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        Intensity-Modulated Radiotherapy versus Three-Dimensional Conformal Radiotherapy in Definitive Chemoradiotherapy for Cervical Esophageal Squamous Cell Carcinoma: Comparison of Survival Outcomes and Toxicities

        Nai-Bin Chen,Bo Qiu,Jun Zhang,Meng-Yun Qiang,Yu-Jia Zhu,Bin Wang,Jin-Yu Guo,Ling-Zhi Cai,Shao-Min Huang,Meng-Zhong Liu,Qun Li,Yong-Hong Hu,Qi-Wen Li,Hui Liu 대한암학회 2020 Cancer Research and Treatment Vol.52 No.1

        Purpose The purpose of this study was to compare the survival and toxicities in cervical esophageal squamous cell carcinoma (CESCC) treated by concurrent chemoradiothrapy with either three-dimensional conformal radiotherapy (3D-CRT) or intensity-modulated radiotherapy (IMRT) techniques. Materials and Methods A total of 112 consecutive CESCC patients were retrospectively reviewed. 3D-CRT and IMRT groups had been analyzed by propensity score matching method, with sex, age, Karnofsky performance status, induction chemotherapy, and tumor stage well matched. The Kaplan- Meier method and Cox proportional hazards model were used for overall survival (OS) and progression-free survival (PFS). Toxicities were compared between two groups by Fisher exact test. Results With a median follow-up time of 34.9 months, the 3-year OS (p=0.927) and PFS (p=0.859) rate was 49.6% and 45.8% in 3D-CRT group, compared with 54.4% and 42.8% in IMRT group. The rates of grade ! 3 esophagitis, grade ! 2 pneumonitis, esophageal stricture, and hemorrhage were comparable between two groups, while the rate of tracheostomy dependence was much higher in IMRT group than 3D-CRT group (14.3% vs.1.8%, p=0.032). Radiotherapy technique (hazard ratio [HR], 0.09; 95% confidence interval [CI], 0.01 to 0.79) and pretreatment hoarseness (HR, 0.12; 95% CI 0.02 to 0.70) were independently prognostic of tracheostomy dependence. Conclusion No survival benefits had been observed while comparing IMRT versus 3D-CRT in CESCC patients. IMRT with fraction dose escalation and pretreatment hoarseness were considered to be associated with a higher risk for tracheostomy dependence. Radiation dose escalation beyond 60 Gy should be taken into account carefully when using IMRT with hypofractionated regimen.

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        Theoretical study on photoelectric properties of lead-free mixed inorganic perovskite RbGe1-xSnxI3

        Xi-Zi Deng,Qian-Qi Zhao,Yu-Qing Zhao,Meng-Qiu Cai 한국물리학회 2019 Current Applied Physics Vol.19 No.3

        The recent discoveries of lead-free halide perovskites have come into notice as promising photovoltaic materials due to their high solar-to-electrical efficiency conversion. However, these perovskites suffer from large effective masses, wide band gap and affected photovoltaic performance. It is well known that it is an effective means to overcome the above shortcomings by changing the metallic ion concentration and position for the inorganic perovskite. Herein, we study the geometrical, electronic, and optical properties of RbGe1-xSnxI3 with various compositions of metal atoms by performing the Density Functional Theory (DFT). Besides, we systematically investigate how the doping positions of stannum (Sn) atoms affect the electronic structure by taking mixed metal RbGe0.50Sn0.50I3 compound as an example. The results show that RbGe1-xSnxI3 exhibits the semiconducting property with the tunable direct band gaps by changing its proportions. Compared to other two doping positions in the perovskite RbGe0.50Sn0.50I3, the configuration with Sn atom at equator plane has better mobility of electron and optical absorption properties. Our works demonstrate that the modification of metal concentration and position will modulate the optoelectronic performance and photovoltaic properties of mixed metal perovskites.

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