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BackgroundTo determine appropriate timing of an adaptive radiation therapy (ART) replan by evaluating anatomic and dosimetric changes of target volumes and organs at risk (OARs) during intensity-modulated radiation therapy (IMRT) for nasopharyngeal carcinoma (NPC).MethodsNineteen NPC patients were recruited. Each patient had repeat computed tomography (CT) scans after each five fractions and at treatment completion. Automatic re-contouring the targets and OARs by using deformable registration algorithm was conducted through CT-CT fusion. Anatomic changes were assessed by comparing the initial CT and repeated CT. Hybrid plans with re-contouring were generated and the dose-volume histograms (DVH) of the hybrid plan and the original plan were compared.ResultsProgressive volume reductions in gross target volume for primary disease (GTVnx), gross target volume for involved lymph nodes (GTVnd), and parotids were observed over time. Comparing with the original plan, each hybrid plan had no significant difference in homogeneity index (HI) for all the targets. Some parameters for planning target volumes for primary disease and high-risk clinical target volume (PTVnx and PTV1, respectively) improved significantly, notably starting from the 10th fraction. These parameters included mean dose (Dmean), dose to 95 % of the volume (D95), percentage of the volume receiving 95 % of the prescription dose (V95), and conformity index (CI) for PTVnx, and Dmean, D95, and CI for PTV1. The dosimetric parameters for PTVnd remained the same in general except for D95 and V95 which had significant improvement at specific time points; whereas for PTV2, similar trend of dosimetric changes was also observed. Dose to some OARs increased significantly at some time points.ConclusionsThere were significant anatomic and dosimetric changes in the targets and OARs. The target dose coverage in the hybrid plans did not get worse, but overdose occurred in some critical structures. Significant dosimetric changes should be considered as a trigger point at which ART replanning is indicated. D95/V95/CI for PTV2, Dmax for the brain stem, spinal cord, right eyeball and left lens, and Dmean/V30 for the parotids and glottis were taken into account for predicting the need for ART. Two replans at the 5th and 15th fractions were suggested.

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This work presents ionic liquid capped carbon dots as a high-performance friction-reducing and antiwear additive for poly(ethylene glycol).

A multiresponsive hydrogel material consisting of a commercial cationic surfactant and an azobenzene derivative functionalized with four carboxylic acid groups was constructed. The achiral azobenzene molecule as a gelator produces chirality at the supramolecular level in the presence of H(+). The acid-induced gelation and morphology change of supramolecular gels were investigated in detail by cryogenic transmission electron microscopy (cryo-TEM), rheological measurements, circular dichroism (CD), and (1)H NMR spectra. Based on the results, a mechanism of the intermolecular H-bond-directed gelation and supramolecular chirality was proposed. Other than the pH sensitivity, the microstructure and the chirality of the hydrogel demonstrate reversible switching behavior in response to photoirradiation, on account of the photoisomerization of the azobenzene derivative. Accordingly, a chiroptical switch comprising four different states in response to pH and light stimuli is strategically constructed. Not only does the present system provide a good opportunity for investigating the gelation-induced supramolecular chirality by symmetry breaking totally based on achiral molecules, but it also proposes a new strategy to build multiresponsive supramolecular switches as particularly attractive for the future development of functional materials.

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