This study aimed to compare different types of right breast cancer radiotherapy planning techniques and to estimate the whole-body effective doses and the critical organ absorbed doses. The three planning techniques are intensity-modulated radiotherapy (IMRT), volumetric modulated arc therapy (VMAT; two methods) and hybrid 3D-CRT/IMRT (three-dimensional conformal radiotherapy/intensity-modulated radiotherapy). The VMAT technique includes two methods to deliver a dose: non-continuous partial arc and continuous partial arc. A thermoluminescent dosimeter (TLD) is placed in the RANDO phantom to estimate the organ absorbed dose. Each planning technique applies 50.4 Gy prescription dose and treats critical organs, including the lung and heart. Dose-volume histogram was used to show the planning target volume (V95%), homogeneity index (HI), conformity index (CI), and other optimized indices. The estimation of whole-body effective dose was based on the International Commission on Radiation Protection (ICRP) Publication 60 and 103. The results were as follows: Continuous partial arc and non-continuous partial arc showed the best CI and HI. The heart absorbed doses in the continuous partial arc and hybrid 3D-CRT/IMRT were 0.07 ± 0.01% and 0% (V5% and V10%, respectively). The mean dose of the heart was lowest in hybrid 3D-CRT/IMRT (1.47 Gy ± 0.02). The dose in the left contralateral lung (V5%) was lowest in continuous partial arc (0%). The right ipsilateral lung average dose and V20% are lowest in continuous partial arc. Hybrid 3D-CRT/IMRT has the lowest mean dose to contralateral breast (organs at risk). The whole-body effective doses for ICRP-60 and ICRP-103 were highest in continuous partial arc (2.01 Sv ± 0.23 and 2.89 Sv ± 0.15, respectively). In conclusion, the use of VMAT with continuous arc has a lower risk of radiation pneumonia, while hybrid 3D-CRT/IMRT attain lower secondary malignancy risk and cardiovascular complications.

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Digital radiography (DR) is a mature technology and has been broadly used in medical diagnosis. Currently, it’s also used for fruit quality inspection in the market. This purpose of the study is to conduct non-destructive experiments for visual comparisons of digital radiography images, further construct visualized grayscale image analysis technology, and analyze the changes in lemon quality and ripening using quantitative statistical methods. The materials used for the experiments were three lemons of different ripening. A general medical X-ray DR system for was used in this study for 2D digital radiography. The medical X-ray DR images were created based on the Digital Imaging and Communications in Medicine (DICOM) standard. Photometric interpretation of monochrome was applied to create multi-layered grayscale images. Then quantitative analyses and comparisons were performed with image matrix structures and grayscale pixel values in the tissues using visualization techniques and statistical methods. After layer segmentation on the radiological images, the correlations between the lemon structures and tissue changes were assessed by using the Kruskal–Wallis test. The results showed that the p values for lemon, fiber, and pulp were all under 0.05, while the peel layer did not exhibit significant change. The pulp layer is the best region for statistical analyses to determine the lemon ripening. In conclusion, this study can provide a solid reference for future quality classification in the agricultural market. The research findings can be referenced for developing computing techniques applied to agricultural inspection, expanding the scope of application of the medical DR technology.

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