Rapport sur les contributions - XVth Rencontres du Vietnam International Conference on Medical Physics and School - IN2P3
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XVth Rencontres du Vietnam International Conference on Medical Physics and School Rapport sur les contributions https://indico.in2p3.fr/e/19513
XVth Rencontres … / Rapport sur les contributions Forward-backward asymmetry in t … Contribution ID: 8 Type: not specified Forward-backward asymmetry in top production through z’ bosons There are only a few experimental hints towards deviation from standard model and one such example is top quark‘s asymmetry that can lead us to physics beyond Standard Model. We consider one phenomenological model containing an extra neutral boson to characterize the new physics that may be responsible for this deviation. We estimate the amount of this asymmetry in this model. this model capture some generic effects of alarge number of theories such as Technicolor and Little Higgs Mode. April 7, 2020 Page 1
XVth Rencontres … / Rapport sur les contributions Applications of quantum groups to … Contribution ID: 21 Type: not specified Applications of quantum groups to standard model phenomenology Replacing the classical groups in the Standard Model (SM) by their quantum group counterparts is motivated from the consideration of both Lie and Hopf type (quantisation) deformations. A quantisation deformation deforms the universal enveloping algebra of a Lie algebra into a quantum group. Taking the quantum group SUq(3) as a flavor symmetry, including second order symmetry break- ing and considering electromagnetic contributions, we derive q-deformed octet and decuplet baryon mass relations accurate to 0.02% and 0.08% respectively as well as a new relation between the octet and decuplet masses accurate to within 1.0%. As gauge groups, quantum groups introduce additional degrees of freedom suggestive of non- locality, forming the basis of a soliton theory of massive particles. A similar approach in the literature where particles are described as braids has led to the idea that the SM is emergent from quantum spacetime. Further applications of quantum groups to Cabibbo mixing, and neutrino oscillations are discussed. Orateur: Dr GRESNIGT, Niels (Xi’an Jiaotong-Liverpool University Suzhou, Jiangsu, China) April 7, 2020 Page 2
XVth Rencontres … / Rapport sur les contributions PET imaging in radiotherapy treat … Contribution ID: 36 Type: not specified PET imaging in radiotherapy treatment planning lundi 29 juillet 2019 09:15 (30 minutes) Summary Orateur: Prof. VISVIKIS, Dimitris (INSERM) April 7, 2020 Page 3
XVth Rencontres … / Rapport sur les contributions Research and development of CT, … Contribution ID: 37 Type: not specified Research and development of CT, MRI, SPECT and PET images segmentation software for automatic detection and extraction of brain tumors using ITK, VTK, Qt lundi 29 juillet 2019 09:45 (30 minutes) In the field of medical image processing, detection of brain tumor from computed tomography (CT) or magnetic resonance (MRI) scans is a difficult task due to complexity of the brain hence it is one of the top priority goals. In this work, we describe a new method which combines four different steps including smoothing, Sobel edge detection, connected component and finally region grow- ing algorithms for locating and extracting the various lesions in the brain. The analysis results indicate that the proposed method automatically and efficiently detected the tumor region from the CT or MRI image of the brain. It is very clear for physicians to separate the abnormal from the normal surrounding tissue to get a real identification of related area; improving quality and accuracy of diagnosis, which would help to increase success possibility by early detection of tumor as well as reducing surgical planning time. This is an important step in calculating the correct dose of radiation therapy later. The computational algorithm proposed method was implemented using POCTA - a new software combining 3 tools: Insight Toolkit (ITK) to process input image, Visual- ization Toolkit (VTK) to display and Qt software development framework to build user interface Summary Orateur: THAO, Ho Thi (Vietnam Acad. Science and Technology) April 7, 2020 Page 4
XVth Rencontres … / Rapport sur les contributions Quantitative CT imaging for airwa … Contribution ID: 38 Type: not specified Quantitative CT imaging for airway structure and lung function lundi 29 juillet 2019 10:45 (30 minutes) Aim Using a recently developed quantitative computed tomography (QCT), this study explored segmen- tal and parenchymal features of cement dust exposed (DE) subjects vs. non-dust exposed (NDE) subjects. Methods We employed 58 DE (Kangwon National University Hospital, KNUH) and 142 NDE subjects (Chon- buk National University Hospital, CNUH). Segmental structural metrics of airway diameter, wall thickness, and bifurcation angle were extracted. We extracted parenchymal functional metrics including inspiratory capacity (IC), percent emphysema (Emph%), and percent functional small airway disease (fSAD%). Results Regarding segmental structural metrics, DE subjects had airway narrowing at the 2-5-th genera- tion (p
XVth Rencontres … / Rapport sur les contributions Early diagnosis of insulinoma usin … Contribution ID: 39 Type: not specified Early diagnosis of insulinoma using PET: from cell culture to (pre)-clinical in vivo imaging lundi 29 juillet 2019 11:15 (30 minutes) Insulinoma is a rare, usually solitary and benign neuroendocrine tumor (NET). It is characterized by inappropriate and uncontrolled insulin production and secretion, with consequent glycopenic symptoms and potentially lethal hypoglycemia. Early detection of the tumor is crucial, allowing curative treatment by surgical enucleation. The localization of insulinoma remains challenging, and conventional PET imaging is the first method used for diagnostic investigation. Patient premedication with carbidopa seems to improve the accuracy of 6-18F-fluoro-3,4-dihydroxy- L-phenylalanine (18F-FDOPA) PET for insulinoma diagnosis. Carbidopa is capable of drastically reducing physiologic pancreatic uptake, with a consequent increase in the tumor-to-background ratio. However, no final consensus about the usefulness of carbidopa premedication before 18F- FDOPA PET in patients with hyperinsulinemic hypoglycemia has been reached because of the potential reduction of tumoral uptake intensity. The present study represents the first preclinical research study focused on insulinomas, with a potential impact on the diagnostic and therapeutic management of patients in clinical practice. First, we developed an insulinoma xenograft model in mice and managed to keep the animals all along the study, despite a relatively high mortality due to the high insulin production of tu- mors. Secondly, we assessed two different radio-labeled molecules, according to the biological pathways describing the tumor model. In vitro and in vivo experiment were conducted to investi- gate the tumor uptake of both O-(2-18F-fluoroethyl)-L-tyrosine (18F-FET) and carbidopa-assisted 18F-FDOPA radiotracers. Finally, dynamic 18F-FET and carbidopa-assisted 18F-FDOPA PET scans were performed on tumor-bearing nude mice after subcutaneous injection of tumor cells and on a 30-year-old man with type-1 multiple endocrine neoplasia and hyperinsulinemic hypoglycemia defined by a positive fasting test. Results showed structural analogies between 18F-FET and 18F-FDOPA as well as the limited pan- creatic uptake of 18F-FET in human, which suggests evaluating 18F-FET as diagnostic radiotracer for insulinoma detection in further prospective studies involving large cohorts of patients. This research work illustrates the multidisciplinary aspect of medical physics, which involves physics, chemistry and biology to answer a medical question. A specific focus will be put on infrastructures, instrumentations and methodologies which enabled this study. Summary Orateur: Dr BOISSON, Frédéric (IPHC) April 7, 2020 Page 6
XVth Rencontres … / Rapport sur les contributions Characterization of EBT3 Films re … Contribution ID: 40 Type: not specified Characterization of EBT3 Films response to ionization radiations jeudi 1 août 2019 11:00 (30 minutes) ARRONAX facility serves partially as a user facility for research. It hosts a multi-particle acceler- ator that can produce a wide quality of radiation (particle type and energy): protons from 17 MeV up to 70 MeV, and alpha-particles at a fixed energy of 68 MeV. ARRONAX proton beam is therefore adapted for preclinical research on cells or small animals. The beam, made of pulses delivered at a given frequency, can be produced with a large range of intensities from low (
XVth Rencontres … / Rapport sur les contributions Range verification in proton thera … Contribution ID: 41 Type: not specified Range verification in proton therapy: the LAPD demonstrator and its originalapproach to in-beam PET ballistic control lundi 29 juillet 2019 11:45 (30 minutes) In this presentation, original results obtained with the Large Area Pixelized Detector (LAPD) for in- beam ballistic control of hadrontherapy treatments are described. The LAPD system is a PET-like demonstrator built in order to test the feasibility of monitoring in real time, during irradiation, the ion range in the patient through the measurement of the beam-induced beta+ activity distribution. It has been designed with the aim of testing a few new and original solutions to overcome some of the in-beam PET challenges. These solutions are presented and their performances evaluated with data acquired with the 65 MeV proton beam of the Nice (France) protontherapy center are discussed. In particular, it is shown that the LAPD allows to monitor and detect in real time shifts of 1 mm in Bragg peak position in polymethyl methacrylate targets. Then, data to Monte Carlo simulation comparisons are presented and the performances on simulation of the activity profile reconstruction algorithm are described. The new high bandwidth LAPD data acquisition system will also be briefly discussed. Summary Orateur: Prof. BUSATO, Emmanuel (LPC, Clermont) April 7, 2020 Page 8
XVth Rencontres … / Rapport sur les contributions SBRT portal dosimetry based on M … Contribution ID: 42 Type: not specified SBRT portal dosimetry based on Monte Carlo simulation lundi 29 juillet 2019 13:30 (30 minutes) Stereotactic radiation body therapy (SBRT) treatments require the implementation of robust pre- treatment and in-vivo dosimetry methods, to which electronic portal imaging devices (EPIDs) offer an attractive solution. However the development of EPID-based dosimetry models adapted to com- plex SBRT conditions is still challenging and is not completely supported for some EPID models and by commercial solutions. Therefore, in this work a detailed Monte Carlo (MC) model of the linac in combination with EPID is purposed to accurately predict the absorbed dose to the detector for further SBRT in vivo dosimetry applications. The MC simulation platform GATE/Geant4, was used to simulate the radiation transport through the detailed geometry of a previous validated model of a Varian TrueBeam STx, where the geome- try of the aS1000 EPID was also implemented. Varian phase-space source files (PSFs) were used to simulate 6 MV FFF photon beams and to obtain secondary PSFs at linac exit and EPID scintillator layer, in which absorbed dose was calculated for field sizes ranging from 0.5x0.5 to 15x15cm2, and for a complete dynamic SBRT treatment. Corresponding EPID images were acquired in integrated and continuous modes, at 150 cm distance from the source and were compared to the MC calcu- lated ones by means of relative dose difference maps and dose profiles, and global gamma index for the whole treatment. Results showed the suitability of the MC model in predicting EPID response for non-transit dosime- try with integrated images for simple fields and also dynamic SBRT treatments with continuous EPID imaging. However, in the latter, important discrepancies were still observed, mainly for points located at zones of higher dose gradients. This could also be related to the differences found between planned and delivered treatment parameters, and should be considered to improve simulation results and for further SBRT EPID in vivo dosimetry. Summary Orateur: Dr BARBEIRO, A. Rita (INSERM) April 7, 2020 Page 9
XVth Rencontres … / Rapport sur les contributions SIMULATION Simulation of I-131 … Contribution ID: 43 Type: not specified SIMULATION Simulation of I-131 radiopharmaceutical of thyroid cancer lundi 29 juillet 2019 14:00 (30 minutes) I-131 is utilized for thyroid radiotherapy by giving radioactive I-131 in thyroid gland. As it in- volves ionizing radiation, it is important to ensure that the patients receive optimum amount of radiation to destruct the target tissue while keeping the radiation-related side effects to minimum. In clinical practice, standard activity doses are preferred for thyroid cancer patients, assuming that biokinetics are similar in all patients. Lately, many clinicians offered to individualize the radioac- tive iodine therapy by calculating the optimal amount of radioactivity using patient dosimetry. Radiation dosimetry is used to calculate the minimum effective and maximum tolerated absorbed dose for a successful radioactive iodine therapy. This approach enables to administer increased amount of therapeutic activity while minimizing the related side effects. In this study, the SAF values in critical organs were calculated using mesh-type adult ICRP phantoms to evaluate the risk of treatment. The results were compared with those of previous researchs based on others phantoms and thermoluminescent dosimeter. Summary Orateur: M. THANG, Nguyen Tat (Hanoi Univ. Science and Technology (HUST)) April 7, 2020 Page 10
XVth Rencontres … / Rapport sur les contributions Using the Geant4-DNA toolkit for … Contribution ID: 44 Type: not specified Using the Geant4-DNA toolkit for estimating RBE of diverse radiation qualities lundi 29 juillet 2019 14:30 (30 minutes) Ionizing radiation can induce damage in the DNA of living beings. This damage can be repair by the cell but sometimes this does not happen so the functioning of the cell is altered, leading to cell death or cancer. This problem is of primordial importance in areas such as radiation therapy of cancer, radiation protection, and aerospace industry. The Monte Carlo (MC) method have the ability to simulate the transport of ionizing particles through matter. We have developed a biophysical model based in the combination of MC simulations, a DNA geometrical model with atomic resolution, and a methodology for linking the energy deposition process to the DNA damage. This model has been successfully applied for estimating the relative biological effectiveness (RBE) of different primary radiation qualities, including low energy photons, energetic ions, and fast neutrons. Results of some recent studies will be presented. Summary Orateur: Prof. BERNAL, Mario (State University of Campinas) April 7, 2020 Page 11
XVth Rencontres … / Rapport sur les contributions Simulation of liver cancer treatme … Contribution ID: 45 Type: not specified Simulation of liver cancer treatment using 90Y microspheres based on anatomical image segmentation technique and Geant4 toolkit lundi 29 juillet 2019 15:30 (30 minutes) The 90Y is a type of therapeutic isotope which have maximum beta energy of 2.23 MeV, the pen- etration in tissues about 1.1 cm and its half-life of 64.1 hours. Therefore, it is widely used in brachytherapy, especially in the hepatocellular carcinoma and other liver cancers. The quality of the treatment depends largely on the dose calculation in regimen planning. There are some dose calculation methods: (I) Body Surface Area method (BSA), (II) Empiric method, and (III) Partition method. All of these method are analytic or empiric methods. There have been some studies showing the limitations in accuracy of these methods. This study would present an approach to calculate dose in treatment planning. By using anatomical segmentation techniques to define ge- ometry of liver and tumor for construct the simulation geometry. Besides, the distribution of 90Y in the liver also determined by this method. The material of liver/tumor is determined via CT number-densities based on Hounsfield scale. We are developing several semi-empirical models and implement to the Geant4 toolkit to simulate the interaction of the electron with matter and deposited dose distribution in the patient liver. Summary Orateur: M. HA, Nguyen Hong (Vietnam Acad. Science and Technology) April 7, 2020 Page 12
XVth Rencontres … / Rapport sur les contributions Functions and Interfaces in Particl … Contribution ID: 46 Type: not specified Functions and Interfaces in Particle Therapy System Simulation Framework lundi 29 juillet 2019 16:00 (30 minutes) The particle therapy system simulation framework (PTSIM) is a Geant4 based simulation for parti- cle therapy, which simulates radiation transport in a treatment port consisting of a beam delivery system and a treatment head with patient geometry. It is used in proton and carbon therapy fa- cilities for validating treatment plans and improving irradiation systems. Although the PTSIM supports event-level parallelism in multithread and distributed computing environments on CPU- based architecture, the dose calculation under clinical treatment parameters requires more than several hours. To overcome the problem, the MPEXS project has developed a GPU-based Monte Carlo simulation for electromagnetic process and recently extended it to the hadronic processes of protons (MPEXS-proton). It is capable of completing the dose calculation within a few minutes. However, validation of the simulation against the measurements in the treatment port requires additional efforts and time. On the other hand, since each particle therapy facility has a validated PTSIM simulator, PTSIM can be used to prepare the phase space data of the beam delivery system. Using that data, MPEXS-proton can perform the dose calculation of patient geometry. In this pa- per, we report on the overall functionality of PTSIM and interfaces of phase space data relevant to the MPEXS project. Summary Orateur: M. ASO, Tsukasa (Toyama College) April 7, 2020 Page 13
XVth Rencontres … / Rapport sur les contributions DRecent development of solid stat … Contribution ID: 47 Type: not specified DRecent development of solid state microdosimetry and its applications in particle therapy mardi 30 juillet 2019 08:30 (30 minutes) Particle therapy has many advantages over conventional photon therapy, particularly for treating deep-seated solid tumours due to its greater conformal energy deposition achieved in the form of the Bragg peak (BP). Successful treatment with protons and heavy ions depends largely on knowledge of the relative biological effectiveness (RBE) of the radiation produced by primary and secondary charged particles. The RBE prediction based on microdosimetric approach using the tissue equivalent proportional counter (TEPC) measurements in 12C therapy has been reported, however large size of commercial TEPC is averaging RBE which dramatically changes close to and in a distal part of the BP that may have clinical impact. Moreover, the TEPC cannot be used in current particle therapy technique using pencil beam scanning (PBS) delivery due to pile up problems associated with high dose rate in PBS. Based on many years of experience in development of silicon-on-insulator (SOI) microdosimeter, the Centre for Medical Radiation Physics, University of Wollongong, has successfully developed a microdosimetric probe which is based on a SOI microdosimeter with 3D micron sized sensi- tive volumes (SVs) mimicking dimensions of cells, known as the “Bridge” and “Mushroom” micro- dosimeters, to address the shortcomings of the TEPC [1, 2]. The silicon microdosimeters provide extremely high spatial resolution and were used to evaluate the RBE of 290 MeV/u 12C, 180 MeV/u 14N and 400 MeV/u 16O ions at Heavy Ion Medical Accelerator in Chiba (HIMAC), Japan [3] as well as to measure the microdosimetric distributions of a proton pencil-beam scanning (PBS) and passive scattering system at the Massachusetts General Hospital (MGH) Francis H. Burr Proton Beam Therapy Center, USA [4]. Preliminary cell survival experiments on proton therapy beam in conjunction with SOI microdosimetry demonstrated good correlation between cell survival based RBE and predicted RBE based on measured dose average lineal energy with developed probe and microdosimetric kinetic model (MKM). References: [1] Rosenfeld A. “Novel detectors for silicon based microdosimetry, their concepts and applica- tions”, Nucl. Instrum. Methods., Phys. Res. A 809, 156–170, February 2016 [2] Linh T. Tran et. al., “Thin Silicon Microdosimeter utilizing 3D MEMS Technology: Charge Col- lection Study and its application in mixed radiation fields”, IEEE Transactions on Nuclear Science, Volume: 65, Issue: 1, 467-472, Jan. 2018. [3] Linh T. Tran, et. al., “The relative biological effectiveness for carbon, nitrogen and oxygen ion beams using passive and scanning techniques evaluated with fully 3D silicon microdosimeters” Medical Physics, 2018 , DOI10.1002/mp.12874. [4] Linh T. Tran, et. al., “Characterisation of proton pencil-beam scanning using a high spatial resolution solid state microdosimeter”, Medical Physics, doi: 10.1002/mp.12563, 2017. Summary Orateur: Dr TRAN, Thuy Linh (Centre for Medical Radiation Physics, University of Wollongong, Australia) April 7, 2020 Page 14
XVth Rencontres … / Rapport sur les contributions Preliminary Study for in-vivo dosi … Contribution ID: 48 Type: not specified Preliminary Study for in-vivo dosimetry of the small animal irradiation mardi 30 juillet 2019 09:00 (30 minutes) This study assessed applications for in-vivo dosimetry using a 3D printer-based, self-manufactured mouse immobilization device in a small field. The mouse immobilization device was created using a 3D printer (Makerbot Replicator, MakerBot Industries, Brooklyn, NY, USA) and consisted of the support flat, fixing units, sensor areas, and a build-up cap. Radio-photoluminescence glass dosime- ters (RPLGD, GD-302M) were inserted at the upper left (UL), upper right (UR), lower left (LL), and lower right (LR) of the device at the center of the target. EBT3 film was inserted into the device at the top of the mouse’s head. Irradiation planning was performed using the ECLIPSE system after a CT simulation of mice with an immobilization device. The mice were irradiated 5 times at a dose 180 cGy with 6 MV X-rays. The dose measurements from the RPLGDs and films were compared with the doses calculated in the Eclipse system. The percentage differences between the Radiation Treatment Planning (RTP) System and RPLGD measurements were 5.56 ± 3.90%, 6.52 ± 5.32%, 10.0 ± 8.97%, and 15.9 ± 17.5% at the UL, UR, LL, and LR positions, respectively. The gamma passing rate of all film measurements exceeded 90% in the 2%/2 mm range. The error values of the 3rd measurements were outliers due to the set up. With the exception of the 3rd measurements, the percentage difference decreased to 4–7%. In this study, we evaluated the applicability of a mouse immobilization device in a small field. We performed in-vivo dosimetry using RPLGD and EBT3 film; this approach may be helpful for using radiation to accurately analyze results in animal studies. Summary Orateur: Dr KIM, Dong Wook (Yonsei Cancer Center) April 7, 2020 Page 15
XVth Rencontres … / Rapport sur les contributions Film Dosimetry in Radiotherapy Contribution ID: 49 Type: not specified Film Dosimetry in Radiotherapy mardi 30 juillet 2019 09:30 (30 minutes) Summary Orateur: Prof. ARDJO PAWIRO, Supriyanto (Indonesia Univ.) April 7, 2020 Page 16
XVth Rencontres … / Rapport sur les contributions Detector for Dosimetry on LINAC … Contribution ID: 51 Type: not specified Detector for Dosimetry on LINAC and MedPhys education at CMRP mardi 30 juillet 2019 10:30 (30 minutes) An increase in the complexity of contemporary radiation oncology technologies demand sophis- ticated medical devices for verification of treatment delivery. The Centre for Medical Radiation Physics (CMRP) is an internationally recognised leader in the development of radiation detectors, providing real time high spatial and temporal resolution for treatment verification in radiation therapy. Pre-treatment and real time in-vivo treatment delivery verification in brachytherapy was resolved with the recently developed “Magic Phantom” and “BrachyView”. These systems allow fast verifi- cation of source dwelling and radioactive seed positions with submillimeter resolution for in-vivo real-time verification. Real-time motion adaptive radiotherapy aims to reduce the impact of patient-specific changes in anatomy during treatments through re-optimisation of the treatment delivery. Multi leave collima- tor (MLC) tracking utilises real-time tumour localisation to adjust the MLC configuration during delivery. Patient specific quality assurance of treatments employing MLC tracking is complex as daily variations in the patient’s tumour motion create new adaptations. We have developed a family of 2D high spatial and temporal resolution pixelated detectors (“Magic Plate”) to verify real-time motion adaptive radiotherapy delivery. The lecture will be devoted to present advances in medical dosimetry on LINAC, brachytherapy, interventional radiology using innovative semiconductor sensors. References M. Petasecca, M.K. Newall, J.T. Booth, et al “MagicPlate-512: a two dimensional silicon detector array for Quality Assurance of stereotactic motion adaptive radiotherapy” Med.Phys., 42(6) , 2992- 3004, 2015 M. Safavi-Naeini, Z. Han, D. Cutajar, et al. ”BrachyView, A novel in-body imaging system for HDR prostate brachytherapy: Experimental evaluation”, Med Phys , 2015 Anatoly.B.Rosenfeld “Novel detectors for silicon based microdosimetry, their concepts and appli- cations”, NIM A, 809, 156-170, 2016 Summary Orateur: Dr TRAN, Thuy Linh (Centre for Medical Radiation Physics, University of Wollongong, Australia) April 7, 2020 Page 17
XVth Rencontres … / Rapport sur les contributions OpenDose: a Free Online Database … Contribution ID: 52 Type: not specified OpenDose: a Free Online Database of Dosimetric Data for Nuclear Medicine mardi 30 juillet 2019 11:00 (30 minutes) Dosimetry in Nuclear Medicine uses a common formalism (MIRD) using pre-calculated reference Specific Absorbed Fractions and S Values. Such data is generated with Monte Carlo simulations for specific models and radioisotopes and is often computationally intensive. OpenDose is an international collaboration to generate, verify and disseminate reference dosimetric data. Using a common framework, every team provide reproducible data, with every value associated with uncertainty. The dosimetric data is then processed and stored in a SQL database and accessed through a newly created website. The website is designed to give the Nuclear Medicine community a free and easy access to dosimetric data. Summary Orateur: Dr CHAUVIN, Maxime (INSERM) April 7, 2020 Page 18
XVth Rencontres … / Rapport sur les contributions TPS Transition of dose calculation … Contribution ID: 53 Type: not specified TPS Transition of dose calculation method in radiation therapy and the State of Art of treatment planning system jeudi 1 août 2019 09:00 (30 minutes) In radiation therapy, simulation of dose distribution in the patient’s body plays a major role in de- termining the quality of treatment. In the past, tissue inhomogeneity corrections for mega voltage photon beams could change the prescribed dose by 10% in lung cancer. The impact showed the importance of the dose calculation method. For the dose calculation in treatment planning sys- tems, model-based algorithms have been used to shorten the calculation time. However, with the recent increase in calculation speed, accurate dose calculation algorithms such as the Boltzmann transport equation or the Monte Carlo method are spreading. Our facility also has implemented in-house Monte Carlo method for proton dose calculation. The in-house Monte-Carlo method re- produced measured dose distributions in a heterogeneous phantom better than the conventional pencil beam method. As a recent topic, biological effect prediction models are being introduced for treatment planning systems. This is an interesting area in the field of particle beam therapy, and a biological effect prediction model focusing on LET dependency has been developed. This talk reviews the transition of dose calculation method in radiation therapy and introduce the State of Art of treatment planning system. Summary Orateur: M. HOTTA, Kenji (Nat. Cancer Center Hospital ) April 7, 2020 Page 19
XVth Rencontres … / Rapport sur les contributions Radiotherapy and Nuclear medicin … Contribution ID: 54 Type: not specified Radiotherapy and Nuclear medicine in Kien Giang province: A review of current practice and future development jeudi 1 août 2019 14:30 (30 minutes) Radiotherapy and Nuclear medicine are particularly interested in Kien Giang, a southen province of Viet Nam. This paper provides several brief reviews about the development in Radiotherapy and Nuclear medicine in Kien Giang. In 2010, the first LINAC (Primus 5599) with four independent jaws was equiped. Hundreds of cancer patients were delivered by Primus 5599 each year with 3D-CRT and JO-IMRT techniques. The JO-IMRT technique has applied since 2016 for head and neck cases. Besides, a new modern LINAC (Clinac iX) with MLC-120 leaves has been installed in 2019 to perform high precise techniques such as IGRT and VMAT. To complete radiotherapy modality for cervical cancer patients, the Remote Afterloading Brachytherapy Unit has also been operated by using 192Ir isotope. Nuclear medicine specialty has been built recently that is related to the application of radioactive subtances in the diagnosis and treatment of disease. The Cyclotron 18MeV system will be operated to produce some radionuclides including 18F, 15O, 13N, 11C, and 124I. The QA/QC devices ,such as HPLC and HPGe, are equiped to assure the quality of produced radionuclides before injecting into patients. In addition, radiation detectors are placed at suitable location to keep safety all time. Nuclear medical images are required by PET-CT and SPECT (dual heads) units which were installed in 2017. Summary Orateur: TU, Vu Ngoc April 7, 2020 Page 20
XVth Rencontres … / Rapport sur les contributions PROTONS AND HADRONS Histo … Contribution ID: 55 Type: not specified PROTONS AND HADRONS History and Physics of Particle Therapy mercredi 31 juillet 2019 08:30 (1 heure) This lecture will present the history and physics of ion particle therapy, especially using protons and carbon ions. In 1946, Robert R. Wilson first proposed a possible therapeutic application of ion beams in his famous paper “Radiological Use of Fast Protons”. During the 50ths, in Berkeley (CA, US), the team of R. R. Wilson, John & Ernest Lawrence, and C. A. Tobias underlined the poten- tial benefits of using heavy charged particles in radiotherapy. The pioneering work performed in Berkeley using p, d, 4He, 12C, 20Ne, 28Si and 40Ar during 1948-1992 will be discussed, and the first accelerator facility dedicated to carbon ion therapy, the Heavy Ion Heavy Ion Medical Accelerator in Chiba (HIMAC), will be described. The lecture will also give an update of all currently operat- ing carbon ion facilities, and discuss the physical and radiobiological differences between photon, proton and carbon ion therapy. Especially the advantages of treating deep seated radioresistant hypoxic tumor cells with carbon ions will be discussed. The need for precise on-line range verifi- cation during ion therapy will be argued since range shifts might occur due to e.g. movements of the patient, movement of an organ, miss positioning of the patient, tumor shrinkage, filling of a cavity due to infections, etc. In the end there will be a summary and a future outlook. Summary Orateur: Prof. SIHVER, Lembit (TU Wien, Atominstitut) April 7, 2020 Page 21
XVth Rencontres … / Rapport sur les contributions Medical application of nuclear phy … Contribution ID: 56 Type: not specified Medical application of nuclear physics mercredi 31 juillet 2019 09:30 (30 minutes) Summary Orateur: Prof. YAMAYA, Taiga (QST Hospital International Therapy Research Center) April 7, 2020 Page 22
XVth Rencontres … / Rapport sur les contributions Current and future of independent … Contribution ID: 57 Type: not specified Current and future of independent dose calculation using Monte Carlo in Nagoya Proton Therapy Center mercredi 31 juillet 2019 10:30 (30 minutes) More than two thousand patients have been treated by using proton beam at Nagoya Proton Ther- apy Center (NPTC) since 2013. The NPTC has both scanning and broad beam irradiation systems. Broad beam irradiation is mainly used to treat prostate and tumors with respiratory movements such as lung and liver, while scanning irradiation is mainly used for head and neck, bone and soft tissue, and pediatric cancer. The MC dose calculation for second dose check by using PTSIM which is a Geant4-based simulation framework for particle therapy has been carried out. It takes a half day to complete the MC dose calculation for one patient by using a CPU-based PC Linux cluster. In order to respond to more flexible changes in treatment plans, we plan to speed-up MC dose calcu- lation by introducing a GPU-based Monte Carlo simulation system called MPEXS-proton, which is capable of electromagnetic and hadronic processes in Geant4 on CUDA framework. It will take less than a few minutes to complete the dose calculation for one patient. The MPEXS-proton system will be a promising device for dose calculation in proton therapy.” Summary Orateur: M. TOSHITO, Toshiyuki (Nagoya Proton Therapy Center) April 7, 2020 Page 23
XVth Rencontres … / Rapport sur les contributions Organ Motion and Image Guidance Contribution ID: 58 Type: not specified Organ Motion and Image Guidance mercredi 31 juillet 2019 11:30 (30 minutes) Summary Orateur: Dr ZHANG, Ye (PSI) April 7, 2020 Page 24
XVth Rencontres … / Rapport sur les contributions The design status of beamline syst … Contribution ID: 59 Type: not specified The design status of beamline system and gantry room of SC200 proton therapy mercredi 31 juillet 2019 13:30 (30 minutes) Summary Orateur: Dr ZHENG, Jinxing (Chinese Acad. Sciences) April 7, 2020 Page 25
XVth Rencontres … / Rapport sur les contributions Progress in Proton Therapy Enabl … Contribution ID: 60 Type: not specified Progress in Proton Therapy Enabled by Technology mercredi 31 juillet 2019 11:00 (30 minutes) Summary Orateur: Dr GROSSMANN, Martin (Paul Scherrer Institute) April 7, 2020 Page 26
XVth Rencontres … / Rapport sur les contributions Controls for SC200 Contribution ID: 61 Type: not specified Controls for SC200 mercredi 31 juillet 2019 14:00 (30 minutes) Summary Orateur: M. FENG, Hansheng (Chinese Acad. Sciences) April 7, 2020 Page 27
XVth Rencontres … / Rapport sur les contributions Carbon Fragmentation for Hadron … Contribution ID: 63 Type: not specified Carbon Fragmentation for Hadron Therapy mercredi 31 juillet 2019 14:30 (30 minutes) Hadrontherapy treatments require a high accuracy on the dose deposition to keep the benefits of the precise ions ballistic. One of the sources of uncertainty on physical dose deposition is due to the fragmentation of the incident ion (fragmentation tails behind the tumor, RBE fluctuation in depth). Up to now, the simulation codes are not able to reproduce the fragmentation process with the precision required for treatments. The constraints on nuclear models and fragmentation cross sections in the energy range used in hadrontherapy are not yet sufficient. The maximum energy of GANIL, 95 MeV/u allows to constrain the low part of energies used for treatments. To improve the models and reach the precision required for a reference simulation code for hadrontherapy, experiments have been performed by our collaboration on thick target of medical interest in 2008, on thin targets at 95 MeV/u in 2011 and 2013 and at 50 MeV/u in 2015. The experimental set-up included five three stages ΔE-E telescopes composed of two Si detectors and one CsI scintillator. These telescopes were mounted on rotating stages to cover angles from 0 to 45°. Double differ- ential cross section in energy and solid angle, of fragments resulting from nuclear reactions of 12C ions with PMMA and thin targets (C; CH2 ; Ti; Al; Al2O3) have been measured. The data of the experiments have already been analyzed and compared to GEANT4 simulations (BIC, jQMD, INCL++). The data have also been compared to codes included in PHITS (jQMD). Experimental results compared to GEANT4 and PHITS simulations of 50 and 95 MeV/u 12C cross sections on the different targets will be presented. We plan to do systematic measurements of fragmentation cross section of 12C on thin targets of medical interest for hadrontherapy (up to 400 MeV/u). A large acceptance mass spectrometer is under developpement. It will be composed of a beam monitor, a target, upand downstream trackers surrounding a magnet and a time-of-flight (ToF) wall. First beam tests of the beam monitor and the ToF wall will be performed at GANIL in june 2019. The FRACAS setup will be described. Summary Orateur: Prof. LABALME, Marc (LPCCaen) April 7, 2020 Page 28
XVth Rencontres … / Rapport sur les contributions Open Discussion: How to build an … Contribution ID: 64 Type: not specified Open Discussion: How to build and operate proton therapy center: Experiences for Vietnam mercredi 31 juillet 2019 15:30 (2 heures) Summary Orateur: Prof. CUONG, Phan Viet April 7, 2020 Page 29
XVth Rencontres … / Rapport sur les contributions RT Screening method to follow up … Contribution ID: 65 Type: not specified RT Screening method to follow up thyroid cancer patients after thyroidectomy jeudi 1 août 2019 14:00 (30 minutes) This paper present a cost effective and simple screening method to follow up thyroid cancer pa- tients who have had their thyroid surgically removed (thyroidectomy), without any metastases, and have been declared stable or cured. The method is based on using a small NaI (Tl) detector sys- tem and oral intake of 131I, to measure the concentrated radioactive iodine uptake (RAIU), together with measurements of levels of protein Thyroglobulin (Tg) in the blood. It is shown that measure- ments of RAIU together with Tg measurements can with high precision detect re-occurrence of thyroid cancer. Due to its simplicity and cost effectiveness, the presented method could be used at any local nuclear medicine department/medical center at the Vietnamese countryside, far away from the main hospitals. Then, if there are indications for a cancer re-occurrence, the patients could be sent to a major hospital to undergo a planar head and neck or full body single-photon emission computed tomography (SPECT) scan. If needed, follow up treatment with 131I could also be performed at the local nuclear medicine departments/medical centers. This would significantly reduce the costs for the patients and reduce the burden at the large/major hospitals. Summary Orateur: Prof. SIHVER, Lembit (TU Wien, Atominstitut) April 7, 2020 Page 30
XVth Rencontres … / Rapport sur les contributions Local Hypertermia Contribution ID: 67 Type: not specified Local Hypertermia jeudi 1 août 2019 09:30 (30 minutes) Hyperthermia (also known as thermotherapy) is generally regarded as a mean body or tumor tissue temperature higher than normal. The processing of increasing temperature is realized by three methods: local, regional and whole- body hyperthermia. Local hyperthermia has become a recognized and quite widespread adjuvant method of chemotherapy and / or radiation treatment of resistant tumors by using different techniques: Electromagnetic (EM) and Ultrasound wave that have reviewed. The technique selection depends on properties of tumors. The combination between method of local and radio/or chemo has applied successfully in the “N. N. Blokhin National Medical Research Centre of oncology” of the Health Ministry of Russia. Summary Orateur: Mlle NHUNG, Duong (MEPI) April 7, 2020 Page 31
XVth Rencontres … / Rapport sur les contributions DETECTORS 18F-FDG autoradiog … Contribution ID: 68 Type: not specified DETECTORS 18F-FDG autoradiography with CMOS sensor in murine models of lupus jeudi 1 août 2019 10:00 (30 minutes) Nuclear imaging is essential in the clinical and pre-clinical field for studying the biodistribution of the drug and observing the evolution of the pathology. Positron Emission Tomography (PET) scan is today a gold standard with picomolar sensitivity for functional in vivo imaging. It offers millimeter-scale spatial resolution . Autoradiography, with Mimosa-28 semiconductor digital sen- sors, provides a sub-millimetre resolution while keeping a good sensitivity in order to visualize the cerebral distribution of the radiotracer 18F-FDG in the mouse. Preliminary, this sensor is charac- terized with isotope usually used in preclinical systems in the PET system: 18F. Measurements of efficiency and spatial resolution are made to compare with other current systems such as emulsion films, phosphorescence, scintillation and gaseous detectors. PET scans enable to explore biodistribution at the animal scale before to visualize the distribution with autoradiography at the tissue scale. We then explore the possibility of improving the quality of images through GEANT4 Application for Tomography Emission (GATE) Monte-Carlo simu- lation and reconstruction using a Maximum Likelihood Estimation Method (MLEM) algorithm. The autoradiographic images gain in contrast and the scattering of the charged particles into the medium is attenuated. Summary Orateur: M. TRUONG GIANG, Nguyen Pham (IPHC) April 7, 2020 Page 32
XVth Rencontres … / Rapport sur les contributions Ion beam monitoring using brems … Contribution ID: 70 Type: not specified Ion beam monitoring using bremsstrahlung X-rays jeudi 1 août 2019 11:30 (30 minutes) Particle therapy provides a high and localized deposited dose to the target tumor thanks to the Bragg Peak. Then, the development of online beam monitoring tools with non-invasive methods represents an important challenge. Some studies deal with the use of prompt gamma radiations to localize the Bragg Peak, with a resolution of several millimeters. A novel promising approach using the detection of the bremsstrahlung X-rays is actually investigating, and requires improve- ments. Both methods have performance mainly limited by counting statistics and noise signal. These latter depend on the fundamental parameters such as cross sections. For that purpose, the work presented consists firstly to valid a theoretical model of the bremsstrahlung cross sections with experimental measurements. Secondly, the feasibility to use the bremsstrahlung X-rays com- ing from a PMMA target and a water tank, as a biological medium surrogate, in order to monitor proton beams was studying. An experimental set-up was designed to irradiate a PMMA target and a water tank with pro- ton beams in the energy range from 17MeV/u to 50MeV, delivered by the ARRONAX cyclotron. A silicon drift detector measured the bremsstrahlung X-rays. A model based of the theoretical bremsstrahlung cross sections5 was developed to compare the experiment data to simulations. The differential cross sections were previously measured on carbon target to compare the results to data available in the literature6. Cross sections were measured in the range of 10 mbarn.keV-1 to 1000 mbarn.keV-1. A signifi- cate agreement was found with the model and the literature. Moreover, simulations fitted the bremsstrahlung spectra of the PMMA target confirming the significate sensibility of the method (104 X-rays/nC detected) and the validation of the ion bremsstrahlung model. Proton beam energy can be monitored using the bremsstrahlung X-rays thanks to the spectrum hardening, due to the variation of the bremsstrahlung cross sections. These results are encouraging in order to localized the proton beam range. Fundamental studies are also expected to link the bremsstrahlung signal to the deposited dose in the biological medium, in order to apply the method to dosimetry and medical applications Summary Orateur: M. RALITE, Flavien (SUBATECH) April 7, 2020 Page 33
XVth Rencontres … / Rapport sur les contributions Development of a diamond hodosc … Contribution ID: 71 Type: not specified Development of a diamond hodoscope for online ion range monitoring in hadrontherapy jeudi 1 août 2019 13:30 (30 minutes) The ballistic property of ion beams is a key issue in hadrontherapy. Online ion range assessment during treatment would permit to fully exploit this advantage. In this context, Prompt-Gamma (PG) imaging using a Compton camera has been proposed by the French CLaRyS collaboration. The originality of the system is the use of a beam-tagging hodoscope that would provide tempo- ral and spatial information on the incoming ions. This hodoscope at first relied on an array of scintillating fibres. To reach higher counting rate and a timing resolution of 100 ps, the collabora- tion has initiated recently the development of a diamond hodoscope. (CLaRyS Ultra Fast Timing). Diamond were selected for their very fast response and radiation hardness. Initially, for charac- terization purposes, pad detectors made of Chemical Vapor Deposition (CVD) single-crystal and polycrystalline diamonds as well as Diamonds grown On Iridium (DOI) were built. Then, to satisfy the position-sensitive criterion in the hodoscope prototyping, double-side stripped demonstrators were designed and assembled with custom discrete current preamplifiers at LPSC in Grenoble. Both pad and strip detectors have been characterized under various irradiation conditions. At GANIL, a 18 ps RMS Time-Of-Flight resolution has been obtained between a single-crystal and a DOI pad detectors with 95 MeV/u 12C ions. The same two detectors exhibit a 59 ps RMS Time-Of- Flight resolution when tested with 68 MeV protons in ARRONAX-Nantes. Single 68 MeV proton detection efficiency has been evaluated with two 1 cm² pad detectors: one polycrystalline and one DOI. The results are respectively 92% and 50%. Finally, stripped sensors were tested with a 8.5 keV pulsed X-Ray micro-beam at European Synchrotron Radiation Facility. A 100% detection efficiency and a 103 ps RMS time resolution were measured at several strips crossings with the polycrystalline sample. In conclusion, present results encourage, in a near future, the develop- ment of a larger area prototype made of four diamonds in a mosaic arrangement and read by a dedicated and integrated fast readout electronics currently developed at LPSC. Summary Orateur: M. CURTONI, Sébastien (LPSC) April 7, 2020 Page 34
XVth Rencontres … / Rapport sur les contributions ISOTOPES Radio-isotope producti … Contribution ID: 72 Type: not specified ISOTOPES Radio-isotope production at ELI-NP vendredi 2 août 2019 08:30 (30 minutes) Summary Orateur: Dr CUCOANES, Andi (ELI-NP) April 7, 2020 Page 35
XVth Rencontres … / Rapport sur les contributions A proposition for a cancer treatme … Contribution ID: 73 Type: not specified A proposition for a cancer treatment study using radioisotope metal cofactor enzymes vendredi 2 août 2019 09:00 (30 minutes) Summary Orateur: VAN LUYEN, Tran April 7, 2020 Page 36
XVth Rencontres … / Rapport sur les contributions Radionuclide spatial distribution m … Contribution ID: 74 Type: not specified Radionuclide spatial distribution measurement and dose deposition for in vitro assessments of targeted alpha therapy vendredi 2 août 2019 09:30 (30 minutes) Introduction. The interest of Targeted Alpha Therapy (TAT) for diffuse cancer or metastatic lesions is increasing because of the short range and the high linear energy transfer (LET) of α-particles. The development of new radiopharmaceuticals goes along with preclinical studies assessing their efficiency in tumor control as well as their toxicity on healthy tissues and comparing their effect with conventional external radiotherapy using x-rays or β-emitting targeted radiotherapy. It is thus necessary to determine the dose deposited in the sample (cells in the case of in vitro experi- ments) to accurately quantify biological effects. Nevertheless, dosimetry of α-emitters is challeng- ing even for in vitro experiments. In this case, absorbed dose is related to the proportion of decay occurring close enough of the cells (because of the short range of α particles) and the cells dimen- sions (determining the proportion of energy deposited). It is usually assumed that the distribution of radionuclides in the culture medium is homogenous, which could have a significant impact on dose calculation. In this study we measured the spatial distribution of α-emitting 212Pb coupled to an anti-VCAM-1 antibody (212Pb-αVCAM-1) and its evolution over time in the context of in vitro irradiations. Methods. To determine the spatial distribution of 212Pb-αVCAM-1, two volumes of culture medium, containing 15 kBq of 212Pb-α-VCAM-1 each, were poured into two test wells without cells. The first well had a 2.5-µm-thick mylar-base and was placed above a 144 µm thick silicon detector. The second well was a commercially available dish and was placed below an identical detector. With these setups, experimental count rates and energy spectra of α-particles were measured during 20 hours. Experimental spectra were analyzed with Monte Carlo simulations. Experimental setups were reproduced to simulate the α-energy spectra in the silicon detectors as a function of the de- cay position in the culture medium. Simulated spectra were then used to deduce the radionuclide spatial and temporal distribution from experimental spectra. Results. Experimental count rates and energy spectra showed differences in measurements taken at the top and the bottom of dishes and temporal variations that did not follow 212Pb decay. The radionuclide spatial distribution was shown to be composed of a homogeneous distribution and concentration gradients at the top and the bottom, which were subjected to temporal variations caused by gravity and electrostatic attraction. The absorbed dose in cells calculated from this dis- tribution was compared with the dose expected for a homogeneous and static distribution and found to be 1.75 times higher. This discrepancy is significant and is an important issue regarding the accuracy and the reliability of preclinical studies. Conclusion. This work demonstrated that accurate dosimetry of α-emitters requires the exper- imental determination of radionuclide spatial and temporal distribution. It highlighted that in vitro assessments of TAT cannot only rely on injected activity and should benefit from adapted dosimetry methods. Funding: CNRS, CEA, Université de Caen-Normandie, MESR, Conseil Régional-Normandie and the European Union-Fonds Européen de Développement Régional (FEDER), FRC, ANR-11-LABEX- 0018-01 ; ANR-10EQPX1401. April 7, 2020 Page 37
XVth Rencontres … / Rapport sur les contributions Radionuclide spatial distribution m … Summary Orateur: Dr FRELIN, Anne-Marie (GANIL) April 7, 2020 Page 38
XVth Rencontres … / Rapport sur les contributions Summary and conclusion Contribution ID: 75 Type: not specified Summary and conclusion vendredi 2 août 2019 10:30 (1 heure) Summary Orateur: Prof. GROSSMANN, Martin (Paul Scherrer Institut) April 7, 2020 Page 39
XVth Rencontres … / Rapport sur les contributions PET and multimodality imaging pr … Contribution ID: 76 Type: not specified PET and multimodality imaging principles samedi 27 juillet 2019 08:30 (1h 30m) Summary Orateur: Prof. VISVIKIS, Dimitris (INSERM) April 7, 2020 Page 40
XVth Rencontres … / Rapport sur les contributions History and physics of photon, ele … Contribution ID: 78 Type: not specified History and physics of photon, electron, neutron and pion therapy samedi 27 juillet 2019 10:15 (1h 30m) Summary Orateur: Prof. SIHVER, Lembit (TU Wien, Atominstitut) April 7, 2020 Page 41
XVth Rencontres … / Rapport sur les contributions Radiation Matter Interactions Contribution ID: 80 Type: not specified Radiation Matter Interactions samedi 27 juillet 2019 13:00 (1h 30m) This lectrures aims to give an overview of the radiation matter interactions. Charged particles and neutral particles processes are described along with the main medical applications. (In the slides everything in light grey can be skiped, it contains material for a deeper understand- ing). Summary Orateur: Prof. BAN, Gilles (LPC Caen) April 7, 2020 Page 42
XVth Rencontres … / Rapport sur les contributions What is Medical Physics? Contribution ID: 81 Type: not specified What is Medical Physics? samedi 27 juillet 2019 14:30 (1h 30m) Summary Orateur: Dr LE DU, Patrick April 7, 2020 Page 43
XVth Rencontres … / Rapport sur les contributions History and physics of ion beam t … Contribution ID: 83 Type: not specified History and physics of ion beam therapy samedi 27 juillet 2019 16:15 (1 heure) Summary Orateur: Prof. SIHVER, Lembit (TU Wien, Atominstitut) April 7, 2020 Page 44
XVth Rencontres … / Rapport sur les contributions GATE lecture Contribution ID: 85 Type: not specified GATE lecture dimanche 28 juillet 2019 08:30 (1h 30m) Summary Orateur: Dr CHAUVIN, Maxime (INSERM) April 7, 2020 Page 45
XVth Rencontres … / Rapport sur les contributions GATE exercise Contribution ID: 86 Type: not specified GATE exercise dimanche 28 juillet 2019 10:15 (1h 30m) Summary Orateur: Dr CHAUVIN, Maxime (INSERM) April 7, 2020 Page 46
XVth Rencontres … / Rapport sur les contributions EasyPET exercise Contribution ID: 87 Type: not specified EasyPET exercise dimanche 28 juillet 2019 13:00 (1h 30m) EasyPET is a table-top experimental kit to demonstrate the principle of PET imaging. After an introduction to the device and its components (scintillating crystals, silicon photomultipliers, co- incidence electronics and reconstruction of PET images) we will explore the detector properties, study detector response from a beta plus emitter (radioactive source) and acquire a PET image Summary Orateur: Dr GROSSMANN, Martin (Paul Scherrer Institut) April 7, 2020 Page 47
XVth Rencontres … / Rapport sur les contributions Radiotherapy / Organ motion lecture Contribution ID: 88 Type: not specified Radiotherapy / Organ motion lecture dimanche 28 juillet 2019 14:30 (45 minutes) Summary Orateur: Dr ZHANG, Ye (PSI) April 7, 2020 Page 48
XVth Rencontres … / Rapport sur les contributions Image reconstruction exercise Contribution ID: 89 Type: not specified Image reconstruction exercise dimanche 28 juillet 2019 15:30 (2 heures) Summary Orateur: Dr HOANG THI KIEU, Trang (HCMUS) April 7, 2020 Page 49
XVth Rencontres … / Rapport sur les contributions Opening Session Contribution ID: 90 Type: not specified Opening Session lundi 29 juillet 2019 08:30 (35 minutes) April 7, 2020 Page 50
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