Objective. To evaluate the effect of postpolymerization treatment based on ethanol-aqueous solutions on the residual monomer (RM) content, flexural strength, microhardness, and cytotoxicity of hard chairside reline resins (Kooliner, Ufi Gel Hard). Methods. After polymerization, specimens were immersed in water, 20%, 50%, or 70% ethanol solutions at 23°C or 55°C for 10 minutes. Controls were left untreated. HPLC was used for the determination of RM content. Specimens were submitted to Vickers microhardness and 3-point loading flexural strength tests. Cytotoxicity of resin eluates was determined on human fibroblasts by assessing cellular mitochondrial function and lactate dehydrogenase release. Results. Higher concentrations of ethanol promoted lower RM content at 55°C in both materials. The mechanical properties were maintained after 50% and 20% ethanol treatments in Kooliner and Ufi Gel Hard, respectively. Specimens submitted to those treatments showed significant reduction on cytotoxicity compared to immersion in hot water, the treatment of choice in the recent literature. Significance. Immersion of relined dentures in specific ethanol solutions at 55°C for 10 minutes can be considered an effective postpolymerization treatment contributing to increase materials biocompatibility. The proposed protocol is expeditious and easy to achieve with simple equipment in a dental office.
Purpose
To apply the recent code of practice from the IAEA/AAPM, TRS 483, to helical tomotherapy (HT) for reference and relative dosimetry obtaining correction factors for the Exradin A1SL ionization chamber.
Methods
The beam quality correction factor for the A1SL chamber was obtained through three different approaches following TRS 483 concepts and compared with published values. The determination of the reference absolute dose for the machine‐specific reference (msr) field was complemented with relative dosimetry through the determination of output factors of small fields using different detectors. The response of A1SL was compared with correction‐free film results and corrected output factors of other detectors.
Results
A weighted mean beam quality correction factor of 0.9945± 0.0073 was obtained for the A1SL chamber which is in agreement with values reported in the literature. Output factors obtained with different detectors were in agreement, given the uncertainty level. Considering the film output factors as free of corrections, the average value for A1SL output factors corrections was 1.000 ± 0.007.
Conclusions
The beam quality correction factors for the A1SL chamber obtained through the three different pathways recommended by TRS 483 agreed with each other and also with published values. The measurements from the A1SL chamber normalized to the msr field in HT can be taken as output factors for small clinical field sizes without further corrections.
Electing irradiation directions to use in IMRT treatments is one of the first decisions to make in treatment planning. Beam angle optimization (BAO) is a difficult problem to tackle from the mathematical optimization point of view. It is highly non-convex, and optimization approaches based on gradient-descent methods will probably get trapped in one of the many local minima. Simulated Annealing (SA) is a local search probabilistic procedure that is known to be able to deal with multimodal problems. SA for BAO was retrospectively applied to ten clinical examples of treated cases of head-and-neck tumors signalized as complex cases where proper target coverage and organ sparing proved difficult to obtain. The number of directions to use was considered fixed and equal to 5 or 7. It is shown that SA can lead to solutions that significantly improve organ sparing, even considering a reduced number of angles, without jeopardizing tumor coverage.
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