The impact of technology on the changing practice of lung SBRT

Stereotactic body radiotherapy (SBRT) for lung tumours has been gaining wide acceptance in lung cancer. Here, we review the technological evolution of SBRT delivery in lung cancer, from the first treatments using the stereotactic body frame in the 1990's to modern developments in image guidance and motion management. Finally, we discuss the impact of current technological approaches on the requirements for quality assurance as well as future technological developments

Correction for a measurement artifact of the Multi-Angle Absorption Photometer (MAAP) at high black carbon mass concentration levels

The Multi-Angle Absorption Photometer (MAAP) is a widely-used instrument for aerosol black carbon (BC) measurements. In this paper, we show correction methods for an artifact found to affect the instrument accuracy in environments characterized by high black carbon concentrations. The artifact occurs after a filter spot change – as BC mass is accumulated on a fresh filter spot, the attenuation of the light (raw signal) is weaker than anticipated. This causes a sudden decrease, followed by a gradual increase in measured BC concentration. The artifact is present in the data when the BC concentration exceeds ~3 μg m<sup>−3</sup> at the typical MAAP flow rate of 16.7 L min<sup>−1</sup> or 1 m<sup>3</sup> h<sup>−1</sup>. The artifact is caused by erroneous dark counts in the photodetector measuring the transmitted light, in combination with an instrument internal averaging procedure of the photodetector raw signals. It was found that, in addition to the erroneous temporal response of the data, concentrations higher than 9 μg m<sup>−3</sup> (at the flow rate of 16.7 L min<sup>−1</sup>) are underestimated by the MAAP. The underestimation increases with increasing BC accumulation rate. At a flow rate of 16.7 L min<sup>−1</sup> and concentration of about 24 μg m<sup>−3</sup> (BC accumulation rate ~0.4 μg min<sup>−1</sup>), the underestimation is about 30%. There are two ways of overcoming the MAAP artifact. One method is by logging the raw signal of the 165° photomultiplier measuring the reflected light from the filter spot. As this signal is not affected by the artifact, it can be converted to approximately correct absorption and BC values. However, as the typical print formats of the MAAP do not give the reflected signal as an output, a semi-empirical correction method was developed based on laboratory experiments to correct for the results in the post-processing phase. The correction function was applied to three MAAP datasets from Gual Pahari (India), Beijing (China), and Welgegund (South Africa). In Beijing, the results could also be compared against a photoacoustic spectrometer (PAS). The correction improved the quality of all three MAAP datasets substantially, even though the individual instruments operated at different flow rates and in different environments

Carbon balance of a grazed savanna grassland ecosystem in South Africa

Tropical savannas and grasslands are estimated to contribute significantly to the total primary production of all terrestrial vegetation. Large parts of African savannas and grasslands are used for agriculture and cattle grazing, but the carbon flux data available from these areas are limited. This study explores carbon dioxide fluxes measured with the eddy covariance method for 3 years at a grazed savanna grassland in Welgegund, South Africa. The tree cover around the measurement site, grazed by cattle and sheep, was around 15 %. The night-time respiration was not significantly dependent on either soil moisture or soil temperature on a weekly temporal scale, whereas on an annual timescale higher respiration rates were observed when soil temperatures were higher. The carbon dioxide balances of the years 2010-2011, 2011-2012 and 2012-2013 were 85 +/- 16, 67 +/- 20 and 139 +/- 13 gCm(-2) yr(-1), respectively. The yearly variation was largely determined by the changes in the early wet season fluxes (September to November) and in the mid-growing season fluxes (December to January). Early rainfall enhanced the respiratory capacity of the ecosystem throughout the year, whereas during the mid-growing season high rainfall resulted in high carbon uptake.Peer reviewe

Deep inspiration breath-hold radiotherapy for lung cancer: Impact on image quality and registration uncertainty in cone beam CT image guidance

OBJECTIVE: We investigated the impact of deep inspiration breath-hold (DIBH) and tumour baseline shifts on image quality and registration uncertainty in image-guided DIBH radiotherapy (RT) for locally advanced lung cancer. METHODS: Patients treated with daily cone beam CT (CBCT)-guided free-breathing (FB) RT had an additional CBCT in DIBH at three fractions. These CBCT scans were offline rigidly registered (on tumour) to FB and DIBH CT scans acquired at planning. All registrations were repeated to evaluate the intraobserver uncertainty. CBCT scans were scored on degree of streak artefacts and visualization of tumour and anatomical structures. We examined the impact of tumour baseline shift between consecutive DIBHs on CBCT image quality. RESULTS: CBCT scans from 15 patients were analysed. Intraobserver image registration uncertainty was approximately 2 mm in both FB and DIBH, except for the craniocaudal direction in FB, where it was >3 mm. On the 31st fraction, the intraobserver uncertainty increased compared with the second fraction. This increase was more pronounced in FB. Image quality scores improved in DIBH compared with FB for all parameters in all patients. Simulated tumour baseline shifts ≤2 mm did not affect the CBCT image quality considerably. CONCLUSION: DIBH CBCT improved image quality and reduced registration uncertainty in the craniocaudal direction in image-guided RT of locally advanced lung cancer. Baseline shifts ≤2 mm in DIBH during CBCT acquisition did not affect image quality. ADVANCES IN KNOWLEDGE: DIBH RT has dosimetric advantages over FB; this work demonstrates an additional benefit of DIBH in terms of registration accuracy because of improved image quality

South African EUCAARI measurements: seasonal variation of trace gases and aerosol optical properties

In this paper we introduce new in situ observations of atmospheric aerosols, especially chemical composition, physical and optical properties, on the eastern brink of the heavily polluted Highveld area in South Africa. During the observation period between 11 February 2009 and 31 January 2011, the mean particle number concentration (size range 10–840 nm) was 6310 cm−3 and the estimated volume of sub-10 μm particles 9.3 μm3 m−3. The aerosol absorption and scattering coefficients at 637 nm were 8.3Mm−1 and 49.5Mm−1, respectively. The mean single-scattering albedo at 637 nm was 0.84 and the A° ngstro¨m exponent of scattering was 1.5 over the wavelength range 450–635 nm. The mean O3, SO2, NOx and H2S-concentrations were 37.1, 11.5, 15.1 and 3.2 ppb, respectively. The observed range of concentrations was large and attributed to the seasonal variation of sources and regional meteorological effects, especially the anticyclonic re-circulation and strong winter-time inversions. In a global context, the levels of gases and particulates were typical for continental sites with strong anthropogenic influence, but clearly lower than the most polluted areas of southeastern Asia. Of all pollutants observed at the site, ozone is the most likely to have adverse environmental effects, as the concentrations were high also during the growing season. The measurements presented here will help to close existing gaps in the ground-based global atmosphere observation system, since very little long-term data of this nature is available for southern Africa.JRC.H.7-Climate Risk Managemen

Atmospheric dry and wet deposition of sulphur and nitrogen species and assessment of critical loads of acidic deposition exceedance in South Africa

We tested the hypothesis that acidic atmospheric pollution deposition, originating from the South African central industrial area, poses an environmental threat across a larger region within the dispersal footprint. A network of 37 passive monitoring sites to measure SO2 and NO2 was operated from August 2005 to September 2007. The area extended over the entire northern and eastern interior of South Africa. Monitoring locations were chosen to avoid direct impacts from local sources such as towns, mines and highways. Dry deposition rates of SO2 and NO2 were calculated from the measured concentrations. Concentrations of sulphur and nitrogen species in wet deposition from a previous study were used in conjunction with measured rainfall for the years 2006 and 2007 to estimate the wet deposition over the region. The calculated total (non-organic) acidic deposition formed the basis for an assessment of exceedance of critical loads based on sensitivity of the regional soils. Regional soil sensitivity was determined by combining two major soil attributes available in the World Inventory of Soil Emission Potentials (International Soil Reference and Information Centre). Results indicate that certain parts of the central pollution source area on the South African Highveld have the potential for critical load exceedance, while limited areas downwind show lower levels of exceedance. Areas upwind and remote areas up and downwind, including forested areas of the Drakensberg escarpment, do not show any exceedance of the critical loads

Comparisons of Meso-Scale Air Pollution Dispersion Modelling of S02, N02 and 03 Using Regional-Scale Monitoring Results

Results of a regional-scale monitoring campaign were compared with two meso-scale to sub-continental modelling studies, for S02 and N02 and 03 respectively (Fourie, 2006, Zunckel et al., 2006, van Tienhoven et al., 2006, Van Tienhoven and Zunckel, 2004). However, a direct validation of the monitored results with modelled results could not be carried out, as available modelling studies dealt with different periods from the monitoring study. For this study, three monitoring sites were selected for comparison with modelling results. These sites were strategically selected to be representative of the entire region. Site Elandsfontein in the centre of the industrial Highveld, site Amersfoort, downwind from the central pollution source region and site Louis Trichardt, a remote site. Sulphur, nitrogen and ozone species comparisons were considered in turn. The comparisons were carried out for equivalent annual (and seasonal) cycles. The compa risons produced mixed results. For sulphur and nitrogen species in most cases, depending on site and season, modelling results ranged between significant underestimates to overestimates. Ozone modelling almost always overestimated the concentrations compared to the measured results. Despite several limiting factors, constraining the reliability of the comparisons between the modelled and measured results, they were important as the distribution of the gases showed patterns that imply understanding of the source and fate of these pollutants. The uncertainty in the magnitude of the model inaccuracies as well as margin of error of the measured data remained. Thus a modelling validation is recommended using the concurrent period with fewer uncertainties

Summary of research paper published in Journal of Atmospheric Chemistry titled: Assessment of polar organic aerosols at a regional background site in southern Africa

Peer reviewe

Chemical composition of rain at a regional site on the South African Highveld

Relatively limited data have been published on the chemical composition of wet deposition for South Africa, which is considered an important source region for atmospheric pollutants. Concentrations and wet deposition fluxes of ionic species determined in rain samples collected from December 2014 to April 2018 at a regional site, Welgegund, are presented, and contextualised by wet deposition composition in the northeastern interior of South Africa. 89% of rain samples collected during the sampling period complied with the data quality objectives of the World Meteorological Organisation. The total ionic concentration of rainwater at Welgegund was similar to that at two regional sites located within proximity of industrial activities. The pH of rainwater (4.80) was comparable to that determined at two rural background sites, which indicated increased neutralisation. Similarly to the other sites located in the South African interior, SO42- was the most abundant species in rain, with concentrations thereof in the same order as SO42- levels determined at the two industrially influenced sites. Lower sulphur and nitrogen fluxes at Welgegund were attributed to lower average annual rainfall. The anthropogenic (industrial) source group had the largest contribution to wet deposition chemical composition, which signified the influence of major source regions in the South African interior that impact Welgegund. Relatively large contributions were also calculated from marine and crustal sources. The influence of agricultural activities was also evident, while biomass burning had the lowest contribution due to open biomass burning occurring mainly during the dry seasonPeer reviewe