CARLA DARUICH DE SOUZA

CARLA DARUICH DE SOUZA

(Fonte: Lattes)

Resumo

Bsc in Medical Physics from UNESP in Botucatu Compleated at IPEN, University of São Paulo: 1) Master's Degree: Comparison between methods for fixing iodine-125 on silver substrate for fabricating sources used in Brachytherapy / 2) PhD: Parameters for production of iodine-125 sources used in brachytherapy and "sandwich" doctorate: Washington State University - training in radiochemistry and organic chemistry / 3) Post doctorate: Production of nanosources for the treatment of cancer / 4) Project: Analysis of methods to obtain / produce nuclear material for use in a radioisotope thermoelectric generator (RTG)/ Advisor of the Professional Master's Degree in Radiation Technology in Health / Professor of the Professional Master Program in the disciplines Dosimetry for Radiotherapy and Radiotherapy Fundamentals / Professor of the Academic Master Program in the discipline TNA5805 - Brachytherapy: Fundamentals, Production, Application, Dosimetry and Quality Research Associate of KAERI - Korean Atomic Energy and Research Institute (Text obtained from the Currículo Lattes on October 6th 2021)

Formada em Física Médica pela UNESP em Botucatu Realizado no IPEN-USP/ SP: 1) Mestrado: Comparação entre métodos de fixação do iodo-125 em substrato de prata para confecção de fontes utilizadas em Braquiterapia / 2) Doutorado: Parâmetros para produção de confecção de fontes de iodo-125 utilizadas em Braquiterapia e Doutorado sanduíche: Washington State University - treinamento em radioquímica / 3) Pós doutorado: Produção de nanofontes para tratamento de câncer / 4) Projeto: Análise de formas de obtenção/produção do material nuclear para utilização em um gerador termoelétrico radioisotópico (RTG)/ Orientadora do Mestrado Profissional de Tecnologia das Radiações na Saúde/ Professora do Mestrado Profissional nas disciplinas Dosimetria para Radioterapia e Fundamentos de Radioterapia/ Professora do Mestrado Acadêmico na disciplina TNA5805 - Braquiterapia: Fundamentos, Produção, Aplicação, Dosimetria e Qualidade Research Associate do KAERI - Korean Atomic Energy and Research Institute (Texto extraído do Currículo Lattes em 06 out. 2021)

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Radioactive seed localization for conservative surgery of nonpalpable breast cancer
2022 - FERREIRA, HORTENCIA de J.; SOUZA, CARLA D. de; ROSTELATO, MARIA E.C.M.
Background: The radioactive seed localization (RSL) is used in impalpable breast cancer conservative surgery to assist the surgeon in accurately locating and excising the lesion site. This study aims to present recommendations about the RSL program implementation in health institutions that perform breast cancer conservative surgery with intraoperative localization. Methods: An extensive literature review was performed. It comprehends: the committee responsible for implementation of the program actions; description of the necessary multidisciplinary team; the radiological safety committee role; the facility licensing; professionals training; material and instrumentation associated with the technique; and seed tracking system. Results: 13 topics are presented. The Program Implementation Committee must be formed by leaders from each department. The committee assumes responsibility for evaluating the necessary processes and presenting the schedule for program implementation. Since the procedure is classified as a nuclear medicine procedure it requires licensing. The Professional Team Formation, Education, and Training is a priority and simulation exercises are necessary. The Materials and Instrumentation Associated with the Technique must be well-know by the team and they should practice using radiation detectors. The seed must be always tracked, from moment they are received to discard. An Inventory for Tracking Seeds is provided. The Radiological Safety Aspects such as the ALARA principle are presented. A full description for the Radiological Procedure for Placing the seeds, the surgical removal and the Specimen Handling in Pathology focusing on how to locate the seed and retrieve them. After removed, the seeds can be placed in storage to wait for full radioactive decay or be returned to the manufacturer. Conclusions: The procedure has the advantage to increase to 2 months the time between insertion of the seed and the surgical removal. Regular multidisciplinary team meetings during program development are important to create a realistic timeline, having briefing meetings after the first 1-5 RSL cases and having annual or biannual follow-up meetings to discuss any issues or incidents.
Highly efficient method for production of radioactive silver seed cores for brachytherapy
2017 - CARDOSO, ROBERTA M.; SOUZA, CARLA D. de; ROSTELATO, MARIA E.C.M.; ARAKI, KOITI
A simple and highly efficient (shorter reaction time and almost no rework) method for production of iodine based radioactive silver seed cores for brachytherapy is described. The method allows almost quantitative deposition of iodine-131 on dozens of silver substrates at once, with even distribution of activity per core and insignificant amounts of liquid and solid radioactive wastes, allowing the fabrication of cheaper radioactive iodine seeds for brachytherapy.
Comparing different methods for radioactive iodine fixation intended for brachytherapy sources manufacture
2016 - SOUZA, CARLA D.; ROSTELATO, MARIA E.C.M.; ZEITUNI, CARLOS A.; PELEIAS JUNIOR, FERNANDO S.; BENEGA, MARCOS A.G.; MOURA, JOAO A.; FEHER, ANSELMO; COSTA, OSVALDO L.; TIEZZI, RODRIGO; RODRIGUES, BRUNA T.; SILVA, THAIS H. da; SORGATTI, ANDERSON; SOUZA, DAIANE C.B. de
Brachytherapy, a method of radiotherapy, is being extensively used in the early and intermediate stages of the illness. In this treatment, radioactive seeds are placed inside or next to the area requiring treatment, which reduces the probability of unnecessary damage to surrounding healthy tissues. Currently, the radioactive isotope iodine-125, fixated on silver substrate, is one of the most used in prostate brachytherapy. The present study compares several deposition methods of radioactive iodine on silver substrate, in order to choose the most suitable one to be implemented at the laboratory of radioactive sources production of IPEN. Three methods were selected: method 1 (test based on electrodeposition method, developed by David Kubiatowicz) which presented efficiency of 65.16%; method 2 (chemical reaction based on the method developed by David Kubiatowicz - HCl) which presented efficiency of 70.80%; method 3 (chemical reaction based on the method developed by Dr. Maria Elisa Rostelato) which presented efficiency of 55.80%. Based on the results, the second method is the suggested one to be implemented at the laboratory of radioactive sources production of IPEN.
Desenvolvimento da metodologia para sintese do poli-)acido latico-co-acido glicolico) para utilização na produção de fontes radioativas
2015 - PELEIAS JUNIOR, FERNANDO dos S.; ZEITUNI, CARLOS A.; ROSTELATO, MARIA E.C.M.; FECHINE, GUILHERMINO J.M.; SOUZA, CARLA D. de; MATTOS, FABIO R. de; MOURA, EDUARDO S. de; MOURA, JOAO A.; BENEGA, MARCOS A.G.; FEHER, ANSELMO; COSTA, OSVALDO L. da; RODRIGUES, BRUNA T.
A Organização Mundial da Saúde (OMS) relata o câncer como uma das principais causas de morte no mundo. Uma modalidade de tratamento que vem sendo bastante utilizada no tratamento do câncer de próstata é a braquiterapia, que consiste na introdução de sementes com material radioativo no interior do orgão. Sementes de Iodo-125 podem ser inseridas soltas ou em cordas poliméricas fabricadas a partir do (poli(ácido lático-co-ácido glicólico)) (PLGA). Foi proposto neste trabalho, o estudo e desenvolvimento da metodologia de síntese do biopolímero PLGA. Os resultados obtidos demonstram que, através da metodologia utilizada, foi possível determinar os melhores parâmetros de reação (tempo e temperatura) para o PLGA na proporção 80/20 (lactídeo/glicolídeo). Com uma temperatura de 110 °C e tempo de reação 72h o rendimento da reação é superior a 90%. Os valores de massas moleculares obtidas entre os testes, ainda são baixos quando comparados com os valores obtidos por outros autores na literatura. Novos testes estão sendo conduzidos, utilizando dímeros preparados no laboratório. Testes substituindo o vácuo por uma atmosfera de nitrogênio também estão sendo realizados. Essas duas substituições podem aumentar o valor final da massa molecular do polímero. Em relação à caracterização, as técnicas utilizadas confirmaram a estrutura esperada do polímero.
A study about the measurement method of the homogeneity of radioactivity along an iridium-192 wire used in brachytherapy
2014 - COSTA, OSVALDO L.; CALVO, WILSON A.P.; ZEITUNI, CARLOS A.; ROSTELATO, MARIA E.C.M.; MOURA, JOAO A.; FEHER, ANSELMO; SOUZA, CARLA D.; SOMESSARI, SAMIR L.
The Nuclear and Energy Research Institute has produced, since 1998, iridium-192 wires used in low dose rate brachytherapy. In the paper the authors studied the influence of wire profile on the homogeneity distribution of radioactivity of iridium-192 along the wire. The authors propose the improvements in the quality control procedure that will provide more accurate measurement data and suggest changes in control devices.
Absorbed dose simulations in near-surface regions using high dose rate iridium-192 sources applied for brachytherapy
2014 - MOURA, E.S.; ZEITUNI, C.A.; SAKURABA, R.K.; GONCALVES, V.D.; CRUZ, J.C.; JUNIOR, D.K.; SOUZA, C.D.; ROSTELATO, M.E.C.M.
Tubing decontamination during the leak test of iodine-125 seeds
2010 - MOURA, JOAO A.; MOURA, EDUARDO S.; SPRENGER, FRANCISCO E.; NAGATOMI, HELIO R.; ZEITUNI, CARLOS A.; FEHER, ANSELMO; MANZOLI, JOSE E.; SOUZA, CARLA D.; ROSTELATO, MARIA E.C.M.
Analysis of the necessary radioprotection procedures in manufacture of iodine-125 sources used in brachytherapy: A preliminary study
2011 - SOUZA, CARLA D.; ROSTELATO, MARIA E.C.M.; ZEITUNI, CARLOS A.; MOURA, JOAO A.; MOURA, EDUARDO S.; FONSECA, KATIA; FEHER, ANSELMO
Leakage test evaluation used for qualification of iodine-125 seeds sealing
2011 - FEHER, ANSELMO; ROSTELATO, MARIA E.C.M.; ZEITUNI, CARLOS A.; CALVO, WILSON A.P.; SOMESSARI, SAMIR L.; MOURA, JOAO A.; MOURA, EDUARDO S.; SOUZA, CARLA D.; RELA, PAULO R.
Leakage test methodology development in iodine-125 seeds production
2013 - MOURA, JOAO A.; SOUZA, CARLA D. de; ROSTELATO, MARIA E.C.M.; MOURA, EDUARDO S. de; SPRENGER, FRANCISCO E.; NAGATOMI, HELIO R.; ZEITUNI, CARLOS A.; FEHER, ANSELMO; MANZOLI, JOSE E.
Brachytherapy using iodine-125 seeds has been used in prostate cancer treatment. In the quality control routine during seed production, leakage tests are taken to detect any leakage of radioactive material from inside the titanium shield, avoiding patient contamination. Leakage tests are carried out according to the International Standard Organization e Radiation protection e sealed radioactive sources e ISO 9978. This standard recommends different methods of essay applied to radioactive seeds. The aims of this work were the study of the different leakage test methods applied to radioactive seeds recommended by the ISO 9978 and the choice of the appropriate method to be used in the seeds production. The authors evaluated five different immersion methods to detect leakage, following the standard guidance, and in some case exceeding its requirement. One hundred iodine-125 seeds were intentionally cuted, causing the release of its content. Each immersion method was applied to twenty seeds. After the immersion period, the resulting liquid activity was measured. The activity values measured in the immersion liquid indicated best results with distilled water as immersion liquid and with the application of ultrasound to the bath. The temperature of the bath ranged from 20 C to 70 C and the immersion time ranged from 30 min to 24 h. In this experiment, the use of scintillator liquid as immersion liquid was not effective to detect the leakage. The results allow the authors to choose the best methods to be applied in the production routine, to detect leakage in the seeds. The choice of the method will also depend on the production rhythm for schedule. In a moderate production rate, the test at 20 C and 24 h immersion may be used. In a fast production rhythm, the shortest test 50 C or 70 C should be used.