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At least 271 records · Page 15

Preliminary Evaluation of Removing Used Nuclear Fuel from Shutdown Sites

A preliminary evaluation of removing spent nuclear fuel (SNF) from 13 shutdown nuclear power plant sites was performed. At these shutdown sites the nuclear power reactors have been permanently shut down and the sites have been decommissioned or are undergoing decommissioning. The shutdown sites were Maine Yankee, Yankee Rowe, Connecticut Yankee, Humboldt Bay, Big Rock Point, Rancho Seco, Trojan, La Crosse, Zion, Crystal River, Kewaunee, San Onofre, and Vermont Yankee. The evaluation was divided into four components: Characterization of the SNF and greater-than-Class C low-level radioactive waste (GTCC waste) inventory A description of the on-site infrastructure at the shutdown sites An evaluation of the near-site transportation infrastructure and transportation experience at the shutdown sites An evaluation of the actions necessary to prepare for and remove SNF and GTCC waste. The primary sources for the inventory of SNF and GTCC waste were the U.S. Department of Energy (DOE) spent nuclear fuel inventory database, industry publications such as StoreFUEL, and government sources such as the U.S. Nuclear Regulatory Commission. The primary sources for information on the conditions of on-site infrastructure and near-site transportation infrastructure and experience included information collected during site visits, information provided by managers at the shutdown sites, Facility Interface Data Sheets compiled for DOE in 2005, Services Planning Documents prepared for DOE in 1993 and 1994, industry publications such as Radwaste Solutions, and Google Earth. State staff, State Regional Group representatives, a Tribal representative, and a Federal Railroad Administration representative have participated in nine of the shutdown site visits. Every shutdown site was found to have at least one off-site transportation mode option for removing its SNF and GTCC waste; some have multiple options. Experience removing large components during reactor decommissioning provided an important source of information used to identify the transportation mode options for the sites. Especially important in conducting the evaluation were site visits, through which information was obtained that would not have been available otherwise. Extensive photographs taken during the site visits proved to be particularly useful in documenting the current conditions at or near the sites. Additional conclusions from this evaluation include: The 13 shutdown sites use designs from 4 different suppliers involving 11 different (horizontal and vertical) dry storage systems that would require the use of 9 different transportation cask designs to remove the SNF and GTCC waste from the shutdown sites. Although some changes to transportation certificates of compliance will be required, the SNF at the initial 9 shutdown sites (Maine Yankee, Yankee Rowe, Connecticut Yankee, Humboldt Bay, Big Rock Point, Rancho Seco, Trojan, La Crosse, and Zion) is in dual purpose dry storage canisters that can be transported, including a small amount of high-burnup fuel. Most sites indicated that 2-3 years of advance time would be required for its preparations before shipments could begin. Some sites could be ready in less time. As additional sites such as Fort Calhoun, Clinton, Quad Cities, Pilgrim, Oyster Creek, and Diablo Canyon shut down, these sites will be included in updates to the evaluation.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Resilience Roadmap: A Collaborative Approach to Multi-Jurisdictional Resilience Planning

Extreme weather and aging infrastructure are creating unprecedented challenges in the United States and around the globe. Many communities have suffered damages from a variety of weather-related events, such as severe weather such as hurricanes, droughts, increasing temperatures, wildfires, and storm surges. Numerous efforts exist to improve resilience to protect national security, energy and water security, economic well-being, and quality of life. As severe weather events increase in frequency and severity, many cities, states, tribes, and federal agencies are addressing the impacts through resilience planning and measures. In an effort to support communities with resilience planning, the White House Council on Environmental Quality (CEQ) initiated preparedness pilot projects designed to showcase community resilience planning in the City of Houston and the State of Colorado. This publication is the full, technical document, for the Colorado pilot project. The process is also summarized in a user-friendly web-version on NREL's website (visit www.nrel.gov/resilience-planning-roadmap) for easier access and replicability. NASA's pilot project with the City of Houston is summarized separately (visit https://toolkit.climate.gov/case-studies/climate-resilience to learn more). water security, economic well-being, and quality of life. As severe weather events increase in frequency and severity, many cities, states, tribes, and federal agencies are addressing the impacts through resilience planning and measures. In an effort to support communities with resilience planning, the White House Council on Environmental Quality (CEQ) initiated preparedness pilot projects designed to showcase community resilience planning in the City of Houston and the State of Colorado. This publication is the full, technical document, for the Colorado pilot project. The process is also summarized in a user-friendly web-version on NREL's website (visit www.nrel.gov/resilience-planning-roadmap) for easier access and replicability. NASA's pilot project with the City of Houston is summarized separately (visit https://toolkit.climate.gov/case-studies/climate-resilience to learn more).

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Preliminary Evaluation of Removing Used Nuclear Fuel from Shutdown Sites

A preliminary evaluation of removing spent nuclear fuel (SNF) from 14 shutdown nuclear power plant sites was performed. At these shutdown sites the nuclear power reactors have been permanently shut down and the sites have been decommissioned or are undergoing decommissioning. The shutdown sites were Maine Yankee, Yankee Rowe, Connecticut Yankee, Humboldt Bay, Big Rock Point, Rancho Seco, Trojan, La Crosse, Zion, Crystal River, Kewaunee, San Onofre, Vermont Yankee, and Fort Calhoun. The evaluation was divided into four components: (1) characterization of the SNF and greater-than-Class C low-level radioactive waste (GTCC waste) inventory, (2) a description of the on-site infrastructure at the shutdown sites, (3) an evaluation of the near-site transportation infrastructure and transportation experience at the shutdown sites, and (4) an evaluation of the actions necessary to prepare for and remove SNF and GTCC waste. The primary sources for the inventory of SNF and GTCC waste were the U.S. Department of Energy (DOE) spent nuclear fuel inventory database, industry publications such as StoreFUEL, and government sources such as the U.S. Nuclear Regulatory Commission. The primary sources for information on the conditions of on-site infrastructure and near-site transportation infrastructure and experience included information collected during site visits, information provided by managers at the shutdown sites, Facility Interface Data Sheets compiled for DOE in 2005, Services Planning Documents prepared for DOE in 1993 and 1994, industry publications such as Radwaste Solutions, and Google Earth. State representatives, State Regional Group representatives, Tribal representatives, and a Federal Railroad Administration representatives have participated in eleven of the shutdown site visits. Every shutdown site was found to have at least one off-site transportation mode option for removing its SNF and GTCC waste; some have multiple options. Experience removing large components during reactor decommissioning provided an important source of information used to identify the transportation mode options for the sites. Especially important in conducting the evaluation were site visits, through which information was obtained that would not have been available otherwise. Extensive photographs taken during the site visits proved to be particularly useful in documenting the current conditions at or near the sites. Additional conclusions from this evaluation include: The 14 shutdown sites use designs from 4 different suppliers involving 11 different (horizontal and vertical) dry storage systems that would require the use of 9 different transportation cask designs to remove the SNF and GTCC waste from the shutdown sites. Although some changes to transportation certificates of compliance will be required, the SNF at the initial 9 shutdown sites (Maine Yankee, Yankee Rowe, Connecticut Yankee, Humboldt Bay, Big Rock Point, Rancho Seco, Trojan, La Crosse, and Zion) is in dual purpose dry storage canisters that can be transported, including a small amount of high-burnup fuel. Most sites indicated that 2-3 years of advance time would be required for its preparations before shipments could begin. Some sites could be ready in less time. As additional sites such as Palisades, Pilgrim, Three Mile Island, Oyster Creek, Indian Point, and Diablo Canyon shut down, these sites will be included in updates to the evaluation.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Expected performance of m-solution backtracking

This paper derives upper bounds on the expected number of search tree nodes visited during an m-solution backtracking search, a search which terminates after some preselected number m problem solutions are found. The search behavior is assumed to have a general probabilistic structure. The results are stated in terms of node expansion and contraction. A visited search tree node is said to be expanding if the mean number of its children visited by the search exceeds 1 and is contracting otherwise. It is shown that if every node expands, or if every node contracts, then the number of search tree nodes visited by a search has an upper bound which is linear in the depth of the tree, in the mean number of children a node has, and in the number of solutions sought. Also derived are bounds linear in the depth of the tree in some situations where an upper portion of the tree contracts (expands), while the lower portion expands (contracts). While previous analyses of 1-solution backtracking have concluded that the expected performance is always linear in the tree depth, the model allows superlinear expected performance.

Nicol, D. M.↗

The International Space Station As a Free Flyer Servicing Node

The International Space Station will provide a multitude of opportunities for an expanding customer base to make use of this international resource. One such opportunity is servicing of various visiting vehicles that are in a similar orbit to the station. Servicing may include change-out of payloads, replenishment of consumables, repair, and refurbishment operations. Previous studies have been conducted in which "paper" free flyers have been assessed against the station s ability to accommodate them. Over the last several months though, an already flown free flyer, EURECA, was assessed as a real-life visiting free flyer design reference mission. Issues such as capture/berthing, servicing, logistics support, and stowage were assessed for station design and operational approaches. This paper will highlight critical visiting vehicle design considerations, identify station issues, and provide recommendations for accommodation of a wide range of visiting vehicle requirements of the future.

Antol, Jeffrey↗

Methodology for Developing a Probabilistic Risk Assessment Model of Spacecraft Rendezvous and Dockings

In 2007 NASA was preparing to send two new visiting vehicles carrying logistics and propellant to the International Space Station (ISS). These new vehicles were the European Space Agency s (ESA) Automated Transfer Vehicle (ATV), the Jules Verne, and the Japanese Aerospace and Explorations Agency s (JAXA) H-II Transfer Vehicle (HTV). The ISS Program wanted to quantify the increased risk to the ISS from these visiting vehicles. At the time, only the Shuttle, the Soyuz, and the Progress vehicles rendezvoused and docked to the ISS. The increased risk to the ISS was from an increase in vehicle traffic, thereby, increasing the potential catastrophic collision during the rendezvous and the docking or berthing of the spacecraft to the ISS. A universal method of evaluating the risk of rendezvous and docking or berthing was created by the ISS s Risk Team to accommodate the increasing number of rendezvous and docking or berthing operations due to the increasing number of different spacecraft, as well as the future arrival of commercial spacecraft. Before the first docking attempt of ESA's ATV and JAXA's HTV to the ISS, a probabilistic risk model was developed to quantitatively calculate the risk of collision of each spacecraft with the ISS. The 5 rendezvous and docking risk models (Soyuz, Progress, Shuttle, ATV, and HTV) have been used to build and refine the modeling methodology for rendezvous and docking of spacecrafts. This risk modeling methodology will be NASA s basis for evaluating the addition of future ISS visiting spacecrafts hazards, including SpaceX s Dragon, Orbital Science s Cygnus, and NASA s own Orion spacecraft. This paper will describe the methodology used for developing a visiting vehicle risk model.

Farnham, Steven J., II↗

Space Shuttle Program (SSP) Dual Docked Operations (DDO)

This document describes the concept definition, studies, and analysis results generated by the Space Shuttle Program (SSP), International Space Station (ISS) Program (ISSP), and Mission Operations Directorate for implementing Dual Docked Operations (DDO) during mated Orbiter/ISS missions. This work was performed over a number of years. Due to the ever increasing visiting vehicle traffic to and from the ISS, it became apparent to both the ISSP and the SSP that there would arise occasions where conflicts between a visiting vehicle docking and/or undocking could overlap with a planned Space Shuttle launch and/or during docked operations. This potential conflict provided the genesis for evaluating risk mitigations to gain maximum flexibility for managing potential visiting vehicle traffic to and from the ISS and to maximize launch and landing opportunities for all visiting vehicles.

Sills, Joel W., Jr.↗

Space Shuttle Program Dual Docked Operations

- Dual Docked Operations (DDO) is the docking or undocking of a Russian Vehicle (RV) during Space Shuttle Orbiter/International Space Station (ISS) mated operations. - This paper and presentation summarizes the concept definition, studies, and analysis results generated by the Space Shuttle Program (SSP), ISS Program (ISSP), and Mission Operations Directorate for implementing DDO during mated Orbiter/ISS missions. [1] - Due to the ever-increasing visiting vehicle traffic to and from the ISS, it became apparent to both the ISSP and the SSP that there would arise occasions where conflicts between a visiting vehicle docking and/or undocking could overlap with a planned Space Shuttle launch and/or during mated Orbiter/ISS operations. - This potential conflict provided the genesis for evaluating risk mitigations to gain maximum flexibility for managing potential visiting vehicle traffic to and from the ISS and to maximize launch and landing opportunities for all visiting vehicles. - Reviews were conducted to assess the viability and readiness of the SSP to protect for DDO on any given mission and it was found to be t echnically feasible

Launch vehicles↗

Space Shuttle Program Dual Docked Operations

- Dual Docked Operations (DDO) is the docking or undocking of a Russian Vehicle (RV) during Space Shuttle Orbiter/International Space Station (ISS) mated operations. - This paper and presentation summarizes the concept definition, studies, and analysis results generated by the Space Shuttle Program (SSP), ISS Program (ISSP), and Mission Operations Directorate for implementing DDO during mated Orbiter/ISS missions. [1] - Due to the ever-increasing visiting vehicle traffic to and from the ISS, it became apparent to both the ISSP and the SSP that there would arise occasions where conflicts between a visiting vehicle docking and/or undocking could overlap with a planned Space Shuttle launch and/or during mated Orbiter/ISS operations. - This potential conflict provided the genesis for evaluating risk mitigations to gain maximum flexibility for managing potential visiting vehicle traffic to and from the ISS and to maximize launch and landing opportunities for all visiting vehicles. - Reviews were conducted to assess the viability and readiness of the SSP to protect for DDO on any given mission and it was found to be t echnically feasible

Launch vehicles↗

The Variable Detection of Atmospheric Escape around the Young, Hot Neptune AU Mic b

Photoevaporation is a potential explanation for several features within exoplanet demographics. Atmospheric escape observed in young Neptune-sized exoplanets can provide insight into and characterize which mechanisms drive this evolution and at what times they dominate. AU Mic b is one such exoplanet, slightly larger than Neptune (4.19 R ⊕ ). It closely orbits a 23 Myr pre-main-sequence M dwarf with an orbital period of 8.46 days. We obtained two visits of AU Mic b at Lyα with Hubble Space Telescope (HST)/Space Telescope Imaging Spectrograph. One flare within the first HST visit is characterized and removed from our search for a planetary transit. We present a nondetection in our first visit, followed by the detection of escaping neutral hydrogen ahead of the planet in our second visit. The outflow absorbed ∼30% of the star’s Lyα blue wing 2.5 hr before the planet’s white-light transit. We estimate that the highest-velocity escaping material has a column density of 10 13.96 cm −2 and is moving 61.26 km s −1 away from the host star. AU Mic b’s large high-energy irradiation could photoionize its escaping neutral hydrogen in 44 minutes, rendering it temporarily unobservable. Our time-variable Lyα transit ahead of AU Mic b could also be explained by an intermediate stellar wind strength from AU Mic that shapes the escaping material into a leading tail. Future Lyα observations of this system will confirm and characterize the unique variable nature of its Lyα transit, which, combined with modeling, will tune the importance of stellar wind and photoionization.

Exoplanets↗

Algorithms for Heterogeneous, Multiple Depot, Multiple Unmanned Vehicle Path Planning Problems

Unmanned vehicles, both aerial and ground, are being used in several monitoring applications to collect data from a set of targets. This article addresses a problem where a group of heterogeneous aerial or ground vehicles with different motion constraints located at distinct depots visit a set of targets. The vehicles also may be equipped with different sensors, and therefore, a target may not be visited by any vehicle. The objective is to find an optimal path for each vehicle starting and ending at its respective depot such that each target is visited at least once by some vehicle, the vehicle–target constraints are satisfied, and the sum of the length of the paths for all the vehicles is minimized. Two variants of this problem are formulated (one for ground vehicles and another for aerial vehicles) as mixed-integer linear programs and a branchand- cut algorithm is developed to compute an optimal solution to each of the variants. Computational results show that optimal solutions for problems involving 100 targets and 5 vehicles can be obtained within 300 seconds on average, further corroborating the effectiveness of the proposed approach.

33 ADVANCED PROPULSION SYSTEMS↗

Wild bees and natural enemies prefer similar flower species and respond to similar plant traits

Designing wildflower habitats to support beneficial insects providing pollination and pest control services is important for supporting sustainable crop production. It is often desirable to support both groups of insects, making the selection of resource plants for insect conservation programs more challenging. Moreover, the process of selecting resource plants is complicated by the array of possible options in each region, and the need to provide resources over the entire growing season. Identifying traits shared by resource plants that are attractive to both bees and natural enemies can reduce the need to evaluate new plants in each region, by providing a guide for the types of plants expected to be rewarding to these insects. Using insect visitation data collected from replicated common garden plantings of native wildflower and shrub species from the Great Lakes region of the United States, we found a high degree of correlation between the abundance of bees and natural enemies visiting native plant species. These results were used to identify a set of 15 plant species that can provide resources for these insects throughout the summer. Across all tested species, pollen quantity per flower and the week of bloom were positively correlated with some, but not all, taxonomic groupings of beneficial insects. In contrast, floral area was consistently positively associated with visitation of both natural enemies and wild bees. This trait is easy to document and can allow for efficient local testing of potential resource plants, providing a faster path to implementing insect conservation in working landscapes.

54 ENVIRONMENTAL SCIENCES↗

Routing Problem for Unmanned Aerial Vehicle Patrolling Missions - A Progressive Hedging Algorithm

This paper presents a two-stage stochastic program to model a routing problem involving an Unmanned Aerial Vehicle (UAV) in the context of patrolling missions. In particular, given a set of targets and a set of supplemental targets corresponding to each target, the first stage decisions involve finding the sequence in which the vehicle has to visit the set of targets. Upon reaching each target, the UAV collects information and if the operator of the UAV deems that the information collected is not of sufficient fidelity, then the UAV has to visit all the supplemental targets corresponding to that target to collect additional information before proceeding to visit the next target. The problem is solved using a progressive hedging algorithm and extensive computational results corroborating the effectiveness of the proposed model and the solution methodology is presented.

33 ADVANCED PROPULSION SYSTEMS↗

Medication abortion via digital health in the United States: a systematic scoping review

Digital health, including telemedicine, has increased access to abortion care. The convenience, flexibility of appointment times, and ensured privacy to abortion users may make abortion services via telemedicine preferable. This scoping review systematically mapped studies conducted on abortion services via telemedicine, including their effectiveness and acceptability for abortion users and providers. All published papers included abortion services via telemedicine in the United States were considered. Articles were searched in PubMed, CINAHL, and Google Scholar databases in September 2022. The findings were synthesized narratively, and the PRISMA-ScR guidelines were used to report this study. Out of 757 retrieved articles, 33 articles were selected based on the inclusion criteria. These studies were published between 2011 and 2022, with 24 published in the last 3 years. The study found that telemedicine increased access to abortion care in the United States, especially for people in remote areas or those worried about stigma from in-person visits. The effectiveness of abortion services via telemedicine was comparable to in-clinic visits, with 6% or fewer abortions requiring surgical intervention. Both care providers and abortion seekers expressed positive perceptions of telemedicine-based abortion services. However, abortion users reported mixed emotions, with some preferring in-person visits. The most common reasons for choosing telemedicine included the distance to the abortion clinic, convenience, privacy, cost, flexibility of appointment times, and state laws imposing waiting periods or restrictive policies. Telemedicine offered a preferable option for abortion seekers and providers. The feasibility of accessing abortion services via telemedicine in low-resource settings needs further investigation.

60 APPLIED LIFE SCIENCES↗

Multitasking information behavior, information task switching and anxiety: An exploratory study

Multitasking information behavior involves multiple forms of information searching such as library and Web search. Few researchers, however, have explored multitasking information behavior and information task switching in libraries in conjunction with psychological variables. This study explored this behavior in terms of anxiety under time pressure. This was an exploratory case study. Participant searched information for three unrelated everyday life information topics during a library visit, in a timeframe of one hour. The data collection tools used were: diary, observation, interview, and the State-Trait Anxiety Inventory test. Participant took the Trait-anxiety test before the library visit to measure anxiety level as a personal characteristic. She also took State-anxiety test before, during and after the library visit to measure anxiety levels regarding the information seeking behavior. The results suggested that participant had high levels of anxiety at the beginning of the multitasking information behavior. The reason for that was the concern about the performance as well as the identification of the right resources. During the multitasking information behavior, participant still had anxiety to find the right information. The levels of anxiety, however, were less due to library’s good organized structure. At the end of the information seeking process, the levels of anxiety dropped significant and therefore calm and safety returned. Finally, participant searched information for topics that were more important and for which she had prior knowledge When people, under time pressure, have access to well organized information, the levels of anxiety might decrease.

99 GENERAL AND MISCELLANEOUS↗

Trajectory-probed instability and statistics of desynchronization events in coupled chaotic systems

Complex systems, such as financial markets, earthquakes, and neurological networks, exhibit extreme events whose mechanisms of formation are not still completely understood. These mechanisms may be identified and better studied in simpler systems with dynamical features similar to the ones encountered in the complex system of interest. For instance, sudden and brief departures from the synchronized state observed in coupled chaotic systems were shown to display non-normal statistical distributions similar to events observed in the complex systems cited above. The current hypothesis accepted is that these desynchronization events are influenced by the presence of unstable object(s) in the phase space of the system. Here, we present further evidence that the occurrence of large events is triggered by the visitation of the system's phase-space trajectory to the vicinity of these unstable objects. In the system studied here, this visitation is controlled by a single parameter, and we exploit this feature to observe the effect of the visitation rate in the overall instability of the synchronized state. We find that the probability of escapes from the synchronized state and the size of those desynchronization events are enhanced in attractors whose shapes permit the chaotic trajectories to approach the region of strong instability. This result shows that the occurrence of large events requires not only a large local instability to amplify noise, or to amplify the effect of parameter mismatch between the coupled subsystems, but also that the trajectories of the system wander close to this local instability.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Effects of human presence on African mammal waterhole attendance and temporal activity patterns

Abstract Human impacts on the environment and wildlife populations are increasing globally, threatening thousands of species with extinction. While wildlife‐based tourism is beneficial for educating tourists, generating income for conservation efforts, and providing local employment, more information is needed to understand how this industry may impact wildlife. In this study, we used motion‐activated cameras at 12 waterholes on a private game reserve in northern Namibia to determine if the presence of humans and permanent infrastructure affected mammal visits by examining their (1) number of visits, (2) time spent, and (3) diel activity patterns. Our results revealed no differences in the number of visits based on human presence for any of the 17 mammal species studied. However, giraffes ( Giraffe camelopardalis ) spent more time at waterholes before observer presence compared to during. Additionally, several species changed diel activity patterns when human observers were present. Notably, several carnivore and ungulate species increased overlap in their activity patterns during periods while humans were present relative to when humans were absent. These modifications of mammal temporal activity patterns due to human presence could eventually lead to changes in community structure and trophic dynamics because of altered predator–prey interactions. As humans continue to expand into wildlife habitats, and wildlife‐based tourism increases globally, it is imperative that we fully understand the effects of anthropogenic pressures on mammal behavior. Monitoring of wildlife behavioral changes in response to human activity is crucial to further develop wildlife tourism opportunities in a way that optimizes the impact of conservation goals.

Patterson, J. R. [Savannah River Ecology Lab, Warn↗

WE-G-BRA-05: IROC Houston On-Site Audits and Parameters That Affect Performance

Purpose: To highlight the IROC Houston on-site dosimetry audit program, and to investigate the impact of clinical conditions on the frequency of errors/recommendations noted by IROC Houston. Methods: The results of IROC Houston on-site audits from 2000-present were abstracted and compared to clinical parameters, this included 409 institutions and 1020 linacs. In particular, we investigated the frequency of recommendations versus year, and the impact of repeat visits on the number of recommendations. We also investigated the impact on the number of recommendations of several clinical parameters: the number and age of the linacs, the linac/TPS combination, and the scope of the QA program. Results: The number of recommendations per institution (3.1 average) has shown decline between 2000 and present, although the number of recommendations per machine (0.89) has not changed. Previous IROC Houston site visits did not Result in fewer recommendations on a repeat visit, but IROC Houston tests have changed substantially during the last 15 years as radiotherapy technology has changed. There was no impact on the number of recommendations based on the number of machines at the institution or the age of a given machine. The fewest recommendations were observed for Varian-Eclipse combinations (0.71 recs/machine), while Elekta- Pinnacle combinations yielded the most (1.62 recs/machine). Finally, in the TG-142 era (post-2010), those institutions that had a QA recommendation (n=77) had significantly more other recommendations (1.83 per institution) than those that had no QA rec (n=12, 1.33 per institution). Conclusion: Establishing and maintaining a successful radiotherapy program is challenging and areas of improvement can routinely be identified. Clinical conditions such as linac-TPS combinations and the establishment of a good QA program impact the frequency of errors/deficiencies identified by IROC Houston during their on-site review process.

60 APPLIED LIFE SCIENCES↗