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At least 343 records · Page 19

Active Breathing Control in Combination With Ultrasound Imaging: A Feasibility Study of Image Guidance in Stereotactic Body Radiation Therapy of Liver Lesions

Purpose: Accurate tumor positioning in stereotactic body radiation therapy (SBRT) of liver lesions is often hampered by motion and setup errors. We combined 3-dimensional ultrasound imaging (3DUS) and active breathing control (ABC) as an image guidance tool. Methods and Materials: We tested 3DUS image guidance in the SBRT treatment of liver lesions for 11 patients with 88 treatment fractions. In 5 patients, 3DUS imaging was combined with ABC. The uncertainties of US scanning and US image segmentation in liver lesions were determined with and without ABC. Results: In free breathing, the intraobserver variations were 1.4 mm in left-right (L-R), 1.6 mm in superior-inferior (S-I), and 1.3 mm anterior-posterior (A-P). and the interobserver variations were 1.6 mm (L-R), 2.8 mm (S-I), and 1.2 mm (A-P). The combined uncertainty of US scanning and matching (inter- and intraobserver) was 4 mm (1 SD). The combined uncertainty when ABC was used reduced by 1.7 mm in the S-I direction. For the L-R and A-P directions, no significant difference was observed. Conclusion: 3DUS imaging for IGRT of liver lesions is feasible, although using anatomic surrogates in the close vicinity of the lesion may be needed. ABC-based breath-hold in midventilation during 3DUS imaging can reduce the uncertainty of US-based 3D table shift correction.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Proton Therapy as Salvage Treatment for Local Relapse of Prostate Cancer Following Cryosurgery or High-Intensity Focused Ultrasound

Purpose: Local recurrence of prostate cancer after cryosurgery (CS) and high-intensity focused ultrasound (HIFU) is an emerging problem for which optimal management is unknown. Proton therapy (PT) may offer advantages over other local therapeutic options. This article reviews a single institution's experience using PT for salvage of local recurrent disease after HIFU or CS. Methods and Materials: We reviewed the medical records of 21 consecutive patients treated with salvage PT following a local recurrence of prostate cancer after CS (n=12) or HIFU (n=9) between January 2007 and July 2014. Patients were treated to a median dose of 74 Gy(relative biological effectiveness [RBE]; range: 74-82 Gy[RBE]) and 8 patients received androgen deprivation therapy with radiation therapy. Patients were evaluated for quality of life (QOL) by using the Expanded Prostate Index Composite questionnaire and toxicity by using Common Terminology Criteria for Adverse Events, version 3.0, weekly during treatment, every 6 months for 2 years after treatment, and then annually. Results: Median follow-up was 37 months (range: 6-95 months). The 3-year biochemical progression-free survival (bPFS) rate was 77%. The 3-year grade 3 toxicity rate was 17%; however, 2 of these patients had pre-existing grade 3 GU toxicities from their HIFU/CRYO prior to PT. At 1 year, bowel summary, urinary incontinence, and urinary obstructive QOL scores declined, but only the bowel QOL score at 12 months met the minimally important difference threshold. Conclusions: PT achieved a high rate of bPFS with acceptable toxicity and minimal changes in QOL scores compared with baseline pre-PT functions. Although most patients have done fairly well, the study size is small, follow-up is short, and early results suggest that outcomes with PT for salvage after HIFU or CS failure are inferior to outcomes with PT given in the de novo setting with respect to disease control, toxicity, and QOL.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Magnetic Resonance–Guided High-Intensity Focused Ultrasound Hyperthermia for Recurrent Rectal Cancer: MR Thermometry Evaluation and Preclinical Validation

Purpose: To evaluate the feasibility of magnetic resonance–guided high-intensity focused ultrasound (MR-HIFU) mild hyperthermia in deep tissue targets for enhancing radiation therapy and chemotherapy in the context of recurrent rectal cancer. A preclinical study was performed to evaluate the safety and performance of MR-HIFU mild hyperthermia. A prospective imaging study was performed in volunteers with rectal cancer to evaluate MR thermometry quality near the rectum and accessibility of rectal tumors using MR-HIFU. Methods and Materials: Mild hyperthermia was performed in pig thigh (9 sonications, 6 pigs) using a clinical MR-HIFU system. Targets near the rectal wall and deep thigh were evaluated. Thermal maps obtained in 6 planes every 3.2 seconds were used to control sonications in 18-mm diameter treatment regions at temperatures of 42°C to 42.5°C for 10 to 60 minutes. Volunteer imaging-only studies to assess the quality of MR thermometry (without heating) were approved by the institutional research ethics board. Anatomic and MR thermometry images were acquired in consenting volunteers with rectal cancer. In 3 of 6 study participants, rectal filling with saline was used to reduce motion-related MR thermometry artifacts near the tumor. Results: In pigs, mean target temperature matched the desired hyperthermia temperature within 0.2°C; temporal standard deviation ≤0.5°C. With optimized control thresholds, no undesired tissue damage was observed. In human volunteers, MR temperature measurements had adequate precision and stability, especially when rectal filling was used to reduce bowel motion. Conclusions: In pigs, MR-HIFU can safely deliver mild hyperthermia (41°C-43°C) to a targeted volume for 30 minutes. In humans, careful patient selection and preparation will enable adequate targeting for recurrent rectal cancers and sufficient MR temperature mapping stability to control mild hyperthermia. These results enable human trials of MR-HIFU hyperthermia.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Ultrasound-Mediated Gemcitabine Delivery Reduces the Normal-Tissue Toxicity of Chemoradiation Therapy in a Muscle-Invasive Bladder Cancer Model

Chemoradiation therapy is the standard of care in muscle-invasive bladder cancer (MIBC). Although agents such as gemcitabine can enhance tumor radiosensitivity, their side effects can limit patient eligibility and treatment efficacy. This study investigates ultrasound and microbubbles for targeting gemcitabine delivery to reduce normal-tissue toxicity in a murine orthotopic MIBC model.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Focused Ultrasound-Mediated Blood-Brain Barrier Opening Increases Delivery and Efficacy of Etoposide for Glioblastoma Treatment

Glioblastoma (GBM) is a devastating disease. With the current treatment of surgery followed by chemoradiation, outcomes remain poor, with median survival of only 15 months and a 5-year survival rate of 6.8%. A challenge in treating GBM is the heterogeneous integrity of the blood-brain barrier (BBB), which limits the bioavailability of systemic therapies to the brain. There is a growing interest in enhancing drug delivery by opening the BBB with the use of focused ultrasound (FUS). We hypothesize that an FUS-mediated BBB opening can enhance the delivery of etoposide for a therapeutic benefit in GBM.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

A Feasibility Study on the Role of Ultrasound Imaging of Bladder Volume as a Method to Improve Concordance of Bladder Filling Status on Treatment with Simulation

Accurate positioning of the prostate is of paramount importance to ensure optimal target coverage and normal tissue sparing in stereotactic ablative body radiation when large doses per fraction are delivered with tight margins around the prostate. Bladder and rectal filling play an important part in controlling the accuracy of a patient's setup and therefore the overall toxicities and outcomes. The aim of this study was to establish the value of characterizing patients' bladder filling kinetics at the time of simulation with ultrasound scans so that a predictive model can be used to ensure that a bladder volume at treatment would match at simulation.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Elastic moduli reduction in SiC-SiC tubular specimen after high heat flux neutron irradiation measured by resonant ultrasound spectroscopy

The initial results of a post-irradiation examination study conducted on a SiC-SiC tubular specimen irradiated under a high radial heat flux are presented herein. The elastic properties of the specimen were evaluated before and after the irradiation using the resonant ultrasound spectroscopy (RUS) technique. The composite tubular specimen was considered as an orthotropic elastic with nine elastic constants (Young's moduli, shear moduli and Poisson's ratios—three components of each) for representing its full elastic deformation behavior. All the elastic moduli decreased after irradiation; the reduction was as high as 35% in one of the moduli. The significant decrease in the moduli indicates the presence of microcracks. The results from a computational study show significant stress development in the specimen due to irradiation, primarily caused by differential swelling across the thickness of the specimen. The evaluated stresses exceed the proportional limit stress of the material, indicating the likelihood of matrix microcracking, and thus corroborating the results obtained from RUS. X-ray Computed Tomography (XCT) study confirmed the presence of cracks in the irradiated specimen. These cracks occurred at the inner region of the specimen and propagated in axial and hoop directions. Finally, these XCT results are in agreement with the RUS results and stress distribution results from the computational study.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

In situ monitoring of microstructure evolution during thermal processing of uranium-zirconium alloys using laser-generated ultrasound

In this study, laser-generated ultrasound was used to monitor microstructure evolution during thermal processing of as-cast, polycrystalline binary uranium-zirconium metallic fuel alloys with compositions of U-20wt.%Zr (U-20Zr), U-50wt.%Zr (U-50Zr) and U-80wt.%Zr (U-80Zr). Ultrasonic waveforms were recorded during heating and cooling the samples from room temperature to >973 K and back. A phase transition temperature for all three compositions was estimated from the temperature at which an abrupt and rapid reduction in ultrasonic velocities was observed. Microstructural features on the length scale of tens of micrometers were inferred from the observation of scattering of ultrasonic waves by elastic heterogeneities above ~823 K in U-20Zr, while a hysteresis in the ultrasonic velocities of U-80Zr upon cooling was attributed to a partial retention of the high temperature phase following thermal annealing. The U-50Zr alloy exhibited a reversible viscoelastic response above 933 K, as evidenced by the observation of high frequency attenuation of the shear component of the waveforms at high temperature. Ultrasonic measurements were supplemented by in situ transmission electron microscopy (TEM). The TEM images revealed that the δ-U-Zr matrix in the three compositions underwent a spinodal decomposition above ~823 K into nanoscale regions. The ultrasonic measurements revealed larger, micron-scale structure evolution in the U-20Zr alloy at the same temperature. This large-scale structure is associated with heterogeneous regions having different Zr content. Our findings show the potential heating rate dependence of microstructural evolution in U-Zr alloys and highlight differences in the thermomechanical response and associated length scales during thermal annealing between single- and dual-phase compositions. These results demonstrate the utility of laser ultrasonics to rapidly and efficiently scan phase boundaries and monitor micrometer-scale structure evolution in metallic fuel alloys.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Effects of ultrasound-related variables on sonochemically synthesized SAPO-34 nanoparticles

The sonochemical method was developed to synthesize uniform SAPO-34 (silicoaluminophosphate molecular sieve) nanoparticles with high crystallinity using TEAOH as a structure-directing agent (SDA). The physicochemical characteristics of SAPO-34 products, i.e. crystallinity, particle size and shape can be controlled by varying the ultrasonic-related variable such as ultrasound power intensity, ultrasonic irradiation time, sonication temperature and geometrical characteristics of the ultrasonic device (e.g., sonotrode size). The products were characterized by XRD, SEM, TEM and BET. It is found that each of the parameters can play a significant role in acoustic cavitation, number of nuclei and the crystal growth. The experimental data establish that the crystallinity is related to ultrasonic intensity and diameter of the sonotrode, as well as sonication temperature. By increasing the ultrasonic power, duration and the sonication temperature, the mean sizes of particles decrease and the morphology of the products efficiently alters from spherical aggregates of cube type SAPO-34 particles to uniform spherical nanoparticles. - Graphical abstract: Increasing US power by increasing either US power intensity or the sonotrode diameter leads to smaller particle size and the morphology changes from spherical aggregates of cubic particles to uniform nanospheres. Highlights: • Effects of ultrasonic parameters on sonochemical synthesis of SAPO-34 nanoparticles. • The higher crystallinity by increasing ultrasonic power, duration and sonication temperature. • The morphology changes from spherical aggregates of cubic particles to uniform nanospheres. • Decreasing the particle size by increasing ultrasonic power, duration and sonication temperature.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Ultrasound assisted sonochemically engineered effective red luminescent labeling agent for high resolution visualization of latent fingerprints

Highlights: • BaTiO{sub 3}:Eu{sup 3+} NPs were prepared by facile bio-template assisted sonochemical route. • The obtained samples displayed superstructures of various regular morphological shapes. • The optimized product was used for forensic and anti-counterfeiting applications. • CIE, CCT studies indicate the present phosphor was highly useful in LED’s. - Abstract: Nanoscience and technology finds wide range of benefits in the area of surface based science due to its nano size and high surface area. This offers new potentials in surface-based science comprising latent fingerprint (LFP) and to develop luminescent ink for anti-counterfeiting applications. Due to high backward hindrance, low sensitivity, complicated setup, and poor universality of traditionally developed techniques were main drawbacks for the visualization of LFPs. To overcome these problems, we explored the superstructures (SS) of europium ions doped BaTiO{sub 3} nanophosphors (NPs) prepared via sonochemical route with bio-template as surfactant for the detection of LFPs and as an anti-counterfeiting ink. The morphologies of SS were highly dependent on the concentration of Aloe vera (A.V.) gel as well as ultrasound irradiation time. The obtained SS displayed pure red emission which corresponds to the {sup 5}D{sub 0} → {sup 7}F{sub J} transitions of Eu{sup 3+} ions under UV light. The results clearly evident that the optimized BaTiO{sub 3}:Eu{sup 3+} NPs will create a new prospect for research in LFPs visualization and anti-counterfeiting technology.

77 NANOSCIENCE AND NANOTECHNOLOGY↗

Dosimetric differences between intraoperative and postoperative plans using Cs-131 in transrectal ultrasound–guided brachytherapy for prostatic carcinoma

The aim of the study was to investigate the differences between intraoperative and postoperative dosimetry for transrectal ultrasound–guided transperineal prostate implants using cesium-131 ({sup 131}Cs). Between 2006 and 2010, 166 patients implanted with {sup 131}Cs had both intraoperative and postoperative dosimetry studies. All cases were monotherapy and doses of 115 were prescribed to the prostate. The dosimetric properties (D{sub 90}, V{sub 150}, and V{sub 100} for the prostate) of the studies were compared. Two conformity indices were also calculated and compared. Finally, the prostate was automatically sectioned into 6 sectors (anterior and posterior sectors at the base, midgland, and apex) and the intraoperative and postoperative dosimetry was compared in each individual sector. Postoperative dosimetry showed statistically significant changes (p < 0.01) in every dosimetric value except V{sub 150}. In each significant case, the postoperative plans showed lower dose coverage. The conformity indexes also showed a bimodal frequency distribution with the index indicating poorer dose conformity in the postoperative plans. Sector analysis revealed less dose coverage postoperatively in the base and apex sectors with an increase in dose to the posterior midgland sector. Postoperative dosimetry overall and in specific sectors of the prostate differs significantly from intraoperative planning. Care must be taken during the intraoperative planning stage to ensure complete dose coverage of the prostate with the understanding that the final postoperative dosimetry will show less dose coverage.

61 RADIATION PROTECTION AND DOSIMETRY↗

Measuring the elastic tensor of a monolithic SiC hollow cylinder with resonant ultrasound spectroscopy

Resonant Ultrasound Spectroscopy (RUS) has become a standard tool in material science to measure nondestructively the elastic properties of materials. The widespread adoption of this tool for applications related to nondestructive testing and structural health monitoring in the industry and other places has been restricted thus far by some requirements imposed by RUS on the sample to be tested, in particular the fact that the sample geometry should be relatively simple (e.g., cuboid, cylinder, or sphere). Here, we use RUS to determine the baseline material properties of a hollow cylinder made of monolithic SiC, a surrogate material and geometry representing nuclear fuel cladding for this study. Typically, elastic properties of the nuclear fuel cladding samples are inspected destructively (e.g., indentation) or with acoustic techniquesrequiring multiple and cumbersome measurements. Here, a relatively new RUS approach specifically developed to measure the elastic tensor of samples with arbitrary geometries is used. The results obtained from this RUS approach are compared to values reported in the literature. As a second verification step, vibrational mode shapes computed numerically with the elastic constants are compared to those measured on the sample using a 3D laser Doppler vibrometer, showing an excellent agreement.

36 MATERIALS SCIENCE↗

Nonlinear resonant ultrasound spectroscopy of stress corrosion cracking in stainless steel rods

Stainless steel containers are susceptible to stress corrosion cracking (SCC) under certain stress and corrosion conditions. Nonlinear ultrasonic techniques are very sensitive to the early presence of damage, more so than linear techniques. Nonlinear Resonant Ultrasound Spectroscopy (NRUS) is used here to measure a nonlinear shift in the resonance frequency due to a cumulative amount of SCC. Steel rods are immersed in a heated magnesium chloride solution and removed after different exposure times. NRUS measurements are conducted using the fundamental longitudinal mode of vibration. Rods exposed longer generally have a larger resonance frequency shift and are therefore more nonlinear. Thus NRUS might offer a means of detecting a cumulative SCC damage in a sample.

36 MATERIALS SCIENCE↗

Resonant ultrasound spectroscopy measurement and modeling of additively manufactured octet truss lattice cubes

In this work, the elastic characteristics of additively manufactured Ti-5553 octet truss lattice cubes were examined using resonant ultrasound spectroscopy (RUS) techniques and correlated to X-ray computed tomography measurements of strut continuity. RUS models and measurements identified an outlier lattice possessing lower effective modulus despite larger effective density. Here, experimental measurements of density and effective Young's modulus were treated as input parameters in a homogenous anisotropic continuum model. The continuum model exhibited good agreement with experimental RUS measurements, thus confirming the potential for a simplified approximation of the octet truss lattice.

42 ENGINEERING↗

Laser-based ultrasound interrogation of surface and sub-surface features in advanced manufacturing materials

Abstract Structures formed by advanced manufacturing methods increasingly require nondestructive characterization to enable efficient fabrication and to ensure performance targets are met. This is especially important for aerospace, military, and high precision applications. Surface acoustic waves (SAW) generated by laser-based ultrasound can detect surface and sub-surface defects relevant for a broad range of advanced manufacturing processes, including laser powder bed fusion (LPBF). In particular, an all-optical SAW generation and detection configuration can effectively interrogate laser melt lines. Here we report on scattered acoustic energy from melt lines, voids, and surface features. Sub-surface voids are also characterized using X-ray Computed Tomography (CT). High resolution CT results are presented and compared with SAW measurements. Finite difference simulations inform experimental measurements and analysis.

36 MATERIALS SCIENCE↗