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At least 55 records · Page 3

Early Stage Hepatocellular Carcinomas Not Feasible for Ultrasound-Guided Radiofrequency Ablation: Comparison of Transarterial Chemoembolization Alone and Combined Therapy with Transarterial Chemoembolization and Radiofrequency Ablation

PurposeTo report the results of combined therapy with transarterial chemoembolization (TACE) and radiofrequency ablation (RFA) for early stage hepatocellular carcinoma (HCC) considered infeasible for ultrasound (US)-guided RFA in comparison with those of TACE monotherapy.MethodsFrom January 2007 through December 2010, 91 patients with early or very early stage HCC infeasible for US-guided RFA received either TACE alone (TACE group; n = 54) or TACE immediately followed by RFA (TACE–RFA group; n = 37) as a first-line treatment. 1-month tumor response, time to progression (TTP), and overall survival (OS) rates were calculated. Univariate and multivariate analyses were performed to identify prognostic factors.ResultsTACE–RFA group showed a better 1-month tumor response than TACE group (P < .001). The mean TTP was 29.7 ± 3.4 months (95 % confidence intervals [CIs] 23.0–36.5) in TACE group and 34.9 ± 2.8 months (95 % CIs 29.4–40.4) in TACE–RFA group. TACE–RFA group had a significantly longer TTP (P = .014). Cumulative 1-, 2-, and 3-year OS rates in the TACE and TACE–RFA groups were 91, 79, and 71 % and 100, 97, and 93 %, respectively (P = .008). Initial treatment of TACE was found to be the only significant risk factor for tumor progression and OS in multivariate analysis.ConclusionTACE–RFA combination therapy appears superior to TACE monotherapy in terms of 1-month tumor response, TTP, and OS when performed for early stage HCC infeasible for US-guided RFA.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Investigation of effect of solenoid magnet on emittances of ion beam from laser ablation plasma

A magnetic field can increase an ion current of a laser ablation plasma and is expected to control the change of the plasma ion current. However, the magnetic field can also make some fluctuations of the plasma and the effect on the beam emittance and the emission surface is not clear. To investigate the effect of a magnetic field, we extracted the ion beams under three conditions where without magnetic field, with magnetic field, and without magnetic field with higher laser energy to measure the beam distribution in phase space. Then we compared the relations between the plasma ion current density into the extraction gap and the Twiss parameters with each condition. We observed the effect of the magnetic field on the emission surface.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Development of the C{sup 6+} laser ablation ion source for the KEK digital accelerator

A laser ion source that provides a fully ionized carbon ion beam is under joint development at the High Energy Accelerator Research Organization and Brookhaven National Laboratory. Long-pulse (6 ns) and short-pulse (500 ps) laser systems were tested by using them to irradiate a graphite target. Notable differences between the systems were observed in these experiments. Preliminary experimental results, such as the charge-state spectrum, beam intensity, and stability, are discussed.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

High-density carbon ablator ignition path with low-density gas-filled rugby hohlraum

A recent low gas-fill density (0.6 mg/cc 4 He) cylindrical hohlraum experiment on the National Ignition Facility has shown high laser-coupling efficiency (>96%), reduced phenomenological laser drive corrections, and improved high-density carbon capsule implosion symmetry [Jones et al., Bull. Am. Phys. Soc. 59(15), 66 (2014)]. In this Letter, an ignition design using a large rugby-shaped hohlraum [Amendt et al., Phys. Plasmas 21, 112703 (2014)] for high energetics efficiency and symmetry control with the same low gas-fill density (0.6 mg/cc 4 He) is developed as a potentially robust platform for demonstrating thermonuclear burn. The companion high-density carbon capsule for this hohlraum design is driven by an adiabat-shaped [Betti et al., Phys. Plasmas 9, 2277 (2002)] 4-shock drive profile for robust high gain (>10) 1-D ignition performance and large margin to 2-D perturbation growth.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Electron temperature and electron number density measurements in laser ablation Z-pinch experiments of Al2O3

Aluminum oxide (Al2O3) plasma was generated using the Ti:Sapphire/Nd:glass laser and Z-pinch pulse-power generator at the University of Nevada, Reno, Nevada Terawatt Facility. To determine the electron temperature, we use the Boltzmann plot method for the transitions (Al III 4d 2D3/2 → 4p 2P1/2) at 451.2564 nm, (Al III 4d 2D5/2 → 4p 2P3/2) at 452.9194 nm, (Al III 4p 2P3/2 → 4s 2S1/2) at 569.6603, and (Al III 4p 2P1/2 → 4s 2S1/2) at 572.2728 nm. Simultaneously, Mach–Zehnder laser interferometry was used to measure the electron number density. We compared simulated spectra obtained from PrismSPECT with electron number density and temperature measurements, and the electron temperature was found to range from 1.8 to 2.8 eV, while the electron number density was found to range from 2.3 × 1017 to 6.9 × 1017 cm−3 early in the pinched plasma formation.

Dutra, E. C.↗

Laser ablation spectrometry for studies of uranium plasmas, reactor monitoring, and spent fuel safety

Nuclear security is one of the defining challenges of our time. Nuclear threats range from deliberate dispersal of radioactive material to contaminate the vital infrastructure to diversion and smuggling of special nuclear material for clandestine nuclear programs and nuclear terrorism, respectively. There is an associated need to develop and sustain the nuclear forensics capabilities, which requires the understanding of complex processes that occur in plasmas of nuclear materials. The area of nuclear safety has seen a resurgence of public interest, and there is a concomitant need to safely store used nuclear fuel and detect structural material failure in nuclear power systems, especially in innovative reactor designs envisioned for future adoption. Laser-produced plasmas are complicated extreme environments that can generate intense and rich, highly specific signatures of nuclear and radiological materials, which can then be explored in a wide range of applications. They include interdiction and rapid detection of nuclear materials, including their isotopic composition, detection over long distances, laboratory simulation of weapons effects, monitoring the condition of structural materials in dry cask storage containers, and novel instrumentation for nuclear power systems. We present a compilation of recent representative examples of the application of laser spectroscopy, and laser-induced breakdown spectroscopy in particular, to nuclear safety and security problems. A case is made that spectroscopic techniques based on laser-produced plasmas offer complementary, and sometimes unique, capabilities that motivate the continued exploration of their efficient production and understanding of the signatures they produce

(020.3260) Isotope shifts, (140.3440) Laser-induce↗

The Hugoniot and chemistry of ablator plastic below 100 GPa

The equation of state of glow discharge polymer (GDP) was measured to high precision using the two-stage light gas gun at Lawrence Livermore National Laboratory at pressures up to 70 GPa. Both absolute measurements and impedance matching techniques were used to determine the principal and secondary Hugoniots. GDP likely reacts at about 30 GPa, demonstrated by specific emission at 450 nm coupled with changes to the Hugoniot and reshock points. As a result of these reactions, the shock pressure in GDP evolves in time, leading to a possible decrease in pressure as compression increases, or negative compressibility, and causing complex pressure profiles within the plastic. Velocity wave profile variation was observed as a function of position on each shot, suggesting some internal variation of GDP may be present, which would be consistent with previous observations. The complex temporal and possibly structural evolution of GDP under shock compression suggests that calculations of compression and pressure based upon bulk or mean measurements may lead to artificially low pressures and high compressions. Evidence for this includes a large shift in calculating reshock pressures based on the reflected Hugoniot. These changes also suggest other degradation mechanisms for inertial confinement fusion implosions.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

A Novel CT to Cone-Beam CT Registration Method Enables Immediate Real-Time Intraprocedural Three-Dimensional Assessment of Ablative Treatments of Liver Malignancies

AimTo evaluate a novel contrast-enhanced cone-beam computed tomography (CE-CBCT) registration method for accurate immediate assessment of ablation outcomes.Materials and MethodsContrast-enhanced computed tomography (CECT) was registered with CE-CBCT by applying semiautomatic landmark registration followed by automatic affine and non-rigid registration to correct for respiratory phase differences and liver deformation. This scheme was retrospectively applied to 30 patients who underwent 38 percutaneous microwave liver ablations. Three datasets were obtained for each case: (1) conventional CECT scans 24 h before ablation, (2) intraprocedural CE-CBCT scans, and (3) CECT scans 24 h post-ablation. Using a five-point scale, two experienced radiologists qualitatively assessed registration quality, equivalence of CE-CBCT assessment of ablation outcome to 24 h post-ablation CECT, and perceived increase of confidence using the fusion method to CBCT alone. Additionally, residual post-ablation tumor volumes were measured at both CE-CBCT and 24 h CECT and compared to the pre-CECT.ResultsRegistration quality was high for both radiologists (R1: 4.3 ± 0.6, R2: 4.4 ± 0.5; p = 0.87). Comparisons between the registration of pre-ablation CECT with CE-CBCT versus post-ablation CECT regarding the position of the ablated area to the treated target (R1: 4.4 ± 0.6, R2: 4.6 ± 0.4) and treatment outcome (R1: 4.5 ± 0.5, R2: 4.6 ± 0.4) were equivalent (p > 0.35). Increased confidence was noted when using fusion (R1: 4.6 ± 0.4, R2: 4.6 ± 0.4; p = 0.84). Moreover, in 6 ablations (15.8%) the intraprocedural registered CBCT showed residual tumor precisely where identified on the 24 h post-ablation CECT.ConclusionsCombined CE-CBCT holds the potential to change the current workflow of mini-invasive cancer local treatments. Given earlier visual identification of residual tumor post-ablation, this includes potentially eliminating the need for some additional treatments.

62 RADIOLOGY AND NUCLEAR MEDICINE↗