Dynamic and physical (hard) wedges are used in 3D conformal radiotherapy in order to improve dose distribution in patients. Unlike wedge factors for physical wedges that depend on wedge material and thickness, wedge factors for Varian dynamic wedges depend on the relationship between the position of the moving jaw and the number of delivered monitor units. In this study, we describe a new analytical model for dynamic wedge factors. We also review the existing analytical models and compare calculated and measured wedge factors. The comparison is performed for different wedge angles, symmetric and asymmetric fields and two different photon energies. The obtained results indicate that the new dynamic wedge model provides the best overall agreement (within 1%) with the measured wedge factors.
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http://dx.doi.org/10.1088/0031-9155/49/13/006 | DOI Listing |
A narrow linewidth nanosecond partially end-pumped slab (Innoslab) laser amplifier at 1064 nm has been demonstrated. A 6 W seed at a repetition rate of 10 kHz was amplified to 50.1 W with an absorbed pump power of 163 W, achieving a power stability of 0.
View Article and Find Full Text PDFJ Knee Surg
January 2025
Orthopedics, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of).
Categorization of alignment into phenotypes can be useful for predicting and analyzing postoperative alignment changes after opening-wedge high tibial osteotomy (OWHTO). The purposes of this study were (1) to develop a machine learning model for the predicting the Coronal Plane Alignment of the Knee (CPAK) phenotypes of final alignment after OWHTO, and (2) to analyze predictive factors for final alignment phenotypes. Data were retrospectively collected from 163 knees that underwent OWHTO between March 2014 and December 2019.
View Article and Find Full Text PDFBrain Spine
December 2024
Department of Neurosurgery, Leiden University Medical Center (LUMC), Leiden, the Netherlands.
Introduction: Thoracolumbar kyphosis (TLK) is a frequently reported spinal deformity in achondroplasia, which in combination with the characteristic narrow spinal canal in achondroplasia predisposes for symptomatic spinal stenosis. There is however no consensus on the optimal treatment, due to limited data on diagnostic criteria, the natural development and the prevalence of TLK.
Research Question: This study aims to assess the prevalence, natural development, and diagnostic criteria for pathological TLK in individuals with achondroplasia.
Ann Thorac Surg
January 2025
Division of Thoracic Surgery, Yale School of Medicine, New Haven, CT.
Background: Prospective randomized trials have demonstrated noninferior survival between sublobar resection and lobectomy in healthy non-small cell lung cancer (NSCLC) patients with tumors ≤2cm. However, some patient attributes are not well represented in randomized trials and uncertainty remains in the widespread applicability of randomized trial nodal dissection protocols.
Methods: Patients with ≤2cm, node-negative NSCLC (cT1N0) in the Society of Thoracic Surgeons prospective database were linked to Medicare survival data using a probabilistic matching algorithm.
Port J Card Thorac Vasc Surg
January 2025
Thoracic Surgery Department, Pulido Valente Hospital, CHULN, Lisbon, Portugal.
Introduction: Complete radical resection is crucial for successfully treating thymic carcinomas. However, when the invasion of the great vessels or the heart in Masaoka III and IV stages occurs, the management poses more challenges. The R0 resection often requires neoadjuvant treatment.
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