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DOE OSTI2014

Profiling of Amatoxins and Phallotoxins in the Genus Lepiota by Liquid Chromatography Combined with UV Absorbance and Mass Spectrometry

Species in the mushroom genus Lepiota can cause fatal mushroom poisonings due to their content of amatoxins such as α-amanitin. Previous studies of the toxin composition of poisonous Lepiota species relied on analytical methods of low sensitivity or resolution. Using liquid chromatography coupled to UV absorbance and mass spectrometry, we analyzed the spectrum of peptide toxins present in six Italian species of Lepiota, including multiple samples of three of them collected in different locations. Field taxonomic identifications were confirmed by sequencing of the internal transcribed spacer (ITS) regions. For comparison, we also analyzed specimens of Amanita phalloides from Italy and California, a specimen of A. virosa from Italy, and a laboratory-grown sample of Galerina marginata. α-Amanitin, β-amanitin, amanin, and amaninamide were detected in all samples of L. brunneoincarnata, and α-amanitin and γ-amanitin were detected in all samples of L. josserandii. Phallotoxins were not detected in either species. No amatoxins or phallotoxins were detected in L. clypeolaria, L. cristata, L. echinacea, or L. magnispora. The Italian and California isolates of A. phalloides had similar profiles of amatoxins and phallotoxins, although the California isolate contained more β-amanitin relative to α-amanitin. Amaninamide was detected only in A. virosa.

59 BASIC BIOLOGICAL SCIENCES↗

DOE OSTI2011

Non-contiguous finished genome sequence and contextual data of the filamentous soil bacterium Ktedonobacter racemifer type strain (SOSP1-21 T )

Ktedonobacter racemifer corrig. Cavaletti et al. 2007 is the type species of the genus Ktedonobacter, which in turn is the type genus of the family Ktedonobacteraceae, the type family of the order Ktedonobacterales within the class Ktedonobacteria in the phylum 'Chloroflexi'. Although K. racemifer shares some morphological features with the actinobacteria, it is of special interest because it was the first cultivated representative of a deep branching unclassified lineage of otherwise uncultivated environmental phylotypes tentatively located within the phylum 'Chloroflexi'. The aerobic, filamentous, non-motile, spore-forming Gram-positive heterotroph was isolated from soil in Italy. The 13,661,586 bp long non-contiguous finished genome consists of ten contigs and is the first reported genome sequence from a member of the class Ktedonobacteria. With its 11,453 protein-coding and 87 RNA genes, it is the largest prokaryotic genome reported so far. It comprises a large number of over-represented COGs, particularly genes associated with transposons, causing the genetic redundancy within the genome being considerably larger than expected by chance. This work is a part of the Genomic Encyclopedia of Bacteria and Archaea project.

59 BASIC BIOLOGICAL SCIENCES↗

DOE OSTI2025

Quality assurance and quality control of the $26~\text {m}^2$ SiPM production for the DarkSide-20k dark matter experiment

DarkSide-20k is a novel liquid argon dark matter detector currently under construction at the Laboratori Nazionali del Gran Sasso (LNGS) of the Istituto Nazionale di Fisica Nucleare (INFN) that will push the sensitivity for Weakly Interacting Massive Particle (WIMP) detection into the neutrino fog. The core of the apparatus is a dual-phase Time Projection Chamber (TPC), filled with 50 tonnes of low radioactivity underground argon (UAr) acting as the WIMP target. NUV-HD-cryo Silicon Photomultipliers (SiPM)s designed by Fondazione Bruno Kessler (FBK) (Trento, Italy) were selected as the photon sensors covering two $10.5~\text {m}^2$ Optical Planes, one at each end of the TPC, and a total of $5~\text {m}^2$ photosensitive surface for the liquid argon veto detectors. This paper describes the Quality Assurance and Quality Control (QA/QC) plan and procedures accompanying the production of FBK NUV-HD-cryo SiPM wafers manufactured by LFoundry s.r.l. (Avezzano, AQ, Italy). SiPM characteristics are measured at 77 K at the wafer level with a custom-designed probe station. As of March 2025, 1314 of the 1400 production wafers (94% of the total) for DarkSide-20k were tested. The wafer yield is $93.2\pm 2.5$%, which exceeds the 80% specification defined in the original DarkSide-20k production plan.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

NASA NTRS1992

The comet rendezvous asteroid flyby mission

The Comet Rendezvous Asteroid Flyby (CRAF) mission was approved for a New Start by the United States Congress in 1989. CRAF will be developed in parallel with the Cassini (Saturn orbiter/Titan probe) mission. The two missions have been combined into a joint program because of the substantial cost savings (approximately $500 M, or greater than 25 percent) which can be realized by using a common spacecraft design, several identical science instruments, a single management team, and a joint ground operations and data handling system for the two missions. CRAF and Cassini will be the first users of the new Mariner Mark 2 spacecraft which has been designed to carry out the next generation of planetary missions to the outer planets and to small bodies. CRAF is a joint mission between the United States, Germany, and Italy. Each partner will provide both engineering hardware and science experiments. Cassini is a joint mission between the United States, Germany, Italy, and the European Space Agency (ESA), with ESA providing the Titan atmospheric entry probe, called Huygens.

Weissman, Paul↗

NASA NTRS1994

Ozone ground-based measurements by the GASCOD near-UV and visible DOAS system

GASCOD, a near-ultraviolet and visible differential optical spectrometer, was developed at CNR's FISBAT Institute in Bologna, Italy, and first tested at Terra Nova Bay station in Antarctica (74.6 deg S, 164.6 deg E) during the summer expeditions 1988-1990 of PNRA (PNRA is the national research program in Antarctica, 'Programma Nazionale di Ricerche in Atartide'). A comparison with coincident O3 total column measurements taken in the same Antarctic area is presented, as is another comparison performed in Italy. Also introduced is an updated model for solar zenith measurements taken from a ground-based, upward-looking GASCOD spectrometer, which was employed for the 1991-92 winter campaign at Aer-Ostersund in Sweden (63.3 deg N, 13.1 deg E) during AESOE (European Arctic Stratospheric Ozone Experiment). The GASCOD can examine the spectra from 300 to 700 nm, in 50 nm steps, by moving the spectrometer's grating. At present, it takes measurements of solar zenith radiation in the 310-342 nm range for O3 and in the 405-463 nm range for NO2.

Giovanelli, G.↗

NASA NTRS1996

STS-75 Flight Day 12

On this twelfth day of the STS-75 mission, the flight crew, Cmdr. Andrew Allen, Pilot Scott Horowitz, Payload Cmdr. Franklin Chang-Diaz, Payload Specialist Umberto Guidoni (Italy), and Mission Specialists Jeffrey Hoffman, Maurizio Cheli (ESA) and Claude Nicollier (ESA), are shown being interviewed via satellite hookup by reporters. Cheli, through the demonstration of a simple experiment, explains a simple acceleration physics concept. Middeck Glovebox burn and combustion experiments are also shown. Earth views include Italy, other land masses, some cloud cover, a sunrise, and horizon shots.

Source record↗

NASA NTRS1997

The Systematic Interpretation of Cosmic Ray Data (The Transport Project)

The Transport project's primary goals were to: (1) Provide measurements of critical fragmentation cross sections; (2) Study the cross section systematics; (3) Improve the galactic cosmic ray propagation methodology; and (4) Use the new cross section measurements to improve the interpretation of cosmic ray data. To accomplish these goals a collaboration was formed consisting of researchers in the US at Louisiana State University (LSU), Lawrence Berkeley Laboratory (LBL), Goddard Space Flight Center (GSFC), the University of Minnesota (UM), New Mexico State University (NMSU), in France at the Centre d'Etudes de Saclay and in Italy at the Universita di Catania. The US institutions, lead by LSU, were responsible for measuring new cross sections using the LBL HISS facility, analysis of these measurements and their application to interpreting cosmic ray data. France developed a liquid hydrogen target that was used in the HISS experiment and participated in the data interpretation. Italy developed a Multifunctional Neutron Spectrometer (MUFFINS) for the HISS runs to measure the energy spectra, angular distributions and multiplicities of neutrons emitted during the high energy interactions. The Transport Project was originally proposed to NASA during Summer, 1988 and funding began January, 1989. Transport was renewed twice (1991, 1994) and finally concluded at LSU on September, 30, 1997. During the more than 8 years of effort we had two major experiment runs at LBL, obtained data on the interaction of twenty different beams with a liquid hydrogen target, completed the analysis of fifteen of these datasets obtaining 590 new cross section measurements, published nine journal articles as well as eighteen conference proceedings papers, and presented more than thirty conference talks.

Guzik, T. Gregory↗

NASA NTRS1999

A New Scientific use of Total Eclipses of the Moon: Studies of the Generation and Loss of Atmospheres of Primitives Bodies

This grant supported observational campaigns to record the size and brightness of the lunar atmosphere as seen in sodium gas (Na) emissions during the totality phase of lunar eclipses. Three eclipse events were attempted, two from the Mc Donald Observatory in Fort Davis Texas, and one from the site of Italy's Galileo National Telescope (GNT) in La Palma, in the Canary Islands. In all three cases, clear skies prevailed and excellent datasets were obtained. Following the observational component of the grant, a period of detailed processing and analysis began. Eclipse events were chosen for study because when the moon is in full phase it has been within the terrestrial magnetosphere for a few days, thereby shielded from solar wind impact upon its surface. Since sputtering of Na from the lunar regolith by solar wind particles had been proposed as a source of the Moon's atmosphere, this was a test of the mechanism. If the lunar Na appeared to be diminished in comparison to abundances seen at other phases (e.g., at quarter phase when the moon is directly in the solar wind), the solar wind sputtering would indeed be a major source of lunar Na. These experiments could not be conducted during any full moon night because scattering of bright moonlight is so strong that low-light-level imaging of the lunar atmosphere could not be achieved. Hence, the use of eclipses. The final result of these experiments was, for once, clear and unambiguous. The robust size and Na brightness levels measured during all of the eclipses showed that solar wind sputtering could not be a major source of the lunar atmosphere. A major paper on this conclusion was published in ICARUS, and an oral presentation of partial results given at the The Three Galileos conference in Padova (Italy) in January 1997 and at the DPS meeting in Cambridge, MA, in July 1997.

Mendillo, Michael↗

NASA NTRS2003

Comparisons and Contrasts Between Mediterranean Flood-Producing Orographic Storms and Tropical Cyclones Modified by Complex Orography

Often, late-year, flood-producing storms in the Mediterranean Alps region arise from baroclinic disturbances developing on westerly longwaves, with the incipient storm circulations appearing well west of the flood zone. Regardless of the genesis locations and before the storms begin their flow interactions with the orography of the Mediterranean Alps, a process which can produce intense long-lived rainfall over the mountainous terrain of Italy and France, most of their moisture is drawn from warm Mediterranean waters while important elements of their thermodynamic structure are derived from airmass properties originating in north Africa and the Mediterranean basin itself. In fact, because of strong thermodynamic contrasts between the baroclinic zone producing the incipient disturbance and high potential temperature air from the south advecting into and wrapping around the storm center, a Mediterranean storm whose origins are from an evolving shortwave baroclinic perturbation, can become a quasi-warm core hybrid in term of its energetics composition, a process somewhat akin to the development of polar lows. This process begs the question of whether there are similarities between the autumn-winter season flood producing storms of the Mediterranean Alps and warm core tropical cyclones which become altered dynamically and thermodynamically by landfall over steep orographic terrain. This study investigates, from a comparison and contrast perspective, how the similarities and differences between the two types of storms manifest themselves over their respective life cycles. Before the orographically-induced precipitation-release stage in which both types of storm have evolved to the same hydrometeorlogical conclusion, the two storm categories are transforming from entirely distinctive origins, i.e., the classic eastward traveling, baroclinic mid-latitude cyclone forming in western Europe, and the classic eastward-traveling, warm core tropical cyclone developing in the western Pacific. The analyses use high resolution, nonhydrostatic model simulations, satellite data, and various types of ground data to conduct the study. The flood events of Piemonte- 2000 in northern Italy and Typhoon Rusa-2002 in South Korea are selected to focus the analysis on well documented meteorological events.

Smith, Eric A.↗

NASA NTRS2006

Recent Developments in Space Debris Mitigation Policy and Practices

In recent years, emphasis has shifted from national efforts to control the space debris population to international ones. Here, too, great progress has been made, most notably by the Inter-Agency Space Debris Coordination Committee (IADC) and the Committee on the Peaceful Uses of Outer Space (COPUOS) of the United Nations. Today, a firm international consensus is rapidly building on the principal space debris mitigation measures. The IADC is an association of the space agencies of ten countries (China, France, Germany, India, Italy, Japan, Russia, Ukraine, the United Kingdom, and the United States) and the European Space Agency, representing 17 countries of which four (France, Germany, Italy, and the United Kingdom) are also full IADC members. At the 17th meeting of the IADC in October 1999, a new Action Item (AI 17.2) was adopted to develop a set of consensus space debris mitigation guidelines. The purpose of the activity was to identify the most valuable space debris mitigation measures and to reach an international agreement on common directives. The IADC Space Debris Mitigation Guidelines (www.iadc-online.org/index.cgi?item=docs_pub) were formally adopted in October 2002 during the Second World Space Congress in Houston, Texas. Two years later a companion document, entitled Support to the IADC Space Debris Mitigation Guidelines, was completed to provide background and clarification for the guidelines.

Johnson, Nicholas L.↗

NASA NTRS2007

The Joint Aerosol-Monsoon Experiment (JAMEX): A Core Element for the Asian Monsoon Year (2008-2009)

The objective of the Joint Aerosol-Monsoon Experiment (JAMEX) is to unravel the physical mechanisms and multi-scale interactions associated with aerosol-monsoon water cycle in the Asian Indo-Pacific region towards improved prediction of rainfall in land regions of the Asian monsoon. JAMEX will be planned as a five-year (2007-201 1) multi-national aerosol-monsoon research project, aimed at promoting collaboration, partnership and alignment of ongoing and planned national and international programs. Two coordinated special observing periods (SOP), covering the pre-monsoon (April-May) and the monsoon (June-August) periods is tentatively targeted for 2008 and 2009. The major work on validation and reference site coordination will take place in 2007 through the spring of 2008. A major science workshop is planned after SOP-I1 in 2010. Modeling and satellite data utilization studies will continue throughout the entire period to help in design of the observation arrays and measurement platforms for SOPS. The tentative time schedule, including milestones and research activities is shown in Fig. 1. One of the unique aspects of JAMEX is that it stems from grass-root scientific and societal imperatives, and it bridges a gap in existing national and international research programs. Currently we have identified 10 major national and international projects/programs separately for aerosols and monsoon research planned in the next five years in China, India, Japan, Italy, and the US, that could be potential contributors or partners with JAMEX. These include the Asian-Indo- Pacific Ocean (AIPO) Project and Aerosol Research Project from China, Monsoon Asian Hydro- Atmospheric Science Research and predication Initiative (MAHASRI) from Japan, Continental Tropical Convergence Zone (CTCZ) and Severe Thunderstorm: Observations and Regional Modeling (STORM) from India, Share-Asia from Italy, Atmospheric Brown Cloud (ABC), Pacific Aerosol-Cloud-Dust Experiment (PACDEX), East Asia Study of Tropospheric Aerosol: an International Regional Experiment (East-AIRE), and Radiation Aerosol Joint Observations - Monsoon Experiments over the Gangetic Himalayas Area (Rajo-Megha: dust cloud in Sanskrit) from the US, and Monsoon Asia Integrated Regional Study (MAIR) under the Earth Systems I Science Partnership (ESSP) and WCRP. For JAMEX to succeed, it is crucial for an international body, such as CEOP or an organization under WCRP to provide the science oversight, data policy and stewardship, and to promote collaboration and partnership among national programs. It makes eminent sense for WCRP to expand the concept and the prototype proposed by JAMEX to include all monsoon countries to expand AMY08-09 into an International Monsoon Era (2008- 2013). Such an establishment followed by establishment of an international body for science oversight, and data stewardship will go a long way in promoting coordination and connection among various existing monsoon research programs within WCRP, and with burgeoning national programs on monsoon and aerosol research.

Lau, William K.M.↗

NASA NTRS2007

The Joint Aerosol-Monsoon Experiment (JAMEX): A Core Element for the Asian Monsoon Year (2008-2009)

The objective of the Joint Aerosol-Monsoon Experiment (JAMEX) is to unravel the physical mechanisms and multi-scale interactions associated with aerosol-monsoon water cycle in the Asian Indo-Paczj?c region towards improved prediction of rainfall in land regions of the Asian monsoon. JAMEX will be planned as a five-year (2007-201 1) multi-national aerosol-monsoon research project, aimed at promoting collaboration, partnership and alignment of ongoing and planned national and international programs. Two coordinated special observing periods (SOP), covering the pre-monsoon (April-May) and the monsoon (June-August) periods is tentatively targeted for 2008 and 2009. The major work on validation and reference site coordination will take place in 2007 through the spring of 2008. A major science workshop is planned after SOP-I1 in 2010. Modeling and satellite data utilization studies will continue throughout the entire period to help in design of the observation arrays and measurement platforms for SOPS. The tentative time schedule, including milestones and research activities is shown in Fig. 1. One of the unique aspects of JAMEX is that it stems from grass-root scientific and societal imperatives, and it bridges a gap in existing national and international research programs. Currently we have identified 10 major national and international projects/programs separately for aerosols and monsoon research planned in the next five years in China, India, Japan, Italy, and the US, that could be potential contributors or partners with JAMEX. These include the Asian-Indo- Pacific Ocean (AIPO) Project and Aerosol Research Project from China, Monsoon Asian Hydro- Atmospheric Science Research and predication Initiative (MAHASRI) from Japan, Continental Tropical Convergence Zone (CTCZ) and Severe Thunderstorm: Observations and Regional Modeling (STORM) from India, Share-Asia from Italy, Atmospheric Brown Cloud (ABC), Pacific Aerosol-Cloud-Dust Experiment (PACDEX), East Asia Study of Tropospheric Aerosol: an International Regional Experiment (East-AIRE), and Radiation Aerosol Joint Observations - Monsoon Experiments over the Gangetic Himalayas Area (Rajo-Megha: dust cloud in Sanskrit) from the US, and Monsoon Asia Integrated Regional Study (MAIR) under the Earth Systems Science Partnership (ESSP) and WCRP. For JAMEX to succeed, it is crucial for an international body, such as CEOP or an organization under WCRP to provide the science oversight, data policy and stewardship, and to promote collaboration and partnership among national programs. It makes eminent sense for WCRP to expand the concept and the prototype proposed by JAMEX to include all monsoon countries to expand AMY08-09 into an International Monsoon Era (2008- 2013). Such an establishment followed by establishment of an international body for science oversight, and data stewardship will go a long way in promoting coordination and connection among various existing monsoon research programs within WCRP, and with burgeoning national programs on monsoon and aerosol research.

Lau, WIlliam K. M.↗

NASA NTRS2021

Orion Meteoroid and Debris Analysis with a Single Kevlar® Layer Enhancement to the Propulsion Tank Multi-Layer Insulation: Comparison of the Observed Data and the Adjusted Ballistic Models

In a continual mass optimization effort for the Orion vehicle by NASA and its prime contractor Lockheed Martin Space, along with the European Space Agency (ESA) and its contractors Airbus and Thales Alenia Space-Italy (TAS-I), a series of shield characterization shots have been performed to quantify the ballistic enhancement of a single-layer of Kevlar® in multi-layer insulation (MLI). This enhanced MLI is part of Orion’s propulsion subsystem, and it is planned to replace a double-layer Kevlar® configuration starting at the Artemis IV mission. This effort has included fifty-two shield characterization shots for five different shield configurations over the four Orion propellant storage vessels. These storage vessels are located in the European Service Module (ESM). This shield characterization has been managed by the Hypervelocity Impact Technology (HVIT) group in NASA Astromaterials Research and Exploration Sciences at Johnson Space Center (JSC) for the NASA Engineering and Safety Center (NESC) and the Multi-Purpose Crew Vehicle (MPCV) program office in coordination with Lockheed Martin Space and Thales Alenia Space-Italy (TAS-I). The shield characterization has used the two-stage, light-gas-gun at the Remote Hypervelocity Test Laboratory (RHTL) of NASA JSC White Sands Test Facility (WSTF) for acceleration of projectiles to representative orbital impact speeds. From this shield characterization effort, a revised ballistic limiting equation (BLE) has been developed for each of the five representative shielding configurations of the ESM pressure vessels. This document provides a brief description of the shield configurations considered for the Orion program and the shield characterization findings. These results are compared to the assumed BLE for each configuration going into the Artemis missions that utilize this version of ballistic enhanced MLI. The models are integrated into a fourteen day High Lunar Orbit (HLO) mission as a representative reliability prediction impact for Orion, and it has been found that the predicted risk of a loss-of-crew (LOC) event is actually a little less than half of the assumed value that launched this design modification opportunity.

Joshua E Miller↗

NASA NTRS2022

Processing Tomato Production Is Expected to Decrease By 2050 Due to the Projected Increase in Temperature

The global processing tomato production is concentrated in a small number of regions where climate change will have a significant impact on the future supply. Process-based tomato models project that the production in the three main producing countries (the United States, Italy, and China, representing 65% of global production) will decrease 6% by 2050, compared to the baseline period of 1980-2009. The predicted reduction in processing tomato production is due to a simulated increase in air temperature. Under an ensemble of projected climate scenarios, California and Italy might not be able to sustain the current levels of processing tomato production due to water resources constraints. Cooler producing regions, such as China and the northern parts of California, stand to improve their competitive advantage. The projected environmental changes indicate that the main growing regions of processing tomatoes might change in the coming decades.

Tomato production↗

DOE OSTI2022

Design of a Test Article and Test Facility to Investigate Flow-Induced Vibration of a Helical Coil Steam Generator

NuScale Power LLC (NuScale) is developing a small modular reactor (SMR) with unique design features and arrangements that require testing to provide quality data for safety analysis codes and design validation, as well as for technology maturation. A multi-phase testing program is underway at NuScale to demonstrate that its unique helical coil steam generator design is not susceptible to flow-induced vibration during operation. The phases of the testing program include modal testing of individual tubes during test article fabrication and modal and flow testing after test article completion. NuScale has contracted SIET S.p.A. in Piacenza, Italy for the design and fabrication of the test article and test facility. In-fabrication testing was performed at the site of test article build in Cremosano, Italy. Modal testing and flow testing of the completed test article will be performed at SIET’s facilities in Piacenza. This paper discusses the design of the test article and test facility, including supporting systems, required to generate the quality data required to support NuScale’s comprehensive vibration assessment program as part of the overall licensing effort for NuScale’s first-of-a-kind small modular light water reactor.

Flow-induced vibration, helical coil, steam genera↗

DOE OSTI2023

Historical Pattern Analysis of Global Geothermal Power Capacity Development: Preprint

Between 1913 and 1958, Italy was the only country with an operational geothermal power plant until New Zealand installed its first plant in 1958. At present, 24 countries are involved in the geothermal power market, and they have a combined installed capacity of 16,127 GW. This study analyzes the historical patterns of geothermal power capacity in the world and in individual countries to investigate the ideal global geothermal development pattern by examining the annual cumulative capacity (ACC) and the annual capacity addition (ACA) graphs of the historical development of geothermal power capacity in 24 countries. First, the global patterns are analyzed using these graphs in five periods (1945-1957, 1958-1976, 1977-1991, 1992-2002, and 2003-2020) that are marked by a series of characteristics of ACA peaks separated by two major troughs. Then, five characteristic patterns are developed in five periods globally. These patterns correspond to the early-stage linear, the first acceleration, the first steady-state linear, the second acceleration, and the second steady-state linear developments. A positive relationship exists between global patterns and the 5-year shifted oil-price curve: two major factors influenced global development: 1) increasing oil prices and increasing awareness of global climate change, and 2) global development of geothermal power. Last, we investigate these patterns in each country. The top ten countries, which comprise 93.3% of the world's total installed capacity are separated into five groups based on the availability and characteristics of patterns globally developed in five periods. Group-1 (the United States) has an installed capacity of 3,794 MW, Group-2 (Mexico and Philippines) 963-1935 MW, Group-3 (New Zealand, Italy, Iceland, and Japan) 601-1,037 MW, and Group-4 (Indonesia, Kenya, and Turkiye) 944-2,356 MW. The remaining 14 countries (6.7%), which are called Group 5, are still in an immature stage and have installed capacities of 7-262 MW and are not involved in pattern analysis. Overall, geothermal power in the world is in its third stage of development, which had its peak development after 1977. A fourth development peak may be expected to occur after this through business-as-usual cases. The biggest barrier to the development of the global geothermal power market is the risk associated with exploration and drilling. If risk mitigation systems and funds are employed, the growth of geothermal power production projects could accelerate.

GEOTHERMAL ENERGY↗

DOE OSTI2023

Historical Pattern Analysis of Global Geothermal Power Capacity Development

GEOTHERMAL ENERGY↗

DOE OSTI2015

Real-Time US-CT/MRI Image Fusion for Guidance of Thermal Ablation of Liver Tumors Undetectable with US: Results in 295 Cases

PurposeThis study was designed to assess feasibility of US-CT/MRI fusion-guided ablation in liver tumors undetectable with US.MethodsFrom 2002 to 2012, 295 tumors (162 HCCs and 133 metastases; mean diameter 1.3 ± 0.6 cm, range 0.5–2.5 cm) detectable on contrast-enhanced CT/MRI, but completely undetectable with unenhanced US and either totally undetectable or incompletely conspicuous with contrast-enhanced US (CEUS), were treated in 215 sessions using either internally cooled radiofrequency or microwave with standard ablation protocols, guided by an image fusion system (Virtual Navigation System, Esaote S.p.A., Genova, Italy) that combines US with CT/ MRI images. Correct targeting and successful ablation of tumor were verified after 24 hours with CT or MRI.ResultsA total of 282 of 295 (95.6 %) tumors were correctly targeted with successful ablation achieved in 266 of 295 (90.2 %). Sixteen of 295 (5.4 %) tumors were correctly targeted, but unsuccessfully ablated, and 13 of 295 (4.4 %) tumors were unsuccessfully ablated due to inaccurate targeting. There were no perioperative deaths. Major complications were observed in 2 of the 215 treatments sessions (0.9 %).ConclusionsReal-time virtual navigation system with US-CT/MRI fusion imaging is precise for targeting and achieving successful ablation of target tumors undetectable with US alone. Therefore, a larger population could benefit from ultrasound guided ablation procedures.

62 RADIOLOGY AND NUCLEAR MEDICINE↗