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Biomedical subjects

T S Koh

Publications and source records attributed to T S Koh.

At least 19 recordsLinked to original sources

A numerical method for estimating blood flow by dynamic functional imaging.

We present a numerical deconvolution scheme for estimating regional blood flow and tissue retention functions by dynamic functional imaging. The present approach implements the Tikhonov-Miller regularization in general form, which allows for prior knowledge or assumptions to be incorporated during the deconvolution process, so as to stabilize the solution against variations due to noise. Appropriate approximations and simplifications in the context of functional imaging, were also introduced to ease numerical computations. Monte Carlo simulation experiments were carried out to study the applicability of the present approach and to compare with other deconvolution techniques previously studied.

Algorithms↗

Disruptive doctors.

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Education, Medical↗

A practical approach to inverse planning for high-precision dose escalated conformal prostate radiotherapy.

The problem of choosing the best gantry angles and beam weights for dose-escalated conformal prostate treatment planning is formulated using a mixed-integer linear programming approach, to account for tumour dose homogeneity and dose-volume constraints. The formulation allows the number of beams to be restricted and for some of the beams to be compulsory. The present planning algorithm interfaces with and utilizes the three-dimensional planning capabilities of a commercial treatment planning system. A case study is illustrated, which represents a particularly challenging planning problem due to a large planning target volume and an unusually small bladder. Treatment plans with different numbers of beams are generated to compare with each other and with the standard six-field plan. Significant improvement is shown in the reduction of hot regions within the femoral heads and rectal wall, while not unduly compromising homogeneity constraints for the tumour.

Humans↗

The inclusion of capillary distribution in the adiabatic tissue homogeneity model of blood flow.

We have developed a non-invasive imaging tracer kinetic model for blood flow which takes into account the distribution of capillaries in tissue. Each individual capillary is assumed to follow the adiabatic tissue homogeneity model. The main strength of our new model is in its ability to quantify the functional distribution of capillaries by the standard deviation in the time taken by blood to pass through the tissue. We have applied our model to the human prostate and have tested two different types of distribution functions. Both distribution functions yielded very similar predictions for the various model parameters, and in particular for the standard deviation in transit time. Our motivation for developing this model is the fact that the capillary distribution in cancerous tissue is drastically different from in normal tissue. We believe that there is great potential for our model to be used as a prognostic tool in cancer treatment. For example, an accurate knowledge of the distribution in transit times might result in an accurate estimate of the degree of tumour hypoxia, which is crucial to the success of radiation therapy.

Capillaries↗

An automated approach to seed assignment for eye plaque brachytherapy.

Episcleral plaques are commonly used for the treatment of ocular tumours such as choroidal melanoma. Treatment planning involves the assignment of seeds to slots on the plaque to achieve a desired dose rate distribution. Seed assignment is rather straightforward if seeds are ordered on demand. However, the assignment task becomes tedious and laborious if the seeds have to be chosen from an existing stock of seeds with different activities. To date, this task has usually been performed by a human planner through trial and error. An algorithm has been developed to automate the task of seed assignment using a mixed-integer programming method. We also explore ways to simplify the problem such that the method becomes practical in most facilities. We have tested the method on three randomly chosen clinical cases from our past records, to show that the algorithm could yield solutions within a shorter time frame and with less deviation from the desired dose rate distributions, as compared with the solutions from a human counterpart.

Algorithms↗

Dietary copper level affects copper metabolism during lipopolysaccharide-induced immunological stress in chicks.

Two experiments were conducted to examine the effect of dietary Cu level on Cu metabolism during the acute phase response in broiler chicks with adequate (Experiment 1) or deficient (Experiment 2) Cu. Diets based on cornstarch and isolated soybean protein were used to formulate a basal diet, and basal diet plus either 5, 10, or 15 mg/kg additional Cu as either CuO or CuSO4. Each diet was fed to six pens of five chicks per pen (Experiment 1) or eight pens of five chicks (Experiment 2). Half of the chicks on each diet were injected with Salmonella typhymurium lipopolysaccharide (LPS) on alternate days. In Experiment 1, LPS significantly decreased daily gain, feed intake, and feed efficiency (P < 0.01) and increased the concentration of Cu in blood plasma (P < 0.01). In the uninjected birds, adding 5, 10, or 15 mg/kg Cu as CuO or 15 mg/kg Cu as CuSO4 increased the rate of gain over that of chicks fed the basal diet. In the birds challenged with LPS, 10 mg/kg Cu as CuO increased the rate of gain and efficiency compared to those of chicks fed the basal diet. Addition of CuSO4 to the diet of chicks challenged with LPS did not affect gain, intake, or feed efficiency compared to those of chicks fed the basal diet. Ceruloplasmin levels were higher in chicks challenged with LPS than in control chicks (P = 0.03), and this difference tended to be greater in chickens fed CuO than in chickens fed CuSO4 (P = 0.07). In chicks challenged with LPS, feeding CuO at all levels and feeding CuSO4 to give 10 or 15 mg/kg Cu increased ceruloplasmin levels above that of chicks fed the basal diet. Hepatic Mn superoxide dismutase (SOD) and Cu/Zn SOD were not influenced by dietary Cu level or source or LPS. Results of Experiment 2 were similar to those of Experiment 1 except that supplemental CuSO4 and CuO gave similar increases in gain and CuSO4 was more effective at increasing ceruloplasmin levels. Chicks given supplemental Cu had higher ceruloplasmin levels following challenge with LPS than Cu-deficient chicks fed the basal diet. Apparently, Cu requirements are higher for chicks experiencing an acute phase response than for healthy chicks.

Acute-Phase Reaction↗

Copper and selenium deficiency in cattle: an evaluation of methods of oral therapy and an observation of a copper-selenium interaction.

The efficacies of oxidised copper particles, selenium bullets and soluble glass bullets in raising the copper and/or selenium reserves of young cattle marginally deficient in both trace elements were examined. Selenium bullets were associated with a reduced copper uptake when selenium bullets and oxidised copper particles were given together. Responses in liveweight gains to trace-element supplementation and relationships between copper or selenium in blood components and liver are presented.

Administration, Oral↗

A comparison of blood lead levels in dogs from a lead-mining, lead-smelting, urban and rural island environment.

A survey of blood lead concentrations was undertaken with 368 dogs from a lead-mining (Broken Hill), lead-smelting (Port Pirie), urban (Adelaide) and rural island (Kangaroo Island) environment. Least squares mean blood lead concentrations differed significantly (p less than 0.001) between locations and were 1.05, 0.80, 0.38 and 0.32 mumol/L respectively; there were also significant differences between young (0.75) and older (0.52) dogs (p less than 0.01) and between male (0.71) and female (0.57) dogs (p less than 0.05). Approximately 14% of dogs from Broken Hill and 10% from Port Pirie had blood lead concentration in excess of 1.7 mumol/L. It is likely that a higher proportion of the dogs at Broken Hill and Port Pirie were asymptomatically suffering from the insidious effects of lead that has not been detected.

Animals↗

Critical re-appraisal of fluorometric method for determination of selenium in biological materials.

The reaction of 2,3-diaminonaphthalene (DAN) with Se(IV) to form a fluorescent Se-DAN complex is the basis of a fluorometric method for determination of Se. With the aid of metabolically incorporated 75Se the method was critically re-examined. The study showed that loss of 75Se was negligible when liver or blood was microwave-dried or thermally dried at temperatures up to 120 degrees C; during HCl reduction of Se(VI) to Se(IV), a temperature up to 210 degrees C could be used with no loss of 75Se; it was unnecessary to perform pH adjustment of solution for formation of Se-DAN complex before solvent extraction; it was unnecessary to carry out the chelation/extraction step in diffuse light; solvent phase containing Se-DAN complex could be left in contact with aqueous phase up to one week under fluorescent light with no effect on analytical results. From this study we were able to dispute or overcome a number of criticisms and myths which have been laid against the fluorometric method for many years. As a result, an improved single tube method was developed. The within-batch variation of the improved method was about 2%, while the between-batch variation over a period of 2 years was less than 10%. The method can handle 200 samples per batch and is applicable to a wide range of biological samples including liver, orchard leaves, barley, wheat, lucerne (alfalfa), poultry feed, fish, hair, blood, urine, and milk.

2-Naphthylamine↗