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Baldazzi, Giuseppe

Publications and source records attributed to Baldazzi, Giuseppe.

SIS epidemiological model for adaptive RT: Forecasting the parotid glands shrinkage during tomotherapy treatment

Purpose: A susceptible-infected-susceptible (SIS) epidemic model was applied to radiation therapy (RT) treatments to predict morphological variations in head and neck (H&N) anatomy. Methods: 360 daily MVCT images of 12 H&N patients treated by tomotherapy were analyzed in this retrospective study. Deformable image registration (DIR) algorithms, mesh grids, and structure recontouring, implemented in the RayStation treatment planning system (TPS), were applied to assess the daily organ warping. The parotid’s warping was evaluated using the epidemiological approach considering each vertex as a single subject and its deformed vector field (DVF) as an infection. Dedicated IronPython scripts were developed to export daily coordinates and displacements of the region of interest (ROI) from the TPS. MATLAB tools were implemented to simulate the SIS modeling. Finally, the fully trained model was applied to a new patient. Results: A QUASAR phantom was used to validate the model. The patients’ validation was obtained setting 0.4 cm of vertex displacement as threshold and splitting susceptible (S) and infectious (I) cases. The correlation between the epidemiological model and the parotids’ trend for further optimization of alpha and beta was carried out by Euclidean and dynamic time warping (DTW) distances. The best fit with experimental conditions across all patients (Euclidean distance of 4.09 ± 1.12 and DTW distance of 2.39 ± 0.66) was obtained setting the contact rate at 7.55 ± 0.69 and the recovery rate at 2.45 ± 0.26; birth rate was disregarded in this constant population. Conclusions: Combining an epidemiological model with adaptive RT (ART), the authors’ novel approach could support image-guided radiation therapy (IGRT) to validate daily setup and to forecast anatomical variations. The SIS-ART model developed could support clinical decisions in order to optimize timing of replanning achieving personalized treatments.

60 APPLIED LIFE SCIENCES↗

A double photomultiplier Compton camera and its readout system for mice imaging

We have designed a Compton Camera (CC) to image the bio-distribution of gamma-emitting radiopharmaceuticals in mice. A CC employs the 'electronic collimation', i.e. a technique that traces the gamma-rays instead of selecting them with physical lead or tungsten collimators. To perform such a task, a CC measures the parameters of the Compton interaction that occurs in the device itself. At least two detectors are required: one (tracker), where the primary gamma undergoes a Compton interaction and a second one (calorimeter), in which the scattered gamma is completely absorbed. Eventually the polar angle and hence a 'cone' of possible incident directions are obtained (event with 'incomplete geometry'). Different solutions for the two detectors are proposed in the literature: our design foresees two similar Position Sensitive Photomultipliers (PMT, Hamamatsu H8500). Each PMT has 64 output channels that are reduced to 4 using a charge multiplexed readout system, i.e. a Series Charge Multiplexing net of resistors. Triggering of the system is provided by the coincidence of fast signals extracted at the last dynode of the PMTs. Assets are the low cost and the simplicity of design and operation, having just one type of device; among drawbacks there is a lower resolution with respect to more sophisticated trackers and full 64 channels Readout. This paper does compare our design of our two-Hamamatsu CC to other solutions and shows how the spatial and energy accuracy is suitable for the inspection of radioactivity in mice.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

X-Rays Compton Detectors For Biomedical Application

Collimators are usually needed to image sources emitting X-rays that cannot be focused. Alternately, one may employ a Compton Camera (CC) and measure the direction of the incident X-ray by letting it interact with a thin solid, liquid or gaseous material (Tracker) and determine the scattering angle. With respect to collimated cameras, CCs allow higher gamma-ray efficiency in spite of lighter geometry, and may feature comparable spatial resolution. CCs are better when the X-ray energy is high and small setups are required. We review current applications of CCs to Gamma Ray Astronomy and Biomedical systems stressing advantages and drawbacks. As an example, we focus on a particular CC we are developing, which is designed to image small animals administered with marked pharmaceuticals, and assess the bio-distribution and targeting capability of these latter. This camera has to address some requirements: relatively high activity of the imaged objects; detection of gamma-rays of different energies that may range from 140 keV (Tc99m) to 511 keV; presence of gamma and beta radiation with energies up to 2 MeV in case of 188Re. The camera consists of a thin position-sensitive Silicon Drift Detector as Tracker, and a further downstream position-sensitive system employing scintillating crystals and a multi-anode photo-multiplier (Calorimeter). The choice of crystal, pixel size, and detector geometry has been driven by measurements and simulations with the tracking code GEANT4. Spatial resolution, efficiency and scope are discussed.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗