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At least 955 records · Page 53
All sourcesNASA NTRSDOE OSTI
DOE OSTI2015

ChEVAS: Combining Suprarenal EVAS with Chimney Technique

Endovascular sealing with the Nellix{sup ®} endoprosthesis (EVAS) is a new technique to treat infrarenal abdominal aortic aneurysms. We describe the use of endovascular sealing in conjunction with chimney stents for the renal arteries (chEVAS) in two patients, one with a refractory type Ia endoleak and an expanding aneurysm, and one with a large juxtarenal aneurysm unsuitable for fenestrated endovascular repair (EVAR). Both aneurysms were successfully excluded. Our report confirms the utility of chEVAS in challenging cases, where suprarenal seal is necessary. We suggest that, due to lack of knowledge on its durability, chEVAS should only been considered when more conventional treatment modalities (open repair and fenestrated EVAR) are deemed difficult or unfeasible.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2016

Early- and Mid-term Results of the Chimney Technique in the Repair of Aortic Arch Pathologies

PurposeTo examine the safety, feasibility, and mid-term efficacy of the chimney technique for aortic arch pathologies.MethodsFrom February 2011 to December 2014, a total of 35 patients (30 men; mean age 54.3 ± 14.1 years) with aortic arch pathologies underwent thoracic endovascular aortic repair combined with chimney stents. The indication was a proximal landing zone <1.5 cm. Follow-up was performed at 3, 6, and 12 months and then yearly thereafter.ResultsA total of 36 chimney stents were deployed (innominate artery, n = 1; left common carotid artery, n = 9; right subclavian artery, n = 1; left subclavian artery, n = 25). The technical success rate was 94.3 % (33/35). Immediate type Ia endoleaks (ELIa) were observed in two patients (8.6 %, 2/35). Twenty-five patients were successfully followed-up for a median period of 29.3 months (range, 6–48 months). One patient died due to aortic dissection aneurysm rupture at 36 months (mortality rate of 4 %, 1/25). Three late ELIa were observed and no reinterventions were performed. The overall incidence of ELIa was 20 % (5/25). During follow-up, the patency rate for chimney stents was 92 % (23/25).ConclusionOur limited experience demonstrates that the chimney technique is a viable and relatively safe treatment for patients with challenging thoracic aortic pathologies at least in the mid-term follow-up period.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

Histologic Analysis with the Newly Designed Exoskeleton Seal{sup ®} Stent-Graft in the Porcine Abdominal Aorta

Purpose: To investigate the technical feasibility of a novel exoskeleton Seal{sup ®} stent-graft and analyze early histologic changes in the porcine abdominal aorta. Materials and Methods: Six pigs received an abdominal stent-graft (Group I), and six received an iliac branch stent-graft (Group II). Groups were subdivided as follows: Group Ia, which received three bifurcated main-body stent-grafts; Group Ib, which received three bifurcated main-body stent-grafts with both iliac graft-stents; Group IIa, which received three simple uni-iliac tapered stent-grafts; and Group IIb, which received three uni-iliac tapered tapered stent-grafts with right straight limb and left branched limb. Statistical analyses were performed with the Wilcoxon signed-rank test and mixed-model regression analysis. Results: The primary technical success rate (< 24 h) was 83% because of two acute thromboses in the lumen of the stented abdominal aorta immediately after stent-graft placement. At 4 weeks, late thrombosis occurred in two pigs. Higher mean neointimal hyperplasia areas (23.5% vs. 16.2%; P = .047), neointimal hyperplasia thicknesses (545.5 μm vs. 422.2 μm; P = .001), and degrees of collagen deposition (2.71 vs. 2.33; P = .002) were observed at the bare-metal stent-graft compared with the proximal exoskeleton portion of the stent-graft, with no significant differences between the patent and occluded groups or among the four types of stent-grafts. Conclusions: The exoskeleton stent-graft demonstrates 66% of patency rate during 1-month follow-up due to four cases of thromboses; however, the endothelialization on the junction of proximal graft showed no significant differences between the patent and occluded groups. Further studies should investigate long-term outcomes with prolonged neointimal hyperplasia.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

Observational constraints on the tilted flat-XCDM and the untilted nonflat XCDM dynamical dark energy inflation parameterizations

In this work, we constrain tilted spatially-flat and untilted nonflat XCDM dynamical dark energy inflation parameterizations using Planck 2015 cosmic microwave background (CMB) anisotropy data and recent baryonic acoustic oscillations distance measurements, Type Ia supernovae data, Hubble parameter observations, and growth rate measurements. Inclusion of the four non-CMB data sets results in a significant strengthening of the evidence for nonflatness in the nonflat XCDM model from 1.1σ for the CMB data alone to 3.4σ for the full data combination. In this untilted nonflat XCDM case the data favor a spatially-closed model in which spatial curvature contributes a little less than a percent of the current cosmological energy budget; they also mildly favor dynamical dark energy over a cosmological constant at 1.2σ. These data are also better fit by the flat-XCDM parameterization than by the standard ΛCDM model, but only at 0.3σ significance. Current data is unable to rule out dark energy dynamics. The nonflat XCDM parameterization is compatible with the Dark Energy Survey limits on the present value of the rms mass fluctuations amplitude (σ 8 ) as a function of the present value of the nonrelativistic matter density parameter (Ω m ). Furthermore, it does not provide as good a fit to the higher multipole CMB temperature anisotropy data as does the standard tilted flat-ΛCDM model. A number of measured cosmological parameter values differ significantly when determined using the tilted flat-XCDM and the nonflat XCDM parameterizations, including the baryonic matter density parameter and the reionization optical depth.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2019

Measuring the Hubble constant and spatial curvature from supernova apparent magnitude, baryon acoustic oscillation, and Hubble parameter data

Cosmic microwave background (CMB) anisotropy (spatial inhomogeneity) data provide the tightest constraints on the Hubble constant, matter density, spatial curvature, and dark energy dynamics. Other data, sensitive to the evolution of only the spatially homogeneous part of the cosmological model, such as Type Ia supernova apparent magnitude, baryon acoustic oscillation distance, and Hubble parameter measurements, can be used in conjunction with the CMB data to more tightly constrain parameters. Recent joint analyses of CMB and such non-CMB data indicate that slightly closed spatial hypersurfaces are favored in nonflat untilted inflation models and that dark energy dynamics cannot be ruled out, and favor a smaller Hubble constant. Here, we show that the constraints that follow from these non-CMB data alone are consistent with those that follow from the CMB data alone and so also consistent with, but weaker than, those that follow from the joint analyses of the CMB and non-CMB data.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2017

d{sup 0} Half-Metallic Ferromagnetism in CaN and CaAs Pnictides: an Ab Initio Study

Conventional magnetism occurs in systems which contain transition metals or rare earth ions with partially filled d or f shells. It is theoretically predicted that compounds of groups IA and IIA with IV and V, in some structural phases, are ferromagnetic half-metals which made them new candidates for spintronics applications. Employing density functional theory (DFT), we investigate magnetism in binary compounds CaN and CaAs. Regarding the structure of analogous magnetic materials and experimental results of CaAs synthesis, we have considered two cubic structures: rocksalt (RS) and zincblende (ZB), and four hexagonal structures: NiAs, wurtzite (WZ), anti-NiAs, and NaO. The calculated results show that CaN in cubic, NiAs, and wurtzite structures, and CaAs only in zincblende phase have ferromagnetic ground states with a magnetic moment of 1 μ{sub B}. Electronic structure analysis of these materials indicates that magnetism originates from anion p states. Existence of flat p bands and consequently high density of states at the Fermi level of magnetic structures gives rise to Stoner spin splitting and spontaneous ferromagnetism.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗
DOE OSTI2023

Mechanistic insights into the pyrolysis of poly (vinyl chloride)

The accumulation of unmanaged plastic waste in the environment has a devastating impact upon marine life and human health. Catalytic and thermal pyrolysis are promising technologies toward the efficient utilization of plastic waste. Yet, the processing of polymers, such as polyvinyl chloride (PVC), that decompose into corrosive compounds remains a major challenge. In this work, we employ density functional theory (DFT) and thermogravimetric analysis (TGA) to explore the elementary chemical steps that underpin the thermal decomposition of PVC. We determine that the dehydrochlorination reaction (i.e., 1 st stage of thermal decomposition) begins in tertiary chloride defects and propagates via HCl–mediated autocatalysis of internal allylic (IA) chloride groups. The latter groups, when in the vicinity of π–conjugated polymer segments, release HCl in a facile manner. We predict that other compounds, including hydrogen halides and H 2 O could also catalyze PVC’s dehydrochlorination. We suggest that hydrogen halides are the most efficient catalysts for this process, while other compounds like H 2 O may slow down the dehydrochlorination compared to purely HCl-catalyzed process, because of the dilution of the produced HCl. This result is corroborated by TGA experiments. Additionally, we study the thermochemistry and kinetics of polyene chain crosslinking and the formation of aromatics. The former reaction proceeds in parallel with the dehydrochlorination process (i.e., during the 1st stage of thermal decomposition), whilst the latter may occur at high temperatures (i.e., during the 2 nd stage of thermal decomposition). Furthermore, this work contributes to the fundamental understanding of molecular scale phenomena that take place during PVC pyrolysis.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗
DOE OSTI2022

Unveiling the Universe with emerging cosmological probes

The detection of the accelerated expansion of the Universe has been one of the major breakthroughs in modern cosmology. Several cosmological probes (Cosmic Microwave Background, Supernovae Type Ia, Baryon Acoustic Oscillations) have been studied in depth to better understand the nature of the mechanism driving this acceleration, and they are being currently pushed to their limits, obtaining remarkable constraints that allowed us to shape the standard cosmological model. In parallel to that, however, the percent precision achieved has recently revealed apparent tensions between measurements obtained from different methods. These are either indicating some unaccounted systematic effects, or are pointing toward new physics. Following the development of CMB, SNe, and BAO cosmology, it is critical to extend our selection of cosmological probes. Novel probes can be exploited to validate results, control or mitigate systematic effects, and, most importantly, to increase the accuracy and robustness of our results. This review is meant to provide a state-of-art benchmark of the latest advances in emerging “beyond-standard” cosmological probes. We present how several different methods can become a key resource for observational cosmology. In particular, we review cosmic chronometers, quasars, gamma-ray bursts, standard sirens, lensing time-delay with galaxies and clusters, cosmic voids, neutral hydrogen intensity mapping, surface brightness fluctuations, stellar ages of the oldest objects, secular redshift drift, and clustering of standard candles. The review describes the method, systematics, and results of each probe in a homogeneous way, giving the reader a clear picture of the available innovative methods that have been introduced in recent years and how to apply them. The review also discusses the potential synergies and complementarities between the various probes, exploring how they will contribute to the future of modern cosmology.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2019

Intertwined impacts of water, energy development, and carbon emissions in China

China is rapidly expanding its alternative and non-conventional energy production capabilities. Although renewable electricity remains the focus, considerable investment has supported construction of coal liquefaction and coal gasification facilities in the desert steppes of north-central China, new coal mines in arid Inner Mongolia, and tight oil and gas extraction in the Ordos to supplement limited domestic supplies of oil and gas. At the same time, China is also facing severe drought and water scarcity in these same regions and in response has expanded various water supply technologies such as desalination and wastewater treatment. Recent government goals and measures for reducing energy and water consumption and increasing efficiency introduced in national policies, however, are poorly or not coordinated, resulting in contradictory objectives for which physical interlinkages are not well understood. This research intends to provide insights for future energy-water nexus management decisions in China, through systematic, comprehensive modeling of the water-energy nexus in China based on comprehensive, bottom-up technology characterizations. Existing studies fail to adequately characterize the details on specific technologies, nor do they comprehensively cover all energy sectors, including energy conversion for non-energy products. We developed integrated assessment (IA) capabilities to allow stakeholders to observe the tradeoffs between various technology options and policy decisions and to test hypotheses/premises in a scenario-driven environment. The results of our analysis underscore the growing interconnection between water and energy in China, the mixed trade-offs from developing low-carbon technologies such as renewable energy and inland nuclear, and the importance of water-energy nexus issues at the regional and local scales. This study lays the groundwork for an integrated resource policy planning process in China and provides an assessment methodology and research directions for future studies of the water-energy nexus. To conclude, this study contributes to the water-energy nexus literature by providing systematic data and policy implications for China, where data are typically less accessible, as well as providing references for other regions in the world that are facing similar water and energy use and planning challenges.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗
DOE OSTI2023

Incremental Interval Assignment by Integer Linear Algebra with Improvements

Interval Assignment (IA) is the problem of selecting the number of mesh edges (intervals) for each curve for conforming quad and hex meshing. The intervals x is fundamentally integer-valued. Many other approaches perform numerical optimization then convert a floating-point solution into an integer solution, which is slow and error prone. We avoid such steps: we start integer, and stay integer. Incremental Interval Assignment (IIA) uses integer linear algebra (Hermite normal form) to find an initial solution to the meshing constraints, satisfying the integer matrix equation Solving for reduced row echelon form provides integer vectors spanning the nullspace of A. Here we add vectors from the nullspace to improve the initial solution, maintaining Ax = b Heuristics find good integer linear combinations of nullspace vectors that provide strict improvement towards variable bounds or goals. IIA always produces an integer solution if one exists. In practice we usually achieve solutions close to the user goals, but there is no guarantee that the solution is optimal, nor even satisfies variable bounds, e.g. has positive intervals. We describe several algorithmic changes since first publication that tend to improve the final solution. The software is freely available.

97 MATHEMATICS AND COMPUTING↗
DOE OSTI2020

Super-CMB fluctuations and the Hubble tension

We study the covariance in the angular power spectrum estimates of CMB fluctuations when the primordial fluctuations are non-Gaussian. The non-Gaussian covariance comes from a nonzero connected four-point correlation function -- or the trispectrum in Fourier space -- and can be large when long-wavelength (super-CMB) modes are strongly coupled to short-wavelength modes. The effect of such non-Gaussian covariance can be modeled through additional freedom in the theoretical CMB angular power spectrum and can lead to different inferred values of the standard cosmological parameters relative to those in ΛCDM. Taking the collapsed limit of the primordial trispectrum in the quasi-single field inflation model as an example, we study how the six standard ΛCDM parameters shift when two additional parameters describing the trispectrum are allowed. The reduced statistical significance of the Hubble tension in the extended model allows us to combine the {\it Planck} temperature data and the type Ia supernovae data from Panstarrs with the distance-ladder measurement of the Hubble constant. Here, this combination of data shows strong evidence for a primordial trispectrum-induced non-Gaussian covariance, with a likelihood improvement of Δχ 2 ≈ –15 (with two additional parameters) relative to ΛCDM.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2016

OC5 Project Phase Ib: Validation of hydrodynamic loading on a fixed, flexible cylinder for offshore wind applications

This paper summarizes the findings from Phase Ib of the Offshore Code Comparison, Collaboration, Continued with Correlation (OC5) project. OC5 is a project run under the International Energy Agency (IEA) Wind Research Task 30, and is focused on validating the tools used for modelling offshore wind systems through the comparison of simulated responses of select offshore wind systems (and components) to physical test data. For Phase Ib of the project, simulated hydrodynamic loads on a flexible cylinder fixed to a sloped bed were validated against test measurements made in the shallow water basin at the Danish Hydraulic Institute (DHI) with support from the Technical University of Denmark (DTU). The first phase of OC5 examined two simple cylinder structures (Phase Ia and Ib) to focus on validation of hydrodynamic models used in the various tools before moving on to more complex offshore wind systems and the associated coupled physics. As a result, verification and validation activities such as these lead to improvement of offshore wind modelling tools, which will enable the development of more innovative and cost-effective offshore wind designs.

17 WIND ENERGY↗
DOE OSTI2013

Conceptualising the effectiveness of impact assessment processes

This paper aims at conceptualising the effectiveness of impact assessment processes through the development of a literature-based framework of criteria to measure impact assessment effectiveness. Four categories of effectiveness were established: procedural, substantive, transactive and normative, each containing a number of criteria; no studies have previously brought together all four of these categories into such a comprehensive, criteria-based framework and undertaken systematic evaluation of practice. The criteria can be mapped within a cycle/or cycles of evaluation, based on the ‘logic model’, at the stages of input, process, output and outcome to enable the identification of connections between the criteria across the categories of effectiveness. This framework is considered to have potential application in measuring the effectiveness of many impact assessment processes, including strategic environmental assessment (SEA), environmental impact assessment (EIA), social impact assessment (SIA) and health impact assessment (HIA). -- Highlights: • Conceptualising effectiveness of impact assessment processes. • Identification of factors influencing effectiveness of impact assessment processes. • Development of criteria within a framework for evaluating IA effectiveness. • Applying the logic model to examine connections between effectiveness criteria.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2014

Impact assessment: Eroding benefits through streamlining?

This paper argues that Governments have sought to streamline impact assessment in recent years (defined as the last five years) to counter concerns over the costs and potential for delays to economic development. We hypothesise that this has had some adverse consequences on the benefits that subsequently accrue from the assessments. This hypothesis is tested using a framework developed from arguments for the benefits brought by Environmental Impact Assessment made in 1982 in the face of the UK Government opposition to its implementation in a time of economic recession. The particular benefits investigated are ‘consistency and fairness’, ‘early warning’, ‘environment and development’, and ‘public involvement’. Canada, South Africa, the United Kingdom and Western Australia are the jurisdictions tested using this framework. The conclusions indicate that significant streamlining has been undertaken which has had direct adverse effects on some of the benefits that impact assessment should deliver, particularly in Canada and the UK. The research has not examined whether streamlining has had implications for the effectiveness of impact assessment, but the causal link between streamlining and benefits does sound warning bells that merit further investigation. -- Highlights: • Investigation of the extent to which government has streamlined IA. • Evaluation framework was developed based on benefits of impact assessment. • Canada, South Africa, the United Kingdom, and Western Australia were examined. • Trajectory in last five years is attrition of benefits of impact assessment.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2017

Conceptualizing strategic environmental assessment: Principles, approaches and research directions

Increasing emphasis has been placed in recent years on transitioning strategic environmental assessment (SEA) away from its environmental impact assessment (EIA) roots. Scholars have argued the need to conceptualize SEA as a process designed to facilitate strategic thinking, thus enabling transitions toward sustainability. The practice of SEA, however, remains deeply rooted in the EIA tradition and scholars and practitioners often appear divided on the nature and purpose of SEA. This paper revisits the strategic principles of SEA and conceptualizes SEA as a multi-faceted and multi-dimensional assessment process. It is suggested that SEA can be conceptualized as series of approaches operating along a spectrum from less to more strategic – from impact assessment-based to strategy-based – with each approach to SEA differentiated by the specific objectives of SEA application and the extent to which strategic principles are reflected in its design and implementation. Advancing the effectiveness of SEA requires a continued research agenda focused on improving the traditional SEA approach, as a tool to assess the impacts of policies, plans and programs (PPPs). Realizing the full potential of SEA, however, requires a new research agenda — one focused on the development and testing of a deliberative governance approach to SEA that can facilitate strategic innovations in PPP formulation and drive transitions in short-term policy and initiatives based on longer-term thinking. - Highlights: • SEA facilitates strategic thinking, enabling transitions toward sustainability. • SEA is conceptualized as a spectrum of approaches, from IA-based to strategy-based. • Each approach variably emphasizes strategic principles in its design and practice. • There is no one conceptualization of SEA that is best, SEA is fit for PPP purpose. • Research is needed to advance SEA to facilitate strategic PPP transformations.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2014

Long duration X-ray drive hydrodynamics experiments relevant for laboratory astrophysics

The advent of high-power lasers facilities such as the National Ignition Facility (NIF), and the Laser Megajoule (LMJ) in the near future, opens a new era in the field of High Energy Density Laboratory Astrophysics. These versatile laser facilities will provide unique platforms to study the rich physics of nonlinear and turbulent mixing flows. The extended laser pulse duration could be harnessed to accelerate targets over much larger distances and longer time periods than previously achieved. Here, we report on the first results acquired on NIF with the ablative Rayleigh–Taylor Instability (RTI) platform. A 20-ns X-ray drive is tailored to accelerate planar modulated samples into the highly-nonlinear bubble merger regime. Based on the analogy between flames front and ablation front, highly nonlinear RTI measurements at ablation front can provide important insights into the initial deflagration stage of thermonuclear supernova of Type Ia. We also report on an innovative concept used to create even longer drive on multi-beam laser facilities. The multi-barrel hohlraum (Gattling Gun) approach consists, here, of three adjacent cavities, driven in succession in time. This novel concept has been validated on the Omega EP laser system. The three cavities were irradiated with three 6–10 ns pulse UV beams and a 30 ns, 90 eV X-ray radiation drive was measured with the time-resolved X-ray spectrometer μDMX. This concept is promising to investigate the pillar structures in the Eagle Nebula or for photoionization studies which require a steady light source of sufficient duration to recreate relevant physics.

Molecular clouds↗
DOE OSTI2014

Prospective Evaluation of Dual-Energy Imaging in Patients Undergoing Image Guided Radiation Therapy for Lung Cancer: Initial Clinical Results

Purpose: A prospective feasibility study was conducted to investigate the utility of dual-energy (DE) imaging compared to conventional x-ray imaging for patients undergoing kV-based image guided radiation therapy (IGRT) for lung cancer. Methods and Materials: An institutional review board-approved feasibility study enrolled patients with lung cancer undergoing IGRT and was initiated in September 2011. During daily setup, 2 sequential respiration-gated x-ray images were obtained using an on-board imager. Imaging was composed of 1 standard x-ray image at 120 kVp (1 mAs) and a second image obtained at 60 kVp (4 mAs). Weighted logarithmic subtraction of the 2 images was performed offline to create a soft tissue-selective DE image. Conventional and DE images were evaluated by measuring relative contrast and contrast-to-noise ratios (CNR) and also by comparing spatial localization, using both approaches. Imaging dose was assessed using a calibrated ion chamber. Results: To date, 10 patients with stage IA to IIIA lung cancer were enrolled and 57 DE images were analyzed. DE subtraction resulted in complete suppression of overlying bone in all 57 DE images, with an average improvement in relative contrast of 4.7 ± 3.3 over that of 120 kVp x-ray images (P<.0002). The improvement in relative contrast with DE imaging was seen for both smaller (gross tumor volume [GTV] ≤5 cc) and larger tumors (GTV >5 cc), with average relative contrast improvement ratios of 3.4 ± 4.1 and 5.4 ± 3.6, respectively. Moreover, the GTV was reliably localized in 95% of the DE images versus 74% of the single energy (SE images, (P=.004). Mean skin dose per DE image set was 0.44 ± 0.03 mGy versus 0.43 ± 0.03 mGy, using conventional kV imaging parameters. Conclusions: Initial results of this feasibility study suggest that DE thoracic imaging may enhance tumor localization in lung cancer patients receiving kV-based IGRT without increasing imaging dose.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2016

Simple Factors Associated With Radiation-Induced Lung Toxicity After Stereotactic Body Radiation Therapy of the Thorax: A Pooled Analysis of 88 Studies

Purpose: To study the risk factors for radiation-induced lung toxicity (RILT) after stereotactic body radiation therapy (SBRT) of the thorax. Methods and Materials: Published studies on lung toxicity in patients with early-stage non–small cell lung cancer (NSCLC) or metastatic lung tumors treated with SBRT were pooled and analyzed. The primary endpoint was RILT, including pneumonitis and fibrosis. Data of RILT and risk factors were extracted from each study, and rates of grade 2 to 5 (G2+) and grade 3 to 5 (G3+) RILT were computed. Patient, tumor, and dosimetric factors were analyzed for their correlation with RILT. Results: Eighty-eight studies (7752 patients) that reported RILT incidence were eligible. The pooled rates of G2+ and G3+ RILT from all 88 studies were 9.1% (95% confidence interval [CI]: 7.15-11.4) and 1.8% (95% CI: 1.3-2.5), respectively. The median of median tumor sizes was 2.3 (range, 1.4-4.1) cm. Among the factors analyzed, older patient age (P=.044) and larger tumor size (the greatest diameter) were significantly correlated with higher rates of G2+ (P=.049) and G3+ RILT (P=.001). Patients with stage IA versus stage IB NSCLC had significantly lower risks of G2+ RILT (8.3% vs 17.1%, odds ratio = 0.43, 95% CI: 0.29-0.64, P<.0001). Among studies that provided detailed dosimetric data, the pooled analysis demonstrated a significantly higher mean lung dose (MLD) (P=.027) and V20 (P=.019) in patients with G2+ RILT than in those with grade 0 to 1 RILT. Conclusions: The overall rate of RILT is relatively low after thoracic SBRT. Older age and larger tumor size are significant adverse risk factors for RILT. Lung dosimetry, specifically lung V20 and MLD, also significantly affect RILT risk.

62 RADIOLOGY AND NUCLEAR MEDICINE↗