Phenol compounds as new materials for electron spin resonance dosimetry in radiotherapy

Preliminary magnetic resonance relaxometric analysis of Fricke gel dosimeters produced with polyvinyl alcohol and glutaraldehyde

This work describes the preliminary analysis of Fricke gels dosimeters characterized by a new formulation making use of a matrix of polyvinyl alcohol cross-linked by adding glutaraldehyde and analyzed by means of nuclear magnetic resonance relaxometry. In previous optical studies, these gels have shown promising dosimetric features in terms of photon sensitivity and low diffusion of ferric ions produced after irradiation. In this work, we used a portable nuclear magnetic resonance relaxometer to measure the relaxation times (which are important for dosimetric applications) of these gel materials. For this purpose, we performed a study for optimizing the acquisition parameters with a nuclear…

Phenol compounds as new materials for electron spin resonance dosimetry in radiotherapy

Introduction: Among the various dosimetric techniques used for characterizing the radiation beams used in radiation therapy, the electron spin resonance (ESR) arouses increasing interest for applications in various therapy procedures. Free radicals are known to be produced when a compound is irradiated with ionizing radiations. The concentration of radiationinduced free radicals is proportional to the absorbed dose and this allows for dosimetric measurements through ESR technique which enables to quantitatively determine the radical concentration. In this work we report the ESR investigation of phenol pellets and thin films exposed to various types of radiation beams (clinical photon and el…

Resting state fMRI as a tool to investigate brain functional connectivity

Reward networks changes in the brain of pathological gamblers: a resting state functional magnetic resonance imaging study

Aims and objectives Methods and materials Results Conclusion Personal information References

Investigation of relaxation times of irradiated Fricke gels by means of nuclear magnetic resonance relaxometry

Fricke gel dosimeters are ideal candidates to provide 3D maps of dose distributions and are particularly useful in the plann ing and verification phase of radiotherapy treatments. One of the most effective experimental techniques to reconstruct dose maps is magnetic resonance imaging (MRI). This measures th e nuclear relaxation times variations induced by irradiation. In this work, we analyzed Fricke gels with and without Xylenol Orange by means of a single side-NMR relaxometer (which is abl e to provide information on both relaxation relaxation times T1 and T2 and is mainly used in the field of diagnostics for Cultural Heritage [1-2] to perform porosimetry meaurements). Our goal was to per…

Resting state FMRI: A tool to investigate functional connectivity modulation induced by transcranial direct current stimulation of the motor network

Introduction: Resting-state functional connectivity (fcMRI) represents a novel fMRI approach that allows detection of temporal correlations in spontaneous BOLD signal oscillations while subjects rest quietly in the scanner. Under resting conditions the brain is engaged in spontaneous activity that causes a low frequencies (<0.1 Hz) BOLD signal fluctuations. Functional connectivity (FC) can be defined as the synchrony of neural activity among spatially distant regions. Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique that is known to modulate cortical activity and FC among brain regions, as measured by functional magnetic resonance imaging. This st…

Strategies to develop radiomics and machine learning models for lung cancer stage and histology prediction using small data samples

Abstract Predictive models based on radiomics and machine-learning (ML) need large and annotated datasets for training, often difficult to collect. We designed an operative pipeline for model training to exploit data already available to the scientific community. The aim of this work was to explore the capability of radiomic features in predicting tumor histology and stage in patients with non-small cell lung cancer (NSCLC). We analyzed the radiotherapy planning thoracic CT scans of a proprietary sample of 47 subjects (L-RT) and integrated this dataset with a publicly available set of 130 patients from the MAASTRO NSCLC collection (Lung1). We implemented intra- and inter-sample cross-valida…

Advanced techniques in Magnetic Resonance Imaging: characterization of non-gaussian water diffusion using DIFFUSION KURTOSIS IMAGING (DKI)

Diffusion Kurtosis Imaging: prime applicazioni cliniche in ambito neuroradiologico

Functional connectivity modulation induced by transcranial direct current stimulation of the motor network investigated by resting state fMRI

This study is aimed at measuring the variation of functional connectivity between cortical brain regions after tDCS along time. For this purpose we enrolled 20 healthy right-handed subjects.

Correlation between ferrous ammonium sulfate concentration, sensitivity and stability of Fricke gel dosimeters exposed to clinical X-ray beams

Abstract This work describes the characterization of various Fricke-Agarose-Xylenol gels (FXG) dosimeters using NMR relaxometry and MRI analysis. Using X-rays from a clinical linear accelerator (LINAC), the gels were irradiated in the dose range from 0 Gy to 20 Gy. The photon sensitivity of the FXGs was measured in terms of NMR relaxation rates; its dependence on radiation dose was determined as a function of ferrous ammonium sulfate contents (from 0.5 mM to 5 mM). Furthermore, the stability of the NMR signal was monitored over several days after irradiation. These measurements were aided by Magnetic Resonance Imaging (MRI) scans which allowed three-dimensional (3D) dose mapping. In order t…

PERFORMANCE OF DIFFUSION KURTOSIS IMAGING FOR CHARACTERIZATION OF PROSTATE LESIONS USING 1.5T MAGNETIC RESONANCE IMAGING SCANNER

The aim of the study is to evaluate the diagnostic performance of apparent diffusion coefficient (ADC) and apparent kurtosis coefficient (Kapp) for the characterization of prostate lesions on 1.5T MRI. This retrospective study included 34 patients with at least one lesion with PI-RADS score≥ 3. Performances of ADC and Kapp were evaluated using the Mann-Whitney U test and receiver operating characteristics curve (AUROC). Lesions with Gleason score≥6 had significantly lower Kapp compared to benign lesions (p=0.025). The ADC-ratio was the only significantly different parameter between GS≥7 and GS=6 lesions (p=0.039). Kapp showed the largest AUROC for the diagnosis of GS≥6 prostate cancers (AUR…

Characterization of the terminal column of TRIGA Mark II reactor of Mainz through of alanine pellets.

We have studied the ESR response of alanine pellets with and without gadolinium exposed to the thermal column of the TRIGA Mark II research reactor at the University of Mainz (Germany). The choice of Gd as additive nucleus is due to its very high capture cross section to thermal neutrons and to the possibility for secondary particles produced after interaction with thermal neutrons of releasing their energy in the neighborhood of the reaction site. In particular, it was found that low concentration (5% by weight) of Gd brings about a neutron sensitivity enhancement of more than 10 times without heavily reducing tissue equivalence. Monte Carlo (MC) simulations of both response of alanine and…

EPR RESPONSE OF PHENOLIC SOLID STATE PELLETS FOR DOSIMETRY OF RADIO- THERAPEUTIC PHOTON AND ELECTRON BEAMS

Gel di Fricke: studio della risposta NMR in funzione della concentrazione di ferro ed utilizzo dosimetrico in ambito clinico (3D MRI)

Analysis of the response of PVA-GTA Fricke-gel dosimeters with clinical magnetic resonance imaging

Abstract Fricke gel dosimeters produced with a matrix of Poly-vinyl alcohol (PVA) cross-linked with glutaraldehyde (GTA) were analyzed with magnetic resonance imaging (MRI). Previous studies based on spectrophotometry showed valuable dosimetric features of these gels in terms of X-ray sensitivity and diffusion of the ferric ions produced after irradiation. In this study, MRI was performed on the gels at 1.5 T with a clinical scanner in order to optimize the acquisition parameters and obtain high contrast between irradiated and non-irradiated samples. The PVA gels were found to offer good linearity in the range of 0–10 Gy and a stable signal for several hours after irradiation. The sensitivi…

Nuclear Magnetic Resonance investigation of PVA-GTA FRicke gel dosimeters exposed to clinical photon beams

Fricke Xylenol Gel (FXG) dosimetric system is based on the radiation induced oxidation of ferrous (Fe2+) to ferric (Fe3+) ions. The application of Fricke gels for ionizing radiation dosimetry is continuously increasing worldwide due to their many favorable properties. However, one of their shortcomings is that ferrous and ferric ions diffuse in the gel matrix. To maintain the spatial integrity of the dose distribution, Fricke gels must be undergoing measurement within a few hours of their irradiation, so that ferric ions remain close to their point of production. Thus, the spatial integrity of the dose distribution in the Fricke gel is maintained. The gel matrix also contributes to the oxid…

Spin trapping as tool for investigating radiation induced free radicals in biologically active molecules

Since from the second half of the last century the spin trapping has found wide applications in chemistry, biology and medicine [1]. Of particular interest are the studied of the free radicals induced in biologically active molecules, such as DNA and proteins, when they are exposed to ionizing radiation. Their characterization allows to investigate the radiation-induced primary processes inside living cells. Indeed, ionizing radiations produce many kinds of free radicals through direct action; radicals can be formed also by indirect actions. However, the direct detection of these radicals is hard to obtain as they have a too short lifetime and this makes difficult to record them by conventi…

Sensibilità e stabilità dei dosimetri gel di tipo Fricke esposti ai fotoni nel range clinico in funzione della concentrazione di ferro e degli additivi presenti: 3D MRI per applicazioni dosimetriche

COMPARATIVE EVALUATION OF DATA PREPROCESSING SOFTWARE TOOLS TO INCREASE EFFICIENCY AND ACCURACY IN DIFFUSION KURTOSIS IMAGING

Introduction: Diffusion tensor imaging (DTI) is the most commonly used technique to extract microstructural features from a set of diffusionweighted images. In addition to the metrics obtained with DTI, diffusion kurtosis imaging (DKI) can provide non-Gaussian diffusion measures by means of the kurtosis tensor. DKI has shown to be more sensitive to tissue microstructural changes in both normal and pathological neural tissue. In a clinical setting, however, these benefits are often nullified by numerous acquisition artifacts. The aim of this study was compare two preprocessing software for DTI apply to DKI. Also, the major preprocessing, processing and post-processing procedures applied to D…

Study of optical absorbance and MR relaxation of irradiated Fricke Xylenol Orange Gel Dosimeters

Studies on the optical absorbance spectra of Fricke xylenol orange gel dosimeters were performed, in the wavelength range from 300 nm to 800 nm, in order to highlight some particular characteristics that can affect the achievable precision. The spectra are different mainly due to the different types of xylenol orange that was used and to a lower extent due to the different gelling agents (agarose or gelatine). The characteristic of variation of absorbance spectra versus dose, however, are similar in the various cases and can explain some peculiarities, as apparent effects of dose threshold. Changes of spectral shapes appear over the time after irradiation. Magnetic resonance measurements pe…

Investigation of applicability of alanine pellets and films for dosimetry of proton clinical beams

Laser-driven proton has recently gained a great interest as an alternative to conventional and more expensive acceleration techniques. These ion beams have desirable qualities such as small source size, high luminosity and small emittance to be used in different physics fields. This is very promising specially for the future perspective of a new concept of hadrontherapy based on laser-based devices could be developed, replacing traditional accelerating machines. ELIMED (Medical Applications at Extreme Light Infrastructure) is a task-force originally born by an idea of ELI-Beams (Prague) and INFN-LNS (Italian Institute for Nuclear Physics of Catania) researchers. ELIMED main goal is to perfo…

LOW DOSE CHARACTERIZATION OF FRICKE GEL DOSIMETERS BY OPTICAL ABSORBANCE AND MR RELAXATION METHODS

Introduction Fricke gel dosimeters allow measurements of 3D dose distributions and can be an effective tool for dosimetry verifications in radiotherapy. Various authors have reported drawbacks of the gels affecting the accuracy in case of low dose measurements. Purpose This study aims at investigating such drawbacks and at establishing the conditions for an optimal use of the gels. Materials and methods Our dosimeters consist of gels infused with a Fricke ferrous sulphate solution combined with xylenol orange (XO). Two kinds of xylenol orange (XO) and two different gelling agents (gelatin from porcine skin and Agarose) were utilized. Gels are red out by light absorption techniques: images o…

Study of optical absorbance and MR relaxation of Fricke xylenol orange gel dosimeters

Abstract Studies on the optical absorbance spectra of Fricke xylenol orange gel dosimeters were performed, in the wavelength range from 300 nm to 800 nm, in order to highlight some particular characteristics that can affect the achievable precision. The spectra are different mainly due to the different types of xylenol orange that was used and to a lower extent due to the different gelling agents (agarose or gelatine). The characteristic of variation of absorbance spectra versus dose, however, are similar in the various cases and can explain some peculiarities, as apparent effects of dose threshold. Changes of spectral shapes appear over the time after irradiation. Magnetic resonance measur…

NUCLEAR MAGNETIC RESONANCE RELAXOMETRY AND IMAGING FOR DOSIMETRY WITH AGAROSE FRICKE GEL

Introduction: Fricke Xylenol Gel (FXG) dosimetric system is based on the radiation induced oxidation of ferrous to ferric ions. In this kind of gels it can occur that ferrous and ferric ions diffuse in the gel matrix. To preserve the spatial distribution of the dose from diffusion, Fricke gels must be undergoing measurement within a few hours of their irradiation. Thus, the spatial integrity of the dose distribution in the Fricke gel is maintained. The oxidation of ferrous ions also causes a reduction of the longitudinal nuclear magnetic relaxation time which can be measured by means of nuclear magnetic resonance (NMR) instrumentation. In this work we performed NMR relaxometry and MR imagin…

PVA-GTA Fricke gel: studio della risposta NMR in funzione della concentrazione degli additivi e studi preliminari con scanner MRI 7 T

Sono stati analizzati tramite rilassometria NMR ed acquisizioni MRI dosimetri gel di tipo Fricke realizzati utilizzando un'innovativa matrice gel sintetica e tessuto equivalente: Polyvinyl alcohol (PVA) attivando chimicamente il processo di gelificazione tramite l'aggiunta di Glutaraldehyde (GTA). Questi gel sono stati irradiati con fasci di fotoni (LINAC) nel range 0--20 Gy. Per valutare la sensibilità a fotoni è stata studiata la dipendenza dei tempi di rilassamento nucleari dalla dose e dalla concentrazione di ferro nei gel. Inoltre è stata monitorata la stabilità del segnale dopo l'irraggiamento. Acquisizioni preliminari MRI con uno scanner MRI da 7 T sono state affiancate alle misure N…

A hyaluronic acid/cyclodextrin based injectable hydrogel for local doxorubicin delivery to solid tumors

Localized delivery of anticancer drugs is often the most useful therapeutic approach for the treatment of solid tumors. The use of injectable polymeric systems that maximize drug concentration in the proximal area of the tumor represents an extremely advantageous therapeutic strategy. Here, the development of an injectable in situ forming hydrogel was accomplished by exploiting the azo-type Michael reaction between an amine derivative of hyaluronic and vinylsulfone functionalized -cyclodextrins complexing doxorubicin. This injectable system can be easily prepared and administered with timelines compatible with normal operating room procedures, as demonstrated by rheological tests. In vitro…

Analysis of spatial diffusion of ferric ions in PVA-GTA gel dosimeters through magnetic resonance imaging

Abstract This work focused on the analysis of the temporal diffusion of ferric ions through PVA-GTA gel dosimeters. PVA-GTA gel samples, partly exposed with 6 MV X-rays in order to create an initial steep gradient, were mapped using magnetic resonance imaging on a 7T MRI scanner for small animals. Multiple images of the gels were acquired over several hours after irradiation and were analyzed to quantitatively extract the signal profile. The spatial resolution achieved is 200 μm and this makes this technique particularly suitable for the analysis of steep gradients of ferric ion concentration. The results obtained with PVA-GTA gels were compared with those achieved with agarose gels, which …

Transcranial magnetic resonance imaging-guided focused ultrasound treatment at 1.5 T: a retrospective study on treatment and patient-related parameters obtained from 52 Procedures

Objective: To present a retrospective analysis of patient- and sonication-related parameters of a group of patients treated with a transcranial magnetic resonance imaging (MRI)-guided focused ultrasound (tcMRgFUS) system integrated with a 1.5-T MRI unit. Methods: The data obtained from 59 patients, who underwent the tcMRgFUS procedure from January 2015 to April 2019, were retrospectively reviewed for this study. The following data, among others, were mainly collected: skull density ratio (SDR), skull area (SA), number of available transducer elements (Tx), and estimated focal power at target (FP). For each of the four different treatment stages, we calculated the number of sonication proces…

Preoperative imaging findings in patients undergoing transcranial magnetic resonance imaging-guided focused ultrasound thalamotomy

AbstractThe prevalence and impact of imaging findings detected during screening procedures in patients undergoing transcranial MR-guided Focused Ultrasound (tcMRgFUS) thalamotomy for functional neurological disorders has not been assessed yet. This study included 90 patients who fully completed clinical and neuroradiological screenings for tcMRgFUS in a single-center. The presence and location of preoperative imaging findings that could impact the treatment were recorded and classified in three different groups according to their relevance for the eligibility and treatment planning. Furthermore, tcMRgFUS treatments were reviewed to evaluate the number of transducer elements turned off after…

Nuclear magnetic resonance relaxometry and imaging for dosimetry with agarose Fricke gel

Studio preliminare di parcellizzazione talamica per l’identificazione del target di trattamento applicato alle talamotomie trans-craniche mediante ultrasuoni focalizzati guidati da Risonanza Magnetica (tcMRgFUS) [Thalamic parcelization for target identification in trans-cranial MR-guided Focused UltraSound (tcMRgFUS) thalamotomies: a preliminary study]

Introduzione La tcMRgFUS consente di effettuare una vera e propria esplorazione neurofunzionale per confermare ed ottimizzare il target lesionale prima di indurre una lesione cerebrale permanete. La scelta del target di trattamento si basa tuttavia su coordinate stereotassiche che non tengono conto delle diversità anatomiche di ciascun individuo. L'ottimizzazione del target di trattamento viene effettuata sulla base del feedback del paziente durante la procedura stessa. Materiali e metodi È’ stato utilizzato uno scanner RM da 1.5T per acquisire sequenze morfologiche 3D e ultrastrutturali (DTI) in pazienti successivamente sottoposti a tcMRgFUS. È stata effettuata una segmentazione delle aree…

Transcranial magnetic resonance-guided focused ultrasound surgery at 1.5T: a technical note.

Magnetic resonance-guided focused ultrasound is one of the emerging non-invasive technologies offering both image guidance and thermal monitoring. In recent years transcranial application of this technology is starting to impact heavily the neuroscience field. We present here the imaging protocol and the technological methods successfully used with a transcranial magnetic resonance-guided focused ultrasound system certified for clinical treatments of functional neurological disorders, integrated for the first time with a 1.5T magnetic resonance scanner. Compared to the body radiofrequency coil (the one commonly used with transcranial magnetic resonance-guided focused ultrasound system integ…

MRI Characterization of non-Gaussian water diffusion in the brain using Diffusion Kurtosis Imaging (DKI)

Diffusion tensor imaging (DTI) is the most commonly used technique to extract microstructural features from a set of diffusion-weighted images. In addition to the metrics obtained with DTI, diffusion kurtosis imaging (DKI) can provide non-Gaussian diffusion measures by means of the kurtosis tensor. DKI give an dimensionless measure that quantifies the deviation of the water diffusion displacement profile from the Gaussian distribution of unrestricted diffusion, providing a measure of the degree of diffusion hindrance or restriction. DKI has shown to be more sensitive to tissue microstructural changes in both normal and pathological neural tissue. The aim of this work is the description of t…

Comparative evaluation of data preprocessing software tools to increase efficiency and accuracy in diffusion kurtosis imaging

Characterization of Fricke gel dosimeters exposed to clinical photons beams and of MRI dosimetrical applications

Improvement of neutron sensitivity for lithium formate ESR dosimeters: A Monte Carlo analysis

This work presents the computational analysis of the sensitivity improvements that could be achieved in lithium formate monohydrate (LFM) electron paramagnetic resonance (EPR) dosemeters exposed to neutron beams. Monte Carlo (MC) simulations were performed on LFM pellets exposed to neutron beams with different energy spectra at various depths inside a water phantom. Various computations were carried out by considering different enrichments of 6Li inside the LFM matrix as well as addition of different amounts of gadolinium oxide inside the pellet blend. The energy released per unit mass was calculated with the aim of redicting the increase in dose achievable by the addition of sensitizers in…

Studio di assorbanza ottica e rilassometria RM in dosimetri a gel di Fricke

I dosimetri a gel di Fricke con xylenol-orange, analizzati otticamente, presentano alcune limitazioni se impiegati per misure di basse dosi (pochi Gy o meno), per irraggiamenti di lunga durata o per individuare procedure di calibrazione che permettano l'utilizzo in radioterapia. Le difficoltà derivano da variazioni nello spettro di assorbanza verosimilmente dovute a variazioni dei legami degli ioni ferrici con lo xylenol-orange. Sono state effettuate misure: i) di assorbanza ottica, anche spettrometrica, per dosimetri irraggiati a diverse dosi e a diversi tempi rispetto all'irraggiamento; ii) di rilassometria RM per valutare le variazioni dovute al solo aumento del numero di ioni ferrici.

Nuovi gel di Fricke ad alta sensibilità e bassa diffusione per dosimetria 3D tramite MRI

One of the most recent and promising developments in radiotherapy dosimetry was the introduction of 3D radiationsensitive gels. These gels present tissue equivalent composition and density, so they also serve as phantoms, and their response is largely independent of radiation quality and dose rate. Some gels are infused with ferrous sulfate and rely on the radiation-induced oxidation of ferrous ions to ferric ions (Fricke-gel). In this work Fricke gel dosimeters produced with a matrix of poly-vinyl alcohol (PVA) cross-linked with glutaraldehyde (GTA) were analyzed with magnetic resonance imaging (MRI). This work focused on the analysis of the temporal diffusion of ferric ions through PVA-GT…

Physics, Techniques and Review of Neuroradiological Applications of Diffusion Kurtosis Imaging (DKI)

In recent years many papers about diagnostic applications of diffusion tensor imaging (DTI) have been published. This is because DTI allows to evaluate in vivo and in a non-invasive way the process of diffusion of water molecules in biological tissues. However, the simplified description of the diffusion process assumed in DTI does not permit to completely map the complex underlying cellular components and structures, which hinder and restrict the diffusion of water molecules. These limitations can be partially overcome by means of diffusion kurtosis imaging (DKI). The aim of this paper is the description of the theory of DKI, a new topic of growing interest in radiology. DKI is a higher or…

23. Resting state functional magnetic resonance imaging analysis of the brain of pathological gamblers

Purpose Gambling disorder has been recently reclassified under the category “substance-related and addictive disorders”. Recent studies performed through functional MRI (fMRI) have shown that the perseverance of some behaviors can alter brain activation [1] , [2] . In this work we aim at investigating functional connectivity changes in pathological gamblers (PGs) in comparison to healthy controls (HCs) by means of resting state functional Magnetic Resonance Imaging (rs-fMRI). Methods and materials Thirteen HCs and fourteen PGs were recruited (all right handed males; drugs free; mean age 36 ± 10 yrs). All acquisitions were performed through a 1,5 T MRI scanner using a 8-channels phased-array…

Alanine films for EPR dosimetry of low-energy (1–30 keV) X-ray photons

Abstract L- α -alanine has aroused considerable interest for use in radiation EPR dosimetry and has been formally accepted as a secondary standard for high-dose (kGy) and transfer dosimetry of high-energy photons and electrons. In this work, we extended the investigation of the energy response of alanine EPR films in the low energy range for X-photons (1–30 keV). Electron Paramagnetic Resonance (EPR) measurements were performed on Kodak BioMax alanine films exposed to low-energy X-rays from a Cu-, W- and Mo-targets tube operating at voltages up to 30 kV. Films were chosen because of the low penetration of the soft X-rays used. The response of alanine to low-energy X-rays was characterized e…

Sviluppo di Metodologie e di Analisi per Tecniche Avanzate di Risonanza Magnetica

TRANS-CRANIAL MRI-GUIDED FOCUSED ULTRASOUND SURGERY (TCMRGFUS): ITALIAN AND WORLD-FIRST EXPERIENCE AT 1.5 TESLA

Introduction: Transcranial magnetic resonance-guided focused ultrasound surgery (tcMRgFUS) is a promising new technology for the noninvasive treatment of various brain disorders. Here, we present our preliminary results achieved with the first Italian installation of a transcranial MRI-guided focused ultrasound surgery (tcMRgFUS) certified system for functional neurosurgery. Technical issues faced to achieve a safe and effective treatment will be discussed focusing on MR high-resolution live imaging and thermometry sequences optimization. Materials and Methods: Patient enrollment was based on indication for functional neurosurgery and evidence of medication-refractory disease; a detailed me…

Agarose and PVA Fricke gel dosimeters exposed to clinical photons beams: Nuclear Magnetic Resonance Relaxometry and Imaging

Fricke Xylenol Gel (FXG) dosimetric system is based on the radiation induced oxidation of ferrous (Fe2+) to ferric (Fe3+) ions. The application of Fricke gels for ionizing radiation dosimetry is continuously increasing worldwide due to their many favorable properties. However, one of their shortcomings is that ferrous and ferric ions diffuse in the gel matrix. To maintain the spatial integrity of the dose distribution, Fricke gels must be undergoing measurement within a few hours of their irradiation, so that ferric ions remain close to their point of production. Thus, the spatial integrity of the dose distribution in the Fricke gel is maintained. The gel matrix also contributes to the oxid…

Sviluppo di un software per l’analisi di immagini di Diffusion Kurtosis Imaging

L’analisi mediante RM del tensore di diffusione (Diffusion Tensor Imaging, DTI) consente di valutare anche in vivo e con modalità non invasive il processo di diffusione delle molecole d’acqua nei tessuti biologici. La peculiare organizzazione di alcuni tessuti biologici (es: muscoli, sostanza bianca del sistema nervoso centrale e tessuti ad alta cellularità) influenza tale fenomeno rendendolo anisotropo e quindi ben valutabile con tali tecniche di studio. Nonostante i grandi vantaggi di tale tecnica, il DTI è basato su un modello molto semplificato che assume che lo spostamento per diffusione segua un profilo gaussiano il che è molto raro in un ambiente variegato come i tessuti biologic…

Modulation of Human Motor Cortical Excitability and Plasticity by Opuntia Ficus Indica Fruit Consumption: Evidence from a Preliminary Study through Non-Invasive Brain Stimulation

Indicaxanthin (IX) from Opuntia Ficus Indica (OFI) has been shown to exert numerous biological effects both in vitro and in vivo, such as antioxidant, anti-inflammatory, neuro-modulatory activity in rodent models. Our goal was to investigate the eventual neuro-active role of orally assumed fruits containing high levels of IX at nutritionally-relevant amounts in healthy subjects, exploring cortical excitability and plasticity in the human motor cortex (M1). To this purpose, we applied paired-pulse transcranial magnetic stimulation and anodal transcranial direct current stimulation (a-tDCS) in basal conditions and followed the consumption of yellow cactus pear fruits containing IX or white ca…

FUNCTIONAL CONNECTIVITY MODULATION INDUCED BY TRANSCRANIAL DIRECT CURRENT STIMULATION OF THE MOTOR NETWORK

Background: Brain functions arise from the orchestrated activation and cooperation of networks of regions whose specific relationship varies dynamically across functional states. Resting state functional Magnetic Resonance Imaging (RS-fMRI) analyses focuses on spontaneous low frequency fluctuations (< 0.1 Hz) in the BOLD signal and investigates synchronous activations between regions that are spatially distinct (functional connectivity, FC), occurring in the absence of a task or stimulus. Transcranial Direct Current Stimulation (tDCS) is a non-invasive brain stimulation technique that is known to modulate cortical activity and FC among brain regions, as measured by functional Magnetic Reson…

Are we overusing abdominal computed tomography scans in young patients referred in an emergency for acute abdominal pain?

Purpose: The primary objective was to assess the frequency of appropriateness of computed tomography (CT) for acute abdominal pain (AAP) in the emergency department; the secondary aim was to compare the diagnostic accuracy of ultrasound (US) and CT in the diagnosis of the aetiology of AAP for diseases that can be diagnosed by US; and the third objective was to assess extent to which inappropriate CT examinations for AAP result in ionizing radiation exposure. Material and methods: In this retrospective single-centre study, we included patients aged between 15 and 46 years referred to the emergency department for AAP in 2016 and submitted to abdominal CT scans, collecting a total of 586 patie…

246. Analysis of signal-to-noise ratio for a 2-channels coil developed to enable transcranial Magnetic Resonance-guided Focused Ultrasound Surgery (tcMRgFUS) with 1.5 T MRI scanners

Abstract Purpose In recent years trans-cranial Magnetic Resonance-guided Focused Ultrasound Surgery (tcMRgFUS) treatments have aroused large scientific and medical interest [1] . Usually, tcMRgFUS systems are integrated with 3 T systems which allow the use of the body RF coil for both real time imaging and MR-thermometry. At University Hospital of Palermo there is the world-first installation of a tcMRgFUS system integrated with a 1.5 T scanner. Here we present the characterization in terms of signal-to-noise ratio (SNR) of a dedicated RF coils suitably developed (by InSightec) to enable tcMRgFUS treatments with 1.5 T MR units. Methods and materials The focused ultrasound equipment (ExAblat…

Functional connectivity modulation induced by transcranial direct current stimulation of the motor network: a Resting-State fMRI study

Resting-state functional connectivity represents a novel fMRI approach that allows detection of temporal correlations in spontaneous BOLD signal oscillations while subjects rest quietly in the scanner. Functional connectivity (FC) can be defined as the synchrony of neural activity among spatially distant regions. Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique that is known to modulate cortical activity and FC among brain regions. This study is aimed at measuring the variation of functional connectivity between cortical brain regions after tDCS along time. The temporal concatenation group ICA showed that immediately after anodal stimulation the a…

Analysis of response of PVA-GTA Fricke gel dosimeters through magnetic resonance imaging.

The experimental activities here reported are focused on the analysis of the clinical applications of Fricke gel dosimeters produced with a matrix of Polyvinyl alcohol (PVA) cross-linked by adding glutaraldehyde (GTA). The analyses were performed by means of a 1.5 T clinical magnetic resonance imaging (MRI) scanner. The sensitivity of these dosimetric gels to clinical photon beams as well as the signal stability were suitably investigated. Furthermore, the effect of the xylenol orange on the MRI signal was analyzed. The results obtained show that these PVA-GTA gel dosimeters show good dosimetric features for possible future use for 3D dose mapping in clinical applications.

Increased functional connectivity in gambling disorder correlates with behavioural and emotional dysregulation: Evidence of a role for the cerebellum

Gambling disorder (GD) is a psychiatric disease that has been recently classified as a behavioural addiction. So far, a very few studies have investigated the alteration of functional connectivity in GD patients, thus the concrete interplay between relevant function-dependent circuitries in such disease has not been comprehensively assessed. The aim of this research was to investigate resting-state functional connectivity in GD patients, searching for a correlation with GD symptoms severity. GD patients were assessed for gambling behaviour, impulsivity, cognitive distortions, anxiety and depression, in comparison with healthy controls (HC). Afterwards, they were assessed for resting-state f…

Analisi NMR su gel di tipo Fricke irradiati con fasci routinari per la radioterapia: stabilità e sensibilità in funzione degli additivi

In questo lavoro sono presentate le misure effettuate tramite rilassometria NMR su campioni costituiti da una matrice gelatinosa drogata con ioni ferrosi comunemente chiamati dosimetri gel di tipo Fricke (FXG). La dosimetria con gel Fricke si basa sulla ossidazione degli ioni ferrosi (Fe2+) in ioni ferrici (Fe3+) all’interno di una matrice gelatinosa a seguito di irraggiamento (Schreiner, 2004). Tale processo è fortemente dipendente dalla dose somministrata (Marrale, 2014a). I dosimetri di Fricke sono tessuto-equivalenti, rispondono ad ogni tipo di radiazione ionizzante ed, assumendo la forma del contenitore in cui avviene la gelificazione, possono essere utilizzati per studiare l’effetto d…

Looking into the architecture of the brain with MRI: quantification of non-Gaussian water diffusion by Diffusion Kurtosis Imaging (DKI)

The aim of this work is the definition of an MRI protocol for Diffusion Kurtosis Imaging (DKI) by using a 1.5T clinical scanner and the development of a software for DKI analysis.

Simulazioni numeriche e test di applicabilità clinica della Diffusion Kurtosis Imaging su tomografi RM da 1.5 Tesla

Monte Carlo simulation of energy absorbed in phenolic ESR dosimeters added with gadolinium exposed to thermal, epithermal and fast neutrons

Abstract In this work analyses of the energy released per unit mass in phenolic compound exposed to neutron beams were performed with the aim of predicting the increase in dose achievable by addition of gadolinium (Gd) inside the pellets. In particular, Monte Carlo (MC) simulations were carried out for IRGANOX® 1076 phenolic compound irradiated with neutron beams with different energy spectra at various depths inside a water phantom. The addition of gadolinium increases sensitivity of phenolic ESR (electron spin resonance) dosimeters to neutrons thanks to the high gadolinium cross section for neutron capture and to the large number of secondary particles (mainly Auger and internal conversio…

POST-THALAMOTOMY NEUROFUNCTIONAL FINDINGS ON PATIENTS TREATED WITH TRANS-CRANIAL MAGNETIC RESONANCE GUIDED FOCUSED ULTRASOUND SURGERY (TCMRGFUS): PRELIMINARY RESULTS

BACKGROUND AND PURPOSE: We present functional connectivity (FC) changes found in the very first patients treated with the first Italian installation of a trans-cranial MRI-guided Focused Ultrasound Surgery (tcMRgFUS) certified system for functional neurosurgery. TcMRgFUS is a promising new technique for non-invasive treatment of neurologic disorders such as Essential Tremor, tremor associated to Parkinson's Disease and Neuropathic Pain. TcMRgFUS is able to focally target and destroy specific regions in the brain through intact skull, by using a high intensity focused ultrasound beam. Resting state functional Magnetic Resonance Imaging (RS-fMRI) analyses focuses on spontaneous low frequency …

New materials for ESR dosimetry in clinical photon and electron beams: Phenol Compounds.

In the last decades several research laboratories have shown an increasing interest aimed at extending the applicability of ESR-dosimetry to radiotherapy with different types of radiation beams. ESR is a spectroscopic method for investigating the structure and dynamics of such paramagnetic species. The concentration of radiation-induced free radicals is proportional to the energy released inside in the medium. Our research group has started an investigation of the ESR response of some phenols compounds for possible ESR dosimetric applications suitable features, such as high efficiency of radiation-matter energy transfer and radical stability at room temperature. In particular, the phenoloct…