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At least 739 records · Page 41

On-Line Use of Three-Dimensional Marker Trajectory Estimation From Cone-Beam Computed Tomography Projections for Precise Setup in Radiotherapy for Targets With Respiratory Motion

Purpose: To develop and evaluate accurate and objective on-line patient setup based on a novel semiautomatic technique in which three-dimensional marker trajectories were estimated from two-dimensional cone-beam computed tomography (CBCT) projections. Methods and Materials: Seven treatment courses of stereotactic body radiotherapy for liver tumors were delivered in 21 fractions in total to 6 patients by a linear accelerator. Each patient had two to three gold markers implanted close to the tumors. Before treatment, a CBCT scan with approximately 675 two-dimensional projections was acquired during a full gantry rotation. The marker positions were segmented in each projection. From this, the three-dimensional marker trajectories were estimated using a probability based method. The required couch shifts for patient setup were calculated from the mean marker positions along the trajectories. A motion phantom moving with known tumor trajectories was used to examine the accuracy of the method. Trajectory-based setup was retrospectively used off-line for the first five treatment courses (15 fractions) and on-line for the last two treatment courses (6 fractions). Automatic marker segmentation was compared with manual segmentation. The trajectory-based setup was compared with setup based on conventional CBCT guidance on the markers (first 15 fractions). Results: Phantom measurements showed that trajectory-based estimation of the mean marker position was accurate within 0.3 mm. The on-line trajectory-based patient setup was performed within approximately 5 minutes. The automatic marker segmentation agreed with manual segmentation within 0.36 {+-} 0.50 pixels (mean {+-} SD; pixel size, 0.26 mm in isocenter). The accuracy of conventional volumetric CBCT guidance was compromised by motion smearing ({<=}21 mm) that induced an absolute three-dimensional setup error of 1.6 {+-} 0.9 mm (maximum, 3.2) relative to trajectory-based setup. Conclusions: The first on-line clinical use of trajectory estimation from CBCT projections for precise setup in stereotactic body radiotherapy was demonstrated. Uncertainty in the conventional CBCT-based setup procedure was eliminated with the new method.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Precision Hypofractionated Radiation Therapy in Poor Performing Patients With Non-Small Cell Lung Cancer: Phase 1 Dose Escalation Trial

Purpose: Treatment regimens for locally advanced non-small cell lung cancer (NSCLC) give suboptimal clinical outcomes. Technological advancements such as radiation therapy, the backbone of most treatment regimens, may enable more potent and effective therapies. The objective of this study was to escalate radiation therapy to a tumoricidal hypofractionated dose without exceeding the maximally tolerated dose (MTD) in patients with locally advanced NSCLC. Methods and Materials: Patients with stage II to IV or recurrent NSCLC and Eastern Cooperative Oncology Group performance status of 2 or greater and not candidates for surgical resection, stereotactic radiation, or concurrent chemoradiation were eligible. Highly conformal radiation therapy was given to treat intrathoracic disease in 15 fractions to a total of 50, 55, or 60 Gy. Results: Fifty-five patients were enrolled: 15 at the 50-Gy, 21 at the 55-Gy, and 19 at the 60-Gy dose levels. A 90-day follow-up was completed in each group without exceeding the MTD. With a median follow-up of 12.5 months, there were 93 grade ≥3 adverse events (AEs), including 39 deaths, although most AEs were considered related to factors other than radiation therapy. One patient from the 55- and 60-Gy dose groups developed grade ≥3 esophagitis, and 5, 4, and 4 patients in the respective dose groups experienced grade ≥3 dyspnea, but only 2 of these AEs were considered likely related to therapy. There was no association between fraction size and toxicity (P=.24). The median overall survival was 6 months with no significant differences between dose levels (P=.59). Conclusions: Precision hypofractionated radiation therapy consisting of 60 Gy in 15 fractions for locally advanced NSCLC is generally well tolerated. This treatment regimen could provide patients with poor performance status a potent alternative to chemoradiation. This study has implications for the cost effectiveness of lung cancer therapy. Additional studies of long-term safety and efficacy of this therapy are warranted.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

The Quest for Evidence for Proton Therapy: Model-Based Approach and Precision Medicine

Purpose: Reducing dose to normal tissues is the advantage of protons versus photons. We aimed to describe a method for translating this reduction into a clinically relevant benefit. Methods and Materials: Dutch scientific and health care governance bodies have recently issued landmark reports regarding generation of relevant evidence for new technologies in health care including proton therapy. An approach based on normal tissue complication probability (NTCP) models has been adopted to select patients who are most likely to experience fewer (serious) adverse events achievable by state-of-the-art proton treatment. Results: By analogy with biologically targeted therapies, the technology needs to be tested in enriched cohorts of patients exhibiting the decisive predictive marker: difference in normal tissue dosimetric signatures between proton and photon treatment plans. Expected clinical benefit is then estimated by virtue of multifactorial NTCP models. In this sense, high-tech radiation therapy falls under precision medicine. As a consequence, randomizing nonenriched populations between photons and protons is predictably inefficient and likely to produce confusing results. Conclusions: Validating NTCP models in appropriately composed cohorts treated with protons should be the primary research agenda leading to urgently needed evidence for proton therapy.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Phase 1/2 Study of the Addition of Cisplatin to Adjuvant Chemotherapy With Image Guided High-Precision Radiation Therapy for Completely Resected Gastric Cancer

Purpose: Locoregional recurrence is common after surgery for gastric cancer. Adjuvant therapy improves outcomes but with toxicity. This phase 1/2 study investigated infusional 5-fluorouracil (5-FU) in combination with biweekly cisplatin delivered concurrently with image guided high-precision radiation therapy. Methods and Materials: Eligible patients had completely resected stage IB to IV (Union for International Cancer Control TNM 6th edition) nonmetastatic gastric adenocarcinoma. Treatment constituted 12 weeks of infusional 5-FU (200 mg/m{sup 2}/day) with cisplatin added in a standard 3 + 3 dose escalation protocol (0, 20, 30, and 40 mg/m{sup 2}) during weeks 1, 3, 5, and 7, and an additional week 9 dose in the final cohort. Radiation therapy (45 Gy in 25 fractions) was delivered during weeks 3 to 7. Maximum tolerated dose (MTD) was determined in phase 1 and confirmed in phase 2. Results: Among the 55 patients (median age, 54 years; range 28-77 years; 55% male), the median follow-up time was 3.0 years (range, 0.3-5.3 years). Five patients in phase 1 experienced dose-limiting toxicity, and MTD was determined as 4 cycles of 40 mg/m{sup 2} cisplatin. Twenty-seven patients were treated at MTD. Acute grade 3 to 4 toxicity rate was 37.0% at MTD and 29.1% across all dose levels. No treatment-related deaths occurred. Fourteen patients experienced recurrent disease. The 2-year overall survival (OS) and relapse-free survival were 85% and 74%, respectively. Median OS has not been reached. Quality of life (QOL) was impaired during treatment, but most scores recovered by 4 weeks. Conclusion: Cisplatin can be safely delivered with 5-FU–based chemoradiation therapy. Acute toxicity was acceptable, and patient-reported QOL showed the regimen was tolerable. Outcomes are encouraging and justify further study of this regimen.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Personalising Prostate Radiotherapy in the Era of Precision Medicine: A Review

Prostate cancer continues to be the most commonly diagnosed cancer among Canadian men. The introduction of routine screening and advanced treatment options have allowed for a decrease in prostate cancer-related mortality, but outcomes following treatment continue to vary widely. In addition, the overtreatment of indolent prostate cancers causes unnecessary treatment toxicities and burdens health care systems. Accurate identification of patients who should undergo aggressive treatment, and those which should be managed more conservatively, needs to be implemented. More tumour and patient information is needed to stratify patients into low-, intermediate-, and high-risk groups to guide treatment options. This paper reviews the current literature on personalised prostate cancer management, including targeting tumour hypoxia, genomic and radiomic prognosticators, and radiobiological tumour targeting. A review of the current applications and future directions for the use of big data in radiation therapy is also presented. Prostate cancer management has a lot to gain from the implementation of personalised medicine into practice. Using specific tumour and patient characteristics to personalise prostate radiotherapy in the era of precision medicine will improve survival, decrease unnecessary toxicities, and minimise the heterogeneity of outcomes following treatment.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Precision current regulator for NMR electromagnets

When using electromagnets or non-persistent superconducting magnets, the field stability can be directly proportional to the current stability. We present in this report a simple design for a current regulator based upon a high-precision, dc-dc fluxgate transformer. The output current and NMR frequency are stabilized by about a factor of 50, over times of order one hour. The method can be applied to essentially any current supply.

59 BASIC BIOLOGICAL SCIENCES↗

Classification and regression models of audio and vibration signals for machine state monitoring in precision machining systems

Here we present a data-driven method for monitoring machine status in manufacturing processes. Audio and vibration data from precision machining are used for inference in two operating scenarios: (a) variable machine health states (anomaly detection); and (b) settings of machine operation (state estimation). Audio and vibration signals are first processed through Fast Fourier Transform and Principal Component Analysis to extract transformed and informative features. These features are then used in the training of classification and regression models for machine state monitoring. Specifically, three classifiers (K-nearest neighbors, convolutional neural networks and support vector machines) and two regressors (support vector regression and neural network regression) were explored, in terms of their accuracy in machine state prediction. It is shown that the audio and vibration signals are sufficiently rich in information about the machine that 100% state classification accuracy could be accomplished. Data fusion was also explored, showing overall superior accuracy of data-driven regression models.

42 ENGINEERING↗

Robust natural nanocomposites realizing unprecedented ultrafast precise molecular separations

Synthetic polymer membranes can potentially reduce the large energy and carbon footprints that are typically associated with traditional chemical separation technologies. Unfortunately, current production protocols negate the green benefits of membrane separation. To address this bottleneck, here we report the use of natural materials monosaccharide – glucose and polydopamine and Zr-based metal organic frameworks (MOFs) to fabricate ultrathin nanocomposite membranes via interfacial polymerization reaction. The synergistic effect of these three materials on angstrom-scale molecular transport both in organic solvent and aqueous environment was elucidated using a series of complementary techniques. We demonstrate such nature-inspired nanocomposite membranes enable structural stability even in polar aprotic solvents, and unparalleled ultra-fast, low-pressure, precise separations in both nanofiltration modes, which easily surpass state-of-the-art membranes relying on unsustainable materials. Finally, the multi-functionality of saccharide nanocomposites was elegantly harnessed to impact separation applications that contribute towards a better living environment.

36 MATERIALS SCIENCE↗

Precision measurement of 65 Zn electron-capture decays with the KDK coincidence setup

65 Zn is a common calibration source, moreover used as a radioactive tracer in medical and biological studies. In many cases, γ-spectroscopy is a preferred method of 65 Zn standardization, which relies directly on the branching ratio of Jπ( 65 Zn) = 5/2- → Jπ( 65 Cu) = 5/2 - via electron capture (EC*). We measure the relative intensity of this branch to that proceeding directly to the ground state (EC 0 ) using a novel coincidence technique, finding I EC 0/IEC* = 0.9684 ± 0.0018. Re-evaluating the decay scheme of 65 Zn by adopting the commonly evaluated branching ratio of I β+ = 1.4271(7)% we obtain IEC* = (50.08 ± 0.06)%, and I EC 0 = (48.50 ± 0.06)%. The associated 1115 keV gamma intensity agrees with the previously reported NNDC value, and is now accessible with a factor of ~2 increase in precision. Our re-evaluation removes reliance on the deduction of this gamma intensity from numerous measurements, some of which disagree and depend directly on total activity determination. The KDK experimental technique provides a new avenue for verification or updates to the decay scheme of 65 Zn, and is applicable to other isotopes.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

AdjointBackMapV2: Precise reconstruction of arbitrary CNN unit’s activation via adjoint operators

Adjoint operators have been found to be effective in the exploration of CNN’s inner workings (Wan and Choe, 2022). However, the previous no-bias assumption restricted its generalization. We overcome the restriction via embedding input images into an extended normed space that includes bias in all CNN layers as part of the extended space and propose an adjoint-operator-based algorithm that maps high-level weights back to the extended input space for reconstructing an effective hypersurface. Such hypersurface can be computed for an arbitrary unit in the CNN, and here we prove that this reconstructed hypersurface, when multiplied by the original input (through an inner product), will precisely replicate the output value of each unit. We show experimental results based on the CIFAR-10 and CIFAR-100 data sets where the proposed approach achieves near 0 activation value reconstruction error.

97 MATHEMATICS AND COMPUTING↗

High precision photon flux determination for photon tagging experiments

The Jefferson Laboratory PrimEx Collaboration has developed and implemented a method to control the tagged photon flux in photoproduction experiments at the 1% level over the photon energy range from 4.9 to 5.5 GeV. This method has been successfully implemented in a high precision measurement of the neutral pion lifetime. Here, we outline the experimental equipment and the analysis techniques used to accomplish this. These include the use of a total absorption counter for absolute flux calibration, a pair spectrometer for online relative flux monitoring, and a new method for post-bremsstrahlung electron counting.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Acceleration of matrix element computations for precision measurements

The matrix element technique provides a superior statistical sensitivity for precision measurements of important parameters at hadron colliders, such as the mass of the top quark or the cross-section for the production of Higgs bosons. The main practical limitation of the technique is its high computational demand. Using the example of the top quark mass, we present two approaches to reduce the computation time of the technique by a factor of 90. First, we utilize low-discrepancy sequences for numerical Monte Carlo integration in conjunction with a dedicated estimator of numerical uncertainty, a novelty in the context of the matrix element technique. We then utilize a new approach that factorizes the overall jet energy scale from the matrix element computation, a novelty in the context of top quark mass measurements. The utilization of low-discrepancy sequences is of particular general interest, as it is universally applicable to Monte Carlo integration, and independent of the computing environment.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Magnetic field devices for neutron spin transport and manipulation in precise neutron spin rotation measurements

The neutron spin is a critical degree of freedom for many precision measurements using low-energy neutrons. Fundamental symmetries and interactions can be studied using polarized neutrons. Parity-violation (PV) in the hadronic weak interaction and the search for exotic forces that depend on the relative spin and velocity, are two questions of fundamental physics that can be studied via the neutron spin rotations that arise from the interaction of polarized cold neutrons and unpolarized matter. The Neutron Spin Rotation (NSR) collaboration developed a neutron polarimeter, capable of determining neutron spin rotations of the order of 10 -7 rad per meter of traversed material. This paper describes two key components of the NSR apparatus, responsible for the transport and manipulation of the spin of the neutrons before and after the target region, which is surrounded by magnetic shielding and where residual magnetic fields need to be below 100 μG. These magnetic field devices, called input and output coils, provide the magnetic field for adiabatic transport of the neutron spin in the regions outside the magnetic shielding while producing a sharp nonadiabatic transition of the neutron spin when entering/exiting the low-magnetic-field region. In addition, the coils are self contained, forcing the return magnetic flux into a compact region of space to minimize fringe fields outside. The design of the input and output coils is based on the magnetic scalar potential method.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

A simulation model of front-end electronics for high-precision timing measurements with low-gain avalanche detectors

Here, we report simulation results of a study aiming to optimize parameters of a detector that uses low-gain avalanche detectors (LGAD) for high-precision timing measurements. The detector is assumed to be composed of a 50μm LGAD sensor coupled to front-end readout electronics which is used to measure the time of arrival of minimum ionizing particles. The simulation includes modeling of signal fluctuations in the LGAD sensor, variations of the analog bandwidth and signal-to-noise ratio (SNR) of the front-end electronics, time bin quantization, and radiation damage of the LGAD sensors. Two approaches to measure the timestamp are considered: leading edge and constant fraction. Simulated LGAD pulses before irradiation, and after irradiation with neutron fluences of 5×10 14 n/cm 2 and 1×10 15 n/cm 2 , are studied. The time resolution for a 50μm LGADs was found to be 35 ps for front-end electronics bandwidths larger than 350 MHz and SNRs larger than 30. The time resolution at SNR of 30 for fluences of 5×10 14 n/cm 2 and 1×10 15 n/cm 2 were found to be 31 ps and 37 ps, respectively.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

A high precision calibration of the nonlinear energy response at Daya Bay

A high precision calibration of the nonlinearity in the energy response of the Daya Bay Reactor Neutrino Experiment’s antineutrino detectors is observed. The energy nonlinearity originates from the particle-dependent light yield of the scintillator and charge-dependent electronics response. The nonlinearity model is constrained by γ calibration points from deployed and naturally occurring radioactive sources, the β spectrum from 12 B decays, and a direct measurement of the electronics nonlinearity with a new flash analog-to-digital converter readout system. With this beind said, less than 0.5% uncertainty in the energy nonlinearity calibration is achieved for positrons of kinetic energies greater than 1 MeV.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

A compact electromagnetic neutron nutator for precise neutron spin manipulation

A superconducting electromagnetic nutator (EMN) capable of generating a magnetic field vector along an arbitrary direction on a 2D plane has been designed. Its performance in precisely manipulating the neutron polarization vector has been tested at the HB2-D polarized development beamline at the High Flux Isotope Reactor. Unlike mechanical nutators that require physical handling or motor-driven actuation to rotate the magnetic field, the magnitude and orientation of the magnetic field produced by the EMN can be controlled electromagnetically. Further, the compact design (~15 mm depth, not including cryogenic housing) of this device ensures ease of coupling within existing superconducting neutron spin manipulation devices, such as magnetic Wollaston prisms (MWP), resonant radio frequency (RF) flippers, spherical neutron polarimetry (SNP) devices, etc.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Improved high-precision mass measurements of mid-shell neon isotopes

New mass values measured with the TITAN MR-TOF-MS are reported for the short-lived isotopes 24-26 Ne, produced at TRIUMF's ISAC facility using a uranium carbide target and cold FEBIAD ion source. A least-squares adjustment within the framework of the Atomic Mass Evaluation was performed and the improved precision of the new mass values is highlighted. The improved mass accuracy in this N = 14mid-shell region can also point to the refinement in values of the charge radii. By reducing the mass uncertainty of isotopes, their contribution of the mass shift uncertainty in laser spectroscopy can be negated. The work is part of developments for reaching the N = 20 Island of Inversion, where high molecular contamination hinders mass measurements of the neon isotopes.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Precision Measurements of Long-Baseline Neutrino Oscillation at LBNF

In a long-baseline neutrino oscillation experiment, the primary physics objectives are to determine the neutrino mass hierarchy, to determine the octant of the neutrino mixing angle θ 23 , to search for CP violation in neutrino oscillation, and to precisely measure the size of any CP-violating effect that is discovered. This presentation provides a brief introduction to these measurements and reports on efforts to optimize the design of a long-baseline neutrino oscillation experiment, the status of LBNE, and the transition to an international collaboration at LBNF.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗