single institute between 1996 and 2013 and retrospectively analyzed. The median age was 66 years. The highest proximal invasion reached past S2 level in 137 patients. The median clinical target volume was 345 cm{sup 3}. One hundred six patients received 67.2 gray equivalents (GyE)/16 fractions (fr), 74 patients received 70.4 GyE/16 fr, 7 patients received 73.6 GyE/16 fr, and 1 patient received 64.0 GyE/16 fr. Results: The median follow-up period was 62 months (range, 6.8-147.5 months). Seventy percent of patients were followed for 5 years or until death. The 5-year local control, overall survival, and disease-free survival rates were 77.2%, 81.1%, and 50.3%, respectively. Forty-one patients had a local recurrence. Sex, tumor volume, level of proximal invasion, and irradiated dose were unrelated to local control. There was grade 3 toxicity of the peripheral nerves in 6 patients and grade 4 toxicity of the skin in 2 patients. Ambulation remained in 97% of patients. Conclusions: Carbon ion radiation therapy was safe and effective for unresectable chordoma and provided good local control and survival while preserving ambulation.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Vaccination with Glycan-Modified HIV NFL Envelope Trimer-Liposomes Elicits Broadly Neutralizing Antibodies to Multiple Sites of Vulnerability

The elicitation of broadly neutralizing antibodies (bNAbs) against the HIV-1 envelope glycoprotein (Env) trimer remains a major vaccine challenge. Most cross-conserved protein determinants are occluded by self-N-glycan shielding, limiting B cell recognition of the underlying polypeptide surface. The exceptions to the contiguous glycan shield include the conserved receptor CD4 binding site (CD4bs) and glycoprotein (gp)41 elements proximal to the furin cleavage site. Accordingly, we performed heterologous trimer-liposome prime:boosting in rabbits to drive B cells specific for cross-conserved sites. To preferentially expose the CD4bs to B cells, we eliminated proximal N-glycans while maintaining the native-like state of the cleavage-independent NFL trimers, followed by gradual N-glycan restoration coupled with heterologous boosting. This approach successfully elicited CD4bs-directed, cross-neutralizing Abs, including one targeting a unique glycan-protein epitope and a bNAb (87% breadth) directed to the gp120:gp41 interface, both resolved by high-resolution cryoelectron microscopy. This study provides proof-of-principle immunogenicity toward eliciting bNAbs by vaccination.

1C2↗

FtsZ-mediated fission of a cuboid bacterial symbiont

Less than a handful of cuboid and squared cells have been described in nature, which makes them a rarity. Here, we show how Candidatus Thiosymbion cuboideus, a cube-like gammaproteobacterium, reproduces on the surface of marine free-living nematodes. Immunostaining of symbiont cells with an anti-fimbriae antibody revealed that they are host-polarized, as these appendages exclusively localized at the host-proximal (animal-attached) pole. Moreover, by applying a fluorescently labeled metabolic probe to track new cell wall insertion in vivo, we observed that the host-attached pole started septation before the distal one. Similarly, Ca. T. cuboideus cells immunostained with an anti-FtsZ antibody revealed a proximal-to-distal localization pattern of this tubulin homolog. Although FtsZ has been shown to arrange into squares in synthetically remodeled cuboid cells, here we show that FtsZ may also mediate the division of naturally occurring ones. This implies that, even in natural settings, membrane roundness is not required for FtsZ function.

59 BASIC BIOLOGICAL SCIENCES↗

Thermal Pretreatment of a High Lignin SSF Digester Residue to Increase its Softening Point

Residues high in lignin and ash generated from the simultaneous saccharification and fermentation of corn stover were thermally pretreated in an inert (N2) atmosphere to study the effect of time and temperature on its softening point. These residues are difficult to feed into gasifiers due to premature thermal degradation and formation of reactive liquids in the feed lines, leading to plugging. The untreated and treated residues were characterized by proximate and ultimate analysis, and then analyzed via TGA, DSC, 13C NMR, Py-GC-MS, CHNO/S, and TMA. Interpretation of the compositional analysis indicates that the weight loss observed during pretreatment is mainly due to the thermal decomposition and volatilization of the hemicelluloses and amorphous cellulose fractions. Fixed carbon increases in the pretreated material, mostly due to a concentration effect rather than the formation of new poly-aromatic material. The optimal processing time and temperature to minimize the production of carbonyl groups in the pretreated samples was 300°C at a time of 30 minutes. Results showed that the softening point of the material could be increased from 187°C to 250°C, and that pretreatment temperature plays a more important role than time. The increase in softening point was mainly due to the formation of covalent bonds in the lignin structures and the removal of low molecular weight volatile intermediates.

Gasification, Lignin rich feedstocks, high lignin ↗

First principles, microkinetic, and experimental analysis of Lewis acid site speciation during ethanol dehydration on Sn-Beta zeolites

Density functional theory calculations are combined with kinetic measurements of ethanol dehydration to diethyl ether to identify the relative catalytic contributions of structurally distinct speciations of Sn sites in zeolite Beta frameworks. The structural complexities of the Beta framework require nonstandard techniques for entropy and energy calculations, including consideration of anharmonic effects in vibrational modes, employment of quasi-harmonic densities of states methods to evaluate entropies, and use of hybrid density functionals to evaluate binding energies. Calculated energies and entropies are used to construct a microkinetic model that is iteratively refined to identify all kinetically and thermodynamically sensitive reaction steps and intermediates which are subsequently treated with the higher-level methods. The rate and equilibrium constants obtained from this tiered approach agree well with measured reaction orders in ethanol and water. Site balances provide evidence for the interconversion of Sn sites between “closed” configurations that are tetra-coordinated to the framework, open configurations formed by hydrolysis that are tri-coordinated to the framework and contain a hydroxyl ligand and proximal silanol group (“hydroxy-open”), and open tri-coordinate configurations formed by reaction with ethanol, yielding an ethoxy ligand and proximal silanol group (“ethoxy-open”). Closed, hydroxy-open, and ethoxy-open Sn sites adsorb ethanol via distinct modes and react via distinct pathways, with the consequence that prevalent dehydration pathways depend on the speciation of Sn sites under reaction conditions. The kinetic modeling indicates that, under the conditions studied (404 K, 0.5–35 kPa ethanol, 0.1–50 kPa water), bimolecular dehydration on the closed Sn site is the sole kinetically-relevant step, and ethanol, ethanol-ethanol dimers, and ethanol-water dimers are the most abundant surface intermediates. In conclusion, these results highlight the importance of considering the distribution of heteroatom coordination modes to zeolite frameworks under reaction conditions, as well as pathways for their interconversion in the presence of reacting molecules, to obtain more robust mechanistic and kinetic interpretations of catalytic pathways in Lewis acid zeolites.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Controlling kinetic and diffusive length-scales during absorptive hydrogen removal in methane dehydroaromatization on MoC x /H-ZSM-5 catalysts

Addition of Zr metal absorbent to MoC x /H-ZSM-5 in the form of staged-bed, stratified-bed, and interpellet physical mixtures effectively scavenges H 2 from catalyst proximity, enhancing maximum single-pass benzene + naphthalene yield during methane dehydroaromatization (DHA) reactions to 14-16% compared to 8% in formulations without zirconium. The coupling of spatially-distinct catalytic and absorptive functions is achieved by dispersive/diffusive transport which conveys H 2 to staged Zr both co- and counter-current to bulk advection, thereby suppressing axial H 2 partial pressure profiles along the catalyst bed and enhancing net aromatization rates. We evince hitherto unreported significance of dispersive hydrogen transport during methane DHA by measurement of Péclet number, Pe = 1.32, in H 2 tracer studies with step-change or impulse input to inert catalyst proxies. Kinetic limits to methane pyrolysis are quantified by Damköhler number, Da, for synthesis of benzene, Da B = 0.15, and naphthalene, Da N = 0.03, determined from kinetic studies which rigorously account for reversibility of DHA reactions. Here, detailed reaction-transport models synthesize interplay of kinetic, diffusive, and convective length-scales captured by Péclet and Damköhler number to predict influence of catalyst-absorbent proximity and process flow-conditions on aromatization rates. Systematic control of catalyst bed-length, L, or linear flow velocity, u, predictably alters Pe and Da to effect improvements in methane conversion with and without Zr metal, corroborating results from simulation of the reaction-transport model.

03 NATURAL GAS↗

Identification and quantification of multinuclear Cu active sites derived from monomeric Cu moieties for dry NO oxidation over Cu-SSZ-13

The identification and quantification of multinuclear Cu-oxo cations in Cu-zeolites is a challenge amidst the dynamic nature of Cu ions in Cu-zeolites. Herein, we synthesized Cu-SSZ-13 zeolites containing varying densities of monomeric Cu cations (Z 2 Cu and ZCuOH, where Z represents an anionic site on the zeolite framework). The number of Cu-oxo cations, quantified using carbon monoxide temperature programmed reduction (CO-TPR), quadratically increased with increasing ZCuOH density, evidencing that proximal ZCuOH sites are precursors to Cu-oxo dimers. We also find that dehydrated proximal ZCuOH with overlapping diffusion radii of at most 0.5 nm can form Cu-oxo dimers. CO-TPR also revealed the presence of three distinct pools (i.e types) of Cu-oxo dimers; these pools catalyze dry NO oxidation at different turnover rates, with the fastest pool 2 to 30 times faster than the slowest pool. Finally, from reaction kinetics and rate law analysis, we also proposed a cohesive dry NO oxidation mechanism and demonstrated that nitrates detected by in situ FTIR are a spectator species.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Gold core/ceria shell-based redox active nanozyme mimicking the biological multienzyme complex phenomenon

Catalytically active individual gold (Au) and cerium oxide (CeO2) nanoparticles are well known to exhibit specific enzyme-like activities, such as natural catalase, oxidase, superoxide dismutase, and peroxidase enzymes. These activities have been maneuvered to design several biological applications such as immunoassays, glucose detection, radiation and free radical protection and tissue engineering. A functional nanozyme depicting multienzyme like properties that functions as a synthetic super enzyme has eluded the researchers in the nanoscience community for past decade. In current report, we have designed a functional multienzyme in the form of Gold (core)-CeO2 (shell) nanoparticles (Au@CeO2 CSNPs) exhibiting excellent peroxidase, catalase and superoxide dismutase enzyme-like activities that are controlled simply by tuning the pH. The reaction kinetic parameters reveal that the peroxidase-like activity of this core shell nanozyme is comparable to natural HRP enzyme. Unlike peroxidase-like activity exhibited by other nanomaterials, Au@CeO2 CSNPs showed decrease in hydroxyl radical formation, suggesting that the bio catalytic reactions are performed by efficient electron transfers. A significant enzyme-like activity of this core shell nanoparticle was conserved at extreme pH (2 – 11) and temperatures (up to 90 °C), clearly suggesting the superiority over natural enzymes. Further, the utility of peroxidase-like activity of this core shell nanoparticles was extended for the detection of glucose, which showed a linear range of detection between (100 µM – 1 mM). It is hypothesized that the proximity of the redox potentials of Au+/Au and Ce (III)/Ce (IV) may result in a redox couple promoting the multienzyme activity of core shell nanoparticles. Au@CeO2 CSNPs may open new directions for development of single platform sensors in multiple biosensing applications.

Environmental Molecular Sciences Laboratory↗

Characterization of ferredoxins involved in electron transfer pathways for nitrogen fixation implicates differences in electronic structure in tuning 2[4Fe 4S] Fd activity

Ferredoxins (Fds) are small proteins which shuttle electrons to pathways like biological nitrogen fixation. Physical properties tune the reactivity of Fds with different pathways, but knowledge on how these properties can be manipulated to engineer new electron transfer pathways is lacking. Recently, we showed that an evolved strain of Rhodopseudomonas palustris uses a new electron transfer pathway for nitrogen fixation. This pathway involves a variant of the primary Fd of nitrogen fixation in R. palustris, Fer1, in which threonine at position 11 is substituted for isoleucine (Fer1 T11I ). To understand why this substitution in Fer1 enables more efficient electron transfer, we used in vivo and in vitro methods to characterize Fer1 and Fer1 T11I . Electrochemical characterization revealed both Fer1 and Fer1 T11I have similar redox transitions (–480 mV and – 550 mV), indicating the reduction potential was unaffected despite the proximity of T11 to an iron-sulfur (Fe—S) cluster of Fer1. Additionally, disruption of hydrogen bonding around an Fe—S cluster in Fer1 by substituting threonine with alanine (T11A) or valine (T11V) did not increase nitrogenase activity, indicating that disruption of hydrogen bonding does not explain the difference in activity observed for Fer1 T11I . Electron paramagnetic resonance spectroscopy studies revealed key differences in the electronic structure of Fer1 and Fer1 T11I , which indicate changes to the high spin states and/or spin-spin coupling between the Fe—S clusters of Fer1. Finally, our data implicates these electronic structure differences in facilitating electron flow and sets a foundation for further investigations to understand the connection between these properties and intermolecular electron transfer.

59 BASIC BIOLOGICAL SCIENCES↗

Analysis of the Interaction of the Eg5 Loop5 with the Nucleotide Site

Loop 5 (L5) is a conserved loop that projects from the α2-helix adjacent to the nucleotide site of all kinesin-family motors. L5 is critical to the function of the mito tickinesin-5 family motors and is the binding site for several kinesin-5 inhibitors that are currently in clinical trials. Its conformational dynamics and its role in motor function are not fully understood. Our previous work using EPR spectroscopy suggested that L5 alters the nucleotide pocket conformation of the kinesin-5 motor Eg5 (Larsonetal.,2010). EPR spectra of a spin-labeled nucleotide analog bound at the nucleotide site of Eg5 display a highly immobilized component that is absent if L5 is shortened or if the inhibitor STLC is added (Larson etal.,2010), which X-ray structures suggest stabilizes an L5 conformation pointing away from the nucleotide site. These data, coupled with the proximity of L5 to the nucleotide site suggest L5 could interact with a bound nucleotide, modulating function. Here we use molecular dynamics (MD) simulations of Eg5 to explore the interaction of L5 with the nucleotide site in greater detail. We performed MD simulations in which the L5-domain of the Eg5•ADP X-ray structure was manually deformed via backbone bond rotations. The L5-domain of Eg5 was sufficiently lengthy that portions of L5 could belocated in proximity to bound ADP. The MD simulations evolved to thermodynamically stable structures at 300K showing that L5 can interact directly with bound nucleotide with significant impingement on the ribosehydroxyls, consistent with the EPR spectroscopy results. Taken together, these data provide support for the hypothes is that L5 modulates Eg5 function via interaction with the nucleotide-binding site.

Environmental Molecular Sciences Laboratory↗

Geospatial analysis of freight accessibility and job attraction: The role of interstate ramps, airports, ports, and rail

The number of jobs within an industry is significantly influenced by geographical location, with transportation infrastructure playing a key role. While previous research has largely focused on how access to jobs affects employment, less attention has been given to how transportation infrastructure impacts business operations and job attraction. Here, this study addresses this gap by examining how the ease of transporting products to key transportation facilities affects job numbers in freight-intensive industries. Using job data from the Longitudinal Employment Household Dynamics dataset at the Census Tract level, we applied a non-parametric model to assess the impact of proximity to interstate ramps, rail intermodals, ports, and airports. Our analysis revealed that closer transportation infrastructure generally has a greater impact on employment. Specifically, interstate ramps are crucial for attracting jobs, particularly in rural areas, while airport proximity is essential for industries dealing with high-value, time-sensitive goods, as seen notably in Massachusetts. The importance of transportation facilities varies considerably across states and industries. The findings and method in this study can be used by transportation agencies for freight planning.

99 GENERAL AND MISCELLANEOUS↗

Microstructural evolution of ω assisted α precipitates in β-CEZ alloy during ageing process

Highlights: • Ultrafine Athermal ω precipitates were formed in β-CEZ alloy by quenching from above the β transus temperature. • In the ageing process, these ω precipitates coarsen, accompanied by the form of needle-like α phase. • ω precipitates were formed by {111}β planes shift 0.5d222 along the direction. • The superfine α particles are formed in close proximity of the ω/β interface. - Abstract: The microstructural evolution in β-CEZ (Ti-5Al-2Sn-4Zr-4Mo-2Cr-1Fe wt%) alloy, after quenching and ageing, has been investigated by combining results from orientation imaging microscopy, transmission electron microscopy, high-resolution TEM (HRTEM). Ultrafine Athermal ω precipitates (about 1 nm) are formed in this alloy by quenching from above the β transus temperature. In the ageing process, these ω precipitates coarsen, accompanied by the form of needle-like α phase. The scale of ω assisted α increased from 5 to 10 nm in width and about 50 nm in length to 10 nm in width and 100–300 nm in length while extending ageing time from 2 h to 5 h at 350 °C. However, when going on extending the ageing time from 5 h to 20 h at 350 °C, the scale of α didn't grow dramatically but the density of α increased clearly. When increasing the ageing temperature from 350 °C to 450 °C, the scale of ω assisted α grow dramatically. Furthermore, the structural relationship of ω and α is observed by HRTEM images. It can be found that ω precipitates were formed by {111}β planes shift 0.5d222 along the <111> direction, and the superfine α particles are formed in close proximity of the ω/β interface.

36 MATERIALS SCIENCE↗

Synthesis and characterization of aluminium–alumina micro- and nano-composites by spark plasma sintering

Graphical abstract: The evolution of microstructure by varying the particle size of reinforcement in the matrix employing spark plasma sintering has been demonstrated here in Al–Al{sub 2}O{sub 3} system. An emphasis has been laid on varying the reinforcement particle size and evaluating the microstructural morphologies and their implications on mechanical performance of the composites. Nanocomposites of 0.5, 1, 3, 5, 7 volume % alumina (average size < 50 nm) reinforced in aluminium matrix were fabricated by powder metallurgy route using spark plasma sintering technique technique at a temperature of 773 K and pressure of 50 MPa. Another set of specimens having composition 1, 5, 20 vol.% of alumina (average size ∼ 10 μm) had been fabricated to compare the physical as well as mechanical attributes of the microcomposite as well as the nanocomposites. These micro- and nano-composites have been characterized using X-ray diffraction, scanning electron microscopy and transmission electron microscopy followed by density, microhardness and nanoindentation measurements. The alumina nanoparticles revealed an interface showing appreciable physical intimacy with the aluminium matrix compared to that of the alumina microparticles. The interfacial integrity in case of nanocomposites is better than in the microcomposite which has been studied using microscopic techniques. Spark plasma sintering imparts enhanced densification as well as matrix-reinforcement proximity which has been corroborated with the experimental results. - Highlights: • The Al–Al{sub 2}O{sub 3} micro- and nano-composites fabricated by spark plasma sintering. • Better matrix-reinforcement integrity in nanocomposites than microcomposites. • Spark plasma sintering method results in higher density and hardness values. • High density and hardness values of nanocomposites than microcomposites. • High dislocation density in spark plasma sintered Al–Al{sub 2}O{sub 3} composites. - Abstract: In the present study, an emphasis has been laid on evaluation of the microstructural morphologies and their implications on mechanical performance of the composites by varying the reinforcement particle size. Nanocomposites of 0.5, 1, 3, 5, 7 volume % alumina (average size < 50 nm) and microcomposites of 1, 5, 20 volume % of alumina (average size ∼ 10 μm) reinforced in aluminium matrix were fabricated by spark plasma sintering technique at a temperature of 773 K and pressure of 50 MPa. These micro- and nano-composites have been characterized using X-ray diffraction, scanning electron microscopy and transmission electron microscopy followed by density, microhardness and nanoindentation hardness measurements. The alumina nanoparticles revealed appreciable physical intimacy with the aluminium matrix than that of alumina microparticles. The highest nanohardness recorded 0.85 GPa and 99% densification for 7 and 1 vol.% Al–Al{sub 2}O{sub 3} nancomposites respectively. Spark plasma sintering imparts enhanced densification and matrix-reinforcement proximity which have been corroborated with the experimental results.

36 MATERIALS SCIENCE↗

Lifelike behavior of chemically oscillating mobile capsules

Inspired by the self-organization of unicellular species into multicellular organisms, we use theory and simulation to design a system of mobile, active microcapsules that produce chemicals according to a catalytic reaction network (CRN). In solution, the catalytic reactions generate a force that drives the flow of the surrounding fluid. The convective flow, in turn, transports the capsules to new chemical surroundings with each successive translation. Consequently, the chemical signal produced by a cluster of capsules is critically dependent on the proximity and spatial configuration of the neighboring capsules. If all of the capsules and chemical products involved in the CRN lie within sufficient proximity, then the system develops oscillatory behavior that drives the dynamic self-assembly of capsules into larger clusters that are capable of collective action. Finally, these simulations indicate potential chemo-mechanic mechanisms that enable single cellular units, such as ameba, to organize into multicellular life forms.

59 BASIC BIOLOGICAL SCIENCES↗

Bond-associated deformation gradients for peridynamic correspondence model

Non-ordinary state-based peridynamic correspondence material model is known to have issues with material instability, i.e. the existence of zero-energy modes, due to non-unique mapping between deformation states and force states via the conventional peridynamic deformation gradient. In this paper, an alternative approach in which the deformation gradient hence force state are computed specifically for each individual bond is proposed to eliminate the material instability. Bond-associated deformation gradient is calculated based on deformation states of material points within an individual bond’s proximity, termed here as the bond-associated family, rather than a material point’s whole family. This bond-associated deformation gradient can better represent the force state of each individual bond from the deformation states of material points in its proximity, and hence inherently resolves issues of material instability in the conventional correspondence material model. Parametric study on bond-associated horizon size indicates that the optimal size should be no less than the material point’s horizon size but smaller than two times of that value. Comparisons against reference solutions using finite element method establish the validity and accuracy of the proposed formulation.

42 ENGINEERING↗

Determination of peripheral underdosage at the lung-tumor interface using Monte Carlo radiation transport calculations

Prediction of dose distributions in close proximity to interfaces is difficult. In the context of radiotherapy of lung tumors, this may affect the minimum dose received by lesions and is particularly important when prescribing dose to covering isodoses. The objective of this work is to quantify underdosage in key regions around a hypothetical target using Monte Carlo dose calculation methods, and to develop a factor for clinical estimation of such underdosage. A systematic set of calculations are undertaken using 2 Monte Carlo radiation transport codes (EGSnrc and GEANT4). Discrepancies in dose are determined for a number of parameters, including beam energy, tumor size, field size, and distance from chest wall. Calculations were performed for 1-mm{sup 3} regions at proximal, distal, and lateral aspects of a spherical tumor, determined for a 6-MV and a 15-MV photon beam. The simulations indicate regions of tumor underdose at the tumor-lung interface. Results are presented as ratios of the dose at key peripheral regions to the dose at the center of the tumor, a point at which the treatment planning system (TPS) predicts the dose more reliably. Comparison with TPS data (pencil-beam convolution) indicates such underdosage would not have been predicted accurately in the clinic. We define a dose reduction factor (DRF) as the average of the dose in the periphery in the 6 cardinal directions divided by the central dose in the target, the mean of which is 0.97 and 0.95 for a 6-MV and 15-MV beam, respectively. The DRF can assist clinicians in the estimation of the magnitude of potential discrepancies between prescribed and delivered dose distributions as a function of tumor size and location. Calculation for a systematic set of 'generic' tumors allows application to many classes of patient case, and is particularly useful for interpreting clinical trial data.

61 RADIATION PROTECTION AND DOSIMETRY↗