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E P Cytacki

Publications and source records attributed to E P Cytacki.

9 recordsLinked to original sources

Prenatal and postnatal consequences in the brain and behavior of rats exposed to ultrasound in utero.

As a result of a prior experiment demonstrating damage to the developing cortex of the fetal rat 24 hours after maternal exposure to ultrasound, postnatal consequences of similar exposure on rat behavior were examined. No decrease in postnatal weight or growth rate was found and no significant decrease in cortical thickness was present postnatally at 28 days. In two of four behavioral tests, rats exposed to ultrasound in utero resembled similarly treated controls. In one test, ultrasound-exposed rats showed slower performance, and in one, faster performance. These data provide no consistent evidence that ultrasound exposure resulted in deleterious postnatal effects.

Animals↗

Acute response of fetal rat telencephalon to ultrasound exposure in utero.

Pregnant rats were exposed to ultrasound or microwaves from transducers located over one uterine horn. Ultrasound intensity (SPTA) was 0.78 W/cm2 for 30 min at a frequency of 2.5 MHz. Microwave exposure was used to reproduce approximately the rate of rise of uterine temperature of the rats exposed to ultrasound. The average peak temperature was 40.1 degrees C for ultrasound exposure and 42.2 degrees C for microwave exposure. On Gestational Day 16, 24 h after exposure, fetuses were removed and prepared for morphological examination of the developing cerebral cortical mantle. Morphometric measurements were made of nuclear area of subventricular zone cells, number of mitoses per mm in the ventricular zone, number of pyknotic cells in the mantle per mm, and number of ventricular macrophages per mm. Both exposures increased nuclear size and numbers of pyknotic cells and macrophages, and decreased the number of mitotic figures. The data from the four measurements were evidence of damage from ultrasound similar to the effects produced by microwave heating. The thermal effects of ultrasound, even at relatively low levels of rise in temperature, may have been the cause of the damage to the fetal cortex in these experiments or may have interacted with other effects of ultrasound energies to produce damage to developing neurons.

Animals↗

Dosimetric analysis in brachytherapy of carcinoma of the cervix.

Brachytherapy plays an essential role in the definitive radiation treatment of cervical carcinoma. The dosimetry of intracavitary irradiation is complex in that the optimum doses that can be delivered are dictated not only by the volume and extent of tumor but also by the close vicinity of dose-limiting structures, such as the small and large intestines, rectum, and bladder. To facilitate understanding of the relationships between the various dosimetric parameters involved, a retrospective analysis of 50 randomly chosen intracavitary insertions with Cesium-137 in 41 patients performed at our institution between 1975 and 1985 was carried out. All 50 cases utilized Fletcher-Suit-Delcos applicators and only the insertions using three sources in the tandem and one in each of the ovoids were included in this analysis. Using the AP and lateral radiographs and the lymphatic trapezoid, the reference points were obtained and transferred digitally to the treatment planning computer, and computerized dosimetry performed. In addition to the specified reference points, points were added and modified to obtain more complete information. The doses at the specified points were normalized to the average dose at AT, a reference point 2 cm superior to external os and 2 cm lateral to the tandem, and expressed as a percentage. It was noted that the average dose at the closest bladder point was 103 +/- 41% of the dose at AT, the maximum rectal dose 77 +/- 29% of the dose at AT and the maximum small bowel dose 65 +/- 16% of that at AT. The analysis of percent contribution of various sources to different reference points revealed that the dose to point AT was equally contributed to by all sources; bladder and rectal doses were mainly contributed to by the lowermost uterine and ovoid sources. Our analysis may provide a model for optimizing brachytherapy in cervical carcinoma.

Brachytherapy↗

A unique nasopharynx brachytherapy technique.

To deliver a curative dose of radiation therapy to the nasopharynx using either external beam radiotherapy or conventional brachytherapy, it is often necessary to expose a large volume of normal tissue. Tolerance of normal tissue also limits the dose of radiation given for salvage therapy in failed nasopharyngeal carcinoma. A unique brachytherapy technique with associated treatment planning is presented as an alternative method of treatment. This technique combines a single linear cesium-137 source inserted in the nasopharynx via a modified cuffed endotracheal tube, in conjunction with a plaque of iridium-192 ribbons applied in the form of a modified upper denture appliance. This method allows additional treatment to the primary area while neither exposing more normal tissue than necessary nor exceeding tolerance doses to surrounding structures.

Brachytherapy↗