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At least 289 records · Page 16

SU-F-J-18: Feasibility of Open Mask Immobilization with Optical Imaging Guidance (OIG) for H&N Radiotherapy

Purpose: Full face and neck thermoplastic masks provide standard-of-care immobilization for patients receiving H&N IMRT. However, these masks are uncomfortable and increase skin dose. The purpose of this pilot study was to investigate the feasibility and setup accuracy of open face and neck mask immobilization with OIG. Methods: Ten patients were consented and enrolled to this IRB-approved protocol. Patients were immobilized with open masks securing only forehead and chin. Standard IMRT to 60–70 Gy in 30 fractions were delivered in all cases. Patient simulation information, including isocenter location and CT skin contours, were imported to a commercial OIG system. On the first day of treatment, patients were initially set up to surface markings and then OIG referenced to face and neck skin regions of interest (ROI) localized on simulation CT images, followed by in-room CBCT. CBCTs were acquired at least weekly while planar OBI was acquired on the days without CBCT. Following 6D robotic couch correction with kV imaging, a new optical real-time surface image was acquired to track intrafraction motion and to serve as a reference surface for setup at the next treatment fraction. Therapists manually recorded total treatment time as well as couch shifts based on kV imaging. Intrafractional ROI motion tracking was automatically recorded. Results: Setup accuracy of OIG was compared with CBCT results. The setup error based on OIG was represented as a 6D shift (vertical/longitudinal/lateral/rotation/pitch/roll). Mean error values were −0.70±3.04mm, −0.69±2.77mm, 0.33±2.67 mm, −0.14±0.94 o, −0.15±1.10o and 0.12±0.82o, respectively for the cohort. Average treatment time was 24.1±9.2 minutes, comparable to standard immobilization. The amplitude of intrafractional ROI motion was 0.69±0.36 mm, driven primarily by respiratory neck motion. Conclusion: OGI can potentially provide accurate setup and treatment tracking for open face and neck immobilization. Study accrual and patient/provider satisfaction survey collection remain ongoing. This study is supported by VisionRT, Ltd.

60 APPLIED LIFE SCIENCES↗

MO-FG-BRC-02: Low-Z Switching Linear Accelerator Targets: New Options for Image Guidance and Dose Enhancement in Radiotherapy

Experimental research in medical physics has expanded the limits of our knowledge and provided novel imaging and therapy technologies for patients around the world. However, experimental efforts are challenging due to constraints in funding, space, time and other forms of institutional support. In this joint ESTRO-AAPM symposium, four exciting experimental projects from four different countries are highlighted. Each project is focused on a different aspect of radiation therapy. From the USA, we will hear about a new linear accelerator concept for more compact and efficient therapy devices. From Canada, we will learn about novel linear accelerator target design and the implications for imaging and therapy. From France, we will discover a mature translational effort to incorporate theranostic nanoparticles in MR-guided radiation therapy. From Germany, we will find out about a novel in-treatment imaging modality for particle therapy. These examples of high impact, experimental medical physics research are representative of the diversity of such efforts that are on-going around the globe. J. Robar, Research is supported through collaboration with Varian Medical Systems and Brainlab AGD. Westerly, This work is supported by the Department of Radiation Oncology at the University of Colorado School of Medicine. COI: NONEK. Parodi, Part of the presented work is supported by the DFG (German Research Foundation) Cluster of Excellence MAP (Munich-Centre for Advanced Photonics) and has been carried out in collaboration with IBA.

60 APPLIED LIFE SCIENCES↗

WE-DE-BRA-03: Construction of An Ultrasound Guidance Platform for Image-Guided Radiotherapy with the Intent to Treat Transitional Cell Carcinoma

Purpose: Ultrasound (US) is a noninvasive, nonradiographic imaging technique with high spatial and temporal resolution that can be used for localizing soft-tissue structures and tumors in real-time during radiotherapy (inter- and intra-fraction). A detailed methodology integrating 3D-US within RT is presented. This method is easier to adopt into current treatment protocol than current US based systems and reduces user variability for image acquisition, thus eliminating transducer induced changes that limit CT planning system. Methods: We designed an in-house integrated US manipulator and platform to relate CT, 3D-US and linear accelerator coordinate systems. To validate the platform, an agar-based phantom with measured densities and speed-of-sound consistent with tissues surrounding the bladder, was rotated (0–45°) resulting in translations (up to 55mm) relative to the CT and US coordinate systems. After acquiring and integrating CT and US images into the treatment planning system, US-to-US and US-to-CT images were co-registered to re-align the phantom relative to the linear accelerator. Errors in the transformation matrix components were calculate to determine precision of this method under different patient positions. Results: Statistical errors from US-US registrations for different patient orientations ranged from 0.06–1.66mm for x, y, and z translational components, and 0.00–1.05° for rotational components. Statistical errors from US-CT registrations were 0.23–1.18mm for the x, y and z translational components, and 0.08–2.52° for the rotational components. Conclusion: Based on our result, this is consistent with currently used techniques for positioning prostate patients if couch re-positioning is less than a 5 degree rotation. We are now testing this on a dog patient to obtain both inter and intra-fractional positional errors. Additional design considerations include the future use of ultrasound-based functionality (photoacoustics, radioacoustics, Doppler) to monitor blood flow and hypoxia and/or in-vivo dosimetry for applications in other therapeutic techniques, such as hyperthermia, anti-angiogenesis, and particle therapy.

60 APPLIED LIFE SCIENCES↗

TH-B-BRC-03: Measurement and Calibration Discrepancy: Advanced Warning Guidance

Radiation treatment consists of a chain of events influenced by the quality of machine operation, beam data commissioning, machine calibration, patient specific data, simulation, treatment planning, imaging and treatment delivery. There is always a chance that the clinical medical physicist may make or fail to detect an error in one of the events that may impact on the patient’s treatment. In the clinical scenario, errors may be systematic and, without peer review, may have a low detectability because they are not part of routine QA procedures. During treatment, there might be errors on machine that needs attention. External reviews of some of the treatment delivery components by independent reviewers, like IROC, can detect errors, but may not be timely. The goal of this session is to help junior clinical physicists identify potential errors as well as the approach of quality assurance to perform a root cause analysis to find and eliminate an error and to continually monitor for errors. A compilation of potential errors will be presented by examples of the thought process required to spot the error and determine the root cause. Examples may include unusual machine operation, erratic electrometer reading, consistent lower electron output, variation in photon output, body parts inadvertently left in beam, unusual treatment plan, poor normalization, hot spots etc. Awareness of the possibility and detection of error in any link of the treatment process chain will help improve the safe and accurate delivery of radiation to patients. Four experts will discuss how to identify errors in four areas of clinical treatment. D. Followill, NIH grant CA 180803.

60 APPLIED LIFE SCIENCES↗

Understanding climate-induced migration through computational modeling: A critical overview with guidance for future efforts

Climate change has the potential to displace large populations in many parts of the developed and developing world. Understanding why, how, and when environmental migrants decide to move is critical to successful strategic planning within organizations tasked with helping the affected groups, and mitigating their systemic impacts. One way to support planning is through the employment of computational modeling techniques. Models can provide a window into possible futures, allowing planners and decision makers to test different scenarios in order to understand what might happen. While modeling is a powerful tool, it presents both opportunities and challenges. This paper builds a foundation for the broader community of model consumers and developers by: providing an overview of pertinent climate-induced migration research, describing some different types of models and how to select the most relevant one(s), highlighting three perspectives on obtaining data to use in said model(s), and the consequences associated with each. It concludes with two case studies based on recent research that illustrate what can happen when ambitious modeling efforts are undertaken without sufficient planning, oversight, and interdisciplinary collaboration. Lastly, we hope that the broader community can learn from our experiences and apply this knowledge to their own modeling research efforts.

54 ENVIRONMENTAL SCIENCES↗

Evaluation of DOE Technical Standard 1027 and Supplemental Guidance NA-1 SD G 1027. Examining Radionuclide NESHAP Impacts and Off-Site Dose Consequences

This document is intended to briefly describe changes to Department of Energy Technical Standard 1027 and the associated effects of these changes on radionuclide air emissions from operations at Los Alamos National Laboratory (LANL). Each general category of LANL radionuclide air emissions is evaluated, and the manner in which changes to Standard 1027 would affect the emissions and subsequent doses to members of the public is discussed. While the material discussed in this document applies specifically to LANL operations, the information may be generally applicable to other DOE sites in some cases.

54 ENVIRONMENTAL SCIENCES↗

Measure Guideline: Guidance on Taped Insulating Sheathing Drainage Planes

This guide provides information and recommendations to the following groups: insulation contractors; general contractors; builders; home remodelers; mechanical contractors; and homeowners, as a guide to the work that needs to be done. The order of work completed during home construction and retrofit improvements is important. Health and safety issues must be addressed first and are more important than durability issues. And durability issues are more important than saving energy. Not all techniques can apply to all houses. Special conditions will require special action. Some builders or homeowners will wish to do more than the important but basic retrofit strategies outlined by this guide. The following are best practice and product recommendations from the interviewed contractors and homebuilders who collectively have a vast amount of experience. Three significant items were discussed with the group which are required to make taped insulating sheathing a simple, long term, and durable drainage plane: 1. Horizontal joints should be limited or eliminated wherever possible; 2. Where a horizontal joint exists use superior materials; 3. Frequent installation inspection and regular trade training are required to maintain proper installation. Section 5 of this measure guideline contains the detailed construction procedure for the three recommended methods to effectively seal the joints in exterior insulating sheathing to create a simple, long term, and durable drainage plane.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Low-Flow Liquid Desiccant Air Conditioning: General Guidance and Site Considerations

Dehumidification or latent cooling in buildings is an area of growing interest that has been identified as needing more research and improved technologies for higher performance. Heating, ventilating, and air-conditioning (HVAC) systems typically expend excessive energy by using overcool-and-reheat strategies to dehumidify buildings. These systems first overcool ventilation air to remove moisture and then reheat the air to meet comfort requirements. Another common strategy incorporates solid desiccant rotors that remove moisture from the air more efficiently; however, these systems increase fan energy consumption because of the high airside pressure drop of solid desiccant rotors and can add heat of absorption to the ventilation air. Alternatively, liquid desiccant air-conditioning (LDAC) technology provides an innovative dehumidification solution that: (1) eliminates the need for overcooling and reheating from traditional cooling systems; and (2) avoids the increased fan energy and air heating from solid desiccant rotor systems.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Multi-Lab EV Smart Grid Integration Requirements Study. Providing Guidance on Technology Development and Demonstration

The report begins with a discussion of the current state of the energy and transportation systems, followed by a summary of some VGI scenarios and opportunities. The current efforts to create foundational interface standards are detailed, and the requirements for enabling PEVs as a grid resource are presented. Existing technology demonstrations that include vehicle to grid functions are summarized. The report also includes a data-based discussion on the magnitude and variability of PEVs as a grid resource, followed by an overview of existing simulation tools that vi This report is available at no cost from the National Renewable Energy Laboratory (NREL) at www.nrel.gov/publications. can be used to explore the expansion of VGI to larger grid functions that might offer system and customer value. The document concludes with a summary of the requirements and potential action items that would support greater adoption of VGI.

33 ADVANCED PROPULSION SYSTEMS↗

Measure Guideline: Guidance on Taped Insulating Sheathing Drainage Planes

The goal of this research is to provide durable and long-term water management solutions using exterior insulating sheathing as part of the water management system. It is possible to tape or seal the joints in insulating sheathing to create a drainage plane and even an air control layer. There exists the material durability component of the tape as well as the system durability component being the taped insulating sheathing as the drainage plane. This measure guideline provides best practice and product recommendations from the interviewed contractors and homebuilders who collectively have a vast amount of experience. Three significant issues were discussed with the group, which are required to make taped insulating sheathing a simple, long-term, and durable drainage plane: horizontal joints should be limited or eliminated wherever possible; where a horizontal joint exists use superior materials; and frequent installation inspection and regular trade training are required to maintain proper installation.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Guidance for the Design and Adoption of Analytic Tools.

The goal is to make software developers aware of common issues that can impede the adoption of analytic tools. This paper provides a summary of guidelines, lessons learned and existing research to explain what is currently known about what analysts want and how to better understand what tools they do and don't need.

97 MATHEMATICS AND COMPUTING↗

Technical Basis for Electromagnetic Compatibility Regulatory Guidance Update

The objective of this report is to serve as the technical basis document for the next, planned revision of this RG that highlights and provides the rationale for the recommended changes. The structure of this document follows and summarizes the several assessment activities undertaken during the course of this project to evaluate new and updated electromagnetic compatibility (EMC) standards, testing methods and limits, and relevant technology developments being incorporated into plant activities that may have EMI/RFI implications, as well as other specific issues, including impacts of electrostatic discharge (ESD) on safety equipment and impacts on increased usage of wireless devices in nuclear power plants.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

Guidance on Radiochronometry

Radiochronometry is the measurement of radioactive materials and their decay products to determine the “age” of the material. It differs from the practice of geochronology in that the materials (samples) are man-made, and in that the timespan of interest is confined to the nuclear era, i.e., since the discovery of fission in 1939. In radiochronometry, the “age” of the material ideally records the time when the sample was manufactured, or produced in the final form that is analyzed in the laboratory. It is an important predictive signature in a nuclear forensic investigation which can help in the attribution to a source. The calculation of this “age” can only be made if a model is invoked that allows simplification of the parent radionuclide to daughter isotope decay equation. The simplification required for this model is that the parent was purified completely from all traces of its daughter product at the time of sample preparation. Then, this “age” should be described as the “model age” from which a “model date” in the past can then be calculated. For this model date to represent the date of sample preparation, two other assumptions are required to be true. The first is that the material has remained a closed system since that time (i.e., that there has been no loss or gain of either parent or daughter), and the second is that the analyses are accurate.

38 RADIATION CHEMISTRY, RADIOCHEMISTRY, AND NUCLEA↗

Nondestructive Examination Guidance for Dry Storage Casks

In this report, an assessment of NDE methods is performed for components of NUHOMS 80 and 102 dry storage system components in an effort to assist NRC staff with review of license renewal applications. The report considers concrete components associated with the horizontal storage modules (HSMs) as well as metal components in the HSMs. In addition, the report considers the dry shielded canister (DSC). Scope is limited to NDE methods that are considered most likely to be proposed by licensees. The document, ACI 349.3R, Evaluation of Existing Nuclear Safety-Related Concrete Structures, is used as the basis for the majority of the NDE methods summarized for inspecting HSM concrete components. Two other documents, ACI 228.2R, Nondestructive Test Methods for Evaluation of Concrete in Structures, and ORNL/TM-2007/191, Inspection of Nuclear Power Plant Structure--Overview of Methods and Related Application, supplement the list with additional technologies that are considered applicable. For the canister, the ASME B&PV Code is used as the basis for NDE methods considered, along with currently funded efforts through industry (Electric Power Research Institute [EPRI]) and the U.S. Department of Energy (DOE) to develop inspection technologies for canisters. The report provides a description of HSM and DSC components with a focus on those aspects of design considered relevant to inspection. This is followed by a brief description of other concrete structural components such as bridge decks, dams, and reactor containment structures in an effort to facilitate comparison between these structures and HSM concrete components and infer which NDE methods may work best for certain HSM concrete components based on experience with these other structures. Brief overviews of the NDE methods are provided with a focus on issues and influencing factors that may impact implementation or performance. An analysis is performed to determine which NDE methods are most applicable to specific components.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗