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At least 775 records · Page 43

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DOE OSTI2016

The comparison of 5-field conformal radiotherapy techniques for the treatment of prostate cancer: The best for femoral head sparing

External radiotherapy is a standard treatment procedure for localized prostate cancer. Given the relatively high long term survival treatment complications have been brought in center of attention. In this planning study, between 2012 and 2014, CT simulation data of 90 consecutive high-risk prostate cancer patients were collected. In the first phase, all were planned for whole pelvis irradiation up to 46Gy in 23 daily fractions. In the second phase, only the prostate gland was the target of radiation. Next, the subjects were divided randomly into three groups and each received a unique 5field conformal radiation plan including Plan A (Gantry angle: 0, 60, 120, 240, and 300), Plan B (Gantry angles: 0, 90, 120, 240, and 270) and Plan C (Gantry angles: 0, 60, 90, 270, and 300). The total dose was 70Gy. For each patient, the rectum, bladder, and both femoral heads were contoured as the at risk organs (OAR). From dose volume histograms, the proportional dose of PTV V100, the bladder and rectum V80 and V90 and femoral head V50 and V100 were calculated in all subjects and compared across plans. A statistically significant difference in the femoral head V50 and V100 was found between our studied 5field plans so that in Plan A (beam angles: 0, 60, 120, 240 and 300) less dose was received by both heads of femur. This study suggests that 5 field treatment planning including an anterior, two anterior oblique and two posterior oblique portals to be more proper for 3D conformal radiotherapy in order to spare femoral head with acceptable PTV coverage, and bladder and rectal doses.

61 RADIATION PROTECTION AND DOSIMETRY↗

DOE OSTI2015

TU-AB-201-06: Evaluation of Electromagnetically Guided High- Dose Rate Brachytherapy for Ablative Treatment of Lung Metastases

Purpose: The advent of electromagnetic navigation bronchoscopy has enabled minimally invasive access to peripheral lung tumors previously inaccessible by optical bronchoscopes. As an adjunct to Stereotactic Ablative Radiosurgery (SABR), implantation of HDR catheters can provide focal treatments for multiple metastases and sites of retreatments. The authors evaluate a procedure to deliver ablative doses via Electromagnetically-Guided HDR (EMG-HDR) to lung metastases, quantify the resulting dosimetry, and assess its role in the comprehensive treatment of lung cancer. Methods: A retrospective study was conducted on ten patients, who, from 2009 to 2011, received a hypo-fractionated SABR regimen with 6MV VMAT to lesions in various lobes ranging from 1.5 to 20 cc in volume. A CT visible pathway was delineated for EM guided placement of an HDR applicator (catheter) and dwell times were optimized to ensure at least 98% prescription dose coverage of the GTV. Normal tissue doses were calculated using inhomogeneity corrections via a grid-based Boltzmann solver (Acuros-BV-1.5.0). Results: With EMG-HDR, an average of 83% (+/−9% standard deviation) of each patient’s GTV received over 200% of the prescription dose, as compared to SABR where the patients received an average maximum dose of 125% (+/−5%). EMG-HDR enabled a 59% (+/−12%) decrease in the aorta maximum dose, a 63% (+/−26%) decrease in the spinal cord max dose, and 57% (+/−23%) and 70% (+/−17%) decreases in the volume of the body receiving over 50% and 25% of the prescription dose, respectively. Conclusion: EMG-HDR enables delivery of higher ablative doses to the GTV, while concurrently reducing surrounding normal tissue doses. The single catheter approach shown here is limited to targets smaller than 20 cc. As such, the technique enables ablation of small lesions and a potentially safe and effective retreatment option in situations where external beam utility is limited by normal tissue constraints.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

Effect of annealing on the laser induced damage of polished and CO{sub 2} laser-processed fused silica surfaces

We investigate the effect of different heat treatments on the laser-induced damage probabilities of fused silica samples. Isothermal annealing in a furnace is applied, with different temperatures in the range 700–1100 °C and 12 h annealing time, to super-polished fused silica samples. The surface flatness and laser damage probabilities at 3 ns, 351 nm are measured before and after the different annealing procedures. We have found a significant improvement of the initial laser damage probabilities of the silica surface after annealing at 1050 °C for 12 h. A similar study has been conducted on CO{sub 2} laser-processed sites on the surface of the samples. Before and after annealing, we have studied the morphology of the sites, the evolution of residual stress, and the laser-induced damage threshold measured at 351 nm, 3 ns. In this case, we observe that the laser damage resistance of the laser created craters can reach the damage level of the bare fused silica surface after the annealing process, with a complete stress relieve. The obtained results are then compared to the case of local annealing process by CO{sub 2} laser irradiation during 1 s, and we found similar improvements in both cases. The different results obtained in the study are compared to numerical simulations made with a thermo-mechanical model based on finite-element method that allows the simulation of the isothermal or the local annealing process, the evolution of stress and fictive temperature. The simulation results were found to be very consistent with experimental observations for the stresses evolution after annealing and estimation of the heat affected area during laser-processing based on the density dependence with fictive temperature. Following this work, the temperature for local annealing should reach 1330–1470 °C for an optimized reduction of damage probability and be below the threshold for material removal, whereas furnace annealing should be kept below the annealing point to avoid sample deformation.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

DOE OSTI2015

SU-F-207-07: Dual-Energy Computed Tomography Detection Limit of Various Radiopaque Contrast Agents That Can Be Infused Within Absorbable Inferior Vena Cava Filters

Purpose: Absorbable IVC filters are shown to be safe and efficacious in preventing pulmonary embolism. These absorbable filters disappear from the body after their required duration, alleviating costly removal procedures and downstream complications. Monitoring the positioning and integrity of absorbable devices using dual-energy computed tomography (DECT) would improve treatment efficacy. The purpose of this study is to determine the limit of detection and the energy dependence of DECT for various contrast agents that may be infused within the IVC filters including gold nanoparticles (AuNP) having diameters of 2 and 4 nm. Methods: All imaging studies were performed on a GE Discovery CT750 system in Gemstone Spectral Imaging (GSI) mode. Plastic vials containing the contrast agent solutions of water and blood were placed in a water bath, and images were acquired with the GSI-5 preset. The images were reformatted into the coronal plane and 5mm diameter ROIs were placed within each solution on a GE Advantage Workstation. Monoenergetic reconstructions were generated from 40 – 140 keV. Results: Mass attenuation (contrast per unit density) for AuNPs was greater than iron, but less than barium and iodine. Contrast was 10.2 (± 3.6) HU for 4 nm AuNP at 0.72 mg/ml and 12.1 (± 4.2) for 2 nm AuNP at 0.31 mg/ml at 70 keV suggesting reasonable chance of visualization at these concentrations for 70 keV reconstruction. The contrast as a function of CT energy is similar in both water and blood. Iodine is most dependent, followed closely by barium and iron, and trailed by a large margin by the AuNP. This was unexpected given Au’s large atomic number and the predominance of photoelectric effect at low energy. Conclusion: Infusion of IVC filters with AuNP is feasible. Discrimination of AuNP-infused IVC filters from surrounding anatomy warrants further investigation.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

SU-F-I-51: CT/MR Image Deformation: The Clinical Assessment QA in Target Delineation

Purpose: To study the deformation effects in CT/MR image registration of head and neck (HN) cancers. We present a clinical indication in guiding and simplifying registration procedures of this process while CT images possessed artifacts. Methods: CT/MR image fusion provides better soft tissue contrast in intracranial GTV definition with artifacts. However, whether the fusion process should include the deformation process is questionable and not recommended. We performed CT/MR image registration of a HN patient with tonsil GTV and nodes delineation on Varian Velocity™ system. Both rigid transformation and deformable registration of the same CT/MR imaging data were processed separately. Physician’s selection of target delineation was implemented to identify the variations. Transformation matrix was shown with visual identification, as well as the deformation QA numbers and figures were assessed. Results: The deformable CT/MR images were traced with the calculated matrix, both translation and rotational parameters were summarized. In deformable quality QA, the calculated Jacobian matrix was analyzed, which the min/mean/max of 0.73/0/99/1.37, respectively. Jacobian matrix of right neck node was 0.84/1.13/1.41, which present dis-similarity of the nodal area. If Jacobian = 1, the deformation is at the optimum situation. In this case, the deformation results have shown better target delineation for CT/MR deformation than rigid transformation. Though the root-mean-square vector difference is 1.48 mm, with similar rotational components, the cord and vertebrae position were aligned much better in the deformable MR images than the rigid transformation. Conclusion: CT/MR with/without image deformation presents similar image registration matrix; there were significant differentiate the anatomical structures in the region of interest by deformable process. Though vendor suggested only rigid transformation between CT/MR assuming the geometry remain similar, our findings indicated with patient positional variations, deformation registration is needed to generate proper GTV coverage, which will be irradiated more accurately in the following boost phase.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2016

SU-F-J-171: Robust Atlas Based Segmentation of the Prostate and Peripheral Zone Regions On MRI Utilizing Multiple MRI System Vendors

Purpose: Automatically generated prostate MRI contours can be used to aid in image registration with CT or ultrasound and to reduce the burden of contouring for radiation treatment planning. In addition, prostate and zonal contours can assist to automate quantitative imaging features extraction and the analyses of longitudinal MRI studies. These potential gains are limited if the solutions are not compatible across different MRI vendors. The goal of this study is to characterize an atlas based automatic segmentation procedure of the prostate collected on MRI systems from multiple vendors. Methods: The prostate and peripheral zone (PZ) were manually contoured by an expert radiation oncologist on T2-weighted scans acquired on both GE (n=31) and Siemens (n=33) 3T MRI systems. A leave-one-out approach was utilized where the target subject is removed from the atlas before the segmentation algorithm is initiated. The atlas-segmentation method finds the best nine matched atlas subjects and then performs a normalized intensity-based free-form deformable registration of these subjects to the target subject. These nine contours are then merged into a single contour using Simultaneous Truth and Performance Level Estimation (STAPLE). Contour comparisons were made using Dice similarity coefficients (DSC) and Hausdorff distances. Results: Using the T2 FatSat (FS) GE datasets the atlas generated contours resulted in an average DSC of 0.83±0.06 for prostate, 0.57±0.12 for PZ and 0.75±0.09 for CG. Similar results were found when using the Siemens data with a DSC of 0.79±0.14 for prostate, 0.54±0.16 and 0.70±0.9. Contrast between prostate and surrounding anatomy and between the PZ and CG contours for both vendors demonstrated superior contrast separation; significance was found for all comparisons p-value < 0.0001. Conclusion: Atlas-based segmentation yielded promising results for all contours compared to expertly defined contours in both Siemens and GE 3T systems providing fast and automatic segmentation of the prostate. Funding Support, Disclosures, and Conflict of Interest: AS Nelson is a partial owner of MIM Software, Inc. AS Nelson, and A Swallen are current employees at MIM Software, Inc.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2015

Fully iterative scatter corrected digital breast tomosynthesis using GPU-based fast Monte Carlo simulation and composition ratio update

Purpose: In digital breast tomosynthesis (DBT), scatter correction is highly desirable, as it improves image quality at low doses. Because the DBT detector panel is typically stationary during the source rotation, antiscatter grids are not generally compatible with DBT; thus, a software-based scatter correction is required. This work proposes a fully iterative scatter correction method that uses a novel fast Monte Carlo simulation (MCS) with a tissue-composition ratio estimation technique for DBT imaging. Methods: To apply MCS to scatter estimation, the material composition in each voxel should be known. To overcome the lack of prior accurate knowledge of tissue composition for DBT, a tissue-composition ratio is estimated based on the observation that the breast tissues are principally composed of adipose and glandular tissues. Using this approximation, the composition ratio can be estimated from the reconstructed attenuation coefficients, and the scatter distribution can then be estimated by MCS using the composition ratio. The scatter estimation and image reconstruction procedures can be performed iteratively until an acceptable accuracy is achieved. For practical use, (i) the authors have implemented a fast MCS using a graphics processing unit (GPU), (ii) the MCS is simplified to transport only x-rays in the energy range of 10–50 keV, modeling Rayleigh and Compton scattering and the photoelectric effect using the tissue-composition ratio of adipose and glandular tissues, and (iii) downsampling is used because the scatter distribution varies rather smoothly. Results: The authors have demonstrated that the proposed method can accurately estimate the scatter distribution, and that the contrast-to-noise ratio of the final reconstructed image is significantly improved. The authors validated the performance of the MCS by changing the tissue thickness, composition ratio, and x-ray energy. The authors confirmed that the tissue-composition ratio estimation was quite accurate under a variety of conditions. Our GPU-based fast MCS implementation took approximately 3 s to generate each angular projection for a 6 cm thick breast, which is believed to make this process acceptable for clinical applications. In addition, the clinical preferences of three radiologists were evaluated; the preference for the proposed method compared to the preference for the convolution-based method was statistically meaningful (p < 0.05, McNemar test). Conclusions: The proposed fully iterative scatter correction method and the GPU-based fast MCS using tissue-composition ratio estimation successfully improved the image quality within a reasonable computational time, which may potentially increase the clinical utility of DBT.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2015

SU-F-BRA-12: End-User Oriented Tools and Procedures for Testing Brachytherapy TPSs Employing MBDCAs

Purpose: To develop user-oriented tools for commissioning and dosimetry testing of {sup 192}Ir brachytherapy treatment planning systems (TPSs) employing model based dose calculation algorithms (MBDCAs). Methods: A software tool (BrachyGuide) has been developed for the automatic generation of MCNP6 input files from any CT based plan exported in DICOM RT format from Elekta and Varian TPSs. BrachyGuide also facilitates the evaluation of imported Monte Carlo (MC) and TPS dose distributions in terms of % dose differences and gamma index (CT overlaid colormaps or relative frequency plots) as well as DVHs and related indices. For users not equipped to perform MC, a set of computational models was prepared in DICOM format, accompanied by treatment plans and corresponding MCNP6 generated reference data. BrachyGuide can then be used to compare institutional and reference data as per TG186. The model set includes a water sphere with the MBDCA WG {sup 192}Ir source placed centrically and in two eccentric positions, a water sphere with cubic bone and lung inhomogeneities and a five source dwells plan, and a patient equivalent model with an Accelerated Partial Breast Irradiation (APBI) plan. Results: The tools developed were used for the dosimetry testing of the Acuros and ACE MBDCAs implemented in BrachyVision v.13 and Oncentra Brachy v.4.5, respectively. Findings were consistent with previous results in the literature. Besides points close to the source dwells, Acuros was found to agree within type A uncertainties with the reference MC results. Differences greater than MC type A uncertainty were observed for ACE at distances >5cm from the source dwells and in bone. Conclusion: The tools developed are efficient for brachytherapy MBDCA planning commissioning and testing. Since they are appropriate for distribution over the web, they will be put at the AAPM WG MBDCA’s disposal. Research co-financed by the ESF and Greek funds. NSRF operational Program: Education and Lifelong Learning Investing in Knowledge Society-Aristeia. Varian Medical Systems and Nucletron, an Elekta company provided access to TPSs for research purposes. Miss Peppa was supported by IKY-fellowships of excellence for postgraduate studies in Greece,Siemens Program.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2015

Vacuum drying of spent fuel storage canisters/casks - 'just how much water could be left in there, anyway?' - 15233

The process of moving spent fuel assemblies from wet storage in the spent fuel pool to dry storage in an inert gas environment within a canister or cask typically involves two main stages. In the first stage, the bulk of the water is removed by a draining or siphoning operation, conducted with pressure inside the canister maintained at 1.3 to 2 atm. This process removes most of the water in the cask cavity, but residual water can be left behind, in three main regions. The largest region, typically, is the bottom of the cavity below the end of the siphon tube. A second general class of locations, also located at the bottom of the cask cavity, consists of the 'dashpots' at the ends of the various non-fuel tubular structures within the fuel assemblies. For PWR assemblies, these are the control rod guide sleeve tubes and instrumentation thimbles. For BWR assemblies, these are the water rods of various designs and control blade ends in some configurations. A third class of locations consists of porous material within the cavity that can absorb water, such as thin ceramic neutron poison plates, and ostensibly intact fuel rods that nevertheless might have pinholes or fine cracks in the cladding that could allow pool water to creep inside the fuel rod. To remove residual water from these locations, the second stage of drying operations utilizes vacuum drying, by reducing the pressure sufficiently to convert the water to vapor that can then be pumped out of the canister cavity. In this operation, the cask cavity pressure is slowly reduced from the nominal condition of (1.3-2.0 atm (1000-1520 torr), to a final target pressure below 3 torr (0.004 atm). This is typically accomplished in three to five stages, with prescribed 'hold' points defined in procedures or in the Technical Specifications, to preclude sudden pressure spikes due to flashing of water to steam, or development of large local temperature gradients in the fuel rods or other cask internal components. This paper discusses the various locations in the system where residual water may 'hang up' in the cask, and presents a discussion of the physical basis for the effectiveness of vacuum drying for removing it. Results and conclusions based on realistic qualitative and quantitative evaluations of the transient heat transfer behavior of the system are presented, based on detailed modeling of a range of spent fuel canister designs and decay heat loads, most notably the 24P Dry Shielded Canisters (DSCs) stored at the Rancho Seco Independent Spent Fuel Storage Installation (ISFSI), the NAC-MPC modules at Maine Yankee, the 24P DSCs stored at Calvert Cliffs, and the Holtec HI-STORM modules at Hope Creek. The evaluations presented here show that ice formation within a spent fuel canister is highly unlikely, due to the availability of a large thermal source term in the form of the decay heat load of the spent fuel. The formation of ice is an operational concern, since it mainly affects operation of equipment external to the canister (i.e., the hoses, valves, and fittings of the vacuum drying equipment.) Evaluations are presented for quantifying the amount of residual water that could remain in the cask cavity, even after successful drying operations, since vacuum drying is a limit process, and by definition, cannot remove all of the water from the cavity, no matter how long the operation goes on, even if all of it is in vapor form. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

DOE OSTI2018

FUSRAP Case Study - Benefits and Lessons Learned from Implementation of a Modern Data Solution at Maywood - 18399

This paper focuses on data production and management practices dating back to 1999 that continue to evolve to support the project today. In 2000, the FUSRAP Maywood Project began using a software environmental data management system and laboratory information management system, developed by a single database administrator (DA) and authored in Microsoft Access{sup TM} (MS Access). The original databases included basic functionality including sample number assignment and label generation, tracking of LIMS gamma spec QC and assignment of basic qualifiers and basic database queries. The DA continued over the next fifteen years to refine the EDMS/LIMS by integrating project-specific data evaluation guidance document processes and Quality Assurance/Quality Control (QA/QC) charting and excursion warning tools. With the retirement of the original DA, the U.S. Army Corps of Engineers (USACE)-Cabrera Team procured and implemented a commercial-leaning solution using modern database tools and an established EDMS vendor. For the database transition process, the project team established and configured the new EDMS/LIMS with basic architecture and accessibility; evaluated existing workflows; established/revised LIMS and EDMS-related documentation (manuals and procedures); and conducted dry runs and validation testing. The overall team coordinated closely to facilitate a seamless transition from initial assessment and authoring, to data migration, and finally to resumption of normal ongoing operations. Key features of the new EDMS Subcontractor's software included lookup tables, an import wizard, data checking options and unique indexes. Since the database systems became operational, the technical staff gathered useful feedback from end users (e.g., lab staff, field engineers, task managers, and the third-party data validator) to refine the EDMS/LIMS operation. This feedback triggered improvements in the performance of onsite laboratory qualification forms, promoted consistency in sample ID numbers between the database sample planning screens and field chain-of-custodies, corrected bugs in the LIMS Duplicate Evaluation Report, eliminated data import issues such as blank, inconsistent or missing data from key fields. One of the advantages of the commercial database solution was that it allowed the project to cut cost over time due to the lower cost of database maintenance provided by the commercial database vendor versus the cost of an on-staff DA. Cost savings are estimated at $40,000 per year. There were also indirect cost savings resulting from implementation of the new database since it allowed better integration of the LIMS and EDMS. While there will always be challenges associated with long term records/data management for any old remediation site, the Maywood Team's approach to an upgraded EDMS/LIMS implementation serves as one element of the overall effort to enhance the integrity and reproducibility of critical data that supports the remediation program while at the same time, more effectively using available resources. These lessons-learned will enhance implementation of cost-effective solutions for similar environmental remediation sites. (authors)

97 MATHEMATICS AND COMPUTING↗

DOE OSTI2015

Dummy Run of Quality Assurance Program in a Phase 3 Randomized Trial Investigating the Role of Internal Mammary Lymph Node Irradiation in Breast Cancer Patients: Korean Radiation Oncology Group 08-06 Study

Purpose: The Korean Radiation Oncology Group (KROG) 08-06 study protocol allowed radiation therapy (RT) technique to include or exclude breast cancer patients from receiving radiation therapy to the internal mammary lymph node (IMN). The purpose of this study was to assess dosimetric differences between the 2 groups and potential influence on clinical outcome by a dummy run procedure. Methods and Materials: All participating institutions were asked to produce RT plans without irradiation (Arm 1) and with irradiation to the IMN (Arm 2) for 1 breast-conservation treatment case (breast-conserving surgery [BCS]) and 1 mastectomy case (modified radical mastectomy [MRM]) whose computed tomography images were provided. We assessed interinstitutional variations in IMN delineation and evaluated the dose-volume histograms of the IMN and normal organs. A reference IMN was delineated by an expert panel group based on the study guidelines. Also, we analyzed the potential influence of actual dose variation observed in this study on patient survival. Results: Although physicians intended to exclude the IMN within the RT field, the data showed almost 59.0% of the prescribed dose was delivered to the IMN in Arm 1. However, the mean doses covering the IMN in Arm 1 and Arm 2 were significantly different for both cases (P<.001). Due to the probability of overdose in Arm 1, the estimated gain in 7-year disease-free survival rate would be reduced from 10% to 7.9% for BCS cases and 7.1% for MRM cases. The radiation doses to the ipsilateral lung, heart, and coronary artery were lower in Arm 1 than in Arm 2. Conclusions: Although this dummy run study indicated that a substantial dose was delivered to the IMN, even in the nonirradiation group, the dose differences between the 2 groups were statistically significant. However, this dosimetric profile should be studied further with actual patient samples and be taken into consideration when analyzing clinical outcomes according to IMN irradiation.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

DOE OSTI2016

SU-F-J-34: Automatic Target-Based Patient Positioning Framework for Image-Guided Radiotherapy in Prostate Cancer Treatment

Purpose: Current image-guided radiotherapy (IGRT) procedure is bonebased patient positioning, followed by subjective manual correction using cone beam computed tomography (CBCT). This procedure might cause the misalignment of the patient positioning. Automatic target-based patient positioning systems achieve the better reproducibility of patient setup. Our aim of this study was to develop an automatic target-based patient positioning framework for IGRT with CBCT images in prostate cancer treatment. Methods: Seventy-three CBCT images of 10 patients and 24 planning CT images with digital imaging and communications in medicine for radiotherapy (DICOM-RT) structures were used for this study. Our proposed framework started from the generation of probabilistic atlases of bone and prostate from 24 planning CT images and prostate contours, which were made in the treatment planning. Next, the gray-scale histograms of CBCT values within CTV regions in the planning CT images were obtained as the occurrence probability of the CBCT values. Then, CBCT images were registered to the atlases using a rigid registration with mutual information. Finally, prostate regions were estimated by applying the Bayesian inference to CBCT images with the probabilistic atlases and CBCT value occurrence probability. The proposed framework was evaluated by calculating the Euclidean distance of errors between two centroids of prostate regions determined by our method and ground truths of manual delineations by a radiation oncologist and a medical physicist on CBCT images for 10 patients. Results: The average Euclidean distance between the centroids of extracted prostate regions determined by our proposed method and ground truths was 4.4 mm. The average errors for each direction were 1.8 mm in anteroposterior direction, 0.6 mm in lateral direction and 2.1 mm in craniocaudal direction. Conclusion: Our proposed framework based on probabilistic atlases and Bayesian inference might be feasible to automatically determine prostate regions on CBCT images.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2020

Identification and Quantification of Beta-Emitters in Waste Packages by Segmented Gamma-Scanning - 20114

A commonly applied method for the non-destructive characterization of the radioactive inventory of waste packages (e.g. 200-l drums) is segmented gamma-scanning. The gamma-emitting inventory is identified via their characteristic lines in the measured spectra. The corresponding net peak areas allow for quantification applying appropriate models. The identification and quantification of beta-emitters present in the waste package require further evaluation. While some of them emit gamma-rays, too, which can be used for identification and quantification, pure beta-emitters contribute to the gamma-spectra only by their Bremsstrahlung-spectra. {sup 32}P, {sup 90}Sr and {sup 90}Y are typical representatives of these isotopes. A method is developed for identification and quantification of these pure beta-emitters in radioactive waste packages. Origin of the procedure is the evaluation of the measured gamma-spectrum. After the identification of all lines present in the spectrum (characteristic gamma-lines, single- and double-escape-lines, X-ray-lines, annihilation peak etc.) this information is used together with calibration data of the detection system and further a-priori information like matrix composition, cross-section data from databases etc. to simulate the spectra without the Bremsstrahlung-components by an appropriate method. This may be Monte Carlo simulations or, like in our case, a computer code taking into account mathematical descriptions of the physical effects like photo effect, (multiple) Compton scattering, backscattering etc. and the attenuation effects of the waste matrix. In any case, the resulting spectrum must simulate the real spectrum without its Bremsstrahlung-component as good as possible. Subtracting the simulated from the measured spectrum then results in the Bremsstrahlung-components caused by the beta-emitters. Prior to evaluation, a set of Bremsstrahlung-spectra is calculated and stored for different beta-emitters in different matrices using the Bethe-Heitler equation. This data set can be extended for new conditions, if necessary, and is allocated in a data base for future application. Applying a non-linear optimization using the generalized reduced gradient method for comparing the calculated with the derived Bremsstrahlung-spectra results in the identification of the beta-emitter and a factor, which is proportional to its activity. The proportionality is determined by previous calibration measurements. The application of the method is demonstrated by measurements on a 200-l mock-up drum and a real waste package. (authors)

07 ISOTOPE AND RADIATION SOURCES↗

DOE OSTI2019

Informative Path Planning for Mapping Radiation

This project involves making measurements of contaminated areas using portable radiation detectors and small robots. Tasks involve operating detectors and small robots, combining data acquisition for the two systems, and automating the systems. The end result is a radiation map of contamination areas. Localization of radioactive sources and mapping of contamination distribution is essential when responding to emergencies, or when dealing with cleanup efforts. Radiation maps are used for situational awareness and for establishing a safe perimeter. However, it may be hazardous or impossible for humans to safely enter the site and survey the area. Informative Path Planning (IPP) is used to design a path for a robotic sensor platform to gather the most information about the radiation distribution while operating under the set of constraints given by the dynamics of the robot and other requirements such as minimizing the overall mission time. The key challenge for IPP is the tight coupling in multiple layers of decisions: Selection of locations to visit; Allocation of sensors to those locations; Processing of information gathered. Given a robot equipped with a basic gamma detector and Lidar sensor, how can we efficiently explore an unknown environment in such a way that we can satisfy the robot's constraints while simultaneously maximizing the accuracy of the map and minimizing the total runtime? This work presents a systematic procedure for IPP and environmental mapping that: Selects the best locations at which to sample; Finds the best path for robots; Estimates the measurement value at unknown locations using a Gaussian Process regression framework. Given a set of points where radiation measurements were taken, we are utilizing a Gaussian Process Regression with a Matern kernel to reconstruct the shape of the underlying ground truth. Mapping is done via the Robot Operating System's OpenSlam Gmapping package, which creates a 2D occupancy grid map. Simulated trials were run with a radiation source placed at random locations, and allowing the robot to select and move towards 20 samples at separate locations, as well as sampling along the path while moving. The simulated sensor model assumed an efficiency of 0.3, collection time of 1 second. Various weighting schemes were tested and compared. Quantitative evaluations often favored exploitation-heavy weighting schemes where μ was emphasized, with the Root Mean Squared Error (RMSE) quickly tending towards 2, whereas qualitative comparisons would favor exploration-biased schemes with greater weight on σ. The difference comes from operators often favoring knowing the general location of a source, rather than the exact properties of a source. Weighting of the path-length π often reduced the quality of the regression as less exploration occurred, however this may be deemed a worthwhile trade-off under certain circumstances, such as with sensitive robots. Successfully developed a methodology for informative path-planning for a robot to efficiently gather information and create a map of radiation. In the future, we would like to focus on: Hardware trials with integration of the robot platform and the IPP software; More refined sensor and environmental modeling; Multiple robot platforms.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

DOE OSTI2018

Deformable Registration for Longitudinal Breast MRI Screening

MRI screening of high-risk patients for breast cancer provides very high sensitivity, but with a high recall rate and negative biopsies. Comparing the current exam to prior exams reduces the number of follow-up procedures requested by radiologists. Such comparison, however, can be challenging due to the highly deformable nature of breast tissues. Automated co-registration of multiple scans has the potential to aid diagnosis by providing 3D images for side-by-side comparison and also for use in CAD systems. Although many deformable registration techniques exist, they generally have a large number of parameters that need to be optimized and validated for each new application. Here, we propose a framework for such optimization and also identify the optimal input parameter set for registration of 3D T{sub 1}-weighted MRI of breast using Elastix, a widely used and freely available registration tool. A numerical simulation study was first conducted to model the breast tissue and its deformation through finite element (FE) modeling. This model generated the ground truth for evaluating the registration accuracy by providing the deformation of each voxel in the breast volume. An exhaustive search was performed over various values of 7 registration parameters (4050 different combinations of parameters were assessed) and the optimum parameter set was determined. This study showed that there was a large variation in the registration accuracy of different parameter sets ranging from 0.29 mm to 2.50 mm in median registration error and 3.71 mm to 8.90 mm in 95 percentile of the registration error. Mean registration errors of 0.32 mm, 0.29 mm, and 0.30 mm and 95 percentile errors of 3.71 mm, 5.02 mm, and 4.70 mm were obtained by the three best parameter sets. The optimal parameter set was applied to consecutive breast MRI scans of 13 patients. A radiologist identified 113 landmark pairs (~ 11 per patient) which were used to assess registration accuracy. The results demonstrated that using the optimal registration parameter set, a registration accuracy (in mm) of 3.4 [1.8 6.8] was achieved.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

DOE OSTI2015

SU-E-J-08: Comparison of Unintended Radiation Doses to Organs at Risk Resulting From the Out-Of-Field Therapeutic Beams and From Image-Guidance X-Ray Procedures

Purpose: The unintended radiation dose to organs at risk (OAR) can be contributed from imaging guidance procedures as well as from leakage and scatter of therapeutic beams. This study compares the imaging dose with the unintended out-of-field therapeutic dose to patient sensitive organs. Methods: The Monte Carlo EGSnrc user codes, BEAMnrc and DOSXYZnrc, were used to simulate kV X-ray sources from imaging devices as well as the therapeutic IMRT/VMAT beams and to calculate doses to target and OARs on patient treatment planning CT images. The accuracy of the Monte Carlo simulations was benchmarked against measurements in phantoms. The dose-volume histogram was utilized in analyzing the patient organ doses. Results: The dose resulting from Standard Head kV-CBCT scans to bone and soft tissues ranges from 0.7 to 1.1 cGy and from 0.03 to 0.3 cGy, respectively. The dose resulting from Thorax scans on the chest to bone and soft tissues ranges from 1.1 to 1.8 cGy and from 0.3 to 0.6 cGy, respectively. The dose resulting from Pelvis scans on the abdomen to bone and soft tissues range from 3.2 to 4.2 cGy and from 1.2 to 2.2 cGy, respectively. The out-of-field doses to OAR are sensitive to the distance between the treated target and the OAR. For a typical Head-and-Neck IMRT/VMAT treatment the out-of-field doses to eyes are 1–3% of the target dose, or 2–6 cGy per fraction. Conclusion: The imaging doses to OAR are predictable based on the imaging protocols used when OARs are within the imaged volume and can be estimated and accounted for by using tabulated values. The unintended out-of-field doses are proportional to the target dose, strongly depend on the distance between the treated target and OAR, and are generally higher comparing to the imaging dose. This work was partially supported by Varian research grant VUMC40590.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2015

SU-E-J-07: IGRT Gently: Evaluating Imaging Dose in Phantoms of Different Sizes

Purpose: IGRT imaging procedures have emerged as a common method of patient position verification in radiotherapy, though imaging dose is generally neglected in the treatment plan. Consequently, evaluating and optimizing the dose from these procedures is worthwhile. This process is especially important for children, who are more radiosensitive than adults. The aim of this work was to gain some understanding of the relative doses involved with various XVI-preset parameters for an “adult” and “child” phantom set, with the hopes that imaging dose for a child can be reduced. Methods: 32 and 16cm CTDI-phantoms were used as surrogates for adult and child torsos, respectively. Dose was measured in the central and peripheral chamber positions of the phantoms. CBCT scans were made for both phantoms using Elekta’s Chest-preset to establish a dose baseline. The child-phantom was then scanned using the Elekta Head and Neck (HN) preset. A modified HN-preset (named Peds Abd-pelvis) was also created with a doubled mAs to maintain a reduction in dose to the child-phantom (relative to the baseline), while providing clinically-usable image quality. Results: The baseline dose to the child-phantom from the Chest-preset was 310% that of the adult-phantom for the center chamber position and 150% at the periphery. An average dose reduction of 97% was obtained in the childphantom by switching from the Chest-preset to the HN-preset, while the Peds Abd-pelvis-preset similarly reduced the dose by an average of 92%. Conclusion: XVI-preset parameters significantly affect dose, and should be optimized to reduce dose, while ensuring clinically-usable image quality. Using a modified imaging preset (Peds Abd-pelvis-preset) greatly reduced the dose to the child-phantom compared to the dose for the Chest-preset for both the child and adult-phantoms. This outcome provides support for the development of child-specific protocols for IGRT imaging in pediatric patients.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2015

MO-F-CAMPUS-J-01: A Novel and Efficient Daily QA Program for Both Modern Linear Accelerator and Optical Surface Motion Systems

Purpose: The camera-based optical surface monitoring system(OSMS) is a standard motion-tracking system for TrueBeam™ machine. Daily quality assurance(DQA) procedures for the TrueBeam and OSMS systems currently require multiple phantoms and test sequences. Machine Performance Check(MPC) uses the IsoCal™ phantom to test geometric and dosimetric aspects, and has been validated for routine TrueBeam DQA. This work examines the novel use of MPC to simultaneously conduct DQA of OSMS,utilizing one phantom and test sequence for QA of both the TrueBeam and OSMS systems. Methods: TrueBeam with 6 degree-of-freedom(6DOF) couch, MPC and OSMS were installed. The therapists routinely use MPC with the IsoCal phantom to verify geometric and dosimetric parameters with an automated sequence of varying gantry and collimator angles, MLC positions, and couch translations and rotations as the DQA for TrueBeam. A surface outline of the IsoCal phantom, generated from a CT dataset, was imported to OSMS and used to monitor the position of the phantom at isocenter and to track its movement up to 5cm/10°(yaw) and rotation in pitch and roll up to 3° in real time during the automated MPC sequence. Motion of the phantom throughout the MPC routine was compared to the couch position shown by the digital readout. Results: The coincidence of isocenter, as determined by OSMS, and TrueBeam radiation isocenter was within ±0.8mm/±0.8° in three axes. Between OSMS and TrueBeam 6DOF couch, the mean couch relative shifts/angles were within ±0.7mm/±0.8° for each axis. Reported pitch and roll values were within ±0.4mm/±0.4°. The total measurement time for each DQA session took approximately 5 minutes. Conclusion: Use of the IsoCal phantom and MPC for simultaneous DQA of TrueBeam and OSMS increases QA efficiency and reduces complexity. OSMS isocenter position and motion-tracking capability in 6DOF were verified in real-time and were found to be within 1mm of the expected value.

60 APPLIED LIFE SCIENCES↗