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At least 361 records · Page 20

SU-E-T-442: Sensitivity of Quality Assurance Tools to Delivery Errors On a Magnetic Resonance-Imaging Guided Radiation Therapy (MR-IGRT) System

Purpose: To test the sensitivity of the quality assurance (QA) tools actively used on a clinical MR-IGRT system for potential delivery errors. Methods: Patient-specific QA procedures have been implemented for a commercially available Cobalt-60 MR-IGRT system. The QA tools utilized were a MR-compatible cylindrical diode-array detector (ArcCHECK) with a custom insert which positions an ionization chamber (Exradin A18) in the middle of the device, as well as an in-house treatment delivery verification program. These tools were tested to investigate their sensitivity to delivery errors. For the ArcCHECK and ion chamber, a baseline was established with a static field irradiation to a known dose. Variations of the baseline were investigated which included rotated gantry, altered field size, directional shifts, and different delivery time. In addition, similar variations were tested with the automated delivery verification program that compared the treatment parameters in the machine delivery logs to the ones in the plan. To test the software, a 3-field conformal plan was generated as the baseline. Results: ArcCHECK noted at least a 13% decrease in passing rate from baseline in the following scenarios: gantry rotation of 1 degree from plan, 5mm change in field size, 2mm lateral shift, and delivery time decrease. Ion chamber measurements remained consistent for these variations except for the 5 second decrease in delivery time scenario which resulted in an 8% difference from baseline. The delivery verification software was able to detect and report the simulated errors such as when the gantry was rotated by 0.6 degrees, the beam weighting was changed by a percent, a single multileaf collimator was moved by 1cm, and the dose was changed from 2 to 1.8Gy. Conclusion: The results show that the current tools used for patient specific QA are capable of detecting small errors in RT delivery with presence of magnetic field.

60 APPLIED LIFE SCIENCES↗

The Alabama Energy Code Compliance Project

The U.S. Department of Energy (DOE) Building Energy Codes Program launched a series of research studies in 2014 across eight U.S. states (shown in Figure 1) to investigate typical energy efficiency practices in residential buildings and identify opportunities to reduce household utility bills. A primary goal of the study was to help document baseline practices for new single-family construction, target areas for improvement relative to the state energy code, and quantify the related savings potential. This information is intended to assist states in measuring compliance with their energy codes and to identify areas of focus for future education and training initiatives. Following the original baseline studies, project teams in each state conducted a series of education, training, and outreach activities aimed at improving compliance with the state residential energy code. A second baseline study was then implemented in each state with the objective of determining whether the investment in education, training, and outreach programs had produced a significant and measurable change in statewide residential energy use. Through the program, DOE planned to establish a sufficient data set to represent baseline construction trends across states and detect significant changes in energy use resulting from education and training activities. This report outlines the application of the study in the state of Alabama, which was led by the Institute for Market Transformation (IMT). Data gathered have been submitted to Pacific Northwest National Laboratory (PNNL) for analysis. Findings available to date are published as PNNL technical reports on the DOE Building Energy Codes Program website.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Development of a Macro-Batch Qualification Strategy for the Hanford Tank Waste Treatment and Immobilization Plant

The Savannah River National Laboratory (SRNL) has evaluated the existing waste feed qualification strategy for the Hanford Tank Waste Treatment and Immobilization Plant (WTP) based on experience from the Savannah River Site (SRS) Defense Waste Processing Facility (DWPF) waste qualification program. The current waste qualification programs for each of the sites are discussed in the report to provide a baseline for comparison. Recommendations on strategies are then provided that could be implemented at Hanford based on the successful Macrobatch qualification strategy utilized at SRS to reduce the risk of processing upsets or the production of a staged waste campaign that does not meet the processing requirements of the WTP. Considerations included the baseline WTP process, as well as options involving Direct High Level Waste (HLW) and Low Activity Waste (LAW) processing, and the potential use of a Tank Waste Characterization and Staging Facility (TWCSF). The main objectives of the Hanford waste feed qualification program are to demonstrate compliance with the Waste Acceptance Criteria (WAC), determine waste processability, and demonstrate unit operations at a laboratory scale. Risks to acceptability and successful implementation of this program, as compared to the DWPF Macro-Batch qualification strategy, include: Limitations of mixing/blending capability of the Hanford Tank Farm; The complexity of unit operations (i.e., multiple chemical and mechanical separations processes) involved in the WTP pretreatment qualification process; The need to account for effects of blending of LAW and HLW streams, as well as a recycle stream, within the PT unit operations; and The reliance on only a single set of unit operations demonstrations with the radioactive qualification sample. This later limitation is further complicated because of the 180-day completion requirement for all of the necessary waste feed qualification steps. The primary recommendations/changes include the following: Collection and characterization of samples for relevant process analytes from the tanks to be blended during the staging process; Initiation of qualification activities earlier in the staging process to optimize the campaign composition through evaluation from both a processing and glass composition perspective; Definition of the parameters that are important for processing in the WTP facilities (unit operations) across the anticipated range of wastes and as they relate to qualification-scale equipment; Performance of limited testing with simulants ahead of the waste feed qualification sample demonstration as needed to determine the available processing window for that campaign; and Demonstration of sufficient mixing in the staging tank to show that the waste qualification sample chemical and physical properties are representative of the transfers to be made to WTP. Potential flowcharts for derivatives of the Hanford waste feed qualification process are also provided in this report. While these recommendations are an extension of the existing WTP waste qualification program, they are more in line with the processes currently performed for SRS. The implementation of these processes at SRS has been shown to offer flexibility for processing, having identified potential processing issues ahead of the qualification or facility processing, and having provided opportunity to optimize waste loading and throughput in the DWPF.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Measuring and Increasing Residential Energy Code Compliance in Texas (Final Techincal Report)

The U.S. Department of Energy (DOE) Building Energy Codes Program launched a series of research studies in 2014 across several U.S. states to investigate typical energy efficiency practices in residential buildings and identify opportunities to reduce household utility bills. A primary goal of the study was to help document baseline practices in new single-family construction, target areas for improvement relative to the state energy code, and quantify related savings potential. This information was intended to assist states in measuring energy compliance with their codes and to identify areas of focus for future education and training initiatives. Following the original baseline studies, project teams in each state conducted a series of education, training and outreach activities aimed at improving compliance with the state residential energy code. A second baseline study was then implemented in each state with the objective of determining whether the investment in education, training and outreach programs had produced a significant and measurable change in statewide residential energy use. Through the program, DOE planned to establish a sufficient data set to represent baseline construction trends across states and detect significant changes in energy use resulting from education and training activities.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

DOE-RCT-0003641 Final Technical Report

This program studied novel concepts for an Axial Flux Reluctance Machine to capture energy from marine hydrokinetic sources and compared their attributes to a Radial Flux Reluctance Machine which was designed under a prior Department of Energy program for the same application. Detailed electromagnetic and mechanical analyses were performed to determine the validity of the concept and to provide a direct comparison with the existing conventional Radial Flux Switched Reluctance Machine designed during the Advanced Wave Energy Conversion Project, DE-EE0003641. The alternate design changed the machine topology so that the flux that is switched flows axially rather than radially and the poles themselves are long radially, as opposed to the radial flux machine that has pole pieces that are long axially. It appeared possible to build an axial flux machine that should be considerably more compact than the radial machine. In an “apples to apples” comparison, the same rules with regard to generating magnetic force and the fundamental limitations of flux density hold, so that at the heart of the machine the same torque equations hold. The differences are in the mechanical configuration that limits or enhances the change of permeance with rotor position, in the amount of permeable iron required to channel the flux via the pole pieces to the air-gaps, and in the sizing and complexity of the electrical winding. Accordingly it was anticipated that the magnetic component weight would be similar but that better use of space would result in a shorter machine with accompanying reduction in housing and support structure. For the comparison the pole count was kept the same at 28 though it was also expected that the radial tapering of the slots between pole pieces would permit a higher pole count machine, enabling the generation of greater power at a given speed in some future design. The baseline Radial Flux Machine design was established during the previous DOE program. Its characteristics were tabulated for use in comparing to the Axial Flux Machine. Three basic conceptual designs for the Axial Flux Machine were considered: (1) a machine with a single coil at the inner diameter of the machine, (2) a machine with a single coil at the outside diameter of the machine, and (3) a machine with a coil around each tooth. Slight variations of these basic configurations were considered during the study. Analysis was performed on these configurations to determine the best candidate design to advance to preliminary design, based on size, weight, performance, cost and manufacturability. The configuration selected as the most promising was the multi-pole machine with a coil around each tooth. This configuration provided the least complexity with respect to the mechanical configuration and manufacturing, which would yield the highest reliability and lowest cost machine of the three options. A preliminary design was performed on this selected configuration. For this first ever axial design of the multi rotor configuration the 'apples to apples' comparison was based on using the same length of rotor pole as the axial length of rotor pole in the radial machine and making the mean radius of the rotor in the axial machine the same as the air gap radius in the radial machine. The tooth to slot ratio at the mean radius of the axial machine was the same as the tooth to slot ratio of the radial machine. The comparison between the original radial flux machine and the new axial flux machine indicates that for the same torque, the axial flux machine diameter will be 27% greater, but it will have 30% of the length, and 76% of the weight. Based on these results, it is concluded that an axial flux reluctance machine presents a viable option for large generators to be used for the capture of wave energy. In the analysis of Task 4, below, it is pointed out that our selection of dimensional similarity for the 'apples to apples' comparison did not produce an optimum axial flux design. There is torque capability to spare, implying we could reduce the magnetic structure, but the winding area, constrained by the pole separation at the inner pole radius has a higher resistance than desirable, implying we need more room for copper. The recommendation is to proceed via one cycle of optimization and review to correct this unbalance and then proceed to a detailed design phase to produce manufacturing drawings, followed by the construction of a prototype to test the performance of the machine against predicted results.

16 TIDAL AND WAVE POWER↗

The DUNE Science Program

The international collaboration designing and constructing the Deep Underground Neutrino Experiment (DUNE) at the Long-Baseline Neutrino Facility (LBNF) has developed a two-phase strategy for the implementation of this leading-edge, large-scale science project. The 2023 report of the US Particle Physics Project Prioritization Panel (P5) reaffirmed this vision and strongly endorsed DUNE Phase I and Phase II, as did the previous European Strategy for Particle Physics. The construction of DUNE Phase I is well underway. DUNE Phase II consists of a third and fourth far detector module, an upgraded near detector complex, and an enhanced > 2 MW beam. The fourth FD module is conceived as a 'Module of Opportunity', aimed at supporting the core DUNE science program while also expanding the physics opportunities with more advanced technologies. The DUNE collaboration is submitting four main contributions to the 2026 Update of the European Strategy for Particle Physics process. This submission to the 'Neutrinos and cosmic messengers', 'BSM physics' and 'Dark matter and dark sector' streams focuses on the physics program of DUNE. Additional inputs related to DUNE detector technologies and R&D, DUNE software and computing, and European contributions to Fermilab accelerator upgrades and facilities for the DUNE experiment, are also being submitted to other streams.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Technical Basis for PNNL Beryllium Inventory

The Department of Energy (DOE) issued Title 10 of the Code of Federal Regulations Part 850, “Chronic Beryllium Disease Prevention Program” (the Beryllium Rule) in 1999 and required full compliance by no later than January 7, 2002. The Beryllium Rule requires the development of a baseline beryllium inventory of the locations of beryllium operations and other locations of potential beryllium contamination at DOE facilities. The baseline beryllium inventory is also required to identify workers exposed or potentially exposed to beryllium at those locations. Prior to DOE issuing 10 CFR 850, Pacific Northwest Nuclear Laboratory (PNNL) had documented the beryllium characterization and worker exposure potential for multiple facilities in compliance with DOE’s 1997 Notice 440.1, “Interim Chronic Beryllium Disease.” After DOE’s issuance of 10 CFR 850, PNNL developed an implementation plan to be compliant by 2002. In 2014, an internal self-assessment (ITS #E-00748) of PNNL’s Chronic Beryllium Disease Prevention Program (CBDPP) identified several deficiencies. One deficiency is that the technical basis for establishing the baseline beryllium inventory when the Beryllium Rule was implemented was either not documented or not retrievable. In addition, the beryllium inventory itself had not been adequately documented and maintained since PNNL established its own CBDPP, separate from Hanford Site’s program. This document reconstructs PNNL’s baseline beryllium inventory as it would have existed when it achieved compliance with the Beryllium Rule in 2001 and provides the technical basis for the baseline beryllium inventory.

Beryllium, 10 CFR 850↗

How Management and Leadership Training Can Impact a Health System: Evaluation Findings From a Public Health Management Training Program in Cambodia

In 2017, the National Institute of Public Health in Cambodia collaborated with the U.S. Centers for Disease Control and Prevention to provide management and leadership training for 20 managers and senior staff from 10 health centers. We conducted a mixed methods evaluation of the program's outcomes and impact on the graduates and health centers. From June 2018 (baseline) to January 2019 (endpoint), we collected data from a competency assessment, observational visits, and interviews. From baseline to endpoint, all 20 participants reported increased competence in seven management areas. Comparing baseline and endpoint observational visits, we found improvements in leadership and governance, health workforce, water, sanitation, and hygiene, and health centers' use of medical products and technologies. When evaluating the improvements made by participants against the World Health Organization's key components of a well-functioning health system, the program positively contributed toward building four of the six components—leadership and governance, health information systems, human resources for health, and service delivery. While these findings are specific to the context of Cambodian health centers, we hope this evaluation adds to the growing body of research around the impact of skilled public health management on health systems.

60 APPLIED LIFE SCIENCES↗

THE NUCLEAR SPECTROSCOPIC TELESCOPE ARRAY (NuSTAR) HIGH-ENERGY X-RAY MISSION

The Nuclear Spectroscopic Telescope Array (NuSTAR) mission, launched on 2012 June 13, is the first focusing high-energy X-ray telescope in orbit. NuSTAR operates in the band from 3 to 79 keV, extending the sensitivity of focusing far beyond the {approx}10 keV high-energy cutoff achieved by all previous X-ray satellites. The inherently low background associated with concentrating the X-ray light enables NuSTAR to probe the hard X-ray sky with a more than 100-fold improvement in sensitivity over the collimated or coded mask instruments that have operated in this bandpass. Using its unprecedented combination of sensitivity and spatial and spectral resolution, NuSTAR will pursue five primary scientific objectives: (1) probe obscured active galactic nucleus (AGN) activity out to the peak epoch of galaxy assembly in the universe (at z {approx}< 2) by surveying selected regions of the sky; (2) study the population of hard X-ray-emitting compact objects in the Galaxy by mapping the central regions of the Milky Way; (3) study the non-thermal radiation in young supernova remnants, both the hard X-ray continuum and the emission from the radioactive element {sup 44}Ti; (4) observe blazars contemporaneously with ground-based radio, optical, and TeV telescopes, as well as with Fermi and Swift, to constrain the structure of AGN jets; and (5) observe line and continuum emission from core-collapse supernovae in the Local Group, and from nearby Type Ia events, to constrain explosion models. During its baseline two-year mission, NuSTAR will also undertake a broad program of targeted observations. The observatory consists of two co-aligned grazing-incidence X-ray telescopes pointed at celestial targets by a three-axis stabilized spacecraft. Deployed into a 600 km, near-circular, 6 Degree-Sign inclination orbit, the observatory has now completed commissioning, and is performing consistent with pre-launch expectations. NuSTAR is now executing its primary science mission, and with an expected orbit lifetime of 10 yr, we anticipate proposing a guest investigator program, to begin in late 2014.

79 ASTRONOMY AND ASTROPHYSICS↗

FAST-1.0.1 User Installation and Verification Guide

The purpose of this document is to provide the user information about the installation of FAST-1.0.1 on their computers or servers. General information about the code and supported operating systems is described in Section 1.0.1. Self-service oriented FAST-1.0.1 software licensing steps are described in Section 2.0. An installation verification test suite is provided with FAST-1.0.1 and described in Section 3.0. A convenience script for converting FRAPCON to FAST inputs is discussed in Section 4.0. FAST-1.0.1 was developed and released under a software quality assurance program based upon NQA-1-2017. FAST-1.0.1 is the latest baseline code and the result of a bug fixes to FAST-1.0 with other software and methodology developments. The installation verification test suite contains both steady state and transient Anticipated Operation Occurrences (AOOs). Capability to model accident conditions, such as Reactivity Initiated Accidents (RIAs) and Loss Of Coolant Accidents (LOCAs), are targeted for a later release of FAST. FRAPTRAN-2.0 will continue to be used for accident conditions until the release of FAST with accident condition modeling capabilities.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

First Measurement of the Flux-Averaged Differential Charged-Current Electron-Neutrino and Antineutrino Cross Section on Argon with the MicroBooNE Detector

The MicroBooNE experiment uses a liquid argon time projection chamber (LArTPC) located at Fermilab, Chicago. MicroBooNE is able to detect neutrinos from two accelerators: on-axis from the Booster Neutrino Beam (BNB) and off-axis from the Neutrinos at the Main Injector (NuMI). While one of the primary objectives of the MicroBooNE experiment is to search for short-baseline neutrino oscillations using the BNB, it also has a rich program of R\&D, neutrino-argon cross section measurements and beyond the standard model searches. This thesis presents a detailed study of the off-axis neutrino flux from the NuMI beam at MicroBooNE as well as measurements of the charged current flux-averaged total and differential electron neutrino and antineutrino cross section on argon using this beam. The data used in these measurements was taken during the first year of MicroBooNE running while the NuMI beam was in forward horn current mode. These are the first high statistics measurement s of ele ctron neutrino argon interactions and include the first measurement of this cross section as a function of the outgoing electron energy and with full angular coverage. The measurement is compared to the GENIE and NuWro generators and shows consistency with both.

Mistry, Krishan Jitesh↗

DUNE Physics Program and Status

The Deep Underground Neutrino Experiment (DUNE) is a next-generation long-baseline neutrino experiment with a 70-kt liquid argon detector at the Sanford Underground Research Facility (SURF) 1300 km from Fermilab. This programme includes studies of neutrino oscillations with a high-intensity muon-neutrino beam from Fermilab; as well as, proton decay and supernova neutrino burst searches. DUNE will resolve the neutrino mass hierarchy to a precision of 5σ, for all δ$_{CP}$ values, after 2 years of running with the nominal detector design and beam configuration. It has the potential to observe charge-parity violation in the neutrino sector to a precision of 3σ (5σ) after an exposure of 5 (10) years, for 50% of all δ$_{CP}$ values. The status and schedule of the project is also presented.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Industry Application ECCS / LOCA Integrated Cladding/Emergency Core Cooling System Performance: Demonstration of LOTUS-Baseline Coupled Analysis of the South Texas Plant Model

Under the auspices of the DOE LWRS Program RISMC Industry Application ECCS/LOCA, INL has engaged staff from both South Texas Project (STP) and the Texas A&M University (TAMU) to produce a generic pressurized water reactor (PWR) model including reactor core, clad/fuel design and systems thermal hydraulics based on the South Texas Project (STP) nuclear power plant, a 4-Loop Westinghouse PWR. A RISMC toolkit, named LOCA Toolkit for the U.S. (LOTUS), has been developed for use in this generic PWR plant model to assess safety margins for the proposed NRC 10 CFR 50.46c rule, Emergency Core Cooling System (ECCS) performance during LOCA. This demonstration includes coupled analysis of core design, fuel design, thermalhydraulics and systems analysis, using advanced risk analysis tools and methods to investigate a wide range of results. Within this context, a multi-physics best estimate plus uncertainty (MPBEPU) methodology framework is proposed.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

Status of the Muon-Neutrino-Induced Charged Current Pion Production Measurement with NOvA

NOvA is a world-leading long-baseline neutrino oscillation experiment. Its two-detector design allows for a rich physics program to be carried out. In particular, we can take advantage of the intense NuMI beam produced at Fermilab to perform systematics-limited neutrino-nucleus cross-section measurements. Pion production in GeV-scale neutrino-nucleus interactions is a predominant process and measuring it is important for NOvA and future long-baseline experiments. This poster will present the status of the measurement of the differential cross section of muon-neutrino-induced charged pion production using interactions in the NOvA near detector, as well as some of the techniques developed to perform this analysis.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Irradiation and PIE of alloys X-750 and XM-19 (EPRI Phase III)

The Nuclear Science User Facilities (NSUF) based at Idaho National Laboratory (INL), along with the Electric Power Research Institute (EPRI), formed an agreement to test representative alloys used as reactor structural materials as a pilot program to establish guidelines for future NSUF research programs. This report contains results from the portion of this program established as Phase III (of three phases), entailing irradiation and post-irradiation examination of select alloys typical of boiling water reactor (BWR) internal structural materials. Phases I and II are the subject of separate reports and represent baseline material test results and irradiation experiment design, respectively. The intent of this Phase III research program is to determine properties for the materials of interest after being irradiated at the Advanced Test Reactor (ATR) to three different target fast (E>1MeV) fluences: 5.0 x 10¹⁹ n/cm², 2.0 x 10²⁰ n/cm², and 1.0 x 10²¹ n/cm². These correspond to irradiation damage levels (displacements per atom [dpa]) of approximately 0.08, 0.30, and 1.4 dpa, which represent comparable levels to (a) a previous study which looked at X-750 irradiated to ~1 x 10¹⁹ n/cm², comparable to the lowest fluence; (b) approximately a medium level of fluence for BWR components; and (c) extended life (60 – 80 years) for BWR components. The materials chosen for this research are the nickel-based alloy X-750 and austenitic stainless steel XM-19. A spare core shroud upper support bracket of alloy X-750 was purchased by EPRI from Southern Co., and a section of XM-19 plate was purchased by EPRI from GE-Hitachi. These materials were sectioned at GE Global Research Center (GE-GRC), and parts were provided to INL for use in this pilot project.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

Irradiation and PIE of alloys X-750 and XM-19 (EPRI Phase III)

The Nuclear Science User Facilities (NSUF) based at Idaho National Laboratory (INL), along with the Electric Power Research Institute (EPRI), formed an agreement to test representative alloys used as reactor structural materials as a pilot program to establish guidelines for future NSUF research programs. This report contains results from the portion of this program established as Phase III (of three phases), entailing irradiation and post-irradiation examination of select alloys typical of boiling water reactor (BWR) internal structural materials. Phases I and II are the subject of separate reports and represent baseline material test results and irradiation experiment design, respectively. The intent of this Phase III research program is to determine properties for the materials of interest after being irradiated at the Advanced Test Reactor (ATR) to three different target fast (E>1MeV) fluences: 5.0 x 10¹⁹ n/cm², 2.0 x 10²⁰ n/cm², and 1.0 x 10²¹ n/cm². These correspond to irradiation damage levels (displacements per atom [dpa]) of approximately 0.08, 0.30, and 1.4 dpa, which represent comparable levels to (a) a previous study which looked at X-750 irradiated to ~1 x 10¹⁹ n/cm², comparable to the lowest fluence; (b) approximately a medium level of fluence for BWR components; and (c) extended life (60 – 80 years) for BWR components. The materials chosen for this research are the nickel-based alloy X-750 and austenitic stainless steel XM-19. A spare core shroud upper support bracket of alloy X-750 was purchased by EPRI from Southern Co., and a section of XM-19 plate was purchased by EPRI from GE-Hitachi. These materials were sectioned at GE Global Research Center (GE-GRC), and parts were provided to INL for use in this pilot project.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

SU-F-P-04: Implementation of Dose Monitoring Software: Successes and Pitfalls

Purpose: to successfully install a dose monitoring software (DMS) application to assist in CT protocol and dose management. Methods: Upon selecting the DMS, we began our implementation of the application. A working group composed of Medical Physics, Radiology Administration, Information Technology, and CT technologists was formed. On-site training in the application was supplied by the vendor. The decision was made to apply the process for all the CT protocols on all platforms at all facilities. Protocols were painstakingly mapped to the correct masters, and the system went ‘live’. Results: We are routinely using DMS as a tool in our Clinical Performance CT QA program. It is useful in determining the effectiveness of revisions to existing protocols, and establishing performance baselines for new units. However, the implementation was not without difficulty. We identified several pitfalls and obstacles which frustrated progress. Including: Training deficiencies, Nomenclature problems, Communication, DICOM variability. Conclusion: Dose monitoring software can be a potent tool for QA. However, implementation of the program can be problematic and requires planning, organization and commitment.

60 APPLIED LIFE SCIENCES↗