RESUMO
Objetivos: se evaluó si la técnica de prescripción de dosis puntual, punto "A", es adecuada para la estimación de dosis en el volumen de tratamiento clínico por alta tasa de dosis (CTV-HR), usando la braquiterapia ginecológica 3D. Métodos: se recopiló planes de tratamiento para 35 pacientes con cáncer cervicouterino estadio IB2-IVA (140 fracciones o planes de tratamiento) tratados entre los años 2019 al 2021, cuya dosis prescrita fue de 28 Gy en 4 fracciones. Se reconstruyeron los puntos "A", se normalizó la dosis prescrita a la isodosis del 100% para comparar con las dosis en CTV-HR (D90%). Resultados: el promedio de la dosis absorbida al CTV- HR (D90%) fue de 88,82 ± 2,53 Gy y al normalizar la isodosis del 100% al punto "A", se obtuvo dosis promedio en CTV-HR (D90%) de 99,3±5,85Gy. Esta variación de dosis promedio al CTV-HR (D90%) representó un incremento del 18%, dando como resultado que un 80% de los tratamientos correspondiente a 28 pacientes queden fuera de la variación aceptable del protocolo EMBRACE II y solo un 20% de los tratamientos correspondientes a 7 pacientes se encuentren dentro del rango de la variación aceptable del protocolo en mención. Conclusiones: la técnica de prescripción de dosis al punto "A", se traduce clínicamente en una sobredosis del tejido tumoral y sano (recto, sigmoide, vejiga e intestino).
Objective: to assess whether the punctual dose prescription technique, point A, is adequate for dose estimation in CTV-HR using 3D gynecological brachytherapy. Methods: treatment plans were collected for 35 patients with stage IB2-IVA (140 fractions or treatment plans) cervical cancer treated between 2019 and 2021, whose prescribed dose was 28Gy in 4 fractions. Points A were reconstructed, the prescribed dose was normalized to 100% isodose to compare with the doses in CTV- HR(D90%). Results: the average dose absorbed at CTV-HR(D90%) was 88.82 ±2.53 Gy and when normalizing the isodose of 100% at point A, average dose at CTV-HR(D90%) was obtained. of 99.3±5.85Gy. This average dose variation to the CTV-HR(D90%) represented an increase of 18%, resulting in 80% of the treatments corresponding to 28 patients falling outside the acceptable variation of the EMBRACE II protocol and only 20% of the treatments corresponding to 7 patients are within the range of the acceptable variation of the protocol in question. Conclusions: the dose prescription technique at point A clinically translates into an overdose of tumor and healthy tissue (rectum, sigmoid, bladder and intestine).
RESUMO
Photoelectrocatalysis has been highlighted as a tertiary wastewater treatment in the textile industry due to its high dye mineralisation capacity. However, design improvements are necessary to overcome photo-reactors limitations. The present work proposes a preliminary configuration of a photoelectrocatalytic reactor to degrade Reactive Red 239 (RR239) textile dye, using computational fluid dynamics (CFD) to analyse the mass transfer rate, radiation intensity loss (RIL), and its effect on kinetics degradation, over a photoelectrode based on a TiO2 nanotube. A study to increase the space-time yield (STY) was carried out through mass transfer rate and kinetic analysis, varying the optical thickness (δ) between the radiation entrance and the photocatalytic surface, photoelectrode geometry, inlet flow rate, and the surface radiation intensity. The RIL was determined using a 1D Beer-Lambert-based model, and an extinction coefficient experimentally determined by UV-Vis spectroscopy. The results show that in RR239 solutions below concentrations of 6 mg/L, a woven mesh photoelectrode and an optimal optical thickness δ of 1 cm is enough to keep the RIL below 15% and maximise the mass transfer and the STY in around 110 g/m3-day.
RESUMO
Since COVID-19 pandemic, indoor air quality control has become a priority, and the development of air purification devices effective for disinfecting airborne viruses and bacteria is of outmost relevance. In this work, a photocatalytic device for the removal of airborne microorganisms is presented. It is an annular reactor filled with TiO2-coated glass rings and irradiated internally and externally by UV-A lamps. B. subtilis spores and vegetative cells have been employed as model biological pollutants. Three types of assays with aerosolized bacterial suspensions were performed to evaluate distinct purification processes: filtration, photocatalytic inactivation in the air phase, and photocatalytic inactivation over the TiO2-coated rings. The radiation distribution inside the reactor was analysed by performing Monte Carlo simulations of photon absorption in the photocatalytic bed. Complete removal of a high load of microorganisms in the air stream could be achieved in 1 h. Nevertheless, inactivation of retained bacteria in the reactor bed required longer irradiation periods: after 8 h under internal and external irradiation, the initial concentration of retained spores and vegetative cells was reduced by 68% and 99%, respectively. Efficiency parameters were also calculated to evaluate the influence of the irradiation conditions on the photocatalytic inactivation of bacteria attached at the coated rings.