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Evaluation of Dosimetric Properties in External Beam Radiation Therapy

Thesis Info

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Author

Atia Atiq

Program

PhD

Institute

The Islamia University of Bahawalpur

City

Bahawalpur

Province

Punjab

Country

Pakistan

Thesis Completing Year

2019

Thesis Completion Status

Completed

Subject

Physics

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/10598/1/Atia_atiq_physics_IUB.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676726119305

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A great level of accuracy and efficiency is required to execute the various paradigms of the radiotherapy processes. The work described in the dissertation was aimed to verify the quality of treatment plans for different techniques in order to enhance the accuracy of planning processes involved. Also dose profile uniformity was verified to improve the Quality Assurance (QA) of radiotherapy process.This project was organized into three major components comprising of ‘comparison of treatment plan quality of RapidArc and Intensity Modulated Radiotherapy (IMRT) using various dosimetric indices’, ‘investigation oftolerance dose to Organs at Risk (OARs) and assessing degree of homogeneity and conformity for Head and Neck (H&N) cancer patients by using Simultaneous Integrated Boost Intensity Modulated Radiotherapy (SIB IMRT) technique’, and ‘determination of quality of 6 MV and 15 MV wedge-shaped radiation beams by analyzing the effect of symmetry parameter on depth, field size, beam energy, and wedge angle.’ First, analysis and comparison of the plan quality of IMRT and RapidArc techniques using various dosimetric indices was carried out to find out the better treatment modality for treating patients with cervix cancer. Thirteen cervical cancer patients treated with IMRT were selected for analysis and original plans were subsequently re-optimized based on the RapidArc technique. Inverse treatment planning was done by Eclipse (Varian Medical Systems, Palo Alto, CA) Treatment Planning System (TPS) for 15 MV photon beams from computed tomographic data. Double arcs were used for RapidArc plans. Quality of treatment plans were evaluated by calculating Conformity Index (CI), Homogeneity Index (HI), Gradient Index (GI), coverage, and Unified Dosimetry Index (UDI) for each plan. RapidArc plans resulted in better Planning Target Volume (PTV) coverage as evident by its superior Conformation Number (CN), coverage, CI, HI, GI, and UDI. Regarding Organs at Risk, RapidArc plans exhibit superior organ sparing as found from integral dose comparison. Difference between both techniques was determined by statistical analysis. For all cases under study, modest differences between IMRT and RapidArc treatment were observed. In conclusion, RapidArc-based treatment planning is safer with similar planning goals compared to the standard fixed IMRT technique. Furthermore, degree of conformity, homogeneity and tolerance dose to organs at risk for head and neck cancer patients were investigated. Fifteen patients receiving treatment based on inverse planned SIB IMRT technique were analyzed in this study. Using a beam energy of 6 MV, two dose levels of 70 Gy and 55·4 Gy were used to treat the tumor. Doses of 2 Gy in 35 fractions and 1·68 Gy in 33 fractions were simultaneously delivered for Effective Planning Target Volume (PTV1) and Boost Planning Target Volume (PTV2) respectively. Dose distribution in PTV and critical organs lie within tolerance dose guidelines protecting spinal cord, brain stem, optic chiasm, and optic nerve. Minor deviation from tolerance limit was observed for parotid glands. This technique provided highly conformal and homogenous dose distribution as well as offered best solution for preserving organ function by keeping dose below tolerance level. Finally, symmetry parameter of wedge-shaped photon beam profile was investigated to determine quality of radiation beams produced by linear accelerator. Analysis of beam profile parameter symmetry was performed for 6 MV and 15 MV photon beam energies by varying different factors such as depth, field size and wedge angle. Photon beam profile was measured from Varian’s Clinac DHX using PTW array detector. Data management, analysis, and processing of isodose curves was carried out by PTW MP3-M water tank and PTW MEPHYSTO version 7.33 software. Variation in symmetry was analyzed to match acceptance criteria as recommended by the American Association of Physicists in Medicine (AAPM) protocols. Results implied that symmetry parameter can be treated as being independent of depth and linearly increase with field size and wedge angle. For wedged beam profiles, measured values of symmetry were generally good and exceeded only slightly from the AAPM’s standard criteria for symmetry for open fields. The difference between open field beam profiles and wedge-shaped profiles were considered so that possible errors involved in radiotherapy process can be rectified.
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صفی ؔ

جناب صفیؔ
افسوس ہے کہ ہماری پرانی بزمِ شعروسخن کی یادگاریں ایک ایک کر کے اٹھتی جاتی ہیں ابھی چند مہینے ہوئے جناب صفی ہم سے جدا ہوئے تھے کہ گذشتہ مہینہ جناب آرزو نے الوداع کہا، یہ دونوں اپنے فن کے باکمال اساتذہ اور اردوزبان کے بڑے خدمت گذار تھے، صفی نے لکھنو کے قدیم رنگِ تغزل کی اصلاح کے ساتھ قومی و ملی نظموں کا مذاق پیدا کیا جو لکھنو کے شعراء میں بہت کم بلکہ نہ ہونے کے برابر تھا، ان کی بعض پرانی نظمیں اتنی مقبول ہوئیں کہ ان کے اشعار اب تک لوگوں کی زبانوں پر ہیں۔
(شاہ معین الدین ندوی،مئی ۱۹۵۱ء)

عصر حاضر میں مسلمانوں کی سیاسی ابتری اور اس کا تدارک: سیرتِ طیبہﷺ کی روشنی میں

The noble life Of Rasulullah (ﷺ) provides the best after course and framework for the individual and collective life of Muslims which can lead Muslims to prosper in each part of life. Out of different problems of the Muslim Ummah in the current circumstances is the absence of political insight and exemplary leadership which is one of the most important problems and due to which Muslims are victim of decline on international basis. The political and national problems of Muslims include the absence of exemplary leadership, Muslim Ummah getting victim of mutual differences, deprivation of the majority of Muslim rulers of bravery and boldness, shortage of the wellbeing of the public, excess of corruption and fraud, absence of self-accountability in the public and rulers, not complying with the rules of justice, shortage of qualified and experienced individuals in different departments and institutions along with some other similar problems. Without getting them solved, the dreams of prosperity and success of Muslim Ummah cannot be fulfilled. We can find the solution of all of these problems in the teachings of Rasulullah (S.A.W) and in his noble life. Hence it is very important to prepare a framework in the light of Seerah and adopt it accordingly in this very important part of life. In the article under reference, Muslims Political deterioration in the modern era and a review of its remedy is to be presented in the light of Seerah.

Potential for Bio-Management of Helicoverpa Armigera Hübner on Tomato Through Combinations of Microbial Agents

The present study was aimed at evaluating the insecticidal efficacy of different microbial agents against Helicoverpa armigera, the voracious pest of tomato. The study comprised of the series of experiments conducted to determine the extent of field evolved resistance in H. armigera against conventional and new chemistry insecticides, to evaluate the endophytic capacity of Beauveria bassiana into tomato plants, to evaluate the lethal action of B. bassiana, B. thuringiensis and HaNPV under laboratory, green house and field conditions against H. armigera. Finally the effect of microbial agents was determined on the survival of natural allies, and the economics of application of microbial agents was calculated from yield harvested. Endophytic colonization of B. bassiana not only lowered the damage infestation of H. armigera but also improved the plant health. Synergistic effect (CTF≥20) on the mortality was observed when larvae were exposed to simultaneous application of higher concentration of B. bassiana and lower concentration of B. thuringiensis both in case of second and fourth instar H. armigera larvae. Lower concentration of B. bassiana yielded additive effect in combination with Bt. Higher concentration of NPV also integrates synergistically with lower concentration of Bt. Lower concentration of NPV works independently with higher and lower concentration of Bt. Percent pupation, adult emergence and egg eclosion from surviving individuals was found inversely correlated to toxic level of microbial agents. Increase in larval and pupal duration while decrease in pupal weight and adult duration was recorded depending upon the lethal action of the applied agent. The toxic nature of microbial agents also influenced the weight gain, frass production and diet consumption. Foliar application of B. bassiana and B. thuringiensis was found significantly persistent up to 12 days and mortality of second and fourth instar larvae was decreased with the time. Microbial agents in simultaneous application are proved to be effective in lowering the larval density of H. armigera and hence lowering the yield losses. Microbial agents are relatively safe to natural enemies of H. armigera and hence proved to be eco-safe agents. Maximum marginal return was obtained in combined application of microbial agents than their individual application