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Gunes A, Schmitt C, Bilodeau L, Huet C, Belblidia A, Baldwin C, Giard JM, Biertho L, Lafortune A, Couture CY, Cheung A, Nguyen BN, Galun E, Bémeur C, Bilodeau M, Laplante M, Tang A, Faraj M, Estall JL. IL-6 Trans-Signaling Is Increased in Diabetes, Impacted by Glucolipotoxicity, and Associated With Liver Stiffness and Fibrosis in Fatty Liver Disease. Diabetes 2023; 72:1820-1834. [PMID: 37757741 PMCID: PMC10658070 DOI: 10.2337/db23-0171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 08/31/2023] [Indexed: 09/29/2023]
Abstract
Many people living with diabetes also have nonalcoholic fatty liver disease (NAFLD). Interleukin-6 (IL-6) is involved in both diseases, interacting with both membrane-bound (classical) and circulating (trans-signaling) soluble receptors. We investigated whether secretion of IL-6 trans-signaling coreceptors are altered in NAFLD by diabetes and whether this might associate with the severity of fatty liver disease. Secretion patterns were investigated with use of human hepatocyte, stellate, and monocyte cell lines. Associations with liver pathology were investigated in two patient cohorts: 1) biopsy-confirmed steatohepatitis and 2) class 3 obesity. We found that exposure of stellate cells to high glucose and palmitate increased IL-6 and soluble gp130 (sgp130) secretion. In line with this, plasma sgp130 in both patient cohorts positively correlated with HbA1c, and subjects with diabetes had higher circulating levels of IL-6 and trans-signaling coreceptors. Plasma sgp130 strongly correlated with liver stiffness and was significantly increased in subjects with F4 fibrosis stage. Monocyte activation was associated with reduced sIL-6R secretion. These data suggest that hyperglycemia and hyperlipidemia can directly impact IL-6 trans-signaling and that this may be linked to enhanced severity of NAFLD in patients with concomitant diabetes. ARTICLE HIGHLIGHTS IL-6 and its circulating coreceptor sgp130 are increased in people with fatty liver disease and steatohepatitis. High glucose and lipids stimulated IL-6 and sgp130 secretion from hepatic stellate cells. sgp130 levels correlated with HbA1c, and diabetes concurrent with steatohepatitis further increased circulating levels of all IL-6 trans-signaling mediators. Circulating sgp130 positively correlated with liver stiffness and hepatic fibrosis. Metabolic stress to liver associated with fatty liver disease might shift the balance of IL-6 classical versus trans-signaling, promoting liver fibrosis that is accelerated by diabetes.
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Affiliation(s)
- Aysim Gunes
- Institut de recherches cliniques de Montréal (IRCM), Montreal, Quebec, Canada
- Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada
- Montreal Diabetes Research Centre, Montreal, Quebec, Canada
| | - Clémence Schmitt
- Institut de recherches cliniques de Montréal (IRCM), Montreal, Quebec, Canada
- Programmes de biologie moléculaire, Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada
| | - Laurent Bilodeau
- Département de radiologie, Centre hospitalier de l’Université de Montréal (CHUM), Montreal, Quebec, Canada
| | - Catherine Huet
- Département de radiologie, Centre hospitalier de l’Université de Montréal (CHUM), Montreal, Quebec, Canada
| | - Assia Belblidia
- Département de radiologie, Centre hospitalier de l’Université de Montréal (CHUM), Montreal, Quebec, Canada
| | - Cindy Baldwin
- Institut de recherches cliniques de Montréal (IRCM), Montreal, Quebec, Canada
| | - Jeanne-Marie Giard
- Liver Unit, Centre hospitalier de l’Université de Montréal (CHUM), Département de médecine, Université de Montréal, Montreal, Quebec, Canada
| | - Laurent Biertho
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Quebec City, Quebec, Canada
- Département de chirurgie, Faculté de médecine, Université Laval, Quebec City, Quebec, Canada
| | - Annie Lafortune
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Quebec City, Quebec, Canada
- Département de chirurgie, Faculté de médecine, Université Laval, Quebec City, Quebec, Canada
| | - Christian Yves Couture
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Quebec City, Quebec, Canada
- Département de biologie moléculaire, biochimie médicale et pathologie, Université Laval, Quebec City, Quebec, Canada
| | - Angela Cheung
- Gastroenterology and Hepatology, Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada
| | - Bich N. Nguyen
- Département de pathologie et biologie cellulaire, Université de Montréal, Montreal, Quebec, Canada
| | - Eithan Galun
- Goldyne Savad Institute of Gene Therapy, Hadassah Hebrew University Hospital, Jerusalem, Israel
| | - Chantal Bémeur
- Département de nutrition, Université de Montréal, Montreal, Quebec, Canada
- Labo HépatoNeuro, Centre de recherche du CHUM, Montreal, Quebec, Canada
| | - Marc Bilodeau
- Liver Unit, Centre hospitalier de l’Université de Montréal (CHUM), Département de médecine, Université de Montréal, Montreal, Quebec, Canada
| | - Mathieu Laplante
- Montreal Diabetes Research Centre, Montreal, Quebec, Canada
- Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Quebec City, Quebec, Canada
| | - An Tang
- Département de radiologie, Centre hospitalier de l’Université de Montréal (CHUM), Montreal, Quebec, Canada
| | - May Faraj
- Institut de recherches cliniques de Montréal (IRCM), Montreal, Quebec, Canada
- Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada
- Montreal Diabetes Research Centre, Montreal, Quebec, Canada
- Département de nutrition, Université de Montréal, Montreal, Quebec, Canada
| | - Jennifer L. Estall
- Institut de recherches cliniques de Montréal (IRCM), Montreal, Quebec, Canada
- Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada
- Montreal Diabetes Research Centre, Montreal, Quebec, Canada
- Programmes de biologie moléculaire, Faculté de médecine, Université de Montréal, Montreal, Quebec, Canada
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Entine F, Garnier G, Dondey M, Rizzi Y, Gobert A, Bassinet C, Papin S, Pennacino I, Cazoulat A, Amabile JC, Huet C. SEED: An Operational Numerical Tool for Dosimetric Reconstruction in Case of External Radiological Overexposure. Health Phys 2022; 122:271-290. [PMID: 34995220 DOI: 10.1097/hp.0000000000001483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
ABSTRACT In the event of a radiological accident involving external exposure of one or more victims and potential high doses, it is essential to know the dose distribution within the body in order to sort the victims according to the severity of the irradiation and then to take them to the most suitable medical facilities. However, there are currently few techniques that can be rapidly deployed on field and capable of characterizing an irradiation. Therefore, a numerical simulation tool has been designed. It can be implemented by a doctor/physicist pairing, projected within a limited time as close as possible to the irradiation accident and emergency response teams. Called SEED (Simulation of External Exposures & Dosimetry), this tool (dedicated to dose reconstruction in case of external exposure) allows a rapid modeling of the irradiation scene and a visual exchange with the victims and witnesses of the event. The user can navigate in three dimensions in the accident scene thanks to a graphical user interface including a "first person" camera. To validate the performance of the SEED tool, two dosimetric benchmarking exercises were performed. The first consisted in comparing the dose value provided by SEED to that given by a reference calculation code: MCNPX. The purpose of the second validation was to perform an experiment irradiating a physical dummy equipped with dosimeters and to reconstruct this irradiation using SEED. These two validation protocols have shown satisfactory results with mean difference less than 2% and 12% for the first and second exercises, respectively. They confirm that this new tool is able to provide useful information to medical teams in charge of dosimetric triage in case of a major external exposure event.
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Affiliation(s)
| | - G Garnier
- French Defense Radiation Protection Service (SPRA), 1 bis rue du lieutenant Raoul Batany - CS500 - 92141 CLAMART Cedex, France
| | - M Dondey
- French Defense Radiation Protection Service (SPRA), 1 bis rue du lieutenant Raoul Batany - CS500 - 92141 CLAMART Cedex, France
| | - Y Rizzi
- Institute for Radiation Protection and Nuclear Safety (IRSN), 31 avenue de la Division Leclerc - 92260 FONTENAY-AUX-ROSES, France
| | - A Gobert
- Institute for Radiation Protection and Nuclear Safety (IRSN), 31 avenue de la Division Leclerc - 92260 FONTENAY-AUX-ROSES, France
| | - C Bassinet
- Institute for Radiation Protection and Nuclear Safety (IRSN), 31 avenue de la Division Leclerc - 92260 FONTENAY-AUX-ROSES, France
| | - S Papin
- French Defense Radiation Protection Service (SPRA), 1 bis rue du lieutenant Raoul Batany - CS500 - 92141 CLAMART Cedex, France
| | - I Pennacino
- French Defense Radiation Protection Service (SPRA), 1 bis rue du lieutenant Raoul Batany - CS500 - 92141 CLAMART Cedex, France
| | - A Cazoulat
- French Defense Radiation Protection Service (SPRA), 1 bis rue du lieutenant Raoul Batany - CS500 - 92141 CLAMART Cedex, France
| | - J C Amabile
- Armed Forces Medical Service Head quarters (DCSSA), 60 boulevard du général Martial Valin - CS 21 623 - 75509 PARIS Cedex 15, France
| | - C Huet
- Institute for Radiation Protection and Nuclear Safety (IRSN), 31 avenue de la Division Leclerc - 92260 FONTENAY-AUX-ROSES, France
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Mansour R, Romaguera LV, Huet C, Bentridi A, Vu KN, Billiard JS, Gilbert G, Tang A, Kadoury S. Abdominal motion tracking with free-breathing XD-GRASP acquisitions using spatio-temporal geodesic trajectories. Med Biol Eng Comput 2022; 60:583-598. [PMID: 35029812 DOI: 10.1007/s11517-021-02477-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Accepted: 11/23/2021] [Indexed: 11/25/2022]
Abstract
Free-breathing external beam radiotherapy remains challenging due to the complex elastic or irregular motion of abdominal organs, as imaging moving organs leads to the creation of motion blurring artifacts. In this paper, we propose a radial-based MRI reconstruction method from 3D free-breathing abdominal data using spatio-temporal geodesic trajectories, to quantify motion during radiotherapy. The prospective study was approved by the institutional review board and consent was obtained from all participants. A total of 25 healthy volunteers, 12 women and 13 men (38 years ± 12 [standard deviation]), and 11 liver cancer patients underwent imaging using a 3.0 T clinical MRI system. The radial acquisition based on golden-angle sparse sampling was performed using a 3D stack-of-stars gradient-echo sequence and reconstructed using a discretized piecewise spatio-temporal trajectory defined in a low-dimensional embedding, which tracks the inhale and exhale phases, allowing the separation between distinct motion phases. Liver displacement between phases as measured with the proposed radial approach based on the deformation vector fields was compared to a navigator-based approach. Images reconstructed with the proposed technique with 20 motion states and registered with the multiscale B-spline approach received on average the highest Likert scores for the overall image quality and visual SNR score 3.2 ± 0.3 (mean ± standard deviation), with liver displacement errors varying between 0.1 and 2.0 mm (mean 0.8 ± 0.6 mm). When compared to navigator-based approaches, the proposed method yields similar deformation vector field magnitudes and angle distributions, and with improved reconstruction accuracy based on mean squared errors. Schematic illustration of the proposed 4D-MRI reconstruction method based on radial golden-angle acquisitions and a respiration motion model from a manifold embedding used for motion tracking. First, data is extracted from the center of k-space using golden-angle sampling, which is then mapped onto a low-dimensional embedding, describing the relationship between neighboring samples in the breathing cycle. The trained model is then used to extract the respiratory motion signal for slice re-ordering. The process then improves the image quality through deformable image registration. Using a reference volume, the deformation vector field (DVF) of sequential motion states are extracted, followed by deformable registrations. The output is a 4DMRI which allows to visualize and quantify motion during free-breathing.
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Affiliation(s)
- Rihab Mansour
- Centre hospitalier de l'Université de Montréal (CHUM) Research Center, Montreal, QC, Canada
| | - Liset Vazquez Romaguera
- Department of Computer and Software Engineering, Polytechnique Montreal, PO Box 6079, Montreal, QC, Canada
| | - Catherine Huet
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montreal, QC, Canada
| | - Ahmed Bentridi
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montreal, QC, Canada
| | - Kim-Nhien Vu
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montreal, QC, Canada
| | - Jean-Sébastien Billiard
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montreal, QC, Canada
| | | | - An Tang
- Centre hospitalier de l'Université de Montréal (CHUM) Research Center, Montreal, QC, Canada
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montreal, QC, Canada
| | - Samuel Kadoury
- Centre hospitalier de l'Université de Montréal (CHUM) Research Center, Montreal, QC, Canada.
- Department of Computer and Software Engineering, Polytechnique Montreal, PO Box 6079, Montreal, QC, Canada.
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Dabin J, da Silva E, Lombardo P, Vanhavere F, Huet C, Hébré A. Effectiveness of five radioprotective protective devices for staff in interventional procedures: results of the MEDIRAD project. Phys Med 2021. [DOI: 10.1016/s1120-1797(22)00506-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Eakins J, Huet C, Brkić H, Capello K, Desorgher L, Epstein L, Hunt J, Kim H, Krstic D, Lee YK, Manohari M, Nikezic D, Shukrun R, Souza-Santos D, Tymińska K. Monte Carlo calculation of organ and effective dose rates from ground contaminated by Am-241: Results of an international intercomparison exercise. RADIAT MEAS 2021. [DOI: 10.1016/j.radmeas.2021.106649] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Rabus H, Gómez-Ros JM, Villagrasa C, Eakins J, Vrba T, Blideanu V, Zankl M, Tanner R, Struelens L, Brkić H, Domingo C, Baiocco G, Caccia B, Huet C, Ferrari P. Quality assurance for the use of computational methods in dosimetry: activities of EURADOS Working Group 6 'Computational Dosimetry'. J Radiol Prot 2021; 41:46-58. [PMID: 33406511 DOI: 10.1088/1361-6498/abd914] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Accepted: 01/06/2021] [Indexed: 06/12/2023]
Abstract
Working Group (WG) 6 'Computational Dosimetry' of the European Radiation Dosimetry Group promotes good practice in the application of computational methods for radiation dosimetry in radiation protection and the medical use of ionising radiation. Its cross-sectional activities within the association cover a large range of current topics in radiation dosimetry, including more fundamental studies of radiation effects in complex systems. In addition, WG 6 also performs scientific research and development as well as knowledge transfer activities, such as training courses. Monte Carlo techniques, including the use of anthropomorphic and other numerical phantoms based on voxelised geometrical models, play a strong part in the activities pursued in WG 6. However, other aspects and techniques, such as neutron spectra unfolding, have an important role as well. A number of intercomparison exercises have been carried out in the past to provide information on the accuracy with which computational methods are applied and whether best practice is being followed. Within the exercises that are still ongoing, the focus has changed towards assessing the uncertainty that can be achieved with these computational methods. Furthermore, the future strategy of WG 6 also includes an extension of the scope toward experimental benchmark activities and evaluation of cross-sections and algorithms, with the vision of establishing a gold standard for Monte Carlo methods used in medical and radiobiological applications.
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Affiliation(s)
- H Rabus
- Physikalisch-Technische Bundesanstalt (PTB), Abbestrasse 2-12, 10587 Berlin, Germany
| | - J M Gómez-Ros
- Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), Madrid, Spain
| | - C Villagrasa
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Fontenay-aux-Roses, France
| | - J Eakins
- Public Health England (PHE), Didcot, United Kingdom
| | - T Vrba
- Czech Technical University in Prague (CTU), Prague, Czech Republic
| | - V Blideanu
- Commissariat à l'Énergie Atomique et aux Énergies Alternatives (CEA), Saclay, France
| | - M Zankl
- Helmholtz Zentrum München German Research Center for Environmental Health (HMGU), Neuherberg, Germany
| | - R Tanner
- Public Health England (PHE), Didcot, United Kingdom
| | - L Struelens
- Belgian Nuclear Research Center (SCK·CEN), Mol, Belgium
| | - H Brkić
- J. J. Strossmayer University of Osijek (MEFOS), Osijek, Croatia
| | - C Domingo
- Universitat Autonoma de Barcelona (UAB), Barcelona, Spain
| | - G Baiocco
- Physics Department, University of Pavia, Pavia, Italy
| | - B Caccia
- National Institute of Health (ISS), Rome, Italy
| | - C Huet
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Fontenay-aux-Roses, France
| | - P Ferrari
- National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Bologna, Italy
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Mansour R, Thibodeau Antonacci A, Bilodeau L, Vazquez Romaguera L, Cerny M, Huet C, Gilbert G, Tang A, Kadoury S. Impact of temporal resolution and motion correction for dynamic contrast-enhanced MRI of the liver using an accelerated golden-angle radial sequence. Phys Med Biol 2020; 65:085004. [PMID: 32084661 DOI: 10.1088/1361-6560/ab78be] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
This paper presents a prospective study evaluating the impact on image quality and quantitative dynamic contrast-enhanced (DCE)-MRI perfusion parameters when varying the number of respiratory motion states when using an eXtra-Dimensional Golden-Angle Radial Sparse Parallel (XD-GRASP) MRI sequence. DCE acquisition was performed using a 3D stack-of-stars gradient-echo golden-angle radial acquisition in free-breathing with 100 spokes per motion state and temporal resolution of 6 s/volume, and using a non-rigid motion compensation to align different motion states. Parametric analysis was conducted using a dual-input single-compartment model. Nonparametric analysis was performed on the time-intensity curves. A total of 22 hepatocellular carcinomas (size: 11-52 mm) were evaluated. XD-GRASP reconstructed with increasing number of spokes for each motion state increased the signal-to-noise ratio (SNR) (p < 0.05) but decreased temporal resolution (0.04 volume/s vs 0.17 volume/s for one motion state) (p < 0.05). A visual scoring by an experienced radiologist show no change between increasing number of motion states with same number of spokes using the Likert score. The normalized maximum intensity time ratio, peak enhancement ratio and tumor arterial fraction increased with decreasing number of motion states (p < 0.05) while the transfer constant from the portal venous plasma to the surrounding tissue significantly decreased (p < 0.05). These same perfusion parameters show a significant difference in case of tumor displacement more than 1 cm (p < 0.05) whereas in the opposite case there was no significant variation. While a higher number of motion states and higher number of spokes improves SNR, the resulting lower temporal resolution can influence quantitative parameters that capture rapid signal changes. Finally, fewer displacement compensation is advantageous with lower number of motion state due to the higher temporal resolution. XD-GRASP can be used to perform quantitative perfusion measures in the liver, but the number of motion states may significantly alter some quantitative parameters.
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Affiliation(s)
- Rihab Mansour
- Centre hospitalier de l'Université de Montréal (CHUM) Research center, Montréal, QC, Canada
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Colnot J, Barraux V, Loiseau C, Berejny P, Batalla A, Gschwind R, Huet C. 14 Healthy tissue doses in a pulmonary stereotactic treatment using the Cyberknife: Application of two dosimetric methods. Phys Med 2019. [DOI: 10.1016/j.ejmp.2019.09.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Colnot J, Barraux V, Loiseau C, Berejny P, Batalla A, Gschwind R, Huet C. A new Monte Carlo model of a Cyberknife ® system for the precise determination of out-of-field doses. Phys Med Biol 2019; 64:195008. [PMID: 31387085 DOI: 10.1088/1361-6560/ab38e5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
In a previous work, a PENELOPE Monte Carlo model of a Cyberknife system equipped with fixed collimator was developed and validated for in-field dose evaluation. The aim of this work is to extend it to evaluate peripheral doses and to determine the precision of the treatment planning system (TPS) Multiplan in evaluating the off-axis doses. The Cyberknife® head model was completed with surrounding components based on manufacturer drawings. The contribution of the different head parts on the out-of-field dose was studied. To model the attenuation and the modification of particle energy caused by components not modelled, the photon transport was modified in one of the added components. The model was iteratively adjusted to fit dose profiles measured with EBT3 films and an ionization chamber for several collimator sizes. Finally, dose profiles were calculated using the two Multiplan TPS algorithms and were compared to our simulations. The contributions to out-of-field dose were identified as scattered radiation from the phantom and head leakage and scatter originating at the secondary collimator level. Particle transport in the additional pieces was modified to model this radiation. The maximum differences between simulated and measured doses are of 20.4%. Regarding the detector responses away from axis, EBT3 films and the Farmer chamber give similar response (less than 20% difference). The TPS Monte Carlo algorithm underestimates the doses away from axis more importantly for the smaller field sizes (up to 98%). Besides, RayTracing simplifies peripheral dose to a constant value with no inclusion of particle transport. A Monte Carlo model of a Cyberknife system for the determination of out-of-field doses up to 14 cm off-axis was successfully developed and validated for different depths and field sizes in comparison with measurements. This study also confirms that TPS algorithms do not model peripheral dose properly.
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Affiliation(s)
- J Colnot
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Service de Recherche en Dosimétrie, Laboratoire de Dosimétrie des Rayonnements Ionisants, Fontenay-aux-Roses, France. Author to whom correspondence should be addressed
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Thibodeau-Antonacci A, Petitclerc L, Gilbert G, Bilodeau L, Olivié D, Cerny M, Castel H, Turcotte S, Huet C, Perreault P, Soulez G, Chagnon M, Kadoury S, Tang A. Dynamic contrast-enhanced MRI to assess hepatocellular carcinoma response to Transarterial chemoembolization using LI-RADS criteria: A pilot study. Magn Reson Imaging 2019; 62:78-86. [PMID: 31247250 DOI: 10.1016/j.mri.2019.06.017] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Revised: 06/05/2019] [Accepted: 06/23/2019] [Indexed: 02/07/2023]
Abstract
PURPOSE To identify quantitative dynamic contrast-enhanced (DCE)-MRI perfusion parameters indicating tumor response of hepatocellular carcinoma (HCC) to transarterial chemoembolization (TACE). MATERIALS AND METHODS This prospective pilot study was approved by our institutional review board; written and informed consent was obtained for each participant. Patients underwent DCE-MRI examinations before and after TACE. A variable flip-angle unenhanced 3D mDixon sequence was performed for T1 mapping. A dynamic 4D mDixon sequence was performed after contrast injection for assessing dynamic signal enhancement. Nonparametric analysis was conducted on the time-intensity curves. Parametric analysis was performed on the time-concentration curves using a dual-input single-compartment model. Treatment response according to Liver Reporting and Data System (LI-RADS) v2018 was used as the reference standard. The comparisons within groups (before vs. after treatment) and between groups (nonviable vs. equivocal or viable tumor) were performed using nonparametric bootstrap taking into account the clustering effect of lesions in patients. RESULTS Twenty-eight patients with 52 HCCs (size: 10-104 mm) were evaluated. For nonviable tumors (n = 27), time to peak increased from 62.5 ± 18.2 s before to 83.3 ± 12.8 s after treatment (P< 0.01). For equivocal or viable tumors (n = 25), time to peak and mean transit time significantly increased (from 54.4 ± 24.1 s to 69.5 ± 18.9 s, P < 0.01 and from 14.2 ± 11.8 s to 33.9 ± 36.8 s, P= 0.01, respectively) and the transfer constant from the extracellular and extravascular space to the central vein significantly decreased from 14.8 ± 14.1 to 8.1 ± 9.1 s-1 after treatment (P= 0.01). CONCLUSION This prospective pilot DCE-MRI study showed that time to peak significantly changed after TACE treatment for both groups (nonviable tumors and equivocal or viable tumors). In our cohort, several perfusion parameters may provide an objective marker for differentiation of treatment response after TACE in HCC patients.
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Affiliation(s)
- Alana Thibodeau-Antonacci
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada; Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada
| | - Léonie Petitclerc
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada; Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada
| | | | - Laurent Bilodeau
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada
| | - Damien Olivié
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada
| | - Milena Cerny
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada; Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada
| | - Hélène Castel
- Department of Hepatology and Liver transplantation, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada
| | - Simon Turcotte
- Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada; Department of Surgery, Hepatopancreatobiliary and Liver Transplantation Service, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada
| | - Catherine Huet
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada
| | - Pierre Perreault
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada
| | - Gilles Soulez
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada
| | - Miguel Chagnon
- Department of Mathematics and Statistics, Université de Montréal, QC, Canada
| | - Samuel Kadoury
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada; Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada; École Polytechnique, Montréal, Québec, Canada
| | - An Tang
- Department of Radiology, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, QC, Canada; Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada.
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Colnot J, Garnier G, Zefkili S, Gschwind R, Huet C. 9 Development of an experimental tool to evaluate normal tissue 3D doses in external-beam radiotherapy. Phys Med 2018. [DOI: 10.1016/j.ejmp.2018.09.091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Colnot J, Huet C, Gschwind R, Clairand I. Characterisation of two new radiochromic gel dosimeters TruView™ and ClearView™ in combination with the vista™ optical CT scanner: A feasibility study. Phys Med 2018; 52:154-164. [DOI: 10.1016/j.ejmp.2018.07.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Revised: 07/02/2018] [Accepted: 07/10/2018] [Indexed: 11/25/2022] Open
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Colnot J, Huet C, Clairand I. 53. Characterisation of TruView™: A new 3-D reusable radiochromic MethylThymol Blue based gel dosimeter for ionising radiations. Phys Med 2017. [DOI: 10.1016/j.ejmp.2017.10.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Huet C, Ford JD, Edge VL, Shirley J, King N, Harper SL. Food insecurity and food consumption by season in households with children in an Arctic city: a cross-sectional study. BMC Public Health 2017; 17:578. [PMID: 28619039 PMCID: PMC5472920 DOI: 10.1186/s12889-017-4393-6] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2016] [Accepted: 05/08/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND High rates of food insecurity are documented among Inuit households in Canada; however, data on food insecurity prevalence and seasonality for Inuit households with children are lacking, especially in city centres. This project: (1) compared food consumption patterns for households with and without children, (2) compared the prevalence of food insecurity for households with and without children, (3) compared food consumption patterns and food insecurity prevalence between seasons, and (4) identified factors associated with food insecurity in households with children in Iqaluit, Nunavut, Canada. METHODS Randomly selected households were surveyed in Iqaluit in September 2012 and May 2013. Household food security status was determined using an adapted United States Department of Agriculture Household Food Security Survey Module. Univariable logistic regressions were used to examine unconditional associations between food security status and demographics, socioeconomics, frequency of food consumption, and method of food preparation in households with children by season. RESULTS Households with children (n = 431) and without children (n = 468) participated in the survey. Food insecurity was identified in 32.9% (95% CI: 28.5-37.4%) of households with children; this was significantly higher than in households without children (23.2%, 95% CI: 19.4-27.1%). The prevalence of household food insecurity did not significantly differ by season. Demographic and socioeconomic characteristics of the person responsible for food preparation, including low formal education attainment (ORSept = 4.3, 95% CI: 2.3-8.0; ORMay = 3.2, 95% CI: 1.8-5.8), unemployment (ORSept = 1.1, 95% CI: 1.1-1.3; ORMay = 1.3, 95% CI: 1.1-1.5), and Inuit identity (ORSept = 8.9, 95% CI: 3.4-23.5; ORMay = 21.8, 95% CI: 6.6-72.4), were associated with increased odds of food insecurity in households with children. Fruit and vegetable consumption (ORSept = 0.4, 95% CI: 0.2-0.8; ORMay = 0.5, 95% CI: 0.2-0.9), as well as eating cooked (ORSept = 0.5, 95% CI: 0.3-1.0; ORMay = 0.5, 95% CI: 0.3-0.9) and raw (ORSept = 1.7, 95% CI: 0.9-3.0; ORMay = 1.8, 95% CI: 1.0-3.1) fish were associated with decreased odds of food insecurity among households with children, while eating frozen meat and/or fish (ORSept = 2.6, 95% CI: 1.4-5.0; ORMay = 2.0, 95% CI: 1.1-3.7) was associated with increased odds of food insecurity. CONCLUSIONS Food insecurity is high among households with children in Iqaluit. Despite the partial subsistence livelihoods of many Inuit in the city, we found no seasonal differences in food security and food consumption for households with children. Interventions aiming to decrease food insecurity in these households should consider food consumption habits, and the reported demographic and socioeconomic determinants of food insecurity.
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Affiliation(s)
- Catherine Huet
- Department of Geography, McGill University, Montreal, QC H3A OB9 Canada
| | - James D. Ford
- Department of Geography, McGill University, Montreal, QC H3A OB9 Canada
| | - Victoria L. Edge
- Office of the Chief Science Officer, Public Health Agency of Canada, Guelph, ON N1G 5B2 Canada
- Department of Population Medicine, University of Guelph, Guelph, ON N1G 2W1 Canada
| | - Jamal Shirley
- Nunavut Research Institute, Nunavut Arctic College, Iqaluit, NU XOA OHO Canada
| | - Nia King
- Department of Population Medicine, University of Guelph, Guelph, ON N1G 2W1 Canada
| | - Sherilee L. Harper
- Department of Population Medicine, University of Guelph, Guelph, ON N1G 2W1 Canada
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Moignier C, Huet C, Barraux V, Fontaine J, Loiseau C, Sebe-Mercier K, Batalla A, Makovicka L. Development of a protocol for small beam bi-dimensional dose distribution measurements with radiochromic films. RADIAT MEAS 2016. [DOI: 10.1016/j.radmeas.2016.03.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Ford JD, Macdonald JP, Huet C, Statham S, MacRury A. Food policy in the Canadian North: Is there a role for country food markets? Soc Sci Med 2016; 152:35-40. [DOI: 10.1016/j.socscimed.2016.01.034] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Revised: 01/11/2016] [Accepted: 01/22/2016] [Indexed: 01/23/2023]
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Ford JD, Stephenson E, Cunsolo Willox A, Edge V, Farahbakhsh K, Furgal C, Harper S, Chatwood S, Mauro I, Pearce T, Austin S, Bunce A, Bussalleu A, Diaz J, Finner K, Gordon A, Huet C, Kitching K, Lardeau MP, McDowell G, McDonald E, Nakoneczny L, Sherman M. Community-based adaptation research in the Canadian Arctic. Wiley Interdiscip Rev Clim Change 2016; 7:175-191. [PMID: 27668014 PMCID: PMC5020601 DOI: 10.1002/wcc.376] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2015] [Revised: 08/10/2015] [Accepted: 10/05/2015] [Indexed: 05/05/2023]
Abstract
Community-based adaptation (CBA) has emerged over the last decade as an approach to empowering communities to plan for and cope with the impacts of climate change. While such approaches have been widely advocated, few have critically examined the tensions and challenges that CBA brings. Responding to this gap, this article critically examines the use of CBA approaches with Inuit communities in Canada. We suggest that CBA holds significant promise to make adaptation research more democratic and responsive to local needs, providing a basis for developing locally appropriate adaptations based on local/indigenous and Western knowledge. Yet, we argue that CBA is not a panacea, and its common portrayal as such obscures its limitations, nuances, and challenges. Indeed, if uncritically adopted, CBA can potentially lead to maladaptation, may be inappropriate in some instances, can legitimize outside intervention and control, and may further marginalize communities. We identify responsibilities for researchers engaging in CBA work to manage these challenges, emphasizing the centrality of how knowledge is generated, the need for project flexibility and openness to change, and the importance of ensuring partnerships between researchers and communities are transparent. Researchers also need to be realistic about what CBA can achieve, and should not assume that research has a positive role to play in community adaptation just because it utilizes participatory approaches. WIREs Clim Change 2016, 7:175-191. doi: 10.1002/wcc.376 For further resources related to this article, please visit the WIREs website.
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Affiliation(s)
- James D Ford
- Department of Geography McGill University Montreal Canada
| | | | | | - Victoria Edge
- Department of Population Medicine University of Guelph Guelph Canada
| | | | - Christopher Furgal
- Departments of Indigenous Studies & Environmental Studies Trent University Peterborough Canada
| | - Sherilee Harper
- Department of Population Medicine University of Guelph Guelph Canada
| | - Susan Chatwood
- Institute for Circumpolar Health Research Yellowknife Canada
| | - Ian Mauro
- Department of Geography University of Winnipeg Winnipeg Canada
| | - Tristan Pearce
- Sustainability Research Centre University of the Sunshine Coast Sippy Downs Australia
| | | | - Anna Bunce
- Department of Geography McGill University Montreal Canada
| | | | - Jahir Diaz
- Faculty of Public Health Cayatano Heredia University Lima Peru
| | - Kaitlyn Finner
- Department of Geography McGill University Montreal Canada
| | - Allan Gordon
- Department of Engineering University of Guelph Guelph Canada
| | - Catherine Huet
- Department of Geography McGill University Montreal Canada
| | - Knut Kitching
- Department of Geography McGill University Montreal Canada
| | | | | | - Ellen McDonald
- Department of Population Medicine University of Guelph Guelph Canada
| | | | - Mya Sherman
- Department of Geography McGill University Montreal Canada
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Perez D, Huet C, Chea M, Jenny C, Clairand I. Evaluation of the Tomotherapy treatment planning system for out-of-field doses calculation. Phys Med 2015. [DOI: 10.1016/j.ejmp.2015.10.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Farah J, Trianni A, Ciraj-Bjelac O, Clairand I, De Angelis C, Delle Canne S, Hadid L, Huet C, Jarvinen H, Negri A, Novák L, Pinto M, Siiskonen T, Waryn MJ, Knežević Ž. Characterization of XR-RV3 GafChromic®
films in standard laboratory and in clinical conditions and means to evaluate uncertainties and reduce errors. Med Phys 2015; 42:4211-26. [DOI: 10.1118/1.4922132] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kopeć R, Novák L, Carinou E, Clairand I, Dabin J, Datz H, De Angelis C, Farah J, Huet C, Knežević Ž, Järvinen H, Majer M, Malchair F, Negri A, Waschitz SH, Siiskonen T, Szumska A, Trianni A, Vanhavere F. Intercomparison of Gafchromic™ films, TL detectors and TL foils for the measurements of skin dose in interventional radiology. RADIAT MEAS 2014. [DOI: 10.1016/j.radmeas.2014.04.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Huet C, Moignier C, Fontaine J, Clairand I. Characterization of the gafchromic EBT3 films for dose distribution measurements in stereotactic radiotherapy. RADIAT MEAS 2014. [DOI: 10.1016/j.radmeas.2014.05.020] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Robert J, Pantel A, Merens A, Lavigne JP, Nicolas-Chanoine MH, Brieu N, Vrain A, Scanvic A, Porcheret H, Garnier P, Bertrand X, Descamps D, Hombrouck C, Soullie B, Heym B, de Montclos H, Garrec H, Levast M, Mendes-Martins L, Decousser JW, Huet C, Bert F, Herzig V, Klein JP, Nebbad B, Hendricx S, Verhaeghe A, Lafaurie C, Lanselle C, Elsayed F, Carrer A, Drieux-Rouzet L, Evreux F, Varache C, Wallet F, Martin C, Le-Bris JM, Moulhade MC, Deville E, Menouni O, Jean-Pierre H, Pierrot P, Delarbre JM, Coude B, Foca M, Degand N, Prots L, Pantel A, Adam MN, Laurens E, Raskine L, Laouira S, Arlet G, Sanchez R, Peuchant O, Grau V, Laurent C, De-Champs C, Vachee A, Harriau P, Merens A, Belmonte O, Michel G, Henry C, Picot S, Glatz I, Gueudet T, Honderlick P, Cavalie L, Galinier JL, Patoz P, van-der-Mee-Marquet N, Haguenoer E, Canis F, Kassis-Chikhany N, Le-Garrec Y. Incidence rates of carbapenemase-producing Enterobacteriaceae clinical isolates in France: a prospective nationwide study in 2011-12. J Antimicrob Chemother 2014; 69:2706-12. [DOI: 10.1093/jac/dku208] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
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Moignier C, Huet C, Makovicka L. Determination of the kQclin,Qmsrfclin,fmsr correction factors for detectors used with an 800 MU/min CyberKnife®
system equipped with fixed collimators and a study of detector response to small photon beams using a Monte Carlo method. Med Phys 2014; 41:071702. [DOI: 10.1118/1.4881098] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Moignier C, Huet C, Barraux V, Loiseau C, Sebe-Mercier K, Batalla A, Makovicka L. SU-E-T-626: Accuracy of Dose Calculation Algorithms in MultiPlan Treatment Planning System in Presence of Heterogeneities. Med Phys 2014. [DOI: 10.1118/1.4888962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Bassinet C, Huet C, Derreumaux S, Brunet G, Chéa M, Baumann M, Lacornerie T, Gaudaire-Josset S, Trompier F, Roch P, Boisserie G, Clairand I. Small fields output factors measurements and correction factors determination for several detectors for a CyberKnife® and linear accelerators equipped with microMLC and circular cones. Med Phys 2014; 40:071725. [PMID: 23822429 DOI: 10.1118/1.4811139] [Citation(s) in RCA: 114] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE The use of small photon fields is now an established practice in stereotactic radiosurgery and radiotherapy. However, due to a lack of lateral electron equilibrium and high dose gradients, it is difficult to accurately measure the dosimetric quantities required for the commissioning of such systems. Moreover, there is still no metrological dosimetric reference for this kind of beam today. In this context, the first objective of this work was to determine and to compare small fields output factors (OF) measured with different types of active detectors and passive dosimeters for three types of facilities: a CyberKnife(®) system, a dedicated medical linear accelerator (Novalis) equipped with m3 microMLC and circular cones, and an adaptive medical linear accelerator (Clinac 2100) equipped with an additional m3 microMLC. The second one was to determine the kQclin,Qmsr (fclin,fmsr) correction factors introduced in a recently proposed small field dosimetry formalism for different active detectors. METHODS Small field sizes were defined either by microMLC down to 6 × 6 mm(2) or by circular cones down to 4 mm in diameter. OF measurements were performed with several commercially available active detectors dedicated to measurements in small fields (high resolution diodes: IBA SFD, Sun Nuclear EDGE, PTW 60016, PTW 60017; ionizing chambers: PTW 31014 PinPoint chamber, PTW 31018 microLion liquid chamber, and PTW 60003 natural diamond). Two types of passive dosimeters were used: LiF microcubes and EBT2 radiochromic films. RESULTS Significant differences between the results obtained by several dosimetric systems were observed, particularly for the smallest field size for which the difference in the measured OF reaches more than 20%. For passive dosimeters, an excellent agreement was observed (better than 2%) between EBT2 and LiF microcubes for all OF measurements. Moreover, it has been shown that these passive dosimeters do not require correction factors and can then be used as reference dosimeters. Correction factors for the active detectors have then been determined from the mean experimental OF measured by the passive dosimeters. CONCLUSIONS Four sets of correction factors needed to apply the new small field dosimetry formalism are provided for several active detectors. A protocol for small photon beams OF determination based on passive dosimeters measurements has been recently proposed to French radiotherapy treatment centers.
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Affiliation(s)
- C Bassinet
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), BP17, 92262 Fontenay-aux-Roses Cedex, France.
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Marsolat F, Tromson D, Tranchant N, Pomorski M, Le Roy M, Donois M, Moignau F, Ostrowsky A, De Carlan L, Bassinet C, Huet C, Derreumaux S, Chea M, Cristina K, Boisserie G, Bergonzo P. A new single crystal diamond dosimeter for small beam: comparison with different commercial active detectors. Phys Med Biol 2013; 58:7647-60. [DOI: 10.1088/0031-9155/58/21/7647] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Bassinet C, Huet C, Derreumaux S, Brunet G, Chéa M, Baumann M, Lacornerie T, Gaudaire-Josset S, Trompier F, Roch P, Boisserie G, Clairand I. Erratum: Small fields output factors measurements and correction factors determination for several detectors for a CyberKnife ® and linear accelerators equipped with microMLC and circular cones [Med. Phys. 40, 071725 (2013)]. Med Phys 2013; 40. [PMID: 28525105 DOI: 10.1118/1.4823794] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2013] [Accepted: 09/16/2013] [Indexed: 11/07/2022] Open
Affiliation(s)
- C Bassinet
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), BP17, 92262 Fontenay-aux-Roses Cedex, France
| | - C Huet
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), BP17, 92262 Fontenay-aux-Roses Cedex, France
| | - S Derreumaux
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), BP17, 92262 Fontenay-aux-Roses Cedex, France
| | - G Brunet
- Institut de Cancérologie de l'Ouest René Gauducheau, bd Jacques Monod, 44805 Saint Herblain Cedex, France
| | - M Chéa
- Groupe Hospitalier Pitié-Salpêtrière, 47/83 bd de l'Hôpital, 75651 Paris Cedex 13, France
| | - M Baumann
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), BP17, 92262 Fontenay-aux-Roses Cedex, France
| | - T Lacornerie
- Centre Oscar Lambret, 3, rue Frédéric Combemale, BP 307, 59020 Lille Cedex, France
| | - S Gaudaire-Josset
- Institut de Cancérologie de l'Ouest René Gauducheau, bd Jacques Monod, 44805 Saint Herblain Cedex, France
| | - F Trompier
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), BP17, 92262 Fontenay-aux-Roses Cedex, France
| | - P Roch
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), BP17, 92262 Fontenay-aux-Roses Cedex, France
| | - G Boisserie
- Groupe Hospitalier Pitié-Salpêtrière, 47/83 bd de l'Hôpital, 75651 Paris Cedex 13, France
| | - I Clairand
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), BP17, 92262 Fontenay-aux-Roses Cedex, France
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Konate I, Ouédraogo A, Bazié WW, Traoré IT, Sanon A, Huet C, Méda N, Mayaud P, Perre PVD, Nagot N. S04.3 Antiretroviral Therapy Among Female Sex Workers in Burkina Faso: Current Situation. Br J Vener Dis 2013. [DOI: 10.1136/sextrans-2013-051184.0027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Marsolat F, Tromson D, Tranchant N, Bergonzo P, Moignau F, De Carlan L, Lazaro D, Agelou M, Bassinet C, Huet C, Derreumaux S, Chea M, Boisserie G, Buchheit I, Marchesi V. Small beam dosimetry using diamond devices. Phys Med 2012. [DOI: 10.1016/j.ejmp.2012.08.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Moignier C, Huet C, Bassinet C, Baumann M, Lacornerie T. Development of a Monte-Carlo model for the dosimetric characterization of small photon beams used in stereotactic radiotherapy. Phys Med 2012. [DOI: 10.1016/j.ejmp.2012.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Broggio D, Beurrier J, Bremaud M, Desbrée A, Farah J, Huet C, Franck D. Construction of an extended library of adult male 3D models: rationale and results. Phys Med Biol 2012; 56:7659-62. [PMID: 22086354 DOI: 10.1088/0031-9155/56/23/020] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
In order to best cover the possible extent of heights and weights of male adults the construction of 25 whole body 3D models has been undertaken. Such a library is thought to be useful to specify the uncertainties and relevance of dosimetry calculations carried out with models representing individuals of average body heights and weights. Representative 3D models of Caucasian body types are selected in a commercial database according to their height and weight, and 3D models of the skeleton and internal organs are designed using another commercial dataset. A review of the literature enabled one to fix volume or mass target values for the skeleton, soft organs, skin and fat content of the selected individuals. The composition of the remainder tissue is fixed so that the weight of the voxel models equals the weight of the selected individuals. After mesh and NURBS modelling, volume adjustment of the selected body shapes and additional voxel-based work, 25 voxel models with 109 identified organs or tissue are obtained. Radiation transport calculations are carried out with some of the developed models to illustrate potential uses. The following points are discussed throughout this paper: justification of the fixed or obtained models’ features regarding available and relevant literature data; workflow and strategy for major modelling steps; advantages and drawbacks of the obtained library as compared with other works. The construction hypotheses are explained and justified in detail since future calculation results obtained with this library will depend on them.
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Affiliation(s)
- D Broggio
- Institut de Radioprotection et de Sûret´e Nucléaire, DRPH/SDI/LEDI, BP-17, F92262 Fontenay-aux-Roses, France.
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Abstract
Indigenous peoples experience a disproportionate burden of food insecurity and the Arctic is no exception. We therefore evaluated the prevalence, socio-demographic, and dietary correlates of food insecurity in the most comprehensive assessment of food insecurity in Arctic Canada. A cross-sectional survey of 1901 Inuit households was conducted in 2007-2008. Measurements included food insecurity, 24-h dietary recalls, socio-demographics, and anthropometry. Food insecurity was identified in 62.6% of households (95% CI = 60.3-64.9%) with 27.2% (95% CI = 25.1-29.3%) of households severely food insecure. The percent with an elevated BMI, waist circumference, and percent body fat was lower among individuals from food insecure households compared to food secure households (P ≤ 0.001). Adults from food insecure households had a significantly lower Healthy Eating Index score and consumed fewer vegetables and fruit, grains, and dairy products, and consumed a greater percent of energy from high-sugar foods than adults from food secure households (P ≤ 0.05). Food insecurity was associated with household crowding, income support, public housing, single adult households, and having a home in need of major repairs (P ≤ 0.05). The prevalence of having an active hunter in the home was lower in food insecure compared to food secure households (P ≤ 0.05). Food insecurity prevalence is high in Inuit communities, with implications for diet quality that over the long-term would be anticipated to exacerbate the risk of diet-related chronic diseases. Actions are required to improve food security that incorporate the traditional food system and healthy market food choices.
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Affiliation(s)
- Catherine Huet
- Centre for Indigenous Peoples' Nutrition and Environment, McGill University, Ste. Anne de Bellevue, Quebec, Canada
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Huet C, Dagois S, Derreumaux S, Trompier F, Chenaf C, Robbes I. Characterization and optimization of EBT2 radiochromic films dosimetry system for precise measurements of output factors in small fields used in radiotherapy. RADIAT MEAS 2012. [DOI: 10.1016/j.radmeas.2011.10.020] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Rosol R, Huet C, Wood M, Lennie C, Osborne G, Egeland GM. Prevalence of affirmative responses to questions of food insecurity: International Polar Year Inuit Health Survey, 2007-2008. Int J Circumpolar Health 2011; 70:488-97. [PMID: 22005728 DOI: 10.3402/ijch.v70i5.17862] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Assess the prevalence of food insecurity by region among Inuit households in the Canadian Arctic. STUDY DESIGN A community-participatory, cross-sectional Inuit health survey conducted through face-to-face interviews. METHODS A quantitative household food security questionnaire was conducted with a random sample of 2,595 self-identified Inuit adults aged 18 years and older, from 36 communities located in 3 jurisdictions (Inuvialuit Settlement Region; Nunavut; Nunatsiavut Region) during the period from 2007 to 2008. Weighted prevalence of levels of adult and household food insecurity was calculated. RESULTS Differences in the prevalence of household food insecurity were noted by region, with Nunavut having the highest prevalence of food insecurity (68.8%), significantly higher than that observed in Inuvialuit Settlement Region (43.3%) and Nunatsiavut Region (45.7%) (p≤0.01). Adults living in households rated as severely food insecure reported times in the past year when they or other adults in the household had skipped meals (88.6%), gone hungry (76.9%) or not eaten for a whole day (58.2%). Adults living in households rated as moderately food insecure reported times in the past year when they worried that food would run out (86.5%) and when the food did not last and there was no money to buy more (87.8%). CONCLUSIONS A high level of food insecurity was reported among Inuit adults residing in the Canadian Arctic, particularly for Nunavut. Immediate action and meaningful interventions are needed to mitigate the negative health impacts of food insecurity and ensure a healthy Inuit population.
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Affiliation(s)
- Renata Rosol
- Centre for Indigenous Peoples' Nutrition and Environment (CINE), School of Dietetics and Human Nutrition, Macdonald Campus, McGill University, Ste-Anne-de-Bellevue, Quebec, H9X 3V9, Canada
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Derreumaux S, Bassinet C, Huet C, Chea M, Boisserie G, Brunet G, Baumann M, Trompier F, Roch P, Clairand I. SU-E-T-163: Characterization of the Response of Active Detectors and Passive Dosemeters Used for Dose Measurement in Small Photon Beams. Med Phys 2011. [DOI: 10.1118/1.3612113] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Abstract
BACKGROUND According to the literature, meals consumed at home are healthier than those consumed away from home (AFH), but reasons underlying this protective effect have not been fully understood. Emotional reinforcement of healthy eating patterns at home is examined as a putative contributing mechanism. OBJECTIVE This study examined expectations for within-individual emotional reinforcement of healthy eating at home, reflected in reports of 1) more intense positive and less intense negative affects after healthier meals than at baseline at home (and not in AFH settings) and 2) more intense positive and less intense negative affects reported before a meal being predictive of healthier meals than at baseline at home (and not in AFH settings). DESIGN A total of 160 nonobese women reported their eating behavior and momentary emotional states every 2 h, 6 times/d over 10 observation days. We examined observations with meals (breakfast, lunch, or dinner). The participants indicated how momentary eating patterns compared with their own baseline eating patterns (healthier, equal, or less healthy). Concurrent (after meal) and lagged (before meal) emotion scores were specified. RESULTS At-home meals were followed by more intense positive emotions and less worry than were AFH meals. As expected, home meals that were healthier than a person's baseline meals were followed by more intense positive emotions, with a relation of opposite direction being observed in AFH settings. At home, more intense premeal positive emotions cued healthier next-meal eating patterns than did those at baseline, with no such relation being observed in AFH settings. CONCLUSION The home is a privileged environment that nurtures healthy eating and in which healthier food choices trigger and are triggered by more positive emotions.
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Affiliation(s)
- Ji Lu
- Department of Business and Social Sciences, Nova Scotia Agricultural College, Truro, Canada
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Bassinet C, Huet C, Baumann M, Etard C, Réhel JL, Boisserie G, Debroas J, Aubert B, Clairand I. SU-E-T-241: Characterization of MOSFET Detectors for in Vivo Dosimetry in Interventional Radiology and for Dose Reconstruction in Case of Accident. Med Phys 2011. [DOI: 10.1118/1.3612192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Bassinet C, Huet C, Derreumaux S, Brunet G, Chéa M, Baumann M, Trompier F, Roch P, Boisserie G, Clairand I. SU-E-T-189: Determination of Output Factors with Different Types of Active Detectors and Passive Dosemeters for Stereotactic Systems Equipped with MicroMLC and Circular Cones. Med Phys 2011. [DOI: 10.1118/1.3612139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Bassinet C, Huet C, Derreumaux S, Brunet G, Baumann M, Trompier F, Roch P, Clairand I. Determination of output factors using several active and passive dosemeters for a Novalis stereotactic system. Phys Med 2011. [DOI: 10.1016/j.ejmp.2011.06.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Huet C, Bassinet C, Derreumaux S, Moignier C, Baumann M, Lacornerie T, Trompier F, Roch P, Clairand I. SU-E-T-172: Output Factors of a Cyberknife System : Comparison Between Measurements and Monte Carlo Calculations. Med Phys 2011. [DOI: 10.1118/1.3612122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Huet C, Bassinet C, Derreumaux S, Baumann M, Lacornerie T, Trompier F, Roch P, Clairand I. Determination of output factors of a cyberknife system using active and passive dosemeters and a Monte Carlo method. Phys Med 2011. [DOI: 10.1016/j.ejmp.2011.06.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Huet C, Bassinet C, Derreumaux S, Baumann M, Lacornerie T, Trompier F, Roch P, Clairand I. 1130 poster DETERMINATION OF OUTPUT FACTORS OF A CYBERKNIFE SYSTEM USING ACTIVE AND PASSIVE DOSEMETERS AND A MONTE CARLO METHOD. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)71252-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Bassinet C, Huet C, Derreumaux S, Brunet G, BAUMANN M, ROCH P, Trompier F. 1129 poster DETERMINATION OF OUTPUT FACTORS FOR A NOVALIS STEREOTACTIC SYSTEM USING SEVERAL ACTIVE AND PASSIVE DOSEMETERS. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)71251-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Derreumaux S, Bassinet C, Huet C, Chea M, Boisserie G, Brunet G, Baumann M, Trompier F, Roch P, Clairand I. 1127 poster CHARACTERIZATION OF THE RESPONSE OF ACTIVE AND PASSIVE DETECTORS USED FOR DOSE DETERMINATION IN SMALL PHOTON BEAMS. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)71249-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Courageot E, Huet C, Clairand I, Bottollier-Depois JF, Gourmelon P. Numerical dosimetric reconstruction of a radiological accident in South America in April 2009. Radiat Prot Dosimetry 2011; 144:540-542. [PMID: 21051432 DOI: 10.1093/rpd/ncq338] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
A severe irradiation accident involving a victim occurred in April 2009 in South America. The victim has found a (192)Ir source fallen from a gammagraphy device and has put it in the left pocket of his pants. Very quickly, an erythema and a blister appeared on the left leg of the victim involving hospitalisation. Following the request of the IAEA assistance, the Ionizing Radiation Dosimetry Laboratory of IRSN was asked to perform a numerical dosimetric reconstruction. A personalised voxel phantom of the victim has been constructed thanks to the Simulation of External Source Accident with Medical images tool developed by the laboratory, and a calculation of the dose with the MCNPX computer code allowed to determine the boundary of the necrotic dose at 25 Gy. On the basis of these calculations, the physicians have performed exeresis of the necrotic region on the left leg on 4 May 2009. Associated with mesenchymal stem cell injection, the leg of the victim was healthy on December 2009.
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Affiliation(s)
- E Courageot
- Radiological Protection and Human Health Division, Institute of Radiological Protection and Nuclear Safety, BP17 92262 Fontenay-aux-Roses Cedex, France.
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Rubbo P, Tuaillon E, Nagot N, Bolloré K, Valéa D, Vendrell J, Konaté I, Ouédraogo A, Huet C, Foulongne V, Perre PVD. P07-11 LB. Impact of highly active antiretroviral therapy on cell-free and cell-associated HIV-1 in cervicovaginal secretions and blood. Retrovirology 2009. [PMCID: PMC2767911 DOI: 10.1186/1742-4690-6-s3-p397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Huet C, Lemosquet A, Clairand I, Rioual JB, Franck D, de Carlan L, Aubineau-Lanièce I, Bottollier-Depois JF. SESAME: a software tool for the numerical dosimetric reconstruction of radiological accidents involving external sources and its application to the accident in Chile in December 2005. Health Phys 2009; 96:76-83. [PMID: 19066489 DOI: 10.1097/01.hp.0000327661.90794.0f] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Estimating the dose distribution in a victim's body is a relevant indicator in assessing biological damage from exposure in the event of a radiological accident caused by an external source. This dose distribution can be assessed by physical dosimetric reconstruction methods. Physical dosimetric reconstruction can be achieved using experimental or numerical techniques. This article presents the laboratory-developed SESAME--Simulation of External Source Accident with MEdical images--tool specific to dosimetric reconstruction of radiological accidents through numerical simulations which combine voxel geometry and the radiation-material interaction MCNP(X) Monte Carlo computer code. The experimental validation of the tool using a photon field and its application to a radiological accident in Chile in December 2005 are also described.
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Affiliation(s)
- C Huet
- Institute for Radiological Protection and Nuclear Safety (IRSN), Radiological Protection and Human Health Division, External Dosimetry Department, IRSN/DRPH/SDE, B.P. 17, 92262 Fontenay-aux-Roses Cedex, France.
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Derreumaux S, Etard C, Huet C, Trompier F, Clairand I, Bottollier-Depois JF, Aubert B, Gourmelon P. Lessons from recent accidents in radiation therapy in France. Radiat Prot Dosimetry 2008; 131:130-135. [PMID: 18725379 DOI: 10.1093/rpd/ncn235] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Many accidents in radiotherapy have been reported in France over the last years. This is due to the recent legal obligation to declare to the national safety authorities any significant incident relative to the use of ionising radiation including medical applications. The causes and consequences of the most serious events in radiotherapy are presented in this paper. Lessons can be learned from possible technical dysfunctions, from human errors or organisational weaknesses as to how such events can be prevented. The technical aspects are addressed here: in particular, dosimetric issues.
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Affiliation(s)
- S Derreumaux
- Institut de Radioprotection et de Sûreté Nucléaire, Direction de la Radioprotection de l'Homme, IRSN, BP 17, F-92262 Fontenay-aux-Roses Cedex, France.
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Huet C, Trompier F, Clairand I, Queinnec F, Bottollier-Depois J. Physical dosimetric reconstruction of a radiological accident at Fleurus (Belgium) on 11 March 2006. RADIAT MEAS 2008. [DOI: 10.1016/j.radmeas.2007.12.018] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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