Ascending colon carcinoma presenting as ileocecal intussusception in an adult-a case report with review of literature.

Intussusception is telescoping of a proximal segment of gastrointestinal tract within the lumen of another. Intussusception is a common presentation in pediatric population and present with a classic triad of abdominal pain, bloody diarrhea and a palpable mass. However, intussusception in adults is a rare entity accounting for only 5% of the total cases and is the underlying cause for 1%-5% of all the cases of intestinal obstruction.

Diagnostic Decision-Making Variability Between Novice and Expert Optometrists for Glaucoma: Comparative Analysis to Inform AI System Design.

Background: While expert optometrists tend to rely on a deep understanding of the disease and intuitive pattern recognition, those with less experience may depend more on extensive data, comparisons, and external guidance. Understanding these variations is important for developing artificial intelligence (AI) systems that can effectively support optometrists with varying degrees of experience and minimize decision inconsistencies.

Objective: The main objective of this study is to identify and analyze the variations in diagnostic decision-making approaches between novice and expert optometrists.

A case of asymptomatic giant renal angiomyolipoma with extrusion of fat content with literature review.

Angiomyolipoma is a benign mesenchymal tumour of kidney that consists of adipose tissue, muscle cells and blood vessels. Renal angiomyolipomas represent almost one percent of all renal tumours. We reported a case of a 50-year-old woman complaining of mild abdominal discomfort with no other symptoms and no remarkable medical history.

DeepCGAN: early Alzheimer's detection with deep convolutional generative adversarial networks.

Introduction: Alzheimer's disease (AD) is a neurodegenerative disorder and the most prevailing cause of dementia. AD critically disturbs the daily routine, which usually needs to be detected at its early stage. Unfortunately, AD detection using magnetic resonance imaging is challenging because of the subtle physiological variations between normal and AD patients visible on magnetic resonance imaging.

Do industrialization and nonrenewable energy affect environmental quality? Evidence from top fossil fuel-consuming countries.

The global warming phenomenon has been an issue of considerable discussion and debate among academics and decision-makers over the past few decades. Therefore, a deeper comprehension of the relationships between environmental deterioration and its causes is necessary in nations that rely on fossil fuels. This study examines the relationship between per capita carbon dioxide emissions and total natural resources, nonrenewable energy, industrialization, and ecological footprint from 2001 to 2020 in the case of major fossil fuel-consuming countries.

Influence of access to clean fuels and technology, food production index, consumer price index, and income on greenhouse gas emissions from food system: evidence from developed countries.

Sustainable development objectives heavily promote the advancement of cleaner production technologies to reduce emissions and conserve the average world temperature. For the years 1990-2020, the USA, China, Japan, Russia, Germany, and Australia are studied by using the panel fully modified ordinary least square (FMOLS). The results show that clean fuels and technologies and a consumer price index are helpful to reduce greenhouse gas emissions from food system which reduce environmental degradation.

Influence of green technology, green energy consumption, energy efficiency, trade, economic development and FDI on climate change in South Asia.

Climate change policy has several potential risks. The purpose of this study is to investigate the impact of green technology development, green energy consumption, energy efficiency, foreign direct investment, economic growth, and trade (imports and exports) on greenhouse gas (GHG) emissions in South Asia from 1981 to 2018. We employed Breusch Pagan LM, bias-corrected scaled LM, and Pesaran CD as part of a series of techniques that can assist in resolving the problem of cross-sectional dependence.

Treatment planning of total marrow irradiation with intensity-modulated spot-scanning proton therapy.

Purpose: The goal of this study is to investigate treatment planning of total marrow irradiation (TMI) using intensity-modulated spot-scanning proton therapy (IMPT). The dosimetric parameters of the intensity-modulated proton plans were evaluated and compared with the corresponding TMI plans generated with volumetric modulated arc therapy (VMAT) using photon beams.

Methods: Intensity-modulated proton plans for TMI were created using the Monte Carlo dose-calculation algorithm in the Raystation 11A treatment planning system with spot-scanning proton beams from the MEVION S250i Hyperscan system.

Quantitative evaluation of dosimetric uncertainties associated with small electron fields.

Introduction: Although many studies have investigated small electron fields, there are several dosimetric issues that are not well understood. This includes lack of charged particle equilibrium, lateral scatter, source occlusion and volume averaging of the detectors used in the measurement of the commissioning data. High energy electron beams are also associated with bremsstrahlung production that contributes to dose deposition, which is not well investigated, particularly for small electron fields.

Asymmetric impact of energy consumption and economic growth on ecological footprint: Using asymmetric and nonlinear approach.

The main objective of this article is to examine the impacts of energy consumption and economic growth on environmental quality in Pakistan. We use the ecological footprint (environmental quality) as a target variable, the control variables of gross domestic products are a proxy of economic growth, and energy consumption and gross fixed capital formation are proxies of capital from 1971 to 2014. For this purpose, a unit root test with break dates is employed for a stationary check, and a BDS test is used for nonlinearity.

Impact assessment of land use change on surface temperature and agricultural productivity in Peshawar-Pakistan.

The profound appreciation of urban expansion and land use change (LUC) considerably influences the ecosystem functions, services, and biodiversity along with the local and regional climate. Land use has undergone an awful transformation due to rapid urbanization and population growth, which in turn increased land surface temperature (LST) in district Peshawar, Pakistan. The current study tends to capture the influence of land use on LST and agricultural productivity by employing multi-temporal, multispectral satellite data and agricultural production data during the selected years, i.

Quantitative evaluation of the performance of different deformable image registration algorithms in helical, axial, and cone-beam CT images using a mobile phantom.

The goal of this project is to investigate quantitatively the performance of different deformable image registration algorithms (DIR) with helical (HCT), axial (ACT), and cone-beam CT (CBCT). The variations in the CT-number values and lengths of well-known targets moving with controlled motion were evaluated. Four DIR algorithms: Demons, Fast-Demons, Horn-Schunck and Lucas-Kanade were used to register intramodality CT images of a mobile phantom scanned with different imaging techniques.

Quantitative evaluation by measurement and modeling of the variations in dose distributions deposited in mobile targets.

The objective of this study is to quantitatively evaluate variations of dose distributions deposited in mobile target by measurement and modeling. The effects of variation in dose distribution induced by motion on tumor dose coverage and sparing of normal tissues were investigated quantitatively. The dose distributions with motion artifacts were modeled considering different motion patterns that include (a) motion with constant speed and (b) sinusoidal motion.

A motion algorithm to extract physical and motion parameters of mobile targets from cone-beam computed tomographic images.

Purpose: A motion algorithm has been developed to extract length, CT number level and motion amplitude of a mobile target from cone-beam CT (CBCT) images.

Materials And Methods: The algorithm uses three measurable parameters: Apparent length and blurred CT number distribution of a mobile target obtained from CBCT images to determine length, CT-number value of the stationary target, and motion amplitude. The predictions of this algorithm are tested with mobile targets having different well-known sizes that are made from tissue-equivalent gel which is inserted into a thorax phantom.

Quantitative evaluation of patient setup uncertainty of stereotactic radiotherapy with the frameless 6D ExacTrac system using statistical modeling.

The purpose of this study is to evaluate patient setup accuracy and quantify indi-vidual and cumulative positioning uncertainties associated with different hardware and software components of the stereotactic radiotherapy (SRS/SRT) with the frameless 6D ExacTrac system. A statistical model is used to evaluate positioning uncertainties of the different components of SRS/SRT treatment with the Brainlab 6D ExacTrac system using the positioning shifts of 35 patients having cranial lesions. All these patients are immobilized with rigid head-and-neck masks, simu-lated with Brainlab localizer and planned with iPlan treatment planning system.

Dosimetric effects of positioning shifts using 6D-frameless stereotactic Brainlab system in hypofractionated intracranial radiotherapy.

Dosimetric consequences of positional shifts were studied using frameless Brainlab ExacTrac X-ray system for hypofractionated (3 or 5 fractions) intracranial stereo-tactic radiotherapy (SRT). SRT treatments of 17 patients with metastatic intracranial tumors using the stereotactic system were retrospectively investigated. The treatments were simulated in a treatment planning system by modifying planning parameters with a matrix conversion technique based on positional shifts for initial infrared (IR)-based setup (XC: X-ray correction) and post-correction (XV: X-ray verification).

Comparison of doses received by the hippocampus in patients treated with single isocenter- vs multiple isocenter-based stereotactic radiation therapy to the brain for multiple brain metastases.

To investigate the doses received by the hippocampus and normal brain tissue during a course of stereotactic radiation therapy using a single isocenter (SI)-based or multiple isocenter (MI)-based treatment planning in patients with less than 4 brain metastases. In total, 10 patients with magnetic resonance imaging (MRI) demonstrating 2-3 brain metastases were included in this retrospective study, and 2 sets of stereotactic intensity-modulated radiation therapy (IMRT) treatment plans (SI vs MI) were generated. The hippocampus was contoured on SPGR sequences, and doses received by the hippocampus and the brain were calculated and compared between the 2 treatment techniques.

Modeling and measurement of the variations of CT number distributions for mobile targets in cone-beam computed tomographic imaging.

The purpose of this study was to investigate quantitatively by measurement and modeling the variations in CT number distributions of mobile targets in cone-beam CT (CBCT) imaging. CBCT images were acquired for three targets manufactured from homogenous water-equivalent gel that was inserted into a commercial mobile thorax phantom. The phantom moved with a controlled cyclic motion in one-dimension along the superior-inferior direction to simulate patient respiratory motion.

Quantitative assessment by measurement and modeling of mobile target elongation in cone-beam computed tomographic imaging.

The purpose of this study was to assess quantitatively elongation of mobile targets in cone-beam CT (CBCT) imaging by measurement and modeling. A mathematical model was derived that predicts the measured lengths of mobile targets and its dependence on target size and motion patterns in CBCT imaging. Three tissue-equivalent targets of differing sizes were inserted in an artificial thorax phantom to simulate lung lesions.

Theoretical modeling of mobile target broadening in helical and axial computed tomographic imaging.

Purpose: To investigate variations in mobile target length induced by sinusoidal motion in helical (HCT) and axial CT (ACT) imaging. A mathematical model was derived that predicts the measured broadening of the apparent lengths of mobile targets and its dependence on motion parameters, target size, and imaging couch speed in CT images.

Materials And Methods: Three mobile targets of differing lengths and sizes were constructed of tissue-equivalent gel material and embedded into artificial lung phantom.

Quantitative assessment of the accuracy of dose calculation using pencil beam and Monte Carlo algorithms and requirements for clinical quality assurance.

To compare the doses calculated using the BrainLAB pencil beam (PB) and Monte Carlo (MC) algorithms for tumors located in various sites including the lung and evaluate quality assurance procedures required for the verification of the accuracy of dose calculation. The dose-calculation accuracy of PB and MC was also assessed quantitatively with measurement using ionization chamber and Gafchromic films placed in solid water and heterogeneous phantoms. The dose was calculated using PB convolution and MC algorithms in the iPlan treatment planning system from BrainLAB.

Quantitative investigation of the effects of the scanning parameters in the digitization of EBT and EBT2 Gafchromic film dosimetry with flatbed scanners.

With increasing popularity and complexity of intensity-modulated radiation therapy (IMRT) delivery modalities including regular and arc therapies, there is a growing challenge for validating the accuracy of dose distributions. Gafchromic films have superior characteristics for dose verification over other conventional dosimeters. In order to optimize the use of Gafchromic films in clinical IMRT quality assurance procedures, the scanning parameters of EBT and EBT2 films with a flatbed scanner were investigated.