Simone C. Cardoso

Valproate reverts zinc and potassium imbalance in schizophrenia-derived reprogrammed cells

Schizophrenia has been considered a devastating clinical syndrome rather than a single disease. Nevertheless, the mechanisms behind the onset of schizophrenia have been only partially elucidated. Several studies propose that levels of trace elements are abnormal in schizophrenia; however, conflicting data generated from different biological sources prevent conclusions being drawn. In this work, we used synchrotron radiation X-ray microfluorescence spectroscopy to compare trace element levels in neural progenitor cells (NPCs) derived from two clones of induced pluripotent stem cell lines of a clozapine-resistant schizophrenic patient and two controls. Our data reveal the presence of elevated levels of potassium and zinc in schizophrenic NPCs. Neural cells treated with valproate, an adjunctive medication for schizophrenia, brought potassium and zinc content back to control levels. These results expand the understanding of atomic element imbalance related to schizophrenia and may provide novel insights for the screening of drugs to treat mental disorders.

Percentage depth dose evaluation in heterogeneous media using thermoluminescent dosimetry

The purpose of this study is to investigate the influence of lung heterogeneity inside a soft tissue phantom on percentage depth dose (PDD). PDD curves were obtained experimentally using LiF:Mg,Ti (TLD‐100) thermoluminescent detectors and applying Eclipse treatment planning system algorithms Batho, modified Batho (M‐Batho or BMod), equivalent TAR (E‐TAR or EQTAR), and anisotropic analytical algorithm (AAA) for a 15 MV photon beam and field sizes of 1×1,2×2,5×5, and 10×10cm2. Monte Carlo simulations were performed using the DOSRZnrc user code of EGSnrc. The experimental results agree with Monte Carlo simulations for all irradiation field sizes. Comparisons with Monte Carlo calculations show that the AAA algorithm provides the best simulations of PDD curves for all field sizes investigated. However, even this algorithm cannot accurately predict PDD values in the lung for field sizes of 1×1 and 2×2cm2. An overdosage in the lung of about 40% and 20% is calculated by the AAA algorithm close to the interface soft tissue/lung for 1×1 and 2×2cm2 field sizes, respectively. It was demonstrated that differences of 100% between Monte Carlo results and the algorithms Batho, modified Batho, and equivalent TAR responses may exist inside the lung region for the 1×1cm2 field. PACS number: 87.55.kd

X-ray fluorescence with synchrotron radiation to elemental analysis of lead and calcium content of primary teeth.

Primary teeth were analyzed by micro-SRXRF. The aim of this study was to determine the elemental distribution of lead and calcium in different regions of primary incisor of children living in a notoriously contaminated area (Santo Amaro da Purificação, Bahia State, Brazil). The measurements were performed in standard geometry of 45 degrees incidence, exciting with a white beam and using a conventional system collimation (orthogonal slits) in the XRF beamline at the Synchrotron Light National Laboratory (Campinas, Brazil).

Modelling the elastic scattering in diagnostic radiology: the importance of structure form factors

The importance of structure form factors in describing elastic scattering in diagnostic radiology was studied through a Monte Carlo code built to reproduce scattering in large water samples. The code, developed by us, considers all relevant interactions, including multiple scattering and interference due to scattering by the liquid structure. Geometrical conditions and energies similar to those found in radiology were used. The secondary to primary radiation ratio using the usual free atom approximation and the structure form factor was obtained and both approaches were compared. Calculations of radiological parameters such as the angular distribution of photons incident on the detector and the fraction of scattered photons stopped by anti-scattering grids were also performed considering mammography, thorax and abdomen radiography conditions. The results have shown that S(beta)/P depends on the experimental set-up, being more important for low momentum transfers and sample sizes for which the multiple scattering is not expected to be significant, as in the case of mammography. It was also verified that large samples increase the probability of multiple scattering, masking the structure peak in S(beta) and making the sample structure important just for relatively thin samples. Considering mammography-like geometry, the maximum of the S(beta)/P distribution considering structure form factors occurs around 15 degrees while the correspondent maximum without considering the structure factors occurs around 10 degrees for any sample thickness. S(beta)/P is almost independent of the irradiation field, with the maximum remaining at 15 degrees and 10 degrees for the SFF and FAFF, respectively. The cases studied in this paper stress some conditions in which it is mandatory to use SFF, but since it requires no further significant efforts, the SFF approach is recommended as a standard procedure when describing the elastic scattering process in radiology.

Influence of the Presence of Tissue Expanders on Energy Deposition for Post-Mastectomy Radiotherapy

An increasing number of studies have shown that post-mastectomy radiotherapy presents benefits associated with the patients survival and a significant fraction of the treated patients makes use of tissue expanders for breast reconstruction. Some models of tissue expanders have a magnetic disk on their surface that constitutes heterogeneity in the radiation field, which can affect the dose distribution during the radiotherapy treatment. In this study, the influence of a metallic heterogeneity positioned in a breast tissue expander was evaluated by means of Monte Carlo simulations using the MCNPX code and using Eclipse treatment planning system. Deposited energy values were calculated in structures which have clinical importance for the treatment. Additionally, the effect in the absorbed energy due to backscattering and attenuation of the incident beam caused by the heterogeneity, as well as due to the expansion of the prosthesis, was evaluated in target structures for a 6 MV photon beam by simulations. The dose distributions for a breast treatment were calculated using a convolution/superposition algorithm from the Eclipse treatment planning system. When compared with the smallest breast expander volume, underdosage of 7% was found for the largest volume of breast implant, in the case of frontal irradiation of the chest wall, by Monte Carlo simulations. No significant changes were found in dose distributions for the presence of the heterogeneity during the treatment planning of irradiation with an opposed pair of beams. Even considering the limitation of the treatment planning system, the results obtained with its use confirm those ones found by Monte Carlo simulations for a tangent beam irradiation. The presence of a heterogeneity didńt alters the dose distributions on treatment structures. The underdosage of 7% observed with Monte Carlo simulations were found for irradiation at 0°, not used frequently in a clinical routine.

Gafchromic EBT2 dosimetry via robust optimization

Abstract An ‘in house’ software was developed with MATLAB in order to perform optimized dose calculations in radiotherapy. The aim of this work is to demonstrate an improvement on the Multichannel method using robust optimization that deals with optimization problems where robustness is sought against uncertainty. An optimization framework was developed in order to compare remaining error from optimization process of robust methods against the conventional triple-channel method. The proposed robust method minimizes the dose difference over all channels compared to the original triple-channel method, mainly over clinical dose range. Even if a Gafchromic EBT2 film irradiated by composite IMRT fields is analyzed, more consistent values than the ones obtained by the triple-channel method are found and Newton Rings patterns are minimized. When robust methods are applied, the difference between blue and red channel doses was found to be very small, about 10 4 times less than obtained by triple-channel optimization. It is well known that one outlier may cause a large error in a least squares estimator. The blue channel correction of non-uniformities may have best performance when robust optimization is used. A variety of anomalies (artifacts, Newton rings and other disturbances) behave differently from natural Gaussian random noise such as variations of the thickness. The use of robust optimization methods might be more realistic since this approach uses fatter tail distributions as the Laplace and could mitigate the Newton’s Rings Pattern.

Synchrotron Radiation X-Ray Microfluorescence Reveals Polarized Distribution of Atomic Elements during Differentiation of Pluripotent Stem Cells

The mechanisms underlying pluripotency and differentiation in embryonic and reprogrammed stem cells are unclear. In this work, we characterized the pluripotent state towards neural differentiated state through analysis of trace elements distribution using the Synchrotron Radiation X-ray Fluorescence Spectroscopy. Naive and neural-stimulated embryoid bodies (EB) derived from embryonic and induced pluripotent stem (ES and iPS) cells were irradiated with a spatial resolution of 20 µm to make elemental maps and qualitative chemical analyses. Results show that these embryo-like aggregates exhibit self-organization at the atomic level. Metallic elements content rises and consistent elemental polarization pattern of P and S in both mouse and human pluripotent stem cells were observed, indicating that neural differentiation and elemental polarization are strongly correlated.

On the production of neutrons in laminated barriers for 10 MV medical accelerator rooms.

When space limitations are primary constraints, laminated barriers with metals can be an option to provide sufficient shielding for a radiotherapy treatment room. However, if a photon clinical beam with end point energy of 10 MeV or higher interacts with the metal inside the barriers neutrons are ejected and can result in an exposure problem inside and outside the vault. The empirical formulae existing in the literature to estimate neutron dose equivalents beyond laminated barriers do not take into account neutron production for spectra below 15 MV. In this work, the Monte Carlo code MCNP was used to simulate the production and transport of photoneutrons across primary barriers of 10 MV accelerator treatment rooms containing lead or steel, in order to obtain the ambient dose equivalents produced by these particles outside the room and in the patient plane. It was found that the neutron doses produced are insignificant when steel is present in the primary barriers of 10 MV medical accelerators. On the other hand, the results show that, in all cases where lead sheets are positioned in the primary barriers, the neutron ambient dose equivalents outside the room generally exceed the shielding design goal of 20 μSv/week for uncontrolled areas, even when the lead sheets are positioned inside the treatment room. Moreover, for laminated barriers, the photoneutrons produced in the metals are summed with the particles generated in the accelerator head shielding and can represent a significant component of additional dose to the patients. In this work, it was found that once lead sheets are positioned inside the room, the neutron ambient dose equivalents can reach the value of 75 μSv per Gray of photon absorbed dose at the isocenter. However, for all simulated cases, a tendency in the reduction of neutron doses with increasing lead thickness can be observed. This trend can imply in higher neutron ambient dose equivalents outside the room for thinner lead sheets. Therefore, when a medical accelerator treatment room is designed with laminated barriers to receive equipment with an end point energy equal to or higher than 10 MeV, not only the required shielding thickness for photon radiation attenuation should be considered, but also the dose due to photoneutrons produced in the metal, which may involve an increase of the lead thickness or even the use of neutron shielding.

Evaluation of the radiotherapy treatment planning in the presence of a magnetic valve tissue expander.

The combination of radiotherapy treatments and breast reconstruction, using temporary tissue expanders, generates several concerns due to the presence of a magnetic valve inside the radiation field. The objective of this work is to evaluate a radiotherapy treatment planning for a patient using a tissue expander. Isodose curve maps, obtained using radiochromic films, were compared to the ones calculated with two different dose calculation algorithms of the Eclipse radiotherapy Treatment Planning System (TPS), considering the presence or absence of the heterogeneity. The TPS calculation considering the presence of the heterogeneity shows changes around 5% in the isodose curves when they were compared with the calculation without heterogeneity correction. This calculation did not take in account the real density value of the heterogeneity. This limitation was quantified to be around 10% in comparison with the TPS calculation and experimental measurements using the radiochromic film. These results show that the magnetic valve should be taken in account in dose calculations of the TPS. With respect to the AAA and Pencil Beam Convolution algorithms, when the calculation is compared with the real distribution, AAA presents a distribution more similar to experimental dose distribution.

Application of the SR-PhC-μCT technique with phase retrieval for the characterization of internal and external structures of Rhodnius prolixus

The present work is the second one of a two- part publication on the use of Synchrotron Radiation Phase Contrast microtomography (SR-PhC-μCT) for the study of Rhodnius prolixus morphology. In previous paper the visualization of various detailed features were highlighted thanks to the edge enhancement effects typical of the phase contrast technique, but the contrast between foreground and background remained poor. In this study the same data set have been re-visited with application of a single distance phase retrieval algorithm. The resulting slices showed very high quality images that enable a better visualization of important muscles and neurohemal organs of the central nervous system within the head of Rhodnius prolixus.