Scientific Work

Achievement: The death of endeavor and the birth of disgust.
Ambrose Bierce, The Enlarged Devil’s Dictionary

You’ll come to learn a great deal if you study the Insignificant in depth
Odysseus Elytis, Greek poet

The low energy nuclear era

Electromagnetic and nuclear transition matrix elements for the Zr Isotopes

My first scientific activity is connected with the accomplishment of my diploma thesis at the Max-Planck Institute of nuclear physics Heidelberg in Germany. I was a member of the Q3D group of Dr. C. A. Wiedner. Using a Q3D magnetic spectrograph our group studied the reaction Zr(a , a*)Zr. Differential cross sections of low-lying excited states of the even Zr Isotopes 90,92,94 and 96 were measured [X] [X]. From DWBA (Distorted Wave Born Approximation) calculations it was possible to assign spin and parity for a large number of excited states. It was therefore possible also to clarify previously contradictory results of similar experiments. Additionally I observed a Coulomb Nuclear Interference (CNI) effect which is clear visible for the low lying 2+ and 3- states. Using this effect our Q3D group studied the isospin dependence of the cross section for these states. The contribution of neutrons was larger than expected [X]. The results of my diploma thesis have been published in two articles in Nuclear Physics A and one in Zeitschrift für Physik A. Various experiments have been performed later and the results have been finally been confirmed showing a strong dependence with increasing neutron number that current direct nuclear models cannot explain.

The high energy nuclear era

In March 1987 I did a study at the Institute of High Energy physics in Heidelberg, about the possibility of using Cerenkov counters in a Kaon magnetic spectrograph for a GSI experiment. This study was completed with an internal report. In September 1987 I joined the NA35 Experiment in CERN, Geneva. Aim of this experiment was the study of the properties of nuclear matter under extreme conditions of pressure and temperature. A special interest was the production and detection of a transition of nuclear matter to a quark-gluon plasma state. In comparison to energies of 10 MeV per nucleon in my diploma thesis now 200 GeV per nucleon were at least theoretical necessary to produce the energy density for the deconfinement.

Transverse momentum spectra
My first work was to analyze the transverse momentum spectra of the produced negatively charged pions. I compared these with spectra of pions produced in p-p collisions at a comparable energy. The difference of the transverse momentum spectra was found to be large. The pion spectra could not be described by a single stationary source. An excess of pions with a small transverse momentum was found. The events are quite complex since more than 300 particles are produced in central collisions of O-Nuclei, with a total kinetic energy of 3.2 TeV, on stationary Gold nuclei.

Search for fluctuations
In 1988 the CERN SPS accelerator complex provided beams of 32S nuclei with a 6.4 TeV total kinetic energy. The mean total multiplicity of produced particles was then 600-700. Different models like Lund-Fritjof or Venus (which are phenomenological without a phase transition incorporated), did not succeed to describe the transverse momentum spectra. Since it is probably that only in a small fraction of events a Quark-Gluon plasma state is formed, there is a possibility that taking indiscriminately all events, possibly signals of the formation of a Quark-Gluon plasma will be attenuated or even worst smeared out of existence. Therefore motivated by Leo van Hoves Model describing the hadronization of Quark-Gluon plasma with effects visible in the rapidity spectrum, I used the factorial moment method to filter events as possible candidates. This was one of the first uses of factorial moments in a heavy ion experiment. The result was that the factorial moments are well suited for the study of fluctuations. No clear intermittency was observed in the first one-dimensional analysis. Only few events have been observed to have the required rapidity distribution showing a slightly larger than the average transverse momentum, a prediction also of van Hoves model. The very poor statistical significance, due to the small number of available events showed that intermittency was very small. As the statistic later has been increased it has been found that it can be explained by Bose-Einstein correlations.

Bose-Einstein correlations
1989 I was a Research Assistant at the Institute of nuclear physics in Frankfurt. There I started my work on Bose-Einstein Correlations in Heavy Ion Collisions. With this method the space-time geometry of a Boson source can be measured experimentally. Many aspects of Boson correlations for static and dynamic expanding sources and first experimental results have been the result of my doctor thesis "A study of Bose-Einstein Correlations in central O+ Au and S+S collisions at a projectile energy of 200 GeV per nucleon".

The results suffering from statistics showed a quite large and therefore long lived pion sources at mid-rapidity formed in the collisions of ultrarelativistic nuclei. The source was found to expand parallel to the beam axis very fast showing relativistic effects. The longitudinal expansion is similar to that of the Big Bang. Some of these observations were influenced by wrong track measurements and statistical fluctuations. My thesis considers also three pion correlations and tried to explain it in terms of two-particle correlations. It included a theoretical analysis from an experimentalists view. It was clear that relativistic effects were present due to the longitudinal expansion. It took years until dedicated experiments using electronic methods have acquired enough statistics to produce reliable results. My conclusions that the Bose-Einstein effect would rapidly evolve theoretically and experimentally became reality. I mentioned the effects of protons may have in the correlation spectra. Later this was observed although not expected. Some ideas about the Coulomb correction and correlations between pion pairs of opposite charge have been continuously been developed and new correction methods later have been proposed.

With the observation of strangeness enhancement, fluctuations in multiplicity, excess of particles with small transverse momentum and large and long lived pion sources, NA35 has provided a large number of phenomena that still wait for a theoretical explanation.

Additional from measurements of the transverse energy, an energy density of 2-3 GeV/fm3 in the first moments of the collisions was found, this is within the limits where theory predicts a phase transition. The results of the NA35 Experiment have been published in various articles in Zeitschrift für Physik C, Nuclear Physics A, and Physical Review Letters [X].

I was interested in the analysis of Bose-Einstein Correlations such as in Pb-Pb collisions, where the multiplicity is so large, that multiboson effects could be visible in various spectra. For multiplicities of 2000 particles on an event by event basis the source size can be measured from Bose-Einstein Correlations. New optical methods as the Speckle Interferometry can be used for the first time in High Energy Physics for these events (and in particular at LHC Energies). From the study of Bose-Einstein Correlations of bosons with different freeze out times, e.g. photons produced in the high density state, and kaons, pions and the corresponding particle spectra, it will be possible to find the temporal and spatial evolution of excited and dense nuclear matter formed in high energy collisions.

It is also not excluded that multibosons effects play a significant and important role in fluctuations, and therefore being even responsible for the formation of galaxies, or for the small fluctuations observed in the cosmic background radiation of approximately 3 K.

During my thesis and later there was a continuous discussion whether the results are due to a quark-gluon plasma formation. It took more years after I stopped working in this field that people agreed that the phase-transition actually takes place. The European center of high energy physics, CERN, announced that the evidence of the creation of the plasma state is compelling. For a short period I occasionally worked with a theoretical group from Athens which considered the effects of the strange quark mass on the order of the phase transitions and the associated fluctuations in rapidity density.
Critical exponents of the phase transition have been associated with the intermittency and the corresponding factorial moments [X] [X].


The study of a phenomenon such as the QGP continues until now and probably will last for another 10-20 years. It needs still some more experimental and theoretical work and probably study of the nuclear matter properties at higher and lower energies to obtain a clearer picture of the transition. I was quite at the begin of this high energy nuclear physics area, but my attitude is not to spent more than approximately 5 years in one field as there is always the danger for "overspecialization" or as the Germans say to become a "Fachidiot". Of course today as things are more complex it is sometimes necessary to become an expert in "nothing".


Some experience I have gained from discussions of theoretical and experimental issues of holographic interferometry with an old friend, Evangelos Madadakis from the Forschungszentrum in Karlsruhe in Germany, which used it for the study of transport coefficients in fluids.


From 3D ultrasound to radiotherapy treatment planning problems

3D ultrasound
Down back to the earth I improved my computer skills and made a transition from the stone-age FORTRAN to C and C++.
My first non-scientific work was the development of a Windows NT version from an experimental UNIX version (and therefore of course not commercial J) for the volume rendering software InViVo (Interactive visualization of volumetric data) from the Fraunhofer computer graphics institute and especially the 3D ultrasound acquisition version known now as InViVoScanNT [X]
. While other volume rendering systems such as VTK are quite sophisticated InViVo is one of the fastest volume rendering programs. Together with Michael Richtscheid, Markus Grimm and Stefan Walter this version, first developed by G. Sakas in UNIX, now is commercially available from MedCom. For a short period I worked together with George Ioannidis in Offenbach from NTUA in Athens in image distortion corrections and mosaicking problems.

HDR brachytherapy
After one approximately year in the Fraunhofer institute in Darmstadt, Germany, I started working for medical physics problems. This opportunity I had by Prof. D. Baltas from the Medical Physics and Engineering department of Klinikum Offenbach. I looked at the problem of the optimization of dose distributions in brachytherapy and in external beam radiotherapy. Only in the USA
more than 600000 persons from a total of more than 1 million with cancer must be treated by radiation therapy. Worldwide more than 100 million persons have cancer. While there is a tremendous progress in molecular biology a solution of the cancer problem still requires probably a few decades (who knows?) and still radiotherapy plays an important role in cancer treatment. The goals of conformal radiation therapy are to limit the high dose to the cancer volume while simultaneously protecting healthy tissue. Additional sensitive structures in the body must be protected from excessive radiation. These multiple goals have been until currently been added into a single objective scoring function. Goal of the optimization is the determination of intensity profiles or temporal and spatial distributions of radioactive sources which produce dose distributions which satisfies all the objectives and constraints. The objectives have been added into a single term using so called importance factors which to some extend are arbitrary and their influence on the result is not known. Treatment planning systems still provide only this method for optimization. The treatment planner either accepts the solution or by trial and error tries to find an acceptable solution.

After the work of O. C. Haas who used multiobjective algorithms for solving radiotherapy optimization problems with geometric methods I presented the first true a posteriori multiobjective dose optimization methods for radiation therapy [X] . The interest in multiobjective optimization is increasing both from a mathematical viewpoint but more for solving practical scientific and engineering problems. Most of the true problems are multiobjective problems with not only a single but many competing solutions. One special class of such solutions is the so called Pareto optimal or efficient solutions. In cooperation with Prof. D. Baltas who has experience in the field of high-dose rate brachytherapy we are in the stage of propagating the true multiobjective optimization problem in radiotherapy and especially in brachytherapy.

Other problems which I considered were methods for increasing the quality of solutions in brachytherapy which includes studies for dose calculations using Fast Fourier transforms and the convolution theorem [X], stratified sampling methods [X] and dose calculation methods based on Delaunay and Voronoi graphs. Additional some computational geometry based methods have been developed [X] [X] to improve the distribution of sampling points for the calculation of dose volume histograms. Part of this work has been obtained from the work of Thorsten Kemmerer from the University of applied sciences in Frankfurt/Main Germany, Maria Papagianopoulou from Patras University in Greece and Kostas Karouzakis from the National Technical University Athens in Greece which I supervised to a great extent their diploma thesis. These studies have been published in the two most important medical physics journals: Medical Physics and Physics in Medicine and Biology.

The European project MITTUG (Minimally Invasive Therapy for Tumors 3D Ultrasound Guided) in cooperation with the Nucletron company combines together the experience in brachytherapy of the medical physics department of the Strahlenklinik Offenbach (Germany), the 3D ultrasound imaging experience of the Fraunhofer/MedCom company and my experience for multiobjective anatomy based dose optimization in high-dose rate brachytherapy.

I have developed WinOpt-HDR a Microsoft-Windows based experimental toolkit for multiobjective dose optimization in HDR-brachytherapy. Kostas Karouzakis has written a significant part of WinOpt-HDR. I developed methods to perform fast multiobjective dose optimization with deterministic or evolutionary algorithms and fast calculation methods.

The algorithms developed have been implemented in the treatment planning system for prostate brachytherapy SWIFTTM provided by the Nucletron Company. Everyday patients are now treated by this system that uses deterministic and multiobjective evolutionary algorithms. The algorithms have been tested and further improved by the Pi-Medical company. Not only a higher quality such as conformity of the dose distributions has been achieved but also the treatment time has significantly been reduced. Since Nucletron is a world leader in this field the system will soon be used worldwide.

My hope is that other treatment planning systems for HDR- and LDR- brachytherapy will adopt this methodology which produces solutions of superior quality than other algorithms and does not require arbitrary importance factors for the various objectives.

External beam radiotherapy

In cooperation with Cristian Cotrutz from the University of Patras in Greece and now at Stanford University we did a first study of the use of a gradient based algorithm for dose optimization in intensity modulated beam radiotherapy (IMRT) [X]. Using a simply mapping technique we have eliminated the need of corrections or inclusions of constraints for non-physical solutions with negative values which naturally emerge from gradient and deterministic in general optimization procedures. We have applied this algorithm for a true multiobjective optimization method by studying for the first time Pareto fronts of the objective space.

Multiobjective optimization problems in general can not be solved by deterministic algorithms. Medical and industrial applications require robust and reliable algorithms. Evolutionary algorithms (EA) are becoming more stable and their performance has reached a quite impressive level.

Multidimensional problems in radiotherapy involves as many as 300 parameters to be optimized has allowed us to study the efficiency of various evolutionary algorithms. In terms of probability distributions of solutions in the objective space in some cases we have estimated the performance of evolutionary algorithms in comparison to random search methods or deterministic gradient methods if they can be applied to the problem. These results have been published in the Lecture Notes in Computer Science series [X] [X]. For IMRT the number of parameters may exceed 5000.

We have emphasized the importance of the initialization and the use of hybrid algorithms. Additional insights we hope to have from comparisons of Pareto and local search based methods. Our first study showed that for the intensity modulated beam radiotherapy problem standard evolutionary algorithms are not suited. Our hope is to combine the best properties of both into a more powerful hybrid method.

End of 2002 I started again my studies of multiobjective optimization algorithms for external radiotherapy with Eduard Schreibmann. We presented first systematic results of the use of gradient based optimization algorithms and showed that the results for variance based objectives are global optimal. We compared results with zero and clinical acceptable critical values for the OARs. Gradient based algorithms like L-BFGS are very fast and very robust.


I was involved in the optimization with geometric objectives developed by Eduard Schreibmann and Prof. Dimos Baltas. Studies have shown that the geometric and dosimetric objectives are correlated and thus geometric methods could be used in the beam orientation optimization or optimization for arc therapy . A hybrid evolutionary algorithm for multiobjective inverse planning for IMRT was developed that provides a representative set for non-dominated solutions that can be used for the selection of a optimal number of beams, their orientation and which is independent of importance factors .


Cancer Statistics modeling

With Dr. R. F Mould I started 2004 a cooperation extending his work on Cancer Statistics and modelling. Dr Mould was able to show that cancer can be cured, i.e. that the patient who had cancer and were cured could not statistically be distinguished from healthy patients (The idea was that these patients will die if not from the cancer they had from other causes more likely than other healthy persons who did not have cancer), and that it is possible to reduce the follow up time. Usually the old methodology required to consider a large number of patients for many years to determine the effects of drugs and treatment methods. With the new statistical methods it is possible to reduce this time and the costs of cancer treatment. Our first work considered the statistical modeling of mesothelioma cancer patients. Using statistical data collected (the biggest ever) we considered the dependence on age, sex and region and other dependencies. This study provided a reference base line, not only using the median, that could be used to control new treatment methods for this absolute deadly disease. The work will continue considering other cancer types.


The future?

My hope is that the multiobjective approach will be used also in IMRT and radiation therapy in general and will replace the guesswork of the past. I also hope to be able to have the opportunity to contribute in some other fields even if it is more likely to qualify as a "jack of all trades," than a master of any; But as Shakespeare? says: I want “..to read a little more from the Nature's infinite book”s” of secrecy” (and not only one)..



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