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At least 631 records · Page 35

Three Regimes of Polymer Surface Dynamics under Crowded Conditions

In this work, single-molecule tracking was used to characterize the mobility of poly(ethylene glycol) chains at a solid–liquid interface over a wide range of surface coverage. Trajectories exhibited intermittent motion consistent with a generalized continuous time random walk (CTRW) model, where strongly confined “waiting times” alternated with rapid flights. The presence of three characteristic regimes emerged as a function of surface coverage, based on an analysis of effective short-time diffusion coefficients, mean-squared displacement, and CTRW distributions. The dilute “site-blocking” regime exhibited increasing short-time diffusion, less confined behavior, and shorter waiting times with higher surface coverage, as anomalously strong adsorption sites were increasingly passivated. At intermediate values of surface coverage, the “crowding” regime was distinguished by the exact opposite trends (slower, more confined mobility), presumably due to increasing intermolecular interactions. The trends reversed yet again in the “brush” regime, where adsorbing molecules interacted weakly with a layer of extended overlapping chains.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

High Fidelity Computational Analysis of CO2 Trapping at Pore Scales (Final Technical Report)

With an alarming rise in carbon dioxide (CO2) emission from anthropogenic sources, CO2 sequestration has become an attractive choice to mitigate the emission. Some popular storage media for CO 2 are oil reservoirs, deep coal-bed, and deep oceanic-beds. These have been used for the long term CO 2 storage. Due to special lowering viscosity and surface tension property of CO 2 , it has been widely used for enhanced oil recovery. The sites for CO 2 sequestration or enhanced oil recovery mostly consist of porous rocks. Lack of knowledge of molecular mobility under confinement and molecule-surface interactions between CO2 and natural porous media results in generally governed by unpredictable absorption kinetics and total absorption capacity for injected fluids, and therefore, constitutes barriers to the deployment of this technology. Therefore, it is important to understand the flow dynamics of CO 2 through the porous microstructures at the finest scale (pore-scale) to accurately predict the storage potential and long-term dynamics of the sequestered CO 2 . This report discusses about pore-network flow modeling approach using variational method and analyzes simulated results this method simulations at pore-scales for idealized network and using Berea Sandstone CT scanned images. Variational method provides a promising way to study the kinetic behavior and storage potential at the pore scale in the presence of other phases. The current study validates variational solutions for single and two-phase Newtonian and single phase non-Newtonian flow through angular pores for special geometries whose analytical and/or empirical solutions are known. The hydraulic conductance for single phase flow through a triangular duct was also validated against empirical results derived from lubricant theory.

54 ENVIRONMENTAL SCIENCES↗

Geoelectrical Measurement of Multi-Scale Mass Transfer Parameters

Mass transfer affects contaminant transport and is thought to control the efficiency of aquifer remediation at a number of sites within the Department of Energy (DOE) complex. An improved understanding of mass transfer is critical to meeting the enormous scientific and engineering challenges currently facing DOE. Informed design of site remedies and long-term stewardship of radionuclide-contaminated sites will require new cost-effective laboratory and field techniques to measure the parameters controlling mass transfer spatially and across a range of scales. In this project, we sought to capitalize on the geophysical signatures of mass transfer. Previous numerical modeling and pilot-scale field experiments suggested that mass transfer produces a geoelectrical signature—a hysteretic relation between sampled (mobile-domain) fluid conductivity and bulk (mobile + immobile) conductivity—over a range of scales relevant to aquifer remediation. In this work, we investigated the geoelectrical signature of mass transfer during tracer transport in a series of controlled experiments to determine the operation of controlling parameters, and also investigated the use of complex-resistivity (CR) as a means of quantifying mass transfer parameters in situ without tracer experiments. In an add-on component to our grant, we additionally considered nuclear magnetic resonance (NMR) to help parse mobile from immobile porosities. Including the NMR component, our revised study objectives were to: 1. Develop and demonstrate geophysical approaches to measure mass-transfer parameters spatially and over a range of scales, including the combination of electrical resistivity monitoring, tracer tests, complex resistivity, nuclear magnetic resonance, and materials characterization; and 2. Provide mass-transfer estimates for improved understanding of contaminant fate and transport at DOE sites, such as uranium transport at the Hanford 300 Area. To achieve our objectives, we implemented a 3-part research plan involving (1) development of computer codes and techniques to estimate mass-transfer parameters from time-lapse electrical data; (2) bench-scale experiments on synthetic materials and materials from cores from the Hanford 300 Area; and (3) field demonstration experiments at the DOE’s Hanford 300 Area. In a synergistic add-on to our workplan, we analyzed data from field experiments performed at the DOE Naturita Site under a separate DOE SBR grant, on which PI Day-Lewis served as co-PI. Techniques developed for application to Hanford datasets also were applied to data from Naturita. 1. Introduction The Department of Energy (DOE) faces enormous scientific and engineering challenges associated with the remediation of legacy contamination at former nuclear weapons production facilities. Selection, design and optimization of appropriate site remedies (e.g., pump-and-treat, biostimulation, or monitored natural attenuation) requires reliable predictive models of radionuclide fate and transport; however, our current modeling capabilities are limited by an incomplete understanding of multi-scale mass transfer—its rates, scales, and the heterogeneity of controlling parameters. At many DOE sites, long “tailing” behavior, concentration rebound, and slower-than-expected cleanup are observed; these observations are all consistent with multi-scale mass transfer [Haggerty and Gorelick, 1995; Haggerty et al., 2000; 2004], which renders pump-and-treat remediation and biotransformation inefficient and slow [Haggerty and Gorelick, 1994; Harvey et al., 1994; Wilson, 1997]. Despite the importance of mass transfer, there are significant uncertainties associated with controlling parameters, and the prevalence of mass transfer remains a point of debate [e.g., Hill et al., 2006; Molz et al., 2006] for lack of experimental methods to verify and measure it in situ or independently of tracer breakthrough. There is a critical need for new field-experimental techniques to measure mass transfer in-situ and estimate multi-scale and spatially variable mass-transfer parameters. The current lack of such techniques results in large parameter uncertainty, which in turn translates into enormous prediction uncertainty and cost to DOE. In this project, we considered three hydrogeophysical approaches for providing information about mass-transfer parameters: (1) the combination of electrical-resistivity tomography (ERT) and ionic tracer experiments to explore rates of exchange and relative mobile and immobile porosities; (2) complex resistivity (CR) measurements to infer the distribution of diffusive length scales active in a porous medium; and (3) nuclear magnetic resonance (NMR) to estimate mobile and immobile porosity.

38 RADIATION CHEMISTRY, RADIOCHEMISTRY, AND NUCLEA↗

Data-Driven Compression of Electron-Phonon Interactions

First-principles calculations of electron interactions in materials have seen rapid progress in recent years, with electron-phonon ( e − ph ) interactions being a prime example. However, these techniques use large matrices encoding the interactions on dense momentum grids, which reduces computational efficiency and obscures interpretability. For e − ph interactions, existing interpolation techniques leverage locality in real space, but the high dimensionality of the data remains a bottleneck to balance cost and accuracy. Here we show an efficient way to compress e − ph interactions based on singular value decomposition (SVD), a widely used matrix and image compression technique. Leveraging (un)constrained SVD methods, we accurately predict material properties related to e − ph interactions—including charge mobility, spin relaxation times, band renormalization, and superconducting critical temperature—while using only a small fraction (1%–2%) of the interaction data. These findings unveil the hidden low-dimensional nature of e − ph interactions. Furthermore, they accelerate state-of-the-art first-principles e − ph calculations by about 2 orders of magnitude without sacrificing accuracy. Our Pareto-optimal parametrization of e − ph interactions can be readily generalized to electron-electron and electron-defect interactions, as well as to other couplings, advancing quantitative studies of condensed matter. Published by the American Physical Society 2024

Physics↗

Differentially Private Distributed Sensing

The growth of the Internet of Things (IoT) creates the possibility of decentralized systems of sensing and actuation, potentially on a global scale. IoT devices connected to cloud networks can offer Sensing and Actuation as a Service (SAaaS) enabling networks of sensors to grow to a global scale. But extremely large sensor networks can violate privacy, especially in the case where IoT devices are mobile and connected directly to the behaviors of people. The thesis of this paper is that by adapting differential privacy (adding statistically appropriate noise to query results) to groups of geographically distributed sensors privacy could be maintained without ever sending all values up to a central curator and without compromising the overall accuracy of the data collected. This paper outlines such a scheme and performs an analysis of differential privacy techniques adapted to edge computing in a simulated sensor network where ground truth is known. The positive and negative outcomes of employing differential privacy in distributed networks of devices are discussed and a brief research agenda is presented.

Differential Privacy↗

Advancing Genome-Resolved Metagenomics beyond the Shotgun

Exploration of environmental microbiomes has shed light on the ecological and evolutionary principles at play in natural ecosystems and has been further accelerated through the reconstruction of population genomes to provide genome-centric context. Yet technical challenges with traditional shotgun metagenomics remain for computationally intense short-read assembly, strain heterogeneity within communities, and depth of coverage required for low-abundance microbes. In this Perspective, we highlight three main avenues for promising future developments, including coupling stable isotope probing and genome-resolved metagenomics, applying fluorescence-activated cell sorting approaches to target mini-metagenomes within a larger community, and utilizing single-molecule long-read and synthetic long-read technology to link mobile elements to host microbial cells. These developments on the horizon will undoubtedly advance genome-resolved metagenomic approaches and enable a better understanding of uncultivated microbes in their natural environments.

59 BASIC BIOLOGICAL SCIENCES↗

Inhibiting and Remodeling Toxic Amyloid-Beta Oligomer Formation Using a Computationally Designed Drug Molecule That Targets Alzheimer’s Disease

Alzheimer’s disease (AD) is rapidly reaching epidemic status among a burgeoning aging population. Much evidence suggests the toxicity of this amyloid disease is most influenced by the formation of soluble oligomeric forms of amyloid β-protein, particularly the 42-residue alloform (Aβ42). Developing potential therapeutics in a directed, streamlined approach to treating this disease is necessary. Here we utilize the joint pharmacophore space (JPS) model to design a new molecule [AC0107] incorporating structural characteristics of known Aβ inhibitors, blood-brain barrier permeability, and limited toxicity. To test the molecule’s efficacy experimentally, we employed ion mobility mass spectrometry (IM-MS) to discover [AC0107] inhibits the formation of the toxic Aβ42 dodecamer at both high (1:10) and equimolar concentrations of inhibitor. Atomic force microscopy (AFM) experiments reveal that [AC0107] prevents further aggregation of Aβ42, destabilizes preformed fibrils, and reverses Aβ42 aggregation. This trend continues for long-term interaction times of 2 days until only small aggregates remain with virtually no fibrils or higher order oligomers surviving. Pairing JPS with IM-MS and AFM presents a powerful and effective first step for AD drug development. .

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Ionic current in nanochannels grafted with pH-responsive polyelectrolyte brushes modeled using augmented strong stretching theory

Here, we provide a theory to quantify the ionic current (i ion ) in nanochannels grafted with pH-responsive polyelectrolyte (PE) brushes. We consider the PE brushes to be modelled by our recently proposed augmented strong stretching theory (SST) model that improves the existing SST models by incorporating the effects of excluded volume interactions and an extended mass action law. Use of such augmented SST for this problem implies that this is the first study on computing i ion in PE-brush-grafted nanochannels accounting for the appropriate coupled con guration-electrostatic description of the PE brushes. i ion is obtained as functions of PE brush grafting density, medium pH and salt concentration (c ∞ ), and the density of polyelectrolyte chargeable sites (PECS). For large c ∞ , i ion increases linearly with c ∞ (as for such c ∞ , i ion becomes independent of the PE charge and is dominated by the bulk mobility and number density of the electrolyte ions), while iion is independent of c ∞ at small c ∞ (where the EDL electrostatics and the total number of ions in the system is dominated by the hydrogen ions). We further witness an enhancement of i ion for smaller pH and larger grafting density at low and moderate c ∞ , while there is little to no effect of the PECS density on the ionic current except for weakly grafted brushes at low c ∞ . We believe that this study will serve as a theoretical foundation for a large number of applications that are based on the brush-induced modification of the ionic current in a nanochannel.

42 ENGINEERING↗

Structural and Magnetic Evolution of Bimetallic MnAu Clusters Driven by Asymmetric Atomic Migration

The nanoscale structural, compositional, and magnetic properties are examined for annealed MnAu nanoclusters. The MnAu clusters order into the L10 structure, and monotonic size-dependences develop for the composition and lattice parameters, which are well reproduced by our density functional theory calculations. Simultaneously, Mn diffusion forms 5 Å nanoshells on larger clusters inducing significant magnetization in an otherwise antiferromagnetic system. The differing atomic mobilities yield new cluster nanostructures that can be employed generally to create novel physical properties.

36 MATERIALS SCIENCE↗

Real-Time Omnidirectional Stereo Rendering: Generating 360° Surround-View Panoramic Images for Comfortable Immersive Viewing

Surround-view panoramic images and videos have become a popular form of media for interactive viewing on mobile devices and virtual reality headsets. Viewing such media provides a sense of immersion by allowing users to control their view direction and experience an entire environment. When using a virtual reality headset, the level of immersion can be improved by leveraging stereoscopic capabilities. Stereoscopic images are generated in pairs, one for the left eye and one for the right eye, and result in providing an important depth cue for the human visual system. For computer generated imagery, rendering proper stereo pairs is well known for a fixed view. However, it is much more difficult to create omnidirectional stereo pairs for a surround-view projection that work well when looking in any direction. One major drawback of traditional omnidirectional stereo images is that they suffer from binocular misalignment in the peripheral vision as a user's view direction approaches the zenith / nadir (north / south pole) of the projection sphere. This paper presents a real-time geometry-based approach for omnidirectional stereo rendering that fits into the standard rendering pipeline. Our approach includes tunable parameters that enable pole merging - a reduction in the stereo effect near the poles that can minimize binocular misalignment. Results from a user study indicate that pole merging reduces visual fatigue and discomfort associated with binocular misalignment without inhibiting depth perception.

360° panorama↗

MRDIS Case Study

The Mobile Radiation Detection and Identification System (MRDIS) is a large mobile scanner that inspects containers in transit from cargo ships for radiological materials. The MRDIS platform operates as a two-part system with one MRDIS using a plastic Polyvinyl Toleune (synthetic polymer) for primary detection and another MRDIS that uses spectroscopic detectors for secondary isotopic identification. MRDIS can operate either independently or as part of a team, depending on the needs of the port. MRDIS is controlled by a human operator, who searches the computer monitor for any traces of radiological materials when the containers pass through the center of the system. Each MRDIS can also feed data into a central system or collect data on its own for additional material analysis. The system integrates radiation detection, radioisotope identification, an optical character recognition system, occupancy/speed sensors, wireless communications, and data processing capabilities to discern what specific radiological materials are of particular interest. In addition, Sandia engineers created a detailed set of requirements for subsequent models, allowing for faster implementation of additional detection systems.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Kinetic Monte Carlo Simulation of Hydrogen Diffusion in Tungsten

Nuclear fusion is considered as the most promising sustainable energy source. If achieved, it could provide electricity to the mankind for millions of years. During the reaction, the fusion ash is continuously removed from the magnetic gap, the divertor region, and the divertor facing component is subjected to intense plasma bombardment. It is proposed to use tungsten as the divertor facing material, because it has low physical sputtering yield and superior thermomechanical properties. However, the high mobility of hydrogen in tungsten and the high bombardment flux bring the hydrogen isotopes deep into the tungsten tile. The presence of hydrogen in tungsten tends to weaken the gram boundaries and produce surface blistering. The ejection of tungsten particulates into the plasma core will cool the reaction and cease the fusion reactions. Therefore, it is important to have a detailed understanding of the hydrogen diffusion in tungsten bulk. The KMC method is a stochastic computer simulation to predict the time evolution of a certain system. Typically, at a given time, the system will evolve through a few possible paths with known probabilities. In each step, the KMC method analyzes the entire system and randomly determines the system evolving events based on all transition rates of all possible events and advance the physical time. This process is repeated till the simulation of the entire physical time is completed. In previous work, the authors developed a kinetic Monte Carlo (KMC) algorithm and program to simulate hydrogen diffusion process on tungsten reconstructed surface. In this article, this KMC method is extended to model the hydrogen diffusion in tungsten bulk. The diffusion coefficients are calculated and fitted to the Arrhenius equation. The result matches the experiment measurement very well. KMC diffusion simulation needs the locations of the hydrogen trapping sites, diffusion paths and the corresponding diffusion energy barriers. The hydrogen interstitial sites in tungsten crystal have been thoroughly studied by density function theory (DFT) and molecular dynamics (MD). Johnson and Carter used DFT to determine the preferred location of the hydrogen interstitial sites m tungsten crystal, which are the tetrahedral sites (T-sites) in body-centered-cubic (bcc) lattice surfaces. All T-sites are located on the surfaces of a lattice cell. There are four T-sites per surface and twelve T-sites per lattice cell. The hydrogen atoms diffuse by traveling from one T-site to one of its nearest four T-site neighbors. Thus, each T-site is surrounded by two neighbors on the same surface, and one neighbor on each of the two adjacent surfaces perpendicular to the surface holding the center T-site. The diffusion barrier between two neighboring T-sites was calculated to be 0.38 eV. Knowing the diffusion path, energy barrier, and the crystal structure, the KMC simulation is readily to be performed. Based on other researchers' DFT calculations, the hydrogen stable interstitial site in tungsten bulk is determined as the tetrahedral site on the surface of the bee lattice. Each T-site has 4 neighbors and the energy barrier between two adjacent T-sites are estimated to be 0.38 eV. Based on those facts and the KMC theory, a MATLAB program is developed to model the hydrogen diffusion in tungsten bulk. In the MATLAB program, substrate temperature, hydrogen concentration, physical time to be simulated, and the number of cycles are all customizable. To compare the KMC determined diffusion coefficients with experiment results in the literature, the simulations are performed for temperature 300 K - 2500 K and low hydrogen concentration (0.1%), mimicking the experiment condition. The calculated diffusion coefficients match the reference values measured by the experiment under low hydrogen concentration condition. The results are also fitted to the Arrhenius equation. The pre-exponential factor and the average activation energy in Arrhenius equation are obtained. The good agreement between simulation and experiment proves that the developed KMC algorithm truly reflect the well-established theory of interstitial hydrogens in tungsten. The developed program could easily be used to model the diffusion process and predict the diffusion coefficients under other concentrations and temperatures. This work is part of the ongoing development of hydrogen diffusion in tungsten integrating surface diffusion (previous work), bulk diffusion (this work), and adsorption/desorption on surface (future work)

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Enhancing radiation tolerance by controlling defect mobility and migration pathways in multicomponent single-phase alloys

A grand challenge in material science is to understand the correlation between intrinsic properties and defect dynamics. Radiation tolerant materials are in great demand for safe operation and advancement of nuclear and aerospace systems. Unlike traditional approaches that rely on microstructural and nanoscale features to mitigate radiation damage, this study demonstrates enhancement of radiation tolerance with the suppression of void formation by two orders magnitude at elevated temperatures in equiatomic single-phase concentrated solid solution alloys, and more importantly, reveals its controlling mechanism through a detailed analysis of the depth distribution of defect clusters and an atomistic computer simulation. The enhanced swelling resistance is attributed to the tailored interstitial defect cluster motion in the alloys from a long-range one-dimensional mode to a short-range three-dimensional mode, which leads to enhanced point defect recombination. Finally, the results suggest design criteria for next generation radiation tolerant structural alloys.

36 MATERIALS SCIENCE↗

Thermoelectric properties of epitaxial ScN films deposited by reactive magnetron sputtering onto MgO(001) substrates

Epitaxial ScN(001) thin films were grown on MgO(001) substrates by dc reactive magnetron sputtering. The deposition was performed in an Ar/N{sub 2} atmosphere at 2 Multiplication-Sign 10{sup -3} Torr at a substrate temperature of 850 Degree-Sign C in a high vacuum chamber with a base pressure of 10{sup -8} Torr. In spite of oxygen contamination of 1.6 {+-} 1 at. %, the electrical resistivity, electron mobility, and carrier concentration obtained from a typical film grown under these conditions by room temperature Hall measurements are 0.22 m{Omega} cm, 106 cm{sup 2} V{sup -1} s{sup -1}, and 2.5 Multiplication-Sign 10{sup 20} cm{sup -3}, respectively. These films exhibit remarkable thermoelectric power factors of 3.3-3.5 Multiplication-Sign 10{sup -3} W/mK{sup 2} in the temperature range of 600 K to 840 K. The cross-plane thermal conductivity is 8.3 W/mK at 800 K yielding an estimated ZT of 0.3. Theoretical modeling of the thermoelectric properties of ScN calculated using a mean-free-path of 23 nm at 300 K is in very good agreement with the experiment. These results also demonstrate that further optimization of the power factor of ScN is possible. First-principles density functional theory combined with the site occupancy disorder technique was used to investigate the effect of oxygen contamination on the electronic structure and thermoelectric properties of ScN. The computational results suggest that oxygen atoms in ScN mix uniformly on the N site forming a homogeneous solid solution alloy. Behaving as an n-type donor, oxygen causes a shift of the Fermi level in ScN into the conduction band without altering the band structure and the density of states.

36 MATERIALS SCIENCE↗

Effects of Ionic Group Distribution on the Structure and Dynamics of Amorphous Polymer Melts

Ionizable groups tethered to a polymer backbone often associate to form ionic clusters, whose features are determined by the balance of the polymer backbone and electrostatics. These assemblies impact the dynamics of the macromolecules and their ability to transport ions. Here, using fully atomistic molecular dynamics (MD) simulations, we investigate the effects of the distribution of ionizable groups along the polymer backbone on cluster characteristics and the resulting impacts on the structure and dynamics of amorphous polymers. Particularly, we probe polystyrene sulfonates (PSS) with random, precise, and block configurations of the SO 3 – sulfonate groups along the backbone with Na + as the counterion. We find that the distribution of the ionic groups affects the shape and distribution of the clusters as well as the internal packing of the ionizable groups in the cluster and the number of unique chains that participate in each cluster, affecting the structure and the dynamics of the polymers. Furthermore, the signature of ionic clusters, observed in the static structure factor S(q) for all three distributions, is significantly more pronounced for the precise and blocky polymers compared to the random one. Remarkably, we find that the local mobility of the polymer segments is not only affected by the number and size of the clusters but also by the number of polymer chains associated with clusters.

36 MATERIALS SCIENCE↗

SU-E-T-437: Four-Dimensional Treatment Planning for Lung VMAT-SBRT

Purpose: To assess optimal treatment planning approach of Volumetric Modulated Arc Therapy for lung Stereotactic Body Radiation Therapy (VMAT-SBRT). Methods: Subjects were 10 patients with lung cancer who had undergone 4DCT. The internal target volume (ITV) volume ranged from 2.6 to 16.5cm{sup 3} and the tumor motion ranged from 0 to 2cm. From 4DCT, which was binned into 10 respiratory phases, 4 image data sets were created; maximum intensity projection (MIP), average intensity projection (AIP), AIP with the ITV replaced by 0HU (RITV-AIP) and RITV-AIP with the planning target volume (PTV) minus the internal target volume was set to −200 HU (HR-AIP). VMAT-SBRT plans were generated on each image set for a patient. 48Gy was prescribed to 95% of PTV. The plans were recalculated on all phase images of 4DCT and the dose distributions were accumulated using a deformable image registration software MIM Maestro™ as the 4D calculated dose to the gross tumor volume (GTV). The planned dose to the ITV and 4D calculated dose to the GTV were compared. Results: In AIP plan, 10 patients average of all dose parameters (D1%, D-mean, and D99%) discrepancy were 1Gy or smaller. MIP and RITV-AIP plans resulted in having common tendency and larger discrepancy than AIP plan. The 4D dose was lower than the planned dose, and 10 patients average of all dose parameters discrepancy were in range 1.3 to 2.6Gy. HR-AIP plan had the largest discrepancy in our trials. 4D calculated D1%, D-mean, and D99% were resulted in 3.0, 4.1, and 6.1Gy lower than the expected in plan, respectively. Conclusion: For all patients, the dose parameters expected in AIP plan approximated to 4D calculated. Using AIP image set seems optimal treatment planning approach of VMAT-SBRT for a mobile tumor. Funding Support: This work was supported by the Japan Society for the Promotion of Science Core-to-Core program (No. 23003)

60 APPLIED LIFE SCIENCES↗

Laparoscopic Isolated Total Caudate Lobectomy for Hepatocellular Carcinoma Located in the Paracaval Portion of the Cirrhotic Liver

Background: Despite the widespread use of laparoscopic hepatectomies in past decades, laparoscopic isolated total caudate lobectomy for hepatocellular carcinoma (HCC) remains challenging,{sup 1,2} especially for patients with cirrhosis. Moreover, a laparoscopic isolated total caudate lobectomy for HCC originating in the paracaval portion of the caudate lobe is very rare. We herein present a video showing laparoscopic total caudate lobectomy for a cirrhotic patient with HCC located in the paracaval portion of the caudate lobe. Methods: A 58-year-old woman who suffered from hepatitis C virus-related cirrhosis was admitted to our institution. The preoperative computed tomography showed a 2.5 × 2.0 cm liver mass located in segment I that was very close to the right hepatic pedicle. Although her liver function was Child–Pugh A, the indocyanine green (ICG)-15 test was high at 10.9%. Right hepatectomy plus caudate lobectomy was not adopted because of the severe cirrhosis and the elevated ICG-15. Thus, laparoscopic isolated total caudate lobectomy was contemplated. Results: The patient was placed in the supine position. After full mobilization, the caudate lobe was exposed. The third porta of the liver was then dissected and the short hepatic veins were controlled with clips and LigaSure. The dissection was finished when the whole third porta of the liver was freed. Subsequently, the portal branches to the caudate lobe were ligated and cut. The combination between the left- and right-sided laparoscopic approaches was used to transect liver parenchyma. The superficial parenchyma was divided using an harmonic scalpel, while the deeper tissue was divided using a Cavitron ultrasonic aspirator (CUSA). The Pringle maneuver was used intermittently during the parenchymal transection as necessary. In the left-sided approach, the caudate lobe was resected along the left and middle hepatic vein toward the right side, to expose the dorsal semicircle of the right hepatic vein. In the right-sided approach, the resection started from the right border of the process portion to the root of the right hepatic vein in the cranial direction. Finally, the whole caudate lobe was resected and the three main hepatic veins were exposed on the cutting plane. The specimen was removed from suprapubic incision. The operative time was 300 min and the total Pringle time was 50 min. The postoperative course was uneventful. Conclusions: A laparoscopic isolated total caudate lobectomy for HCC located in the paracaval portion of the cirrhotic liver seems to be feasible and safe in selected patients.

62 RADIOLOGY AND NUCLEAR MEDICINE↗