Search Results (605)

Purpose: To present the findings of our preliminary experience using daily image-guided radiotherapy (IGRT) supported by implanted fiducial markers (FMs) in the radiotherapy of the vaginal cuff, in a cohort of post-surgery endometrial cancer patients. Methods: Patients with vaginal cuff cancer requiring adjuvant radiation with external beams were enrolled. Five patients underwent radiation therapy targeting the pelvic disease and positive lymph nodes, with doses of 50.4 Gy in twenty-eight fractions and a subsequent stereotactic boost on the vaginal vault at a dose of 5 Gy in a single fraction. One patient was administered 30 Gy in five fractions to the vaginal vault. These patients underwent external beam RT following the implantation of three 0.40 × 10 mm gold fiducial markers (FMs). Our IGRT strategy involved real-time 2D kV image-based monitoring of the fiducial markers during the treatment delivery as a surrogate of the vaginal cuff. To explore the potential role of FMs throughout the treatment process, we analyzed cine movies of the 2D kV-triggered images during delivery, as well as the image registration between pre- and post-treatment CBCT scans and the planning CT (pCT). Each CBCT used to trigger fraction delivery was segmented to define the rectum, bladder, and vaginal cuff. We calculated a standard metric to assess the similarity among the images (Dice index). Results: All the patients completed radiotherapy and experienced good tolerance without any reported acute or long-term toxicity. We did not observe any loss of FMs during or before treatment. A total of twenty CBCTs were analyzed across ten fractions. The observed trend showed a relatively emptier bladder compared to the simulation phase, with the bladder filling during the delivery. This resulted in a final median Dice similarity coefficient (DSC) of 0.90, indicating strong performance. The rectum reproducibility revealed greater variability, negatively affecting the quality of the delivery. Only in two patients, FMs showed intrafractional shift > 5 mm, probably associated with considerable rectal volume changes. Target coverage was preserved due to a safe CTV-to-PTV margin (10 mm). Conclusions: In our preliminary study, CBCT in combination with the use of fiducial markers to guide the delivery proved to be a feasible method for IGRT both before and during the treatment of post-operative gynecological cancer. In particular, this approach seems to be promising in selected patients to facilitate the use of SBRT instead of BRT (brachytherapy), thanks to margin reduction and adaptive strategies to optimize dose delivery while minimizing toxicity. A larger sample of patients is needed to confirm our results. Full article

Background: Hypoxic–ischemic encephalopathy (HIE) is a leading cause of severe neurological impairments in childhood. Therapeutic hypothermia (TH) is both safe and effective in neonates born at ≥36 weeks gestation with moderate to severe HIE. We aimed to evaluate short-term outcomes—including brain injury detected on magnetic resonance imaging (MRI)—in infants born at 34–35 weeks of gestation drawing on our clinical experience with neonates under 36 weeks of gestational age (GA). Methods: In this retrospective cohort study, 20 preterm infants with a GA of 34 to 35 weeks and a matched cohort of 80 infants with a GA of ≥36 weeks who were diagnosed with moderate to severe HIE and underwent TH were included. Infants were matched in a 1:4 ratio based on the worst base deficit in blood gas and sex. Maternal and neonatal characteristics, brain MRI findings and short term outcomes were compared. Results: Infants with a GA of 34–35 weeks had a lower birth weight and a higher rate of caesarean delivery (both p < 0.001). Apgar scores, sex, intubation rate in delivery room, blood gas pH, base deficit and lactate were comparable between the groups. Compared to infants born at ≥36 weeks of GA, preterm neonates were more likely to receive inotropes, had a longer time to achieve full enteral feeding, and experienced a longer hospital stay. The mortality rate was 10% in the 34–35 weeks GA group. Neuroimaging revealed injury in 66.7% of infants born at 34–35 weeks of gestation and in 58.8% of those born at ≥36 weeks (p = 0.56). Injury was observed across multiple brain regions, with white matter being the most frequently affected in the 34–35 weeks GA group. Thalamic and cerebellar abnormal signal intensity or diffusion restriction, punctate white matter lesions, and diffusion restriction in the corpus callosum and optic radiations were more frequently detected in infants born at 34–35 weeks of gestation. Conclusions: Our study contributes to the growing body of literature suggesting that TH may be feasible and tolerated in late preterm infants. Larger randomized controlled trials focused on this vulnerable population are necessary to establish clear guidelines regarding the safety and efficacy of TH in late preterm infants. Full article

Low solar radiation, caused by climate change or dense planting patterns, now limits wheat production. Although wheat breeding has increased lodging resistance and yield potential through the introduction of dwarfing genes, it still reduces wheat yields. Few studies have been conducted to clarify the lodging sensitivity to shading of different-era wheat cultivars in China’s Huang-Huai-Hai region, as well as the characteristics of lodging resistance as affected by paclobutrazol under shading stress. To address this gap, the experiment included two wheat cultivars released in different decades, grown under shade and treated with or without paclobutrazol. The results showed that reductions in filling degree and lignin content, together with increases in length of the basal internode and gravity center height, markedly reduced the section modulus and breaking strength of shaded wheat culms. These changes impaired lodging resistance and raised lodging risk. However, paclobutrazol application effectively reduced lodging incidence and increased wheat yield under shading stress. Furthermore, these responses were more pronounced in the old cultivar (YZM) than in the modern cultivar (S28). This indicates that the culm mechanical parameters of the old cultivar were more shade-sensitive than those of the modern cultivar. Moreover, shading downregulated the relative expression levels of key genes associated with lignin biosynthesis to decrease the activities of key enzymes, thereby inhibiting the biosynthesis and deposition of lignin in culms to increase the risk of wheat lodging. Paclobutrazol application alleviated the inhibitory effects of shading on lignin biosynthesis, thereby strengthening culms and enhancing lodging resistance. These findings may provide a basis for exploring cultivation regulation methods to enhance wheat lodging resistance under overcast and low-sunshine conditions, and to offer guidance for the breeding of wheat cultivars with lodging resistance and shade tolerance. Full article

In advanced Complementary Metal-Oxide-Semiconductor (CMOS) technologies, where diminished feature sizes amplify radiation-induced soft errors, the optimization of fault-tolerant circuit designs requires detailed transistor-level analysis of reliability–performance trade-offs. As a fundamental building block in digital systems and critical data paths, the 2:1 multiplexer, widely used in data-path routing, clock networks, and reconfigurable systems, provides a critical benchmark for assessing radiation-hardened design methodologies. In this context, this work aims to analyze the power consumption, area overhead, and delay of 2:1 multiplexer designs under transient fault conditions, employing the CMOS and Differential Cascode Voltage Switch Logic (DCVSL) logic styles and mitigation strategies. Electrical simulations were conducted using 32 nm high-performance predictive technology, evaluating both the original circuit versions and modified variants incorporating three mitigation strategies: transistor sizing, D-Cells, and C-Elements. Key metrics, including power consumption, delay, area, and radiation robustness, were analyzed. The C-Element and transistor sizing techniques ensure satisfactory robustness for all the circuits analyzed, with a significant impact on delay, power consumption, and area. Although the D-Cell technique alone provides significant improvements, it is not enough to achieve adequate levels of robustness. Full article

Understanding future changes in crop phenology and climate suitability is essential for sustaining winter wheat production in the Huang-Huai-Hai (3H) Plain under climate change. This study integrates bias-corrected CMIP6 climate projections, the DSSAT CERES-Wheat crop model, and Random Forest analysis to assess spatiotemporal shifts in winter wheat phenology and climate suitability. The assessment focuses on the mid- (2041–2060) and late 21st century (2081–2100) under the SSP2-4.5 and SSP5-8.5 scenarios. The results indicate that the vegetative and whole growing periods (VGP and WGP) will be extended in the mid-century but shorten by the late century. In contrast, the reproductive growing period (RGP) will be slightly reduced in the mid-century and extended under high emissions in the late century. Temperature suitability is projected to increase during the VGP and WGP but decline during the RGP. Precipitation suitability generally improves, except for a decrease during the reproductive period south of 32° N. Solar radiation suitability is expected to decline across all stages. Temperature is identified as the primary driver of phenological changes, with solar radiation and precipitation playing increasingly important roles in the mid- and late 21st century, respectively. Adaptive strategies, including the adoption of heat-tolerant varieties, longer reproductive periods, and earlier sowing, are recommended to enhance yield stability under future climate conditions. Full article

Millimeter-wave frequencies are crucial for meeting the high-capacity, low-latency demands of 5G communication systems, thereby driving the need for compact, high-gain antenna arrays capable of efficient beamforming. This paper presents the design, simulation, fabrication, and experimental validation of a compact, high-efficiency 1 × 6 linear series-fed microstrip patch antenna array for 5G millimeter-wave communication operating at 28 GHz. The proposed antenna is fabricated on a low-loss Rogers RO3003 substrate and incorporates an integrated symmetric two-way microstrip power divider to ensure balanced feeding and phase uniformity across elements. The antenna achieves a simulated peak gain of 11.5 dBi and a broad simulated impedance bandwidth of 30.21%, with measured results confirming strong impedance matching and a return loss better than −20 dB. The far-field radiation patterns demonstrate a narrow, highly directive beam in the E-plane, and the H-plane results reveal beam tilting behavior, validating the antenna’s capability for passive beam steering through feedline geometry and element spacing (~0.5λ). Surface current distribution analysis confirms uniform excitation and efficient radiation, further validating the design’s stability. The fabricated prototype shows excellent agreement with the simulation, with minor discrepancies attributed to fabrication tolerances. These results establish the proposed antenna as a promising candidate for applications requiring compact, high-gain, and beam-steerable solutions, such as 5G mm-wave wireless communication systems, point-to-point wireless backhaul, and automotive radar sensing. Full article

In recent years, 3D pixel sensors have been a topic of increasing interest within the High Energy Physics community. Due to their inherent radiation hardness, demonstrated up to a fluence of $3\times {10}^{16}$ 1 MeV equivalent neutrons per square centimeter, 3D pixel sensors have been used to equip the innermost tracking layers of the ATLAS and CMS detector upgrades at the High-Luminosity Large Hadron Collider. Additionally, the next generation of vertex detectors calls for precise measurement of charged particle timing at the pixel level. Owing to their fast response times, 3D sensors present themselves as a viable technology for these challenging applications. Nevertheless, both radiation hardness and fast timing require 3D sensors to be operated with high bias voltages on the order of ∼150 V and beyond. Special attention should therefore be devoted to avoiding problems that could cause premature electrical breakdown, which could limit sensor performance. In this paper, TCAD simulations are used to gain deep insight into the impact of surface isolation layers (i.e., p-stop and p-spray) used by different vendors on the high-voltage tolerance of small-pitch 3D sensors. Results relevant to different geometrical configurations and irradiation scenarios are presented. The advantages and disadvantages of the available technologies are discussed, offering guidance for design optimization. Experimentalmeasurements from existing samples based on both isolation techniques show good agreement with simulated breakdown voltages, thereby validating the simulation approach. Full article

Malignant peripheral nerve sheath tumors (MPNSTs) are a rare type of soft tissue sarcoma associated with poor prognoses. The standard of care for non-resectable tumors consists of surgical excision followed by radiation and chemotherapy. MPNSTs are most common in patients with neurofibromatosis type 1 but can also occur sporadically. Regardless of origin, MPNSTs most often rely on signaling pathways that increase basal oxidative stress. This provides the basis for developing therapeutics with mechanisms that can potentiate oxidative stress to selectively eradicate tumor cells at doses that are tolerable for normal cells. Artemisinin derivatives are a mainstay of malaria therapy worldwide, with a well-established safety profile. Artemisinin’s antimalarial effects are due to an endoperoxide bridge in its chemical structure that induces oxidative stress. We found that artesunate (ARS) and metabolite dihydroartemisinin (DHA) are selectively cytotoxic to MPNST cells relative to normal Schwann cells with the endoperoxide bridge required for activity. Mechanistically, DHA induced oxidative stress, lipid peroxidation, and DHA-mediated cytotoxicity could be prevented with co-administration of the antioxidant N-acetyl-cysteine. Furthermore, we found that DHA was able to selectively remove MPNST from co-culture with normal Schwann cells. These data supports the further development of artemisinins for the clinical management of MPNST. Full article

The incidence of pancreatic ductal adenocarcinoma (PDAC) is continuing to rise globally, while overall survival continues to be poor. Margin-negative (R0) surgical resection is essential to improve patient outcomes. With increasing understanding of the importance of anatomy and biology to establishing the resectability of PDAC, neoadjuvant therapy (NAT) has emerged as an important strategy to achieve an R0 resection, particularly for those with borderline resectable (BR-PDAC) and locally advanced disease (LA-PDAC). However, despite the multiple randomised controlled trials (RCTs) published in recent years, the optimum regime has yet to be fully established. The role of neoadjuvant chemoradiation therapy (CRT) remains controversial, possibly allowing for improved local disease control at a potential cost of interrupting systemic treatment. The emergence of stereotactic ablative radiotherapy (SABR), in place of conventional radiation therapy, improves patient tolerance of NAT and may improve local tumour control for patients with PDAC during limited fractions, minimising systemic therapy interruption. A particular niche for SABR may be as part of NAT for LA-PDAC, potentially converting a minority of patients with favourable biology to allow for resection. While pancreaticoduodenectomy can be technically challenging following NAT, there is no difference in the rate of major morbidity or mortality post operatively. Indeed, post-operative pancreatic fistula (POPF) rates may be lower following NAT. Overall, however, evidence for SABR in a neoadjuvant setting for BR- and LA-PDAC remains sparse. Full article

The accurate forecasting of photovoltaic (PV) power is vital for grid stability. This paper presents a hybrid forecasting model that combines Variational Mode Decomposition (VMD) and Long Short-Term Memory (LSTM). The model uses VMD to decompose the PV power into modal components and residuals. These components are combined with meteorological variables and their first-order differences, and feature extraction techniques are used to generate multiple sets of feature vectors. These vectors are utilized as inputs for LSTM sub-models, which predict the modal components and residuals. Finally, the aggregation of prediction results is used to achieve the PV power prediction. Validated on Australia’s 1.8 MW Yulara PV plant, the model surpasses 13 benchmark models, achieving an MAE of 63.480 kW, RMSE of 81.520 kW, and R² of 92.3%. Additionally, the results of a paired t-test showed that the mean differences in the MAE and RMSE were negative, and the 95% confidence intervals for the difference did not include zero, indicating statistical significance. To further evaluate the model’s robustness, white noise with varying levels of signal-to-noise ratios was introduced to the photovoltaic power and global radiation signals. The results showed that the model exhibited higher prediction accuracy and better noise tolerance compared to other models. Full article

Background/Objectives: The COVID-19 pandemic significantly threatened cancer patients and oncologic care. The rollout of vaccines emerged as a critical milestone, despite the initial lack of evidence regarding their safety and efficacy in this population. This systematic review and meta-analysis evaluate the current evidence on COVID-19 vaccination in patients undergoing radiotherapy (RT). Methods: PubMed, Livivo, Scopus, and Cochrane Library were systematically reviewed for relevant publications on COVID-19 vaccination in the context of radiation oncology, published by 19 April 2024. The treatment effects were calculated as the proportion of seroconverted individuals. Results: A total of 22 studies published between 2021 and 2024 were included, covering various aspects of vaccination, including safety, tolerability, qualitative and quantitative humoral responses, cellular responses, vaccination efficacy, and booster vaccinations. Notably, patients undergoing RT exhibited a high willingness to receive vaccination. Vaccination was overall well tolerated and safe, with a low incidence of side effects, which were primarily mild. The primary meta-analysis showed a seroconversion proportion of 91% [95% CI: 84–96%] overall, with a somewhat higher proportion of 93% in patients receiving RT alone, compared to 90% in patients receiving either RT or RT combined with chemotherapy. Furthermore, immunization during RT led to a sustained increase in antibody titers, with a notable long-term persistence of IgG. Conclusions: COVID-19 vaccines demonstrate excellent safety, immunogenicity, and efficacy in patients receiving RT, who also exhibit a high willingness to be vaccinated. The outcomes observed are comparable to those in healthy controls and superior to those seen in patients receiving other cancer treatments, such as chemotherapy. The vaccination of radiation oncology patients in future pandemics or epidemics is strongly advocated even during active treatment. Full article

In space, high-energy particle radiation poses a serious threat to the data stability and reliability of SRAM. Existing radiation-tolerant techniques, such as Triple Modular Redundancy (TMR) and Error Correction Code (ECC), have disadvantages such as large area, high power consumption, and additional delay, making them unsuitable for small satellite systems. To overcome these limitations, this paper proposes a 16-transistor-based radiation-tolerant SRAM cell, WRTU-16T, which applies a read-decoupled structure and a charge-sharing suppression mechanism. The proposed structure effectively isolates the storage node from external disturbances and improves the recovery capability for single-event inversion (SEU) and multiple-node inversion (SEMNU) by reducing charge loss. WRTU-16T shows superior performance in terms of write delay, charge recovery capability (Qc), hold power, and word line write threshold voltage (WWTV) compared to existing radiation-tolerant SRAM designs. The integrated circuit is implemented using a 90 nm CMOS process and has an operating voltage of 1V. Full article

Belle II is a particle physics experiment working at an high luminosity collider within a hard irradiation environment. The Time-Of-Propagation detector, aimed at the charged particle identification, surrounds the Belle II tracking detector on the barrel part. This detector is composed by 16 modules, each module contains a finely fused silica bar, coupled to microchannel plate photomultiplier tube (MCP-PMT) photo-detectors and readout by high-speed electronics. The MCP-PMT lifetime at the nominal collider luminosity is about one year, this is due to the high photon background degrading the quantum efficiency of the photocathode. An alternative to these MCP-PMTs is multi-pixel photon counters (MPPC), known as silicon photomultipliers (SiPM). The SiPMs, in comparison to MCP-PMTs, have a lower cost, higher photon detection efficiency and are unaffected by the presence of a magnetic field, but also have a higher dark count rate that rapidly increases with the integrated neutron flux. The dark count rate can be mitigated by annealing the damaged devices and/or operating them at low temperatures. We tested SiPMs, with different dimensions and pixel sizes from different producers, to study their time resolution (the main constraint that has to satisfy the photon detector) and to understand their behavior and tolerance to radiation. For these studies we irradiated the devices to radiation up to $5\times {10}^{11}1$ MeV neutrons equivalent (neq) per cm² fluences; we also started studying the effect of annealing on dark count rates. We performed several measurements on these devices, on top of the dark count rate, at different conditions in terms of overvoltage and temperatures. These measurements are: IV-curves, amplitude spectra, time resolution. For the last two measurements we illuminated the devices with a picosecond pulsed laser at very low intensities (with a number of detected photons up to about twenty). We present results mainly on two types of SiPMs. A new SiPM prototype developed in collaboration with FBK with the aim of improving radiation hardness, is expected to be delivered in September 2025. Full article

Body-centered cubic (BCC) refractory high-entropy alloys (RHEAs) demonstrate significant potential as nuclear structural materials due to their exceptional mechanical properties and radiation tolerance. While Zr-containing RHEAs often develop multiphase structures through Zr-rich phase precipitation to enhance high-temperature mechanical performance, their irradiation response mechanisms remain poorly understood. This study investigated the microstructure evolution and radiation damage behavior in equiatomic MoNbTiVZr RHEA under Au-ion irradiation at fluences of 2 × 10¹⁵, 4 × 10¹⁵, and 1 × 10¹⁶ ions/cm². Microstructural characterization revealed that the annealed alloy primarily consisted of near-equiatomic BCC1 phase, Zr-rich BCC2 phase, (Mo,V)Zr Laves phase, and ordered Zr₂C phase. Post-irradiation analysis showed distinct defect evolution patterns: the BCC1 phase developed fine dislocation loops, while the Zr-rich BCC2 and Zr₂C phases exhibited dislocation clusters and dense dislocation networks, respectively. BCC1 phase exhibited the most pronounced irradiation hardening corresponding to its fine, dispersed dislocation loop characteristics. Phase separation induced by Zr precipitation reduced chemical complexity, accelerating irradiation defect evolution. These findings demonstrated that Zr-rich phase precipitation detrimentally impacted the radiation resistance of BCC-structured RHEAs, suggesting that single-phase stability should be prioritized in nuclear material design. Full article

The rapid growth of the private space industry has intensified the demand for lightweight, efficient, and cost-effective photovoltaic technologies. Metal halide perovskite solar cells (PSCs) offer high power conversion efficiency (PCE), mechanical flexibility, and low-temperature solution processability, making them strong candidates for next-generation space power systems. However, exposure to extreme thermal cycling, high-energy radiation, vacuum, and ultraviolet light in space leads to severe degradation. This study addresses these challenges by introducing three key design strategies: self-healing perovskite compositions that recover from radiation-induced damage, gradient buffer layers that mitigate mechanical stress caused by thermal expansion mismatch, and advanced encapsulation that serves as a multifunctional barrier against space environmental stressors. These approaches enhance device resilience and operational stability in space. The design strategies discussed in this review are expected to support long-term power generation for low-cost satellites, high-altitude platforms, and deep-space missions. Additionally, insights gained from this research are applicable to terrestrial environments with high radiation or temperature extremes. Perovskite solar cells represent a transformative solution for space photovoltaics, offering a pathway toward scalable, flexible, and radiation-tolerant energy systems. Full article