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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 451 records · Page 25
All sourcesNASA NTRSDOE OSTI
DOE OSTI2011

Clinical Implications of the Tumor Volume Reduction Rate in Head-and-Neck Cancer During Definitive Intensity-Modulated Radiotherapy for Organ Preservation

Purpose: To investigate the prognostic value of the volume reduction rate (VRR) in patients with head-and-neck cancer treated with intensity-modulated radiotherapy (IMRT). Methods and Materials: Seventy-six patients with oropharyngeal cancer (OPC) and another 76 with hypopharyngeal cancer (HPC) were enrolled in volumetric analysis. All patients received allocated radiotherapy courses. Adaptive computed tomography was done 4 to 5 weeks after the start of IMRT. Primary tumor volume measurement was derived using separate images for the pretreatment gross tumor volume (pGTV) and the interval gross tumor volume. Results: In the OPC group, the pGTV ranged from 6.6 to 242.6 mL (mean, 49.9 mL), whereas the value of the VRR ranged from 0.014 to 0.74 (mean, 0.43). In HPC patients, the pGTV ranged from 4.1 to 152.4 mL (mean, 35.6 mL), whereas the VRR ranged from -1.15 to 0.79 (mean, 0.33). Multivariate analysis of the primary tumor relapse-free survival for OPC revealed three prognostic factors: T4 tumor (p = 0.0001, hazard ratio 7.38), pGTV {>=}20 mL (p = 0.01, hazard ratio 10.61), and VRR <0.5 (p = 0.001, hazard ratio 6.49). Multivariate analysis of the primary tumor relapse-free survival for HPC showed two prognostic factors: pGTV {>=}30 mL (p = 0.001, hazard ratio 2.87) and VRR <0.5 (p = 0.03, hazard ratio 2.25). Conclusion: The VRR is an outcome predictor for local control in OPC and HPC patients treated with IMRT. Those with large tumor volumes or a VRR <0.5 should be considered for a salvage operation or a dose-escalation scheme.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2011

Postradiation Metabolic Tumor Volume Predicts Outcome in Head-and-Neck Cancer

Purpose: To explore the prognostic value of metabolic tumor volume measured on postradiation {sup 18}F-fluorodeoxyglucose positron emission tomography (PET) imaging in patients with head-and-neck cancer. Methods and Materials: Forty-seven patients with head-and-neck cancer who received pretreatment and posttreatment PET/computed tomography (CT) imaging along with definitive chemoradiotherapy were included in this study. The PET/CT parameters evaluated include the maximum standardized uptake value, metabolic tumor volume (MTV{sub 2.0}-MTV{sub 4.0}; where MTV{sub 2.0} refers to the volume above a standardized uptake value threshold of 2.0), and integrated tumor volume. Kaplan-Meier and Cox regression models were used to test for association between PET endpoints and disease-free survival and overall survival. Results: Multiple postradiation PET endpoints correlated significantly with outcome; however, the most robust predictor of disease progression and death was MTV{sub 2.0}. An increase in MTV{sub 2.0} of 21cm{sup 3} (difference between 75th and 25th percentiles) was associated with an increased risk of disease progression (hazard ratio [HR]= 2.5, p = 0.0001) and death (HR = 2.0, p = 0.003). In patients with nonnasopharyngeal carcinoma histology (n = 34), MTV{sub 2.0} <18 cm{sup 3} and MTV{sub 2.0} {>=}18 cm{sup 3} yielded 2-year disease-free survival rates of 100% and 63%, respectively (p = 0.006) and 2-year overall survival rates of 100% and 81%, respectively (p = 0.009). There was no correlation between MTV{sub 2.0} and disease-free survival or overall survival with nasopharyngeal carcinoma histology (n = 13). On multivariate analysis, only postradiation MTV{sub 2.0} was predictive of disease-free survival (HR = 2.47, p = 0.0001) and overall survival (HR = 1.98, p = 0.003). Conclusions: Postradiation metabolic tumor volume is an adverse prognostic factor in head-and-neck cancer. Biomarkers such as MTV are important for risk stratification and will be valuable in the future with risk-adapted therapies.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2011

Effect of Breast Volume on Treatment Reproducibility on a Tomotherapy Unit in the Treatment of Breast Cancer

Purpose: To determine whether the volume of a patient's breast is correlated with reliable daily setup in treatment of breast cancer with a helical tomotherapy treatment unit. Methods and Materials: Thirty-six consecutive patients with breast cancer were treated on a helical tomotherapy unit. During simulation, kilovoltage CT images were obtained for treatment planning. These were fused with daily megavoltage CT scans, and after setup based on skin marks and laser alignment the necessary shifts were carried out. The magnitude of daily shifts (in millimeters) was retrospectively obtained from the daily image fusions, and the breast volume was obtained from the treatment plan. A total of 873 fusion scans were reviewed. Random error for absolute and directional daily shifts was evaluated for correlation to volume. Variation over time was also evaluated. Results: Mean (SD) random shift for all patients in the lateral, longitudinal, and vertical directions was 2.7 (2.0), 3.1 (1.5), and 3.2 (2.6) mm, respectively. Mean (SD) absolute distance shifted was 6.0 (3.5) mm. There was no significant correlation between mean absolute or mean directional daily shift and breast volume (0.08, 0.08, 0.22, and 0.07, respectively). There was no correlation between setup variation and time. Conclusions: In this cohort, there was no correlation between breast volume and degree of daily shift. There was no correlation between time course and setup variation. Therefore, setup variation does not improve or degrade with repeated treatment setups.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2020

Free volume manipulation of a 6FDA-HAB polyimide using a solid-state protection/deprotection strategy

We report tert-butoxycarbonyl (t-BOC) is a thermally labile moiety that can be used to protect hydroxyl groups on polymers. In this study, t-BOC was appended onto a polyimide consisting of 2,2'-bis-(3,4-dicarboxyphenyl) hexafluoropropane dianhydride (6FDA) and 3,3'-dihydroxy-4,4'-diamino-biphenyl (HAB), after which the polymer was formed into self-standing films. Solid-state thermal treatments were performed to systematically remove t-BOC moieties to alter the physical packing structure and concomitant gas transport properties of the polymer. Despite performing deprotection reactions well below the glass transition temperature of 6FDA-HAB (~300 °C), this free volume manipulation (FVM) approach produced only subtle differences in polymer density, fractional free volume, average free volume element size, and gas transport properties relative to the unprotected polymer. While these findings suggest that thermally removing covalently bound functional groups from polymer films can be used to manipulate free volume and gas transport performance for glassy polymers, more robust polymer systems than linear polyimides are required to preserve the nascent free volume architecture generated from this approach.

36 MATERIALS SCIENCE↗
DOE OSTI2017

Electrolyte volume effects on electrochemical performance and solid electrolyte interphase in Si-graphite/NMC lithium-ion pouch cells

This study aims to explore the correlations between electrolyte volume, electrochemical performance, and properties of the solid electrolyte interphase in pouch cells with Si-graphite composite anodes. The electrolyte is 1.2 M LiPF 6 in ethylene carbonate:ethylmethyl carbonate with 10 wt.% fluoroethylene carbonate. Single layer pouch cells (100 mAh) were constructed with 15 wt.% Si-graphite/LiNi 0.5 Mn 0.3 CO 0.2 O 2 electrodes. It is found that a minimum electrolyte volume factor of 3.1 times the total pore volume of cell components (cathode, anode, and separator) is needed for better cycling stability. Less electrolyte causes increases in ohmic and charge transfer resistances. Lithium dendrites are observed when the electrolyte volume factor is low. The resistances from the anodes become significant as the cells are discharged. As a result, solid electrolyte interphase thickness grows as the electrolyte volume factor increases and is non-uniform after cycling.

25 ENERGY STORAGE↗
DOE OSTI2018

Retrievals of Arctic Sea-Ice Volume and Its Trend Significantly Affected by Interannual Snow Variability

We estimate the uncertainty of satellite-retrieved Arctic sea-ice thickness, sea-ice volume, and their trends stemming from the lack of reliable snow-thickness observations. To illustrate, we simulate a Cryosat2-type ice-thickness retrieval in an ocean-model simulation forced by atmospheric reanalysis, pretending that only freeboard is known as model output. We then convert freeboard to sea-ice thickness using different snow climatologies and compare the resulting sea-ice thickness retrievals to each other and to the real sea-ice thickness of the reanalysis-forced simulation. We postulate that different snow climatologies cause significant differences in the obtained ice thickness and ice volume. Moreover, we show that Arctic ice-volume trends derived from ice-thickness retrievals using any snow-depth climatology are highly unreliable because the estimated trend in ice volume can strongly be influenced by the neglected interannual variability in snow volume.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2014

Note: Nonpolar solute partial molar volume response to attractive interactions with water

The impact of attractive interactions on the partial molar volumes of methane-like solutes in water is characterized using molecular simulations. Attractions account for a significant 20% volume drop between a repulsive Weeks-Chandler-Andersen and full Lennard-Jones description of methane interactions. The response of the volume to interaction perturbations is characterized by linear fits to our simulations and a rigorous statistical thermodynamic expression for the derivative of the volume to increasing attractions. While a weak non-linear response is observed, an average effective slope accurately captures the volume decrease. This response, however, is anticipated to become more non-linear with increasing solute size.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗
DOE OSTI2025

On MCNP Stochastic Volume Estimation Normalization

This paper resolves a perennial point of confusion regarding the source-weighting normalization factor recommended in the MCNP manual (𝜋⁢𝑟 2 ) to stochastically estimate the volume of a region within an enclosing inward-directed spherical surface source with radius 𝑟. The normalization factor arises from the relationship between a sphere’ s mean chord length, its volume, and the values estimated by MCNP track-length tallies. A brief derivation is given that relates these quantities and results in the stated normalization. The correctness of this factor is demonstrated by estimating the volume of a variety of convex and nonconvex volumes. A heuristic demonstration of how biasing the inward-directed source reduces the statistical uncertainty of the stochastic volume estimate is also given, but a rigorous analysis of this improvement is left as future work.

42 ENGINEERING↗
NASA NTRS2023

Strategic Deconfliction of Small Unmanned Aircraft Using Operational Volume Blocks at Crossing Waypoints

In this research, first, analytical case studies are performed to understand the parameters on which the minimum temporal separation between unmanned aircraft at crossing waypoints is dependent for enabling strategic deconfliction. The analytical expressions show that the minimum temporal separation is a function of the length and width of operational volume blocks, the relative positions of the active operational volume blocks, groundspeed of unmanned aircraft, and the incoming crossing angle. Next, the parametric study shows that the impact of the incoming crossing angle on the minimum temporal separation at a crossing waypoint increases with an increase in the width of the operational volume blocks. Finally, simulation studies are performed to understand the impact of operational volume block sizing, on-demand departure rate, minimum departure time separation, and the incoming crossing angle on the average ground delay of unmanned aircraft traveling on two routes with a single crossing waypoint and identical on-demand departure rate. Each unmanned aircraft’s estimated time of arrival at a crossing waypoint is adjusted by introducing a ground delay in departure time; no other controls (e.g., speed adjustments) are applied for strategic deconfliction. Simulation studies show that the impact of the minimum temporal separation at a crossing waypoint on the average ground delay of flights is negligible if the minimum departure time separation is at least two times the minimum temporal separation. Therefore, with an increase in minimum departure time separation at a depot, the impact of increased length of operational volume blocks enclosing the crossing waypoint on the ground delay is offset to an extent.

Operational intent↗
NASA NTRS2023

Strategic Deconfliction of Small Unmanned Aircraft Using Operational Volume Blocks at Crossing Waypoints

In this research, first, analytical case studies are performed to understand the parameters on which the minimum temporal separation between unmanned aircraft at crossing waypoints is dependent for enabling strategic deconfliction. The analytical expressions show that the minimum temporal separation is a function of the length and width of operational volume blocks, the relative positions of the active operational volume blocks, groundspeed of unmanned aircraft, and the incoming crossing angle. Next, the parametric study shows that the impact of the incoming crossing angle on the minimum temporal separation at a crossing waypoint increases with an increase in the width of the operational volume blocks. Finally, simulation studies are performed to understand the impact of operational volume block sizing, on-demand departure rate, minimum departure time separation, and the incoming crossing angle on the average ground delay of unmanned aircraft traveling on two routes with a single crossing waypoint and identical on-demand departure rate. Each unmanned aircraft’s estimated time of arrival at a crossing waypoint is adjusted by introducing a ground delay in departure time; no other controls (e.g., speed adjustments) are applied for strategic deconfliction. Simulation studies show that the impact of the minimum temporal separation at a crossing waypoint on the average ground delay of flights is negligible if the minimum departure time separation is at least two times the minimum temporal separation. Therefore, with an increase in minimum departure time separation at a depot, the impact of increased length of operational volume blocks enclosing the crossing waypoint on the ground delay is offset to an extent.

Operational Intent↗
DOE OSTI2019

The Effect of Heat Treatment and the Volume Fraction of the Alpha Phase on the Workability of Ti-5Al-5Mo-5V-3Cr Alloy

Ti-5Al-5Mo-5V-3Cr (Ti-5553) is a metastable beta titanium alloy with high hardenability, good ductility, and high strength. Different microstructures with different volume fractions and distribution of α phase can be produced in this alloy by suitable heat treatment. In this study, the workability of this alloy has been determined as a function of the volume fraction of α phase in the microstructure. Workability is an important parameter indicating the ability of the material to be deformed without the occurrence of fracture. Specimens with three different volume fractions of alpha phase were produced using suitable heat treatments. Two different volume fractions of α (approx 3 and 23%) were obtained by air and furnace cooling, respectively, after solutionizing at 877 °C, i.e., 25 °C above the beta transus temperature. The third specimen with approximately 18% volume fraction of α was obtained by solutionizing at 800 °C for 4 h, followed by water quenching. Workability was investigated by conducting upsetting tests on cylindrical specimens with varying height-to-diameter ratios. Workability limit diagrams have been obtained as a function of axial and hoop strains at fracture. The workability for the furnace cooled specimens was found to be very poor compared to the other two specimens. The results were evaluated using four popular ductile fracture criteria, and the values of critical damage constants at fracture initiation have been calculated using the experimental upsetting test data. The theoretical fracture strains were estimated using the critical constants obtained for all the four ductile fracture criteria and were compared with experimental test data. The Cockroft and Latham, Brozzo et al., and Oh et al. showed close agreement with the experimental values and therefore can be used as ductile fracture criteria for this alloy.

36 MATERIALS SCIENCE↗
DOE OSTI2019

Volume-based glucose metabolic analysis of FDG PET/CT: The optimum threshold and conditions to suppress physiological myocardial uptake

Objective: FDG PET/CT plays a significant role in the diagnosis of inflammatory heart diseases and cardiac tumors. We attempted to determine the optimal FDG uptake threshold for volume-based analyses and to evaluate the relationship between the myocardial physiological uptake volume in FDG PET and several clinical factors. Methods: A total of 190 patients were retrospectively analyzed. The cardiac metabolic volume (CMV) was defined as a volume within the boundary determined by a threshold (SUVmean of blood pool × 1.5). Results: The SUVmean of the blood pool measured in the descending aorta (DA) (r = 0.86, intraclass correlation coefficient [ICC] = 0.93, P < 0.0001) and that in the left ventricle (LV) cavity (r = 0.87, ICC = 0.90, P < 0.0001) showed high inter-operator reproducibility. However, the SUVmean in the LV cavity showed a significant correlation with the CMV (P = 0.0002, r = 0.26). The CMV in the patients who fasted < 18 hours were significantly higher (49.7 ± 73.2 vs. 18.0 ± 53.8 mL, P = 0.0013) compared to the patients with > 18-hour fasting. The multivariate analysis demonstrated that only the fasting period > 18 hours was independently associated with CMV = 0. Conclusion: Our findings revealed that the DA is suitable to decide the threshold for the volume-based analysis. The fasting time was significantly associated with the cardiac FDG uptake.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2014

General volume sizing strategy for thermal storage system using phase change material for concentrated solar thermal power plant

With an auxiliary large capacity thermal storage using phase change material (PCM), Concentrated Solar Power (CSP) is a promising technology for high efficiency solar energy utilization. In a thermal storage system, a dual-media thermal storage tank is typically adopted in industry for the purpose of reducing the use of the heat transfer fluid (HTF) which is usually expensive. While the sensible heat storage system (SHSS) has been well studied, a dual-media latent heat storage system (LHSS) still needs more attention and study. The volume sizing of the thermal storage tank, considering daily cyclic operations, is of particular significance. In this paper, a general volume sizing strategy for LHSS is proposed, based on an enthalpy-based 1D transient model. One example was presented to demonstrate how to apply this strategy to obtain an actual storage tank volume. With this volume, a LHSS can supply heat to a thermal power plant with the HTF at temperatures above a cutoff point during a desired 6 hours of operation. This general volume sizing strategy is believed to be of particular interest for the solar thermal power industry.

14 SOLAR ENERGY↗
DOE OSTI2023

A combined ensemble-volume average homogenization method for lattice structures with defects under dynamic and static loading

In the study of lattices structures, both experiments and numerical simulations are often conducted with small samples. Using combined ensemble and volume averaging, this work introduces a method to extract a macroscopic constitutive response of a lattice material from numerical simulations performed in periodic domains. The domain size needed to obtain statistically accurate results is investigated. Similar to molecular dynamics, the concept of the virial stress is introduced after homogenized equations are derived using the ensemble averaging method. Under static conditions, the virial stress is shown to agree with the volume averaged solid stress. Using the homogenization method, constitutive relations for this stress can be obtained from systems with uniform strains. Application of such obtained constitutive relations to more general cases results in an error proportional to the square of the ratio between the lattice length scale and the macroscopic length scale. Taking advantage of this property, numerical simulations are performed in systems with a uniform gradient of the average velocity. The volume average method is then used to accelerate convergence when studying lattices with defects. To avoid the artificial numerical time scale from the size of a representative volume element divided by the wave speed, a numerical scheme is developed to enforce a spatially uniform velocity gradient within the computational domain while allowing fluctuations of the velocity or displacement to develop naturally. To account for probability distribution of lattice defects, the stress is calculated as the ensemble-volume averaged value. For dynamic systems, energy dissipation properties are also studied.

36 MATERIALS SCIENCE↗
DOE OSTI2012

Noninvasive Evaluation of Microscopic Tumor Extensions Using Standardized Uptake Value and Metabolic Tumor Volume in Non-Small-Cell Lung Cancer

Purpose: To prospectively evaluate whether maximal microscopic extensions (MEmax) correlate with maximal standardized uptake value (SUVmax) and metabolic tumor volume (MTV) at 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) images in non-small-cell lung cancer (NSCLC). Methods and Materials: Thirty-nine patients with Stage I-IIIA NSCLC underwent surgery after FDG-PET/CT scanning. SUVmax and MTV were calculated on the PET/CT images. The maximum linear distance from the tumor margin to the farthest extent of the tumor in every dimension was measured at the tumor section. The correlations among MEmax, SUVmax, MTV and other clinical pathologic parameters were analyzed. Results: MEmax for all patients had a significant correlation with SUVmax (r = 0.777, p = 0.008) and MTV (r = 0.724, p < 0.001). When expressed in terms of the probability of covering ME with respect to a given margin, we suggested that margins of 1.93 mm, 3.90 mm, and 9.60 mm for SUVmax {<=}5, 5-10, and >10 added to the gross tumor volume would be adequate to cover 95% of ME. Conclusions: This study demonstrated that tumors with high SUVmax and MTV have more MEmax and would therefore require more margin expansion from gross tumor volume to clinical target volume. FDG-PET/CT, especially for SUVmax, is promising and effective and merits additional study in noninvasive delimiting of the clinical target volume margin for NSCLC.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2011

The Effect of Pro-Qura Case Volume on Post-Implant Prostate Dosimetry

Purpose: To evaluate the effect of prostate brachytherapy case volume on postimplant dosimetric quality in Pro-Qura proctored programs. Methods and Materials: From August 1999 to December 2008, the computed tomography datasets for 6,600 prostate implants performed by 129 brachytherapists were submitted to Pro-Qura for dosimetric analysis. Brachytherapists were divided into three roughly equal-sized terciles based on total case volume. Postimplant computed tomography scans were obtained at a median of 30 days. Excellent target coverage was defined by a V100 {>=}90% and D90 {>=}100% minimum prescribed peripheral dose. To determine if the number of excellent implants improved with increasing case numbers, each brachytherapist's series of implants was bisected into early and late experience by a moveable critical point. Results: For the entire cohort, the mean V100 and D90 were 89.2% and 102.8%, respectively, with 47.7% of the implants scored as excellent. Brachytherapists in the highest-case tercile had a significantly greater fraction of excellent target coverage (57.9%) than did those in the two lower terciles (39.5% and 45.7%, p = 0.015). Twenty-one (25.6%) of the 82 brachytherapists with sufficient case volume for dosimetric improvement analyses demonstrated quality improvement over time. Although there was no significant difference between prostate volume and seed strength, the number of seeds used was significantly greater in adequate implants. Conclusions: The highest-volume brachytherapists were most likely to obtain excellent target coverage. We are encouraged that in general practice, nearly 48% of all implants were scored excellent. It is conceivable that with greater expert third-party involvement, an even greater percentage of cases with excellent target coverage will become reality.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2012

Dose-Volume Parameters Predict for the Development of Chest Wall Pain After Stereotactic Body Radiation for Lung Cancer

Purpose: Chest wall (CW) pain has recently been recognized as an important adverse effect of stereotactic body radiation therapy (SBRT) for non-small-cell lung cancer (NSCLC). We developed a dose-volume model to predict the development of this toxicity. Methods and Materials: A total of 126 patients with primary, clinically node-negative NSCLC received three to five fractions of SBRT to doses of 40-60 Gy and were prospectively followed. The dose-absolute volume histograms of two different definitions of the CW as an organ at risk (CW3cm and CW2cm) were examined for all 126 patients. Results: With a median follow-up of 16 months, the 2-year estimated actuarial incidence of Grade {>=} 2 CW pain was 39%. The median time to onset of Grade {>=} 2 CW pain (National Cancer Institute Common Terminology Criteria for Adverse Events, Version 3.0) was 9 months. There was no predictive advantage for biologically corrected dose over physical dose. Neither fraction number (p = 0.07) nor prescription dose (p = 0.07) were significantly correlated with the development of Grade {>=} 2 CW pain. Cox Proportional Hazards analysis identified significant correlation with a broad range of dose-volume combinations, with the CW volume receiving 30 Gy (V30) as one of the strongest predictors (p < 0.001). CW2cm consistently enabled better prediction of CW toxicity. When a physical dose of 30 Gy was received by more than 70 cm{sup 3} of CW2cm, there was a significant correlation with Grade {>=} 2 CW pain (p = 0.004). Conclusions: CW toxicity after SBRT is common and long-term follow-up is needed to identify affected patients. A volume of CW {>=} 70 cm{sup 3} receiving 30 Gy is significantly correlated with Grade {>=} 2 CW pain. We are currently applying this constraint at our institution for patients receiving thoracic SBRT. An actuarial atlas of our data is provided as an electronic supplement to facilitate data-sharing and meta-analysis relating to CW pain.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2012

Predicting Rectal and Bladder Overdose During the Course of Prostate Radiotherapy Using Dose-Volume Data From Initial Treatment Fractions

Purpose: To evaluate whether information from the initial fractions can determine which patients are likely to consistently exceed their planning dose-volume constraints during the course of radiotherapy for prostate cancer. Methods and Materials: Ten patients with high-risk prostate cancer were treated with helical tomotherapy to a dose of 60 Gy in 20 fractions. The prostate, rectum, and bladder were recontoured on their daily megavoltage computed tomography scans and the dose was recalculated. The bladder and rectal volumes (in mL) receiving {>=}100% and {>=}70% of the prescribed dose in each fraction and in the original plans were recorded. A fraction for which the difference between planned and delivered was more than 2 mL was considered a volume failure. Similarly if the difference in the planned and delivered maximum dose (D{sub max}) was {>=}1% for the rectum and bladder, the fraction was considered a dose failure. Each patient's first 3 to 5 fractions were analyzed to determine if they correctly identified those patients who would consistently fail (i.e., {>=}20% of fractions) during the course of their radiotherapy. Results: Six parameters were studied; the rectal volume (RV) and bladder volumes (BV) (in mL) received {>=}100% and {>=}70% of the prescribed dose and maximum dose to 2 mL of the rectum and bladder. This was given by RV{sub 100}, RV{sub 70}, BV{sub 100}, BV{sub 70}, RD{sub max}, and BD{sub max}, respectively. When more than 1 of the first 3 fractions exceed the planning constraint as defined, it accurately predicts consistent failures through the course of the treatment. This method is able to correctly identify the consistent failures about 80% (RV{sub 70}, BV{sub 100}, and RV{sub 100}), 90% (BV{sub 70}), and 100% (RD{sub max} and BD{sub max}) of the times. Conclusions: This study demonstrates the feasibility of a method accurately identifying patients who are likely to consistently exceed the planning constraints during the course of their treatment, using information from the first 3 to 5 fractions.

62 RADIOLOGY AND NUCLEAR MEDICINE↗