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Pancreas stereotactic body radiation therapy (SBRT) treatment planning requires planners to make sequential, time-consuming interactions with the treatment planning system to reach the optimal dose distribution. We sought to develop a reinforcement learning (RL)–based planning bot to systematically address complex tradeoffs and achieve high plan quality consistently and efficiently.
Utilities around the world are experiencing change with the increasing digitalization of their systems and those of their customers. Efforts to decarbonize the electric power system have led to growth in renewable energy resources, particularly distributed energy resources (DERs), such as generation, storage, and flexible load, both in front of and behind the meter. As this change occurs in any given utility service area, new tools, such as advanced distribution management systems (ADMSs), are needed to manage utility operations, planning, and business issues, some of which are discussed here.
Purpose: Comprehensive 3D dosimetry is highly desirable for advanced clinical QA, but costly optical readout techniques have hindered widespread implementation. Here, we present the first results from a cost-effective Integrated-lens Dry-tank Optical Scanner (IDOS), designed for convenient 3D dosimetry readout of radiochromic plastic dosimeters (e.g. PRESAGE). Methods: The scanner incorporates a novel transparent light-collimating tank, which collimates a point light source into parallel-ray CT geometry. The tank was designed using an in-house Monte-Carlo optical ray-tracing simulation, and was cast in polyurethane using a 3D printed mould. IDOS spatial accuracy was evaluated by imaging a set of custom optical phantoms, with comparison to x-ray CT images. IDOS dose measurement performance was assessed by imaging PRESAGE dosimeters irradiated with simple known dose distributions (e.g., 4 field box 6MV treatment with Varian Linac). Direct comparisons were made to images from our gold standard DLOS scanner and calculated dose distributions from a commissioned Eclipse planning system. Results: All optical CT images were reconstructed at 1mm isotropic resolution. Comparison of IDOS and x-ray CT images of the geometric phantom demonstrated excellent IDOS geometric accuracy (sub-mm) throughout the dosimeter. IDOS measured 3D dose distribution agreed well with prediction from Eclipse, with 95% gamma pass rate at 3%/3mm. Cross-scanner dose measurement gamma analysis shows >90% of pixels passing at 3%/3mm. Conclusion: The first prototype of the IDOS system has demonstrated promising performance, with accurate dosimeter readout and negligible spatial distortion. The use of optical simulations and 3D printing to create a light collimating-tank has dramatically increased convenience and reduced costs by removing the need for expensive lenses and large volumes of refractive matching fluids.
With the rapid integration of distributed energy resources (DERs), distribution utilities are faced with new and unprecedented issues. New challenges introduced by high penetration of DERs range from poor observability to overload and reverse power flow problems, under-over-voltages, maloperation of legacy protection systems, and requirements for new planning procedures. Distribution utility personnel are not adequately trained, and legacy control centers are not properly equipped to cope with these issues. Fortunately, distribution energy resource management systems (DERMSs) are emerging software technologies aimed to provide distribution system operators (DSOs) with a specialized set of tools to enable them to overcome the issues caused by DERs and to maximize the benefits of the presence of high penetration of these novel resources. However, as DERMS technology is still emerging, its definition is vague and can refer to very different levels of software hierarchies, spanning from decentralized virtual power plants to DER aggregators and fully centralized enterprise systems (called utility DERMS). Although they are all frequently simply called DERMS, these software technologies have different sets of tools and aim to provide different services to different stakeholders. This paper explores how these different software technologies can complement each other, and how they can provide significant benefits to DSOs in enabling them to successfully manage evolving distribution networks with high penetration of DERs when they are integrated together into the control centers of distribution utilities.
The primary objective of the Accelerating Resilience of the Community through Holistic Engagement and Use of Renewables (ARCHER) initiative was to identify and incorporate the unique variations in energy burden, social vulnerability, living conditions, and access to essential services that differ across communities. By accounting for these localized factors—down to the neighborhood level—the project supports more targeted and effective investments in community resilience. The framework seeks to establish practical planning guidance, methods, and performance measures for community energy resilience, integrate community-level and electric utility system resilience planning, and assess its effectiveness through comparison with conventional and operational planning approaches. A key component of the project was its data exchange platform, which is used to evaluate and demonstrate the tools, methodologies, and planning approaches developed through ARCHER. This open-source platform enables developers and vendors of distribution and outage management systems to build upon the research by incorporating its concepts into their own tools and workflows. This capability is enabled by the transparent availability of data, functional requirements, and the underlying information model. The project yielded several important insights. First, meaningful engagement with communities is essential to achieving comprehensive resilience outcomes. Second, resilience planning is most effective when electric grid considerations and broader community needs are addressed in a coordinated manner. Third, the use of platforms that allow for real-time input from communities can enhance utility responsiveness during restoration activities. Fourth, a structured and systematic planning approach can successfully translate ARCHER concepts into practice. Fifth, the development of an integrated metric that reflects both grid performance and community impacts provides a more holistic basis for evaluating resilience. Finally, incorporating community engagement and equity considerations into grid operations is critical, particularly during severe weather events that result in extended outages.
Purpose: The purpose of this study was to measure the dose distributions for different Radiation Oncology Physics and Engineering Services, Australia (ROPES) type eye plaques loaded with I-125 (model 6711) seeds using GafChromic{sup ®} EBT3 films, in order to verify the dose distributions in the Plaque Simulator™ (PS) ophthalmic 3D treatment planning system. The brachytherapy module of RADCALC{sup ®} was used to independently check the dose distributions calculated by PS. Correction factors were derived from the measured data to be used in PS to account for the effect of the stainless steel ROPES plaque backing on the 3D dose distribution.Methods: Using GafChromic{sup ®} EBT3 films inserted in a specially designed Solid Water™ eye ball phantom, dose distributions were measured three-dimensionally both along and perpendicular to I-125 (model 6711) loaded ROPES eye plaque's central axis (CAX) with 2 mm depth increments. Each measurement was performed in full scatter conditions both with and without the stainless steel plaque backing attached to the eye plaque, to assess its effect on the dose distributions. Results were compared to the dose distributions calculated by Plaque Simulator™ and checked independently with RADCALC{sup ®}.Results: The EBT3 film measurements without the stainless steel backing were found to agree with PS and RADCALC{sup ®} to within 2% and 4%, respectively, on the plaque CAX. Also, RADCALC{sup ®} was found to agree with PS to within 2%. The CAX depth doses measured using EBT3 film with the stainless steel backing were observed to result in a 4% decrease relative to when the backing was not present. Within experimental uncertainty, the 4% decrease was found to be constant with depth and independent of plaque size. Using a constant dose correction factor of T= 0.96 in PS, where the calculated dose for the full water scattering medium is reduced by 4% in every voxel in the dose grid, the effect of the plaque backing was accurately modeled in the planning system. Off-axis profiles were also modeled in PS by taking into account the three-dimensional model of the plaque backing.Conclusions: The doses calculated by PS and RADCALC{sup ®} for uniformly loaded ROPES plaques in full and uniform scattering conditions were validated by the EBT3 film measurements. The stainless steel plaque backing was observed to decrease the measured dose by 4%. Through the introduction of a scalar correction factor (0.96) in PS, the dose homogeneity effect of the stainless steel plaque backing was found to agree with the measured EBT3 film measurements.
Aim of this study is to examine the feasibility of using the new Gafchromic EBT3 film in a high-dose stereotactic radiosurgery and radiotherapy quality assurance procedure. Owing to the reduced dimensions of the involved lesions, the feasibility of scanning plan verification films on the scanner plate area with the best uniformity rather than using a correction mask was evaluated. For this purpose, signal values dispersion and reproducibility of film scans were investigated. Uniformity was then quantified in the selected area and was found to be within 1.5% for doses up to 8 Gy. A high-dose threshold level for analyses using this procedure was established evaluating the sensitivity of the irradiated films. Sensitivity was found to be of the order of centiGray for doses up to 6.2 Gy and decreasing for higher doses. The obtained results were used to implement a procedure comparing dose distributions delivered with a CyberKnife system to planned ones. The procedure was validated through single beam irradiation on a Gafchromic film. The agreement between dose distributions was then evaluated for 13 patients (brain lesions, 5 Gy/die prescription isodose ~80%) using gamma analysis. Results obtained using Gamma test criteria of 5%/1 mm show a pass rate of 94.3%. Gamma frequency parameters calculation for EBT3 films showed to strongly depend on subtraction of unexposed film pixel values from irradiated ones. In the framework of the described dosimetric procedure, EBT3 films proved to be effective in the verification of high doses delivered to lesions with complex shapes and adjacent to organs at risk.
This paper presents the performance evaluation of a peer-to-peer microgrids coordination algorithm for sub-transmission systems. As distributed energy resources (DERs) in distribution system start to show negative impact to the bulk power system, a paradigm shift is needed for transmission planning and operation. Because distribution substations are located far from the sub-transmission system, and it is hard to use traditional centralized control for real-time control and coordination. Thus, distributed control is a natural choice because it requires less communication and central computation. In this paper, each distribution substation is treated as a microgrid, and the peer-to-peer distributed microgrids control is formulated as a real-time optimal power flow problem to reduce the negative impact in sub-transmission systems. A distributed primal-dual optimization algorithm is adopted to solve the problem. Validation of the peer-to-peer algorithm is performed through the simulation of a real-world sub-transmission system composing of many distribution systems with high renewable penetration. Simulation results show that the peer-to-peer algorithm can achieve satisfactory performance (e.g., voltage regulation) in sub-transmission system by coordinating and controlling DERs in distribution systems.
This paper presents the performance evaluation of a peer-to-peer microgrids coordination algorithm for sub-transmission systems. As distributed energy resources (DERs) in distribution system start to show negative impact to the bulk power system, a paradigm shift is needed for transmission planning and operation. Because distribution substations are located far from the sub-transmission system, and it is hard to use traditional centralized control for real-time control and coordination. Thus, distributed control is a natural choice because it requires less communication and central computation. In this paper, each distribution substation is treated as a microgrid, and the peer-to-peer distributed microgrids control is formulated as a real-time optimal power flow problem to reduce the negative impact in sub-transmission systems. A distributed primal-dual optimization algorithm is adopted to solve the problem. Validation of the peer-to-peer algorithm is performed through the simulation of a real-world sub-transmission system composing of many distribution systems with high renewable penetration. Simulation results show that the peer-to-peer algorithm can achieve satisfactory performance (e.g., voltage regulation) in sub-transmission system by coordinating and controlling DERs in distribution systems.
This paper will identify the important characteristics and requirements necessary for inter-satellite communications in distributed spacecraft systems and present analysis results focusing on architectural and protocol comparisons. Emerging spacecraft systems plan to deploy multiple satellites in various "distributed" configurations ranging from close proximity formation flying to widely separated constellations. Distributed spacecraft configurations provide advantages for science exploration and operations since many activities useful for missions may be better served by distributing them between spacecraft. For example, many scientific observations can be enhanced through spatially separated platforms, such as for deep space interferometry. operating multiple distributed spacecraft as a mission requires coordination that may be best provided through inter-satellite communications. For example, several future distributed spacecraft systems envision autonomous operations requiring relative navigational calculations and coordinated attitude and position corrections. To conduct these operations, data must be exchanged between spacecraft. Direct cross-links between satellites provides an efficient and practical method for transferring data and commands. Unlike existing "bent-pipe" relay networks supporting space missions, no standard or widely-used method exists for cross-link communications. Consequently, to support these future missions, the characteristics necessary for inter-satellite communications need to be examined. At first glance, all of the missions look extremely different. Some missions call for tens to hundreds of nano-satellites in constant communications in close proximity to each other. Other missions call for a handful of satellites communicating very slowly over thousands to hundreds of thousands of kilometers. The paper will first classify distributed spacecraft missions to help guide the evaluation and definition of cross-link architectures and approaches. Based on this general classification, the paper will examine general physical layer parameters, such as frequency bands and data rates, necessary to support the missions. The paper will also identify classes of communication architectures that may be employed, ranging from fully distributed to centralized topologies. Numerous factors, such as number of spacecraft, must be evaluated when attempting to pick a communications architecture. Also important is the stability of the formation from a communications standpoint. For example, do all of the spacecraft require equal bandwidth and are spacecraft allowed to enter and leave a formation? The type of science mission being attempted may also heavily influence the communications architecture. In addition, the paper will assess various parameters and characteristics typically associated with the data link layer. The paper will analyze the performance of various multiple access techniques given the operational scenario, requirements, and communication topologies envisioned for missions. This assessment will also include a survey of existing standards and their applicability for distributed spacecraft systems. An important consideration includes the interoperability of the lower layers (physical and data link) examined in this paper with the higher layer protocols(network) envisioned for future space internetworking. Finally, the paper will define a suggested path, including preliminary recommendations, for defining and developing a standard for intersatellite communications based on the classes of distributed spacecraft missions and analysis results.
Advanced dose calculation algorithms for radiation therapy treatment planning can report external beam photon dose 2-sided, in terms of dose-to-medium (D{sub m}) and dose-to-water (D{sub w}). The purpose of our study was to determinate the effect of D{sub w} and D{sub m} reporting modes built in Elekta Monaco treatment planning system on intensity-modulated radiotherapy dose distributions for patients with nasopharyngeal cancer. For 13 patients involved in this retrospective study, 2 plans were created: 1 using D{sub w} and another according to D{sub m} reporting mode. Treatment plans were normalized such that 100% planning target volume should be covered by 95% of prescribed dose. Dose-volume constraints were assigned according to international standards. The comparison between dose distributions was performed evaluating quantities important for respective volumes of interest. For target volumes, heterogeneity index and conformity index methodology were used along with the maximum dose concept. Also, for the comparisons over particular organ at risk, maximum dose or mean dose as well as dose-volume concepts were used. For all target volumes and majority of organs at risk, the differences between 2 reporting modes are statistically insignificant, but this is not the case for bony structured organs at risks: mandible and cochlea. It was observed that D{sub w} is higher than D{sub m} with mean difference of 9.91% (p = 0.000009) of the mandible volume covered with 70 Gy. The same trend was observed for left and right cochlea with difference in mean dose of 8.74% (p = 0.037) and 6.87% (p = 0.029), respectively. The comparative analysis of dosimetric parameters in this study shows that the selection of reporting modes in Monaco treatment planning system can produce dose differences up to 15% in high-density volumes such as mandible and cochlea, which might have clinical consequences.
The increased electrification of buildings across the United States is being driven by technical advancements, cost reductions for some building technologies, consumer preferences, and policy goals for decarbonization. However, the effects of this load growth on the electric distribution system are often only a minor consideration in policymaking and long-term planning studies. The long lead time and useful life of power system equipment means that the decisions taken today are expected to support our society well into the 2060s and beyond. Distribution planning stakeholders can take steps today to establish a grid foundation that captures the new challenges presented by building electrification. This report focuses on building electrification for the residential and commercial sectors, focusing most heavily on space heating, as this end use stands to most strongly impact demand.1 Across all end uses, building electrification could require somewhere between 10% and 70% more electricity generation capacity than exists today depending on technology adoption and energy efficiency.
Flooding poses a growing threat to Iowa's electric distribution system, yet utilities face significant data and modeling challenges in planning effective resilience investments. This report provides a foundational assessment of how distribution utilities in Iowa, investor-owned, municipal, and cooperative, approach resilience planning, with a focus on flood risk. It combines hazard characterization, review of state and utility practices, and application of NLR's Energy Resilience Analysis for Distribution Systems (ERAD) and Capacity Expansion Decision Support for Distribution Networks (CADET) tools. Using FEMA floodplains, Iowa Flood Center depth grids, and utility infrastructure data, the analysis quantifies asset exposure, simulates outage risks, and evaluates resilience strategies such as pole hardening, undergrounding, and substation protection. Results indicate that while feeder-level upgrades provide incremental benefits, the most significant reductions in outage risk are achieved through targeted substation interventions. The report highlights key data gaps, such as limited elevation data and fragility functions, and underscores the need for probability-weighted investment frameworks to address both frequent and catastrophic flood events. These insights aim to support utilities, state agencies, and federal partners in prioritizing resilience investments that safeguard Iowa's electric grid against future flooding.
Purpose: A method to derive exit dose distributions with a commercial treatment planning system for comparison to Epid measured doses. Methods: In contrast to published methods, we present an approach that uses a treatment planning system (Raystation, Raysearch) to calculate exit dose patterns based on a modified patient CT dataset. The EPID is assumed as water equivalent and therefore is represented as water filled ring in the images. This is done by: -Export a renamed copy of the patient CT and plan data set. —Manipulate the CT-data to a field of view of 1000 mm. — Insert the water filled cylinder ring, centered to the target point. — Manipulate plan file with the new target and dose prescription point. — Import and recalculate dose on the manipulated data set. — Export and extract exit field dose matrix from the cylinder (optional entrance dose). — Calibrate matrix to size and rebin data from the cylinder to EPID equivalent data. — Correct Epid measurement for scatter, position and field size. -Evaluate and compare data in Verisoft (PTW). Data manipulation and extraction is done by a simple tool (IDL, Exelis). Results: This method was tested on a Siemens Artiste 6MV for field sizes up to 27×27cm2 limited by used geometry and EPID size. First phantom measurements show good results for fields up to 20×20cm (pass rate > 95% for 3%, 3mm Gamma index) while larger fields have higher discrepancies towards the field edges. This might Result from off axis softening of the beam and the higher sensitivity of the detector to beam scatter. Conclusion: This method might simplify the use of exit dosimetry with the EPID for patient specific QA as it uses the dose calculation of a commercial treatment planning system. The concept was proven by phantom data sets, giving acceptable results.
Purpose: To examine the adequacy of the planning target volume (PTV) dose distribution as the worst-case representation of clinical target volume (CTV) dose distribution in prostate volumetric-modulated arc therapy (VMAT) plans. Methods: Ten intact prostate cancer cases treated by VMAT at our institution were randomly selected. Isocenter was shifted in the three cardinal directions by a displacement equal to the PTV expansion on the CTV (±3 mm) for a total of six shifted plans per original plan. Rotationally-perturbed plans were generated with a couch rotation of ±1° to simulate patient yaw. The eight perturbed dose distributions were recalculated in the treatment planning system using the same, fixed fluence map as the original plan. The voxel-wise worst-case CTV dose distribution was constructed from the minimum value per voxel from the eight perturbed doses. The resulting dose volume histograms (DVH) were evaluated for statistical correlation between the worst-case CTV and nominal PTV dose distributions based on D95% by Wilcoxon signed-rank test with significance level p ≤ 0.05. Results: Inspection demonstrates the PTV DVH in the nominal dose distribution is bounded by the CTV DVH in the worst-case dose distribution. Comparison of D95% for the two dose distributions by Wilcoxon signed-rank test gives p = 0.131. Therefore the null hypothesis cannot be rejected since the difference in median values is not statistically significant. Conclusion: The assumption that the nominal dose distribution for PTV represents the worst-case dose distribution for CTV appears valid for the ten plans under examination. Although the worst-case dose distribution is unphysical since the dose per voxel is chosen independently, it serves as a lower bound for the possible CTV coverage. Furthermore, this is consistent with the unphysical nature of the PTV. Minor discrepancies between the two dose distributions are expected since the dose cloud is not strictly static. Funding Support: NIH/NCI K25CA168984, Eagles Cancer Research Career Development, The Lawrence W. and Marilyn W. Matteson Fund for Cancer Research, Mayo ASU Seed Grant, and The Kemper Marley Foundation.
Purpose: There is a growing interest in the radiation oncology community to use the biological effective dose (BED) rather than the physical dose (PD) in treatment plan evaluation and optimization due to its stronger correlation with radiobiological effects. Radiotherapy patients may receive treatments involving a single only phase or multiple phases (e.g., primary and boost). Since most treatment planning systems cannot calculate the analytical BED distribution in multiphase treatments, an approximate multiphase BED expression, which is based on the total physical dose distribution, has been used. The purpose of this paper is to reveal the mathematical properties of the approximate BED formulation, relative to the true BED. Methods: The mathematical properties of the approximate multiphase BED equation are analyzed and evaluated. In order to better understand the accuracy of the approximate multiphase BED equation, the true multiphase BED equation was derived and the mathematical differences between the true and approximate multiphase BED equations were determined. The magnitude of its inaccuracies under common clinical circumstances was also studied. All calculations were performed on a voxel-by-voxel basis using the three-dimensional dose matrices. Results: Results showed that the approximate multiphase BED equation is accurate only when the dose-per-fractions (DPFs) in both the first and second phases are equal, which occur when the dose distribution does not significantly change between the phases. In the case of heterogeneous dose distributions, which significantly vary between the phases, there are fewer occurrences of equal DPFs and hence the inaccuracy of the approximate multiphase BED is greater. These characteristics are usually seen in the dose distributions being delivered to organs at risk rather than to targets. Conclusions: The finding of this study indicates that the true multiphase BED equation should be implemented in the treatment planning systems due to the inconsistent accuracy of the approximate multiphase BED equation in most of the clinical situations.
Forecasting electricity usage is a foundational planning activity for utilities, underpinning billions of dollars in grid investments that ensure system reliability. Historically, forecasting relied on trends in economic and population growth; however, transportation electrification presents a new and complex planning challenge. Unlike conventional loads, electric vehicle (EV) charging has relatively limited usage history. In addition, charging is driven by complex human behaviors, is mobile, and at the same time can concentrate geographically in ways that, without proper planning, can quickly overwhelm local distribution systems.
The current practices for restoring critical services in the distribution system during a disaster, align with the traditional centralized ideology of distribution systems operations. A central processor evaluates the distribution system after a disruption and attains a restoration plan. However, the centralized operational paradigm is susceptible to single-point failures, requires full situational awareness of the distribution system, and poses scalability challenges for large multifeeder distribution systems. This motivates a distributed decision-making paradigm where multiple agents solve smaller subproblems and jointly coordinate their individual decisions to achieve the global/network-level objective. Toward this goal, we propose a layered architecture for distributed algorithms for resilience and a two-stage distributed algorithm for distribution system restoration. The proposed distributed decision-making framework enables the bottom-up restoration of the distribution system using all available resources, including distributed generation, while only requiring local awareness and limited communications with neighboring connected regions. The proposed framework is robust to single-point failures, enables autonomy using distributed algorithms, and had reduced computational cost compared to centralized optimization solutions.