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At least 487 records · Page 27

Clinical–Pathologic Stage Discrepancy in Bladder Cancer Patients Treated With Radical Cystectomy: Results From the National Cancer Data Base

Purpose: To examine the accuracy of clinical staging and its effects on outcome in bladder cancer (BC) patients treated with radical cystectomy (RC), using a large national database. Methods and Materials: A total of 16,953 patients with BC without distant metastases treated with RC from 1998 to 2009 were analyzed. Factors associated with clinical–pathologic stage discrepancy were assessed by multivariate generalized estimating equation models. Survival analysis was conducted for patients treated between 1998 and 2004 (n=7270) using the Kaplan-Meier method and Cox proportional hazards models. Results: At RC 41.9% of patients were upstaged, whereas 5.9% were downstaged. Upstaging was more common in females, the elderly, and in patients who underwent a more extensive lymphadenectomy. Downstaging was less common in patients treated at community centers, in the elderly, and in Hispanics. Receipt of preoperative chemotherapy was highly associated with downstaging. Five-year overall survival rates for patients with clinical stages 0, I, II, III, and IV were 67.2%, 62.9%, 50.4%, 36.9%, and 27.2%, respectively, whereas those for the same pathologic stages were 70.8%, 75.8%, 63.7%, 41.5%, and 24.7%, respectively. On multivariate analysis, upstaging was associated with increased 5-year mortality (hazard ratio [HR] 1.80, P<.001), but downstaging was not associated with survival (HR 0.88, P=.160). In contrast, more extensive lymphadenectomy was associated with decreased 5-year mortality (HR 0.76 for ≥10 lymph nodes examined, P<.001), as was treatment at an National Cancer Institute–designated cancer center (HR 0.90, P=.042). Conclusions: Clinical–pathologic stage discrepancy in BC patients is remarkably common across the United States. These findings should be considered when selecting patients for preoperative or nonoperative management strategies and when comparing the outcomes of bladder sparing approaches to RC.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Practical Implications of the Publication of Consensus Guidelines by the American Society for Radiation Oncology: Accelerated Partial Breast Irradiation and the National Cancer Data Base

Purpose: To examine utilization trends of accelerated partial breast irradiation (APBI) in the American College of Surgeons' National Cancer Database and changes in APBI use after the 2009 publication of the American Society for Radiation Oncology (ASTRO) guidelines. Methods and Materials: A total of 399,705 women were identified who were diagnosed from 2004 to 2011 with nonmetastatic invasive breast cancer or ductal carcinoma in situ who were treated with breast-conserving surgery and radiation therapy to the breast. Patients were divided by the type of treatment received (whole breast irradiation or APBI) and by suitability to receive APBI as defined by the ASTRO guidelines. Logistic regression was applied to study APBI use overall and within guideline categorization, and a multivariable model was created to determine predictors of treatment with brachytherapy-based APBI based on guideline categorization. Results: For all patients, APBI use increased, from 3.8% in 2004 to 10.6% in 2011 (P<.0001). Overall rates of APBI utilization were higher among “suitable” than “cautionary”/“unsuitable” patients (14.8% vs 7.1%, P<.0001). The majority of APBI treatment was delivered using brachytherapy, for which use peaked in 2008. Starting in 2009, among “suitable” patients, utilization of APBI via brachytherapy plateaued, whereas for “cautionary”/“unsuitable” patients, treatment with brachytherapy-based APBI declined and then plateaued. Conclusion: Use of APBI across all patient groups increased from 2004 through 2008. After publication of the ASTRO APBI guidelines in 2009, rates of brachytherapy-based APBI treatment plateaued among “suitable” patients and declined and then plateaued among “cautionary”/“unsuitable” patients. Our study highlights how large national databases can be used to assess national trends in radiation use in response to the publication of guidelines.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

An Ethernet-based Data Acquisition System for the NIFFTE Time Projection Chamber

The goal of the NIFFTE Collaboration is to make neutron-induced fission cross section measurements to better than 1% total uncertainty, improving on the current ENDF values particularly for neutron energies belows 14 MeV. To that end, they are developing a time projection chamber (TPC) to directly measure the fission products from targets placed in a neutron beam at LANSCE.

Wood, L.↗

A scaler-based data acquisition system for measuring parity-violating asymmetry in deep inelastic scattering

An experiment that measured the parity violating asymmetries in deep inelastic scattering was completed at the Thomas Jefferson National Accelerator Facility in experimental Hall A. From these asymmetries, a combination of the quark weak axial charge could be extracted with a factor of five improvement in precision over world data. To achieve this, asymmetries at the 10^-4 level needed to be measured at event rates up to 500 kHz and the high pion background typical to deep inelastic scattering experiments needed to be rejected efficiently. A specialized data acquisition (DAQ) system with intrinsic particle identification (PID) was successfully developed and used: The pion contamination in the electron samples was controlled at the order of 2 × 10^-4 or below with an electron efficiency of higher than 91% throughout the production period of the experiment, the systematic uncertainty in the measured asymmetry due to DAQ deadtime was below 0.2%, and the statistical quality of the asymmetry measurement agreed with the Gaussian distribution to over five orders of magnitudes. The DAQ system is presented here with an emphasis on its design scheme, the achieved PID performance, deadtime effect and the capability of measuring small asymmetries.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Data-based and secure switched cyber–physical systems

In this work, we develop a completely model-free moving target defense framework for the detection and mitigation of sensor and/or actuator attacks in cyber–physical systems with dynamics that evolve in discrete-time. We incorporate an intrusion detection mechanism based on an approximate dynamic programming technique that learns the policies for optimal regulation and optimal tracking while simultaneously defending against actuator and sensor attacks in a model-free fashion. Switching rules are leveraged to force proactive and reactive defense mechanisms as well as, guarantee the stability of the equilibrium point. Finally, as a case study, we apply the proposed moving target defense framework to a DC–DC converter that is used in electric vehicles.

42 ENGINEERING↗

Bandgap widening in thermochromic Mg-doped VO{sub 2} thin films: Quantitative data based on optical absorption

Thermochromic Mg-doped VO{sub 2} films were deposited by reactive direct current magnetron sputtering onto heated glass and carbon substrates. Elemental compositions were inferred from Rutherford backscattering. Optical bandgaps were obtained from spectral transmittance and reflectance measurements—from both the film side and the back side of the samples—and ensuing determination of absorption coefficients. The bandgap of Mg-doped films was found to increase by 3.9 ± 0.5 eV per unit of atom ratio Mg/(Mg + V) for 0 < Mg/(Mg + V) < 0.21. The presence of ∼0.45 at. % Si enhanced the bandgap even more.

36 MATERIALS SCIENCE↗

Development of Labview based data acquisition and multichannel analyzer software for radioactive particle tracking system

A DAQ (data acquisition) software called RPTv2.0 has been developed for Radioactive Particle Tracking System in Malaysian Nuclear Agency. RPTv2.0 that features scanning control GUI, data acquisition from 12-channel counter via RS-232 interface, and multichannel analyzer (MCA). This software is fully developed on National Instruments Labview 8.6 platform. Ludlum Model 4612 Counter is used to count the signals from the scintillation detectors while a host computer is used to send control parameters, acquire and display data, and compute results. Each detector channel consists of independent high voltage control, threshold or sensitivity value and window settings. The counter is configured with a host board and twelve slave boards. The host board collects the counts from each slave board and communicates with the computer via RS-232 data interface.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

LSTM-Based Data Integration to Improve Snow Water Equivalent Prediction and Diagnose Error Sources

Accurate prediction of snow water equivalent (SWE) can be valuable for water resource managers. Recently, deep learning methods such as long short-term memory (LSTM) have exhibited high accuracy in simulating hydrologic variables and can integrate lagged observations to improve prediction, but their benefits were not clear for SWE simulations. Here we tested an LSTM network with data integration (DI) for SWE in the western United States to integrate 30-day-lagged or 7-day-lagged observations of either SWE or satellite-observed snow cover fraction (SCF) to improve future predictions. SCF proved beneficial only for shallow-snow sites during snowmelt, while lagged SWE integration significantly improved prediction accuracy for both shallow- and deep-snow sites. The median Nash–Sutcliffe model efficiency coefficient (NSE) in temporal testing improved from 0.92 to 0.97 with 30-day-lagged SWE integration, and root-mean-square error (RMSE) and the difference between estimated and observed peak SWE values d max were reduced by 41% and 57%, respectively. DI effectively mitigated accumulated model and forcing errors that would otherwise be persistent. Moreover, by applying DI to different observations (30-day-lagged, 7-day-lagged), we revealed the spatial distribution of errors with different persistent lengths. For example, integrating 30-day-lagged SWE was ineffective for ephemeral snow sites in the southwestern United States, but significantly reduced monthly-scale biases for regions with stable seasonal snowpack such as high-elevation sites in California. These biases are likely attributable to large interannual variability in snowfall or site-specific snow redistribution patterns that can accumulate to impactful levels over time for nonephemeral sites. These results set up benchmark levels and provide guidance for future model improvement strategies.

54 ENVIRONMENTAL SCIENCES↗

Multimachine data–based prediction of high-frequency sensor signal noise for resistive wall mode control in ITER

The high-frequency noise measured by magnetic sensors, at levels above the typical frequency of resistive wall modes, is analyzed across a range of present tokamak devices including DIII-D, JET, MAST, ASDEX Upgrade, JT-60U, and NSTX. A high-pass filter enables identification of the noise component with Gaussian-like statistics that shares certain common characteristics in all devices considered. A conservative prediction is made for ITER plasma operation of the high-frequency noise component of the sensor signals, to be used for resistive wall mode feedback stabilization, based on the multimachine database. The predicted root-mean-square n = 1 (n is the toroidal mode number) noise level is 10 4 to 10 5 G/s for the voltage signal, and 0.1 to 1 G for the perturbed magnetic field signal. The lower cutoff frequency of the Gaussian pickup noise scales linearly with the sampling frequency, with a scaling coefficient of about 0.1. As a result, these basic noise characteristics should be useful for the modeling-based design of the feedback control system for the resistive wall mode in ITER.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Community Based Data of Uranium Adsorption onto Quartz

This data upload includes a compilation of experiments for quantifying uranium adsorption onto quartz. The provided .csv file has been compiled from the literature in a findable, accessible, interoperable, reusable (FAIR) data format. This was accomplished using the Lawrence Livermore National Laboratory Surface Complexation Database Converter (SCDC) code written in the R programming language (free licensing available at https://ipo.llnl.gov/technologies/software/llnl-surface-complexation-database-converter-scdc). This constitutes all current data compiled on uranium-quartz interactions in the L-SCIE (LLNL Surface Complexation/Ion Exchange) database (as of 02/28/2022). This data was used to develop surface complexation models that fit the global community dataset (https://doi.org/10.1021/acs.est.1c07109). The FAIR-formatted dataset also enables the implementation of alternative machine-learning approaches that can be explored in the future.

54 ENVIRONMENTAL SCIENCES↗