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At least 883 records · Page 49

Efficient Computational Modeling of Human Ventricular Activation and Its Electrocardiographic Representation: A Sensitivity Study

Patient-specific models of the ventricular myocardium, combined with the computational power to run rapid simulations, are approaching the level where they could be used for personalized cardiovascular medicine. A major remaining challenge is determining model parameters from available patient data, especially for models of the Purkinje-myocardial junctions (PMJs): the sites of initial ventricular electrical activation. There are no non-invasive methods for localizing PMJs in patients, and the relationship between the standard clinical ECG and PMJ model parameters is underexplored. Thus, this study aimed to determine the sensitivity of the QRS complex of the ECG to the anatomical location and regional number of PMJs. The QRS complex was simulated using an image-based human torso and biventricular model, and cardiac electrophysiology was simulated using Cardioid. The PMJs were modeled as discrete current injection stimuli, and the location and number of stimuli were varied within initial activation regions based on published experiments. Results indicate that the QRS complex features were most sensitive to the presence or absence of four “seed” stimuli, and adjusting locations of nearby “regional” stimuli provided finer tuning. Decreasing number of regional stimuli by an order of magnitude resulted in virtually no change in the QRS complex. Thus, a minimal 12-stimuli configuration was identified that resulted in physiological excitation, defined by QRS complex feature metrics and ventricular excitation pattern. In conclusion, overall, the sensitivity results suggest that parameterizing PMJ location, rather than number, be given significantly higher priority in future studies creating personalized ventricular models from patient-derived ECGs.

59 BASIC BIOLOGICAL SCIENCES↗

Impact of GW170817 for the nuclear physics of the EOS and the r-process

The recent LIGO/Virgo detection of gravitational radiation from GW170817 bears the clear signature of a binary neutron star merger and has validated a number of theoretical predictions. High-energy radiation in the form of a short gamma-ray burst was observed 1.7 s following the merger, and an extended optical/infrared afterglow lasting weeks was observed by dozens of observatories. Short gamma-ray bursts had been thought to be produced by mergers, and the afterglow is the predicted signal of radioactive decays from decompressing neutron-rich matter catastrophically ejected from the merging stars. The afterglow provided solid evidence that neutron star mergers are a major, if not primary, source of r-process nuclei, that half of all nuclei heavier than iron formed from the rapid capture of neutrons. Although this idea was proposed nearly 45 years ago, it was largely ignored in favor of a supernova mechanism. Over the last decade, however, evidence has been accumulating that supernovae are not the primary r-process source. GW170817 may have finally settled this question, which has been one of the thorniest problems in nuclear physics and astrophysics. This article presents my personal perspective of this paradigm shift.

79 ASTRONOMY AND ASTROPHYSICS↗

PANDEMIC: Occupancy driven predictive ventilation control to minimize energy consumption and infection risk

During the SARS-CoV-2 (COVID-19) pandemic, governments around the world have formulated policies requiring ventilation systems to operate at a higher outdoor fresh air flow rate for a sufficient time, which has led to a sharp increase in building energy consumption. Therefore, it is necessary to identify an energy-efficient ventilation strategy to reduce the risk of infection. In this study, we developed an occupant-number-based model predictive control (OBMPC) algorithm for building ventilation systems. First, we collected the occupancy and Heating, ventilation, and air conditioning system (HVAC) data from March to July 2021. Then, four different models (Auto regression moving average-based multilayer perceptron (ARMA_MLP), Recurrent neural networks (RNN), Long short-term memory networks (LSTM), and Nonhomogeneous Markov with change points detection (NH_Markov)) were used to predict the number of room occupants from 15 min to 24 h ahead with an interval output. We found that each model could predict the number of occupants with 85% accuracy using a one-person offset. Furthermore, the accuracy of 15 min of the ahead prediction could reach 95% with a one-person offset, but none of them could track abrupt changes. The occupancy prediction results were used to calculate the ventilation demand using the Wells-Riley equation, and the upper bound can maintain an infection risk lower than 2% for 93% of the day. This OBMPC model could reduce the coil load by 52.44% and shift the peak load by 3 h up to 5 kW compared with 24 × 7 h full outdoor air (OA) system when people wear masks in the space. The occupancy prediction uncertainty could cause a 9% to 26% difference in demand ventilation, a 0.3°C to 2.4°C difference in zone temperature, a 28.5% to 44.5% difference in outdoor airflow rate, and a 10.7% to 28.2% difference in coil load.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

A longitudinal study of ventilation rates in California office buildings and self-reported occupant outcomes including respiratory illness absence

Limited evidence has associated lower ventilation rates (VRs) in offices with higher illness-related absence rates. We studied spaces in office buildings, selected without knowledge of their VRs, in three California climate zones. In each study space, real-time logging sensors measured carbon dioxide and thermal parameters for one year. Web-based surveys every three months collected data on occupants’ health outcomes. Using multivariate models, relationships were assessed between CO 2 concentrations, or VRs estimated from CO 2 , and adverse occupant outcomes including respiratory infections and illness absences. For all outcomes, positive associations were hypothesized with higher CO 2 levels (and negative associations with higher VRs). Low survey response limited sample size and study power. In the 16 study spaces, CO 2 concentrations were uniformly low over the year, and most estimated VRs ranged from twice to nine times the California office minimum VR standard (7 L/s or 15 cfm per person). Primary CO 2 and VR metrics had no statistically significant relationships with occupant outcomes. Within the observed range of uniformly low CO 2 and high VRs (mostly 16–42 L/s per person), little variation in contaminant concentrations would be expected, which would explain lack of relationships with occupant outcomes. These high VRs resulted partly from frequently used energy-saving “economizer” cycles in moderate California climates, but VRs at other times also substantially exceeded required VRs. These findings suggest, consistent with theory, that within a higher VR range, increased VRs do not reduce respiratory illness. Further studies are needed to better characterize such relationships.

60 APPLIED LIFE SCIENCES↗

Intersecting heuristic adaptive strategies, building design and energy saving intentions when facing discomfort environment: A cross-country analysis

Occupants' adaptive strategies play an important role in the energy consumption of office buildings. Previous research has mostly focused on the adaptive strategies triggered by occupants' indoor discomfort; however, it is crucial to understand if specific adaptive strategies are linked to occupants' energy-saving intentions. This study explores the relationships among employees’ heuristic decision-making in their first choice of adaptive strategies (technological solutions or personal adjustments) when facing extreme discomfort conditions, and their energy-saving intentions, then links these patterns with building design, workplace contextual factors, and demographics. A cross-sectional survey was collected among university employees from China, Brazil, Italy, Poland, Switzerland, and the US. Our results demonstrated that the accessibility to indoor environmental controls (IECs) and office type are the significant factors for adaptive strategies. There was a positive relationship between the number of IEC features and the percentage of employees choosing a technological solution. When feeling too hot, occupants in private offices are more likely to adopt a technological solution, whereas occupants in cubicles are more likely to choose a personal adjustment. Occupants with energy-saving intentions are less likely to choose thermostat adjustments or use portable devices as adaptive strategies than their counterparts. Lastly, the cluster analysis suggests females were more likely to use adaptive strategies for energy-saving purposes than males. The majority of occupants would turn on/off lighting to save energy. The study provides the contributions in the connection between the heuristic decision-making process and energy-saving intentions and recommendations on design strategies for building architects, engineers, and managers.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Transportation in net-zero emissions futures: Insights from the EMF-37 model intercomparison study

Transportation is currently the largest source of U.S. anthropogenic CO 2 emissions, at about a third of the total. Achieving net-zero emissions by mid-century will require substantial reductions in transportation emissions across passenger and freight travel. Here we leverage a model intercomparison study to explore the role of transportation in scenarios achieving net-zero economy-wide CO 2 emissions by 2050. We find the transport sector is poised to play the most significant role in reducing demand-side emissions, mostly driven by technology substitution, as modeling results suggest a limited role for mode shifting and for reduced use of personal car travel in the U.S. Among various technology solutions, models show agreement that passenger on-road vehicles will largely transition to electric vehicles (EVs), while solutions to decarbonize heavier travel modes are more diverse and include greater use of liquid biofuels and hydrogen. Research should continue to investigate the evolution of on-road electrification, the role of biofuels and hydrogen across heavier travel modes, and the role of mode shifting and travel behavior change to support personal transportation decarbonization at national and regional scales to temper the rapid growth in clean fuel and electricity demand.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Life cycle impact assessment of home energy management systems (HEMS) using dynamic emissions factors for electricity in Finland

Decarbonising the European economy is a long-term goal in which the residential sector will play a significant role. Smart buildings for energy management are one means of decarbonisation, by reducing energy consumption and related emissions. This study investigated the environmental impacts of smart house automation using life cycle impact assessment. The ReCiPe method was selected for use, in combination with dynamic emissions factors for electricity in Finland. The results indicated that a high level of technology deployment may be counter-effective, due to high electricity consumption by the sensor network, automation system and computing devices. The results also indicated that number of inhabitants per household directly affected the environmental impacts of home automation. A single-person household saw its environmental impacts increase by 15%, while those of a five-person household increased by 3% in the worst-case scenario. The manufacturing phase contributed the major share of environmental impacts, exceeding the use phase in multiple categories. These findings indicate that finding the sweet spot in which technology can promote decarbonisation will be crucial to achieving the goal of a low‑carbon economy. - Highlights: •HEMS did not reduce the overall environmental impact of households. •Environmental impacts of HEMS are greater for single inhabitant households. •Energy efficiency of sensing devices must drastically increase to promote decarbonisation. •The highest life cycle environmental impacts of electronics are during the manufacturing phase. •Raising awareness is a critical part in decreasing the environmental impact of households.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Association of UV radiation with Parkinson disease incidence: A nationwide French ecologic study

Background: Vitamin D is thought to contribute to brain health, but it is unclear whether low vitamin D levels are associated with increased incidence of Parkinson's disease (PD). Using ultraviolet B (UV-B) as a surrogate for vitamin D levels, we conducted a nationwide ecologic study in France in order to examine the association of UV-B with PD incidence. Methods: We used French national drug claims databases to identify PD cases using a validated algorithm. UV-B data from the solar radiation database were derived from satellite images. We estimated PD incidence (2010–2012) at the canton level (small administrative French unit) and used multilevel Poisson regression to examine its association with UV-B (2005 annual average), after adjustment for age, sex, deprivation index, density of neurologists, smoking, proportion of agricultural land, and vitamin D supplementation. Results: Analyses are based on 69,010 incident PD patients. The association between UV-B and PD incidence was quadratic (P<0.001) and modified by age (P<0.001). Below 70y, incidence was higher in the bottom quintile (relative risk, RR{sub Q1:45-49y}=1.18, 95% CI=1.08–1.29) compared with the middle UV-B quintile, and lower in the top quintile (RR{sub Q5:45-49y}=0.85 [0.77–0.94]). An opposite pattern was observed in older subjects (RR{sub Q1:85-89y}=0.92 [0.89–0.96]; RR{sub Q5:85-89y}=1.06 [1.02–1.11]). Analysis based on continuous UV-B yielded similar conclusions. Conclusions: In this nationwide study, there was an age-dependent quadratic association between UV-B and PD incidence. This study suggests that reasonable UV-B exposure is associated with lower PD risk in younger persons and that future studies should examine dose-response relations and take age into account. - Highlights: • There is an age-dependent quadratic association between UV-B and PD incidence. • Reasonable UV-B exposure is beneficial in younger persons for the risk of PD. • Our findings are consistent with a role of vitamin D in PD, especially at younger ages. • Future studies should examine dose-effect relations and take age into account.

54 ENVIRONMENTAL SCIENCES↗

Development of an approach to correcting MicroPEM baseline drift

Highlights: • Unacceptable baseline drift of real-time PM{sub 2.5} data measured by microPEM can lead to exposure miscalculation. • A reliable method was developed to adjust the baseline based on ambient PM{sub 2.5} levels provided by fixed monitoring sites. • It is also critical to tie the real-time data with mass-weighted average optical properties of PM{sub 2.5} collected. • This method can efficiently correct ~ 81% of the measurements with the baseline drift issue. Fine particulate matter (PM{sub 2.5}) is associated with various adverse health outcomes. The MicroPEM (RTI, NC), a miniaturized real-time portable particulate sensor with an integrated filter for collecting particles, has been widely used for personal PM{sub 2.5} exposure assessment. Five-day deployments were targeted on a total of 142 deployments (personal or residential) to obtain real-time PM{sub 2.5} levels from children living in New York City and Baltimore. Among these 142 deployments, 79 applied high-efficiency particulate air (HEPA) filters in the field at the beginning and end of each deployment to adjust the zero level of the nephelometer. However, unacceptable baseline drift was observed in a large fraction (> 40%) of acquisitions in this study even after HEPA correction. This drift issue has been observed in several other studies as well. The purpose of the present study is to develop an algorithm to correct the baseline drift in MicroPEM based on central site ambient data during inactive time periods.

54 ENVIRONMENTAL SCIENCES↗

Spatial associations between social groups and ozone air pollution exposure in the Beijing urban area

Highlights: • Greater percentages of persons living alone and migrants were associated with higher O{sub 3} exposure. • Social groups divided by Hukou status had distinct spatial distributions in the Beijing urban area. • Migrants bore a double burden of social deprivation and O{sub 3} exposure due to city development planning and the Hukou system. • Areas with greater percentages of seniors had lower O{sub 3} exposure but higher NO{sub 2} exposure. Few studies have linked social factors to air pollution exposure in China. Unlike the race or minority concepts in western countries, the Hukou system (residential registration system) is a fundamental reason for the existence of social deprivation in China. To assess the differences in ozone (O{sub 3}) exposure among social groups, especially groups divided by Hukou status, we assigned estimates of O{sub 3} exposure to the latest census data of the Beijing urban area using a kriging interpolation model. We developed simultaneous autoregressive (SAR) models that account for spatial autocorrelation to identify the associations between O{sub 3} exposure and social factors. Principal component regression was used to control the multicollinearity bias as well as explore the spatial structure of the social data. The census tracts (CTs) with higher proportions of persons living alone and migrants with non-local Hukou were characterized by greater exposure to ambient O{sub 3}. The areas with greater proportions of seniors had lower O{sub 3} exposure. The spatial distribution patterns were similar among variables including migrants, agricultural population and household separation (population status with separation between Hukou and actual residences), which fit the demographic characteristics of the majority of migrants. Migrants bore a double burden of social deprivation and O{sub 3} pollution exposure due to city development planning and the Hukou system.

54 ENVIRONMENTAL SCIENCES↗

Estimation of TETRA radio use in the Airwave Health Monitoring Study of the British police forces

Highlights: • Operator-derived records alongside self-reported information to estimate radio use as a proxy for RF-EMF exposure. • Imputed average TETRA radio usage correlates better with objective data than self-reported use. • Higher personal radio usage seen in younger and male participants as well as in police officers compared with staff. • The first large observational study with an estimate of monthly average personal radio usage for all participants. The Airwave Health Monitoring Study aims to investigate the possible long-term health effects of Terrestrial Trunked Radio (TETRA) use among the police forces in Great Britain. Here, we investigate whether objective data from the network operator could be used to correct for misreporting in self-reported data and expand the radio usage availability in our cohort.

61 RADIATION PROTECTION AND DOSIMETRY↗

What, why and when to go virtual: An international analysis of early adopters of virtual building energy codes inspections

To meet greenhouse gas reduction targets, several countries are pursuing more ambitious policies in their buildings and construction sectors, such as introducing zero net energy/carbon building codes. Countries often report not having enough qualified staff for performing building energy code inspections and many are exploring faster, easier, and more reliable methods to check the compliance of buildings with their codes. Building inspections are a critical element for ensuring code compliance and they have traditionally been performed in person. However, in-person inspections can be labor and travel intensive, costly, and prone to human error. In this paper, the authors explore how virtual inspections, particularly in light of the recent COVID-19 pandemic, have impacted processes for building code compliance checks in jurisdictions and communities around the world. Here, the authors collected data on four key parameters (time and financial savings, scope of inspections, changing practices and technological innovation, and benefits to consumers) from six jurisdictions and communities in five countries (Australia, Canada, Singapore, United Arab Emirates, and the United States) to analyze the impacts of virtual inspections on code compliance checks. The analysis found the greatest value from virtual inspections in geographically dispersed regions and for cities experiencing rapid building construction. The study also explored emerging technologies that are being piloted for virtual inspections. Although many of these technologies hold promise, more resources and capacity are needed to make them viable for use in building energy code inspections.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Risk of First and Recurrent Stroke in Childhood Cancer Survivors Treated With Cranial and Cervical Radiation Therapy

Purpose: To assess, in a retrospective cohort study, rates and predictors of first and recurrent stroke in patients treated with cranial irradiation (CRT) and/or cervical irradiation at ≤18 years of age. Methods and Materials: We performed chart abstraction (n=383) and phone interviews (n=104) to measure first and recurrent stroke in 383 patients who received CRT and/or cervical radiation at a single institution between 1980 and 2009. Stroke was defined as a physician diagnosis and symptoms consistent with stroke. Incidence of first stroke was number of first strokes per person-years of observation after radiation. We used survival analysis techniques to determine cumulative incidence of first and recurrent stroke. Results: Among 325 subjects with sufficient follow-up data, we identified 19 first strokes (13 ischemic, 4 hemorrhagic, 2 unknown subtype) occurring at a median age of 24 years (interquartile range 17-33 years) in patients treated with CRT. Imaging was reviewed when available (n=13), and the stroke was confirmed in 12. Overall rate of first stroke was 625 (95% confidence interval [CI] 378-977) per 100,000 person-years. The cumulative incidence of first stroke was 2% (95% CI 0.01%-5.3%) at 5 years and 4% (95% CI 2.0%-8.4%) at 10 years after irradiation. With each 100-cGy increase in the radiation dose, the stroke hazard increased by 5% (hazard ratio 1.05; 95% CI 1.01-1.09; P=.02). We identified 6 recurrent strokes; 5 had available imaging that confirmed the stroke. Median time to recurrence was 15 months (interquartile range 6 months-3.2 years) after first stroke. The cumulative incidence of recurrent stroke was 38% (95% CI 17%-69%) at 5 years and 59% (95% CI 27%-92%) at 10 years after first stroke. Conclusion: Cranial irradiation puts childhood cancer survivors at high risk of both first and recurrent stroke. Stroke prevention strategies for these survivors are needed.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Thyroid Malignancies in Survivors of Hodgkin Lymphoma

Purpose: To quantify the incidence of thyroid cancer after Hodgkin lymphoma (HL) and determine disease characteristics, risk factors, and treatment outcomes. Methods and Materials: Thyroid cancer cases were retrospectively identified from a multi-institutional database of 1981 HL patients treated between 1969 and 2008. Thyroid cancer risk factors were evaluated by a Poisson regression model. Results: With a median follow-up duration of 14.3 years (range, 0-41.2 years), 28 patients (1.4%) developed a thyroid malignancy. The overall incidence rate (expressed as the number of cases per 10,000 person-years) and 10-year cumulative incidence of thyroid cancer were 9.6 and 0.26%, respectively. There were no observed cases of thyroid malignancy in patients who received neck irradiation for HL after age 35 years. Age <20 years at HL diagnosis and female sex were significantly associated with thyroid cancer. The incidence rates of females aged <20 at HL diagnosis in the first 10 years, ≥10 years, ≥15 years, and ≥20 years after treatment were 5, 31, 61, and 75 cases per 10,000 person-years of follow-up, respectively. At a median follow-up of 3.5 years after the thyroid cancer diagnosis, 26 patients (93%) were alive without disease, 1 (4%) was alive with metastatic disease, and 1 (4%) died of metastatic disease, at 6 and 3.6 years after the thyroid cancer diagnosis, respectively. Conclusions: Although HL survivors have an increased risk for thyroid cancer, the overall incidence is low. Routine thyroid cancer screening may benefit females treated at a young age and ≥10 years from HL treatment owing to their higher risk, which increases over time.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Locoregional Control of Non-Small Cell Lung Cancer in Relation to Automated Early Assessment of Tumor Regression on Cone Beam Computed Tomography

Purpose: Large interindividual variations in volume regression of non-small cell lung cancer (NSCLC) are observable on standard cone beam computed tomography (CBCT) during fractionated radiation therapy. Here, a method for automated assessment of tumor volume regression is presented and its potential use in response adapted personalized radiation therapy is evaluated empirically. Methods and Materials: Automated deformable registration with calculation of the Jacobian determinant was applied to serial CBCT scans in a series of 99 patients with NSCLC. Tumor volume at the end of treatment was estimated on the basis of the first one third and two thirds of the scans. The concordance between estimated and actual relative volume at the end of radiation therapy was quantified by Pearson's correlation coefficient. On the basis of the estimated relative volume, the patients were stratified into 2 groups having volume regressions below or above the population median value. Kaplan-Meier plots of locoregional disease-free rate and overall survival in the 2 groups were used to evaluate the predictive value of tumor regression during treatment. Cox proportional hazards model was used to adjust for other clinical characteristics. Results: Automatic measurement of the tumor regression from standard CBCT images was feasible. Pearson's correlation coefficient between manual and automatic measurement was 0.86 in a sample of 9 patients. Most patients experienced tumor volume regression, and this could be quantified early into the treatment course. Interestingly, patients with pronounced volume regression had worse locoregional tumor control and overall survival. This was significant on patient with non-adenocarcinoma histology. Conclusions: Evaluation of routinely acquired CBCT images during radiation therapy provides biological information on the specific tumor. This could potentially form the basis for personalized response adaptive therapy.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Burnout Evaluation of Radiation Residents Nationwide: Results of a Survey of United States Residents

Purpose: To assess rates of burnout among US radiation oncology residents and evaluate program/resident factors associated with burnout. Methods and Materials: A nationwide survey was distributed to residents in all US radiation oncology programs. The survey included the Maslach Burnout Index–Human Services Survey (MBI-HSS) as well as demographic and program-specific questions tailored to radiation oncology residents. Primary endpoints included rates of emotional exhaustion, depersonalization, and personal accomplishment from MBI-HSS subscale scores. Binomial logistic models determined associations between various residency/resident characteristics and high burnout levels. Results: Overall, 232 of 733 residents (31.2%) responded, with 205 of 733 (27.9%) completing the MBI-HSS. High levels of emotional exhaustion and depersonalization were reported in 28.3% and 17.1%, respectively; 33.1% experienced a high burnout level on at least 1 of these 2 MBI-HSS subscales. Low rates of personal accomplishment occurred in 12% of residents. Twelve residents (5.9%) reported feeling “at the end of my rope” on a weekly basis or more. On multivariable analysis there was a statistically significant inverse association between perceived adequacy of work-life balance (odds ratio 0.37; 95% confidence interval 0.17-0.83) and burnout. Conclusions: Approximately one-third of radiation oncology residents have high levels of burnout symptoms, consistent with previous oncology literature, but lower levels than those among physicians and residents of other specialties. Particularly concerning was that more than 1 in 20 felt “at the end of my rope” on a weekly basis or more. Targeted interventions to identify symptoms of burnout among radiation oncology residents may help to prevent the negative downstream consequences of this syndrome.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

How Advances in Imaging Will Affect Precision Radiation Oncology

Radiation oncology is 1 of the most structured disciplines in medicine. It is of a highly technical nature with reliance on robotic systems to deliver intervention, engagement of diverse expertise, and early adoption of digital approaches to optimize and execute the application of this highly effective cancer treatment. As a localized intervention, the dependence on sensitive, specific, and accurate imaging to define the extent of disease, its heterogeneity, and adjacency to normal tissues directly affects the therapeutic ratio. Image-based in vivo temporal monitoring of the response to treatment enables adaptation and further affects the therapeutic ratio. Thus, more precise intervention will enable fractionation schedules that better interoperate with advances such as immunotherapy. In the data set–rich era that promises precision and personalized medicine, the radiation oncology field will integrate these new data into highly protocoled pathways of care that begin with multimodality prediction and enable patient-specific adaptation of therapy based on quantitative measures of the individual's dose–volume temporal trajectory and midtherapy predictions of response. In addition to advancements in computed tomography imaging, emerging technologies, such as ultra-high-field magnetic resonance and molecular imaging will bring new information to the design of treatments. Next-generation image guided radiation therapy systems will inject high specificity and sensitivity data and stimulate adaptive replanning. In addition, a myriad of pre- and peritherapeutic markers derived from advances in molecular pathology (eg, tumor genomics), automated and comprehensive imaging analytics (eg, radiomics, tumor microenvironment), and many other emerging biomarkers (eg, circulating tumor cell assays) will need to be integrated to maximize the benefit of radiation therapy for an individual patient. We present a perspective on the promise and challenges of fully exploiting imaging data in the pursuit of personalized radiation therapy, drawing from the presentations and broader discussions at the 2016 American Society of Therapeutic Radiation Oncology–National Cancer Institute workshop on Precision Medicine in Radiation Oncology (Bethesda, MD).

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Metal Halide Perovskites in Quantum Dot Solar Cells: Progress and Prospects

“Go big or go home” could never be a truer statement, especially when it comes to energy. The world population is increasing, the energy use per person is growing more rapidly, and the total electricity use per person is growing even more quickly than that. To handle this demand, energy production must be increased, and it is vital for renewable sources to be used. Currently three quarters of a terawatt of power generated from photovoltaics (PVs) has been installed. At a somewhat optimistic average power-conversion efficiency of 18%, the distributed surface area of high purity optoelectronic grade semiconductor photovoltaic panels pointed at the sun is substantially larger than the area of the whole state of Rhode Island or nearly double the land mass of Luxembourg. While photovoltaic production continues to ramp to immense proportions, perovskite semiconductors are poised to greatly complement existing technology. On the other end of the size spectrum, the study of semiconductor nanocrystals or quantum dots (QDs) has led to advanced structures and deeper understanding within halide perovskite semiconductors. In this article, we show how the development of nanoscale metal halide perovskite semiconductors have gained prominence surpassing all other QD materials in terms of efficiency, and are becoming a platform for further improving technology to solve big energy challenges.

14 SOLAR ENERGY↗