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On-Sun Performance Evaluation of Alternative High-Temperature Falling Particle Receiver Designs

This paper evaluates the on-sun performance of a 1 MW falling particle receiver. Two particle receiver designs were investigated: obstructed flow particle receiver versus free-falling particle receiver. The intent of the tests was to investigate the impact of particle mass flow rate, irradiance, and particle temperature on the particle temperature rise and thermal efficiency of the receiver for each design. Results indicate that the obstructed flow design increased the residence time of the particles in the concentrated flux, thereby increasing the particle temperature and thermal efficiency for a given mass flow rate. Here, the obstructions, a staggered array of chevron-shaped mesh structures, also provided more stability to the falling particles, which were prone to instabilities caused by convective currents in the free-fall design. Challenges encountered during the tests included nonuniform mass flow rates, wind impacts, and oxidation/deterioration of the mesh structures. Alternative materials, designs, and methods are presented to overcome these challenges.

14 SOLAR ENERGY↗

Evaluation of Alternative Designs for a High Temperature Particle-to-sCO 2 Heat Exchanger

This paper presents an evaluation of alternative particle heat-exchanger designs, including moving packed-bed and fluidized-bed designs, for high-temperature heating of a solar-driven supercritical CO 2 (sCO 2 ) Brayton power cycle. The design requirements for high pressure (=20 MPa) and high temperature (=700 °C) operation associated with sCO 2 posed several challenges requiring high-strength materials for piping and/or diffusion bonding for plates. Designs from several vendors for a 100 kW-thermal particle-to-sCO 2 heat exchanger were evaluated as part of this project. Cost, heat-transfer coefficient, structural reliability, manufacturability, parasitics and heat losses, scalability, compatibility, erosion and corrosion, transient operation, and inspection ease were considered in the evaluation. An analytic hierarchy process was used to weight and compare the criteria for the different design options. The fluidized-bed design fared the best on heat transfer coefficient, structural reliability, scalability, and inspection ease, while the moving packed-bed designs fared the best on cost, parasitics and heat losses, manufacturability, compatibility, erosion and corrosion, and transient operation. A 100 kWt shell-and-plate design was ultimately selected for construction and integration with Sandia's falling particle receiver system.

14 SOLAR ENERGY↗

Plasma-enhanced and thermal atomic layer deposition of Al{sub 2}O{sub 3} using dimethylaluminum isopropoxide, [Al(CH{sub 3}){sub 2}({mu}-O{sup i}Pr)]{sub 2}, as an alternative aluminum precursor

The authors have been investigating the use of [Al(CH{sub 3}){sub 2}({mu}-O{sup i}Pr)]{sub 2} (DMAI) as an alternative Al precursor to [Al(CH{sub 3}){sub 3}] (TMA) for remote plasma-enhanced and thermal ALD over wide temperature ranges of 25-400 and 100-400 deg. C, respectively. The growth per cycle (GPC) obtained using in situ spectroscopic ellipsometry for plasma-enhanced ALD was 0.7-0.9 A/cycle, generally lower than the >0.9 A/cycle afforded by TMA. In contrast, the thermal process gave a higher GPC than TMA above 250 deg. C, but below this temperature, the GPC decreased rapidly with decreasing temperature. Quadrupole mass spectrometry data confirmed that both CH{sub 4} and HO{sup i}Pr were formed during the DMAI dose for both the plasma-enhanced and thermal processes. CH{sub 4} and HO{sup i}Pr were also formed during the H{sub 2}O dose but combustion-like products (CO{sub 2} and H{sub 2}O) were observed during the O{sub 2} plasma dose. Rutherford backscattering spectrometry showed that, for temperatures >100 deg. C and >200 deg. C for plasma-enhanced and thermal ALD, respectively, films from DMAI had an O/Al ratio of 1.5-1.6, a H content of {approx}5 at. % and mass densities of 2.7-3.0 g cm{sup -3}. The film compositions afforded from DMAI were comparable to those from TMA at deposition temperatures {>=}150 deg. C At lower temperatures, there were differences in O, H, and C incorporation. 30 nm thick Al{sub 2}O{sub 3} films from the plasma-enhanced ALD of DMAI were found to passivate n- and p-type Si floatzone wafers ({approx}3.5 and {approx}2 {Omega} cm, respectively) with effective carrier lifetimes comparable to those obtained using TMA. Surface recombination velocities of < 3 and < 6 cm s{sup -1} were obtained for the n- and p-type Si, respectively. Using these results, the film properties obtained using DMAI and TMA are compared and the mechanisms for the plasma-enhanced and thermal ALD using DMAI are discussed.

36 MATERIALS SCIENCE↗

An alternative method of changing the pulse duration in a stretcher-compressor pair by changing the gas pressure in the compressor

The relatively narrow bandwidth of neodymium glass requires a much larger stretch ratio of chirped-pulse amplification (CPA) systems. This factor, together with a large incident angle on the gratings, makes glass CPA systems extremely sensitive to the refractive index of the medium in the stretcher-compressor. High sensitivity of the stretcher-compressor pair for hybrid optical parametric chirped-pulse amplification and an Nd:glass laser to the refractive index was demonstrated in air, vacuum, and carbon dioxide, and a pulse duration close to the transform limit was reached. An alternative way to change the pulse duration was proposed. The pulse duration from the best compression of 500 fs to 30 ps was smoothly varied by changing the air pressure from 10 -6 Torr to 1 atm in the compressor and up to 52 ps in carbon dioxide, while the stretcher and compressor remained untouched. Finally, excellent agreement of the measured pulse duration with theoretical calculations was demonstrated.

47 OTHER INSTRUMENTATION↗

Noise-resolution tradeoffs in x-ray CT imaging: A comparison of penalized alternating minimization and filtered backprojection algorithms

Purpose: In comparison with conventional filtered backprojection (FBP) algorithms for x-ray computed tomography (CT) image reconstruction, statistical algorithms directly incorporate the random nature of the data and do not assume CT data are linear, noiseless functions of the attenuation line integral. Thus, it has been hypothesized that statistical image reconstruction may support a more favorable tradeoff than FBP between image noise and spatial resolution in dose-limited applications. The purpose of this study is to evaluate the noise-resolution tradeoff for the alternating minimization (AM) algorithm regularized using a nonquadratic penalty function. Methods: Idealized monoenergetic CT projection data with Poisson noise were simulated for two phantoms with inserts of varying contrast (7%-238%) and distance from the field-of-view (FOV) center (2-6.5 cm). Images were reconstructed for the simulated projection data by the FBP algorithm and two penalty function parameter values of the penalized AM algorithm. Each algorithm was run with a range of smoothing strengths to allow quantification of the noise-resolution tradeoff curve. Image noise is quantified as the standard deviation in the water background around each contrast insert. Modulation transfer functions (MTFs) were calculated from six-parameter model fits to oversampled edge-spread functions defined by the circular contrast-insert edges as a metric of local resolution. The integral of the MTF up to 0.5 lp/mm was adopted as a single-parameter measure of local spatial resolution. Results: The penalized AM algorithm noise-resolution tradeoff curve was always more favorable than that of the FBP algorithm. While resolution and noise are found to vary as a function of distance from the FOV center differently for the two algorithms, the ratio of noises when matching the resolution metric is relatively uniform over the image. The ratio of AM-to-FBP image variances, a predictor of dose-reduction potential, was strongly dependent on the shape of the AM's nonquadratic penalty function and was also strongly influenced by the contrast of the insert for which resolution is quantified. Dose-reduction potential, reported here as the fraction (%) of FBP dose necessary for AM to reconstruct an image with comparable noise and resolution, for one penalty parameter value of the AM algorithm was found to vary from 70% to 50% for low-contrast and high-contrast structures, respectively, and from 70% to 10% for the second AM penalty parameter value. However, the second penalty, AM-700, was found to suffer from poor low-contrast resolution when matching the high-contrast resolution metric with FBP. Conclusions: The results of this simulation study imply that penalized AM has the potential to reconstruct images with similar noise and resolution using a fraction (10%-70%) of the FBP dose. However, this dose-reduction potential depends strongly on the AM penalty parameter and the contrast magnitude of the structures of interest. In addition, the authors' results imply that the advantage of AM can be maximized by optimizing the nonquadratic penalty function to the specific imaging task of interest. Future work will extend the methods used here to quantify noise and resolution in images reconstructed from real CT data.

60 APPLIED LIFE SCIENCES↗

Prediction of human observer performance in a 2-alternative forced choice low-contrast detection task using channelized Hotelling observer: Impact of radiation dose and reconstruction algorithms

Purpose: Efficient optimization of CT protocols demands a quantitative approach to predicting human observer performance on specific tasks at various scan and reconstruction settings. The goal of this work was to investigate how well a channelized Hotelling observer (CHO) can predict human observer performance on 2-alternative forced choice (2AFC) lesion-detection tasks at various dose levels and two different reconstruction algorithms: a filtered-backprojection (FBP) and an iterative reconstruction (IR) method. Methods: A 35 Multiplication-Sign 26 cm{sup 2} torso-shaped phantom filled with water was used to simulate an average-sized patient. Three rods with different diameters (small: 3 mm; medium: 5 mm; large: 9 mm) were placed in the center region of the phantom to simulate small, medium, and large lesions. The contrast relative to background was -15 HU at 120 kV. The phantom was scanned 100 times using automatic exposure control each at 60, 120, 240, 360, and 480 quality reference mAs on a 128-slice scanner. After removing the three rods, the water phantom was again scanned 100 times to provide signal-absent background images at the exact same locations. By extracting regions of interest around the three rods and on the signal-absent images, the authors generated 21 2AFC studies. Each 2AFC study had 100 trials, with each trial consisting of a signal-present image and a signal-absent image side-by-side in randomized order. In total, 2100 trials were presented to both the model and human observers. Four medical physicists acted as human observers. For the model observer, the authors used a CHO with Gabor channels, which involves six channel passbands, five orientations, and two phases, leading to a total of 60 channels. The performance predicted by the CHO was compared with that obtained by four medical physicists at each 2AFC study. Results: The human and model observers were highly correlated at each dose level for each lesion size for both FBP and IR. The Pearson's product-moment correlation coefficients were 0.986 [95% confidence interval (CI): 0.958-0.996] for FBP and 0.985 (95% CI: 0.863-0.998) for IR. Bland-Altman plots showed excellent agreement for all dose levels and lesions sizes with a mean absolute difference of 1.0%{+-} 1.1% for FBP and 2.1%{+-} 3.3% for IR. Conclusions: Human observer performance on a 2AFC lesion detection task in CT with a uniform background can be accurately predicted by a CHO model observer at different radiation dose levels and for both FBP and IR methods.

60 APPLIED LIFE SCIENCES↗

SU-C-9A-04: Alternative Analytic Solution to the Paralyzable Detector Model to Calculate Deadtime and Deadtime Loss

Purpose: Some common methods to solve for deadtime are (1) dual-source method, which assumes two equal activities; (2) model fitting, which requires multiple acquisitions as source decays; and (3) lossless model, which assumes no deadtime loss at low count rates. We propose a new analytic alternative solution to calculate deadtime for paralyzable gamma camera. Methods: Deadtime T can be calculated analytically from two distinct observed count rates M1 and M2 when the ratio of the true count rates alpha=N2/N1 is known. Alpha can be measured as a ratio of two measured activities using dose calibrators or via radioactive decay. Knowledge of alpha creates a system with 2 equations and 2 unknowns, i.e., T and N1. To verify the validity of the proposed method, projections of a non-uniform phantom (4GBq 99mTc) were acquired in using Siemens SymbiaS multiple times over 48 hours. Each projection has >100kcts. The deadtime for each projection was calculated by fitting the data to a paralyzable model and also by using the proposed 2-acquisition method. The two estimates of deadtime were compared using the Bland-Altmann method. In addition, the dependency of uncertainty in T on uncertainty in alpha was investigated for several imaging conditions. Results: The results strongly suggest that the 2-acquisition method is equivalent to the fitting method. The Bland-Altman analysis yielded mean difference in deadtime estimate of ∼0.076us (95%CI: -0.049us, 0.103us) between the 2-acquisition and model fitting methods. The 95% limits of agreement were calculated to be -0.104 to 0.256us. The uncertainty in deadtime calculated using the proposed method is highly dependent on the uncertainty in the ratio alpha. Conclusion: The 2-acquisition method was found to be equivalent to the parameter fitting method. The proposed method offers a simpler and more practical way to analytically solve for a paralyzable detector deadtime, especially during physics testing.

07 ISOTOPE AND RADIATION SOURCES↗

SU-E-J-271: A Feasibility Study to Utilize XR-QA2 Radiochromic Films as An Alternative Tool for Measuring Beam Parameters of Kilovoltage CBCT Systems

Purpose: The beam parameters of the x-ray beams used in image guidance are difficult to measure in water due to the low exposure. This study is to investigate if XR-QA2 radiochromic films can be used in obtaining beam parameters, such as beam profiles and outputs for kV-CBCT systems. Methods: The kV-CBCT beams were from a Varian OBI system. The films used were XR-QA2-GAFCHROMICTM films placed in the middle of two Plastic -Water slab phantoms at isocenter. The scanner used to analyze the films was an Epson Expression 1680 flat-bed scanner. Pre and 24 h-post-irradiated scans of films were obtained by using the reflective mode. The corresponding pixel-by-pixel dose in the films was obtained using a dose calibration equation as a function of net reflectance from the literature. Beam profiles of different scan protocols with and without bow-tie filters were measured. Monte Carlo simulations were used to compare the accuracy of the measured dose profiles. Results: The beam profiles measured from XR-QA2 films for different clinical default kV-CBCT scan protocols were benchmarked against Monte Carlo simulated profiles which have been validated by measurements performed in water phantom. We confirmed that a minimum post-irradiated time of 24 hours is necessary to pass to scan the films to account for light scatter stability. We found that the uncertainties of the results depend on the scan orientation of the film when analyzed in different directions. Conclusion: The XR-QA2 radiochromic films are sensitive to measure the x-ray beam profiles with irradiated dose ranging 1–5 cGy. The film measurements can be performed with an easy setup compared to ion chamber measurements in a water phantom. These films provide an alternative method to obtain the beam profiles for kV-CBCT beams.

60 APPLIED LIFE SCIENCES↗

SU-E-T-31: Alternative VMAT Technique Reduces Total Monitor Units for Lung SBRT

Purpose: To investigate an alternative approach to VMAT optimization for hypofractionation lung treatment which increases average aperture opening and results in lower total Monitor Units (MU) without significantly sacrificing plan quality. Methods: Benchmark Volumetric Modulated Arc Therapy (bVMAT) plans were generated for 10 lung Stereotactic Body radiotherapy (SBRT) cases using Eclipse Version 11.0.42 (Varian Medical Systems) without a maximum MU constraint. Prescriptions ranged from 40 to 54Gy in 3 to 5 fractions. AAA dose calculation and PRO fluence based optimization was utilized. Two comparison VMAT plans were generated for each case, one that forced an initial “open” mlc aperture conformal to the tumor as a starting condition (oVMAT) with similar optimization parameters and arc geometries, and one that repeated the bVMAT optimization but added a maximum MU constraint (muVMAT). All plans used two arcs with lengths between 168 to 230 degrees. PTV D 95% and Dmean, lung V20 Gy, chest wall V30 Gy, average aperture opening and MU's were compared. Statistical significance was evaluated using Wilcoxon signed rank test. Results: Average PTV D(95), PTV mean and lung V20Gy over all plans was 99.2 ± 1.7%, 103.3 ± 0.6% and 7.8 ± 2.4% respectively. The average chest wall V30Gy was 61 ± 61 cc and ranged between 0 to 166 cc. There were no significant differences between the three techniques for the dosimetric quantities. MUs were reduced by 11 ±11% (p<0.01) and 25 ± 5% (p<0.01) and the average aperture size was increased by 13.7 ± 14% (p=0.02) and 35.8 ± 10% (p<0.01) with muVMAT and oVMAT, respectively, compared to bVMAT. Conclusion: oVMAT and muVMAT techniques were both able to increase average aperture size and reduce total MU compared to the benchmark VMAT plan, but the magnitude of the changes observed for oVMAT was larger.

60 APPLIED LIFE SCIENCES↗

MO-G-17A-07: Improved Image Quality in Brain F-18 FDG PET Using Penalized-Likelihood Image Reconstruction Via a Generalized Preconditioned Alternating Projection Algorithm: The First Patient Results

Purpose: To investigate the performance of a new penalized-likelihood PET image reconstruction algorithm using the 1{sub 1}-norm total-variation (TV) sum of the 1st through 4th-order gradients as the penalty. Simulated and brain patient data sets were analyzed. Methods: This work represents an extension of the preconditioned alternating projection algorithm (PAPA) for emission-computed tomography. In this new generalized algorithm (GPAPA), the penalty term is expanded to allow multiple components, in this case the sum of the 1st to 4th order gradients, to reduce artificial piece-wise constant regions (“staircase” artifacts typical for TV) seen in PAPA images penalized with only the 1st order gradient. Simulated data were used to test for “staircase” artifacts and to optimize the penalty hyper-parameter in the root-mean-squared error (RMSE) sense. Patient FDG brain scans were acquired on a GE D690 PET/CT (370 MBq at 1-hour post-injection for 10 minutes) in time-of-flight mode and in all cases were reconstructed using resolution recovery projectors. GPAPA images were compared PAPA and RMSE-optimally filtered OSEM (fully converged) in simulations and to clinical OSEM reconstructions (3 iterations, 32 subsets) with 2.6 mm XYGaussian and standard 3-point axial smoothing post-filters. Results: The results from the simulated data show a significant reduction in the 'staircase' artifact for GPAPA compared to PAPA and lower RMSE (up to 35%) compared to optimally filtered OSEM. A simple power-law relationship between the RMSE-optimal hyper-parameters and the noise equivalent counts (NEC) per voxel is revealed. Qualitatively, the patient images appear much sharper and with less noise than standard clinical images. The convergence rate is similar to OSEM. Conclusions: GPAPA reconstructions using the 1{sub 1}-norm total-variation sum of the 1st through 4th-order gradients as the penalty show great promise for the improvement of image quality over that currently achieved with clinical OSEM reconstructions.

60 APPLIED LIFE SCIENCES↗

SU-E-J-35: Using CBCT as the Alternative Method of Assessing ITV Volume

Purpose To study the accuracy of Internal Target Volumes (ITVs) created on cone beam CT (CBCT) by comparing the visible target volume on CBCT to volumes (GTV, ITV, and PTV) outlined on free breathing (FB) CT and 4DCT. Methods A Quasar Cylindrical Motion Phantom with a 3cm diameter ball (14.14 cc) embedded within a cork insert was set up to simulate respiratory motion with a period of 4 seconds and amplitude of 2cm superioinferiorly and 1cm anterioposteriorly. FBCT and 4DCT images were acquired. A PTV-4D was created on the 4DCT by applying a uniform margin of 5mm to the ITV-CT. PTV-FB was created by applying a margin of the motion range plus 5mm, i.e. total of 1.5cm laterally and 2.5cm superioinferiorly to the GTV outlined on the FBCT. A dynamic conformal arc was planned to treat the PTV-FB with 1mm margin. A CBCT was acquired before the treatment, on which the target was delineated. During the treatment, the position of the target was monitored using the EPID in cine mode. Results ITV-CBCT and ITV-CT were measured to be 56.6 and 62.7cc, respectively, with a Dice Coefficient (DC) of 0.94 and disagreement in center of mass (COM) of 0.59 mm. On the other hand, GTV-FB was 11.47cc, 19% less than the known volume of the ball. PTV-FB and PTV-4D were 149 and 116 cc, with a DC of 0.71. Part of the ITV-CT was not enclosed by the PTV-FB despite the large margin. The cine EPID images have confirmed geometrical misses of the target. Similar under-coverage was observed in one clinical case and captured by the CBCT, where the implanted fiducials moved outside PTV-FB. Conclusion ITV-CBCT is in good agreement with ITV-CT. When 4DCT was not available, CBCT can be an effective alternative in determining and verifying the PTV margin.

60 APPLIED LIFE SCIENCES↗

SU-E-T-95: An Alternative Option for Reducing Lung Dose for Electron Scar Boost Irradiation in Post-Mastectomy Breast Cancer Patients with a Thin Chest Wall

Purpose: Breast cancer patients who undergo a mastectomy often require post-mastectomy radiation therapy (PMRT) due to high risk disease characteristics. PMRT usually accompanies scar boost irradiation (10–16Gy in 5–8 fractions) using en face electrons, which often results in increased dose to the underlying lungs, thereby potentially increasing the risk of radiation pneumonitis. Hence, this study evaluated water-equivalent phantoms as energy degraders and as an alternative to a bolus to reduce radiation dose to the underlying lungs for electron scar boost irradiation. Methods: Percent depth dose (PDD) profiles of 6 MeV (the lowest electron energy available in most clinics) were obtained without and with commercial solid water phantoms (1 to 5mm by 1mm increments) placed on top of electron cones. Phantom attenuation was measured by taking a ratio of outputs with to without the phantoms in 10×10cm2 cone size for monitor unit (MU) calculation. In addition, scatter dose to contralateral breast was measured on a human-like phantom using two selected scar (short and long) boost patient setups. Results: The PDD plots showed that the solid water phantoms and the bolus had similar dosimetric effects for the same thickness. Lower skin dose (up to 3%) to ipsilateral breast was observed with a 5mm phantom compared with a 5mm bolus (up to 10%) for all electron cones. Phantom attenuation was increased by 50% with about a 4.5mm phantom. Also, the energy degraders caused scatter dose to contralateral breast by a factor of 3 with a 5mm phantom. Conclusion: Our results demonstrate the feasibility of using water-equivalent phantoms to reduce lung dose using en face electrons in patients with a thin chest wall undergoing PMRT. The disadvantages of this treatment approach (i.e., the increase in MUs and treatment time, and clinically insignificant scatter dose to the contralateral breast given usually 10Gy) are outweighed by its above clinical benefits.

60 APPLIED LIFE SCIENCES↗

TU-AB-BRB-01: Coverage Evaluation and Probabilistic Treatment Planning as a Margin Alternative

The accepted clinical method to accommodate targeting uncertainties inherent in fractionated external beam radiation therapy is to utilize GTV-to-CTV and CTV-to-PTV margins during the planning process to design a PTV-conformal static dose distribution on the planning image set. Ideally, margins are selected to ensure a high (e.g. >95%) target coverage probability (CP) in spite of inherent inter- and intra-fractional positional variations, tissue motions, and initial contouring uncertainties. Robust optimization techniques, also known as probabilistic treatment planning techniques, explicitly incorporate the dosimetric consequences of targeting uncertainties by including CP evaluation into the planning optimization process along with coverage-based planning objectives. The treatment planner no longer needs to use PTV and/or PRV margins; instead robust optimization utilizes probability distributions of the underlying uncertainties in conjunction with CP-evaluation for the underlying CTVs and OARs to design an optimal treated volume. This symposium will describe CP-evaluation methods as well as various robust planning techniques including use of probability-weighted dose distributions, probability-weighted objective functions, and coverage optimized planning. Methods to compute and display the effect of uncertainties on dose distributions will be presented. The use of robust planning to accommodate inter-fractional setup uncertainties, organ deformation, and contouring uncertainties will be examined as will its use to accommodate intra-fractional organ motion. Clinical examples will be used to inter-compare robust and margin-based planning, highlighting advantages of robust-plans in terms of target and normal tissue coverage. Robust-planning limitations as uncertainties approach zero and as the number of treatment fractions becomes small will be presented, as well as the factors limiting clinical implementation of robust planning. Learning Objectives: To understand robust-planning as a clinical alternative to using margin-based planning. To understand conceptual differences between uncertainty and predictable motion. To understand fundamental limitations of the PTV concept that probabilistic planning can overcome. To understand the major contributing factors to target and normal tissue coverage probability. To understand the similarities and differences of various robust planning techniques To understand the benefits and limitations of robust planning techniques.

60 APPLIED LIFE SCIENCES↗

Effective noise-suppressed and artifact-reduced reconstruction of SPECT data using a preconditioned alternating projection algorithm

Purpose: The authors have recently developed a preconditioned alternating projection algorithm (PAPA) with total variation (TV) regularizer for solving the penalized-likelihood optimization model for single-photon emission computed tomography (SPECT) reconstruction. This algorithm belongs to a novel class of fixed-point proximity methods. The goal of this work is to investigate how PAPA performs while dealing with realistic noisy SPECT data, to compare its performance with more conventional methods, and to address issues with TV artifacts by proposing a novel form of the algorithm invoking high-order TV regularization, denoted as HOTV-PAPA, which has been explored and studied extensively in the present work. Methods: Using Monte Carlo methods, the authors simulate noisy SPECT data from two water cylinders; one contains lumpy “warm” background and “hot” lesions of various sizes with Gaussian activity distribution, and the other is a reference cylinder without hot lesions. The authors study the performance of HOTV-PAPA and compare it with PAPA using first-order TV regularization (TV-PAPA), the Panin–Zeng–Gullberg one-step-late method with TV regularization (TV-OSL), and an expectation–maximization algorithm with Gaussian postfilter (GPF-EM). The authors select penalty-weights (hyperparameters) by qualitatively balancing the trade-off between resolution and image noise separately for TV-PAPA and TV-OSL. However, the authors arrived at the same penalty-weight value for both of them. The authors set the first penalty-weight in HOTV-PAPA equal to the optimal penalty-weight found for TV-PAPA. The second penalty-weight needed for HOTV-PAPA is tuned by balancing resolution and the severity of staircase artifacts. The authors adjust the Gaussian postfilter to approximately match the local point spread function of GPF-EM and HOTV-PAPA. The authors examine hot lesion detectability, study local spatial resolution, analyze background noise properties, estimate mean square errors (MSEs), and report the convergence speed and computation time. Results: HOTV-PAPA yields the best signal-to-noise ratio, followed by TV-PAPA and TV-OSL/GPF-EM. The local spatial resolution of HOTV-PAPA is somewhat worse than that of TV-PAPA and TV-OSL. Images reconstructed using HOTV-PAPA have the lowest local noise power spectrum (LNPS) amplitudes, followed by TV-PAPA, TV-OSL, and GPF-EM. The LNPS peak of GPF-EM is shifted toward higher spatial frequencies than those for the three other methods. The PAPA-type methods exhibit much lower ensemble noise, ensemble voxel variance, and image roughness. HOTV-PAPA performs best in these categories. Whereas images reconstructed using both TV-PAPA and TV-OSL are degraded by severe staircase artifacts; HOTV-PAPA substantially reduces such artifacts. It also converges faster than the other three methods and exhibits the lowest overall reconstruction error level, as measured by MSE. Conclusions: For high-noise simulated SPECT data, HOTV-PAPA outperforms TV-PAPA, GPF-EM, and TV-OSL in terms of hot lesion detectability, noise suppression, MSE, and computational efficiency. Unlike TV-PAPA and TV-OSL, HOTV-PAPA does not create sizable staircase artifacts. Moreover, HOTV-PAPA effectively suppresses noise, with only limited loss of local spatial resolution. Of the four methods, HOTV-PAPA shows the best lesion detectability, thanks to its superior noise suppression. HOTV-PAPA shows promise for clinically useful reconstructions of low-dose SPECT data.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

SU-A-BRA-02: Making the Most of a One Hour Lecture with Alternative Teaching Methodologies: Implementing Project-Based and Flipped Learning

Vic Montemayor - No one has been more passionate about improving the quality and effectiveness of the teaching of Medical Physics than Bill Hendee. It was in August of 2008 that the first AAPM Workshop on Becoming a Better Teacher of Medical Physics was held, organized and run by Bill Hendee. This was followed up in July of 2010 with a summer school on the same topic, again organized by Bill. There has been continued interest in alternate approaches to teaching medical physics since those initial gatherings. The momentum established by these workshops is made clear each year in the annual Innovation in Medical Physics Education session, which highlights work being done in all forms of medical physics education, from one-on-one residencies or classroom presentations to large-scale program revisions and on-line resources for international audiences. This symposium, presented on behalf of the Education Council, highlights the work of three finalists from past Innovation in Education sessions. Each will be presenting their approaches to and innovations in teaching medical physics. It is hoped that audience members interested in trying something new in their teaching of medical physics will find some of these ideas and approaches readily applicable to their own classrooms. Rebecca Howell - The presentation will discuss ways to maximize classroom learning, i.e., increasing the amount of material covered while also enhancing students’ understanding of the broader implications of the course topics. Specifically, the presentation will focus on two teaching methodologies, project based learning and flip learning. These teaching methods will be illustrated using an example of graduate medical physics course where both are used in conjunction with traditional lectures. Additionally, the presentation will focus on our experience implementing these methods including challenges that were overcome. Jay Burmeister - My presentation will discuss the incorporation of active learning techniques into a traditional medical physics classroom course. I will describe these techniques and how they were implemented as well as student performance before and after implementation. Student feedback indicated that these course changes improved their ability to actively assimilate the course content, thus improving their understanding of the material. Shahid Naqvi - My talk will focus on ways to help students visualize crucial concepts that lie at the core of radiation physics. Although particle tracks generated by Monte Carlo simulations have served as an indispensable visualization tool, students often struggle to resolve the underlying physics from a simultaneous jumble of tracks. We can clarify the physics by “coding” the tracks, e.g., by coloring the tracks according to their “starting” or “crossing” regions. The regionally-coded tracks when overlaid with dose distributions help the students see the elusive connection between dose, kerma and electronic disequilibrium. Tracks coded according to local energy or energy-loss rate can illustrate the need for stopping power corrections in electron beams and explain the Bragg peak in a proton beam. Coding tracks according to parent interaction type and order can clarify the often misunderstood distinction between primary and scatter dose. The students can thus see the “whole” simultaneously with the “sum of the parts,” which enhances their physical insight and creates a sustainable foundation for further learning. After the presentations the speakers and moderator will be open to questions and discussion with the audience members. Learning Objectives: Be able to explain Project-Based Learning and how can it be incorporated into a Medical Physics classroom. Be able to explain Flipped Learning and how can it be incorporated into a Medical Physics classroom. Be able to explain active-learning strategies for the teaching of Medical Physics. Be able to explain how Monte Carlo simulations can be used to deepen a student’s understanding of radiation physics and dosimetry.

07 ISOTOPE AND RADIATION SOURCES↗

SU-F-J-181: An Alternative Patient Alignment Tool On TomoTherapy: The First In- Human Megavoltage-Topogram Acquisition

Purpose: To show the first in-human Megavoltage (MV)-Topogram acquisition for the evaluation of the potential for MV-Topogram-based alignment as an alternative to MVCT for reducing dose and imaging time. Methods: A lung cancer patient was enrolled in an ongoing IRB-approved clinical trial at our institute. The patient was set up using the clinical protocol employing positioning lasers. 3.2mm diameter tungsten spheres were placed on the patient’s skin at their alignment tattoos to check surface-based marker concordance between topograms and MVCT. Anterior-Posterior (AP) and lateral (LAT) MV-Topograms were acquired using gantry angles of 0°/90° with a 1mm collimator opening, all MLC leafs open, 4cm/s couch speed, and 12.5s scanning time. The topogram acquisition was immediately followed by the normal MVCT scan acquisition. MV-Topograms were reconstructed from the detector exit-data using in-house developed software. The topograms were also enhanced using contrast-limited adaptive histogram equalization (CLAHE). The MV-Topograms were registered to reference kV-based digitally reconstructed topograms. The localization results were compared against results obtained comparing the clinical MVCT to the kVCT simulation. Results: The shifts using the unenhanced Topograms, enhanced Topograms, and MVCT were (LAT, LONG, VERT, ROLL) (5.8mm, 2.6mm, −5.6mm, 0.34°), (3.9mm, 2.5mm, −2.2mm, 0.65°) and (2.4mm, 1.5mm, −3.0mm, 0.5°), respectively. The magnitude alignment differences between the enhanced Topograms and MVCT were within 1.5 mm and 0.15°. The average MVCT and total Topogram acquisition times were 272.9s ± 31.5s and 46s, respectively. Conclusion: MV-Topograms have the potential for providing equivalent performance with less dose and acquisition time than the traditional MVCT technique. We are evaluating other sites as well as adding patients to develop statistically significant analyses regarding the alignment quality differences. MV-Topograms are likely to be most clinically useful for bony anatomy and radiopaque marker-based alignments. The study was supported by an Accuray Grant.

60 APPLIED LIFE SCIENCES↗

Alternate routes to acetate tolerance lead to varied isoprenol production from mixed carbon sources in Pseudomonas putida

ABSTRACT Lignocellulose is a renewable resource for the production of a diverse array of platform chemicals, including the biofuel isoprenol. Although this carbon stream provides a rich source of sugars, other organic compounds, such as acetate, can be used by microbial hosts. Here, we examined the growth and isoprenol production in a Pseudomonas putida strain pre-tolerized (“PT”) background where its native isoprenol catabolism pathway is deleted, using glucose and acetate as carbon sources. We found that PT displays impaired growth in minimal medium containing acetate and often fails to grow in glucose-acetate medium. Using a mutant recovery-based approach, we generated tolerized strains that overcame these limitations, achieving fast growth and isoprenol production in the mixed carbon feed. Changes in the glucose and acetate assimilation routes, including an upregulation in PP_0154 (SpcC, succinyl-CoA:acetate CoA-transferase) and differential expression of the gluconate assimilation pathways, were key for higher isoprenol titers in the tolerized strains, whereas a different set of mechanisms were likely enabling tolerance phenotypes in media containing acetate. Among these, a coproporphyrinogen-III oxidase (HemN) was upregulated across all tolerized strains and in one isolate required for acetate tolerance. Utilizing a defined glucose and acetate mixture ratio reflective of lignocellulosic feedstocks for isoprenol production in P. putida allowed us to obtain insights into the dynamics and challenges unique to dual carbon source utilization that are obscured when studied separately. Together, this enabled the development of a P. putida bioconversion chassis able to use a more complex carbon stream to produce isoprenol. IMPORTANCE Acetate is a relatively abundant component of many lignocellulosic carbon streams and has the potential to be used together with sugars, especially in microbes with versatile catabolism such as P. putida . However, the use of mixed carbon streams necessitates additional optimization. Furthermore, the use of P. putida for the production of the biofuel target, isoprenol, requires the use of engineered strains that have additional growth and production constraints when cultivated in acetate and glucose mixtures. In this study, we generate acetate-tolerant P. putida strains that overcome these challenges and examine their ability to produce isoprenol. We show that acetate tolerance and isoprenol production, although independent phenotypes, can both be optimized in a given P. putida strain. Using proteomics and whole genome sequencing, we examine the molecular basis of both phenotypes and show that tolerance to acetate can occur via alternate routes and result in different impacts on isoprenol production.

de Siqueira, Guilherme M. V. (ORCID:00000002364563↗

Resistance to oxyimino-cephalosporins conferred by an alternative mechanism of hydrolysis by the Acinetobacter -derived cephalosporinase-33 (ADC-33), a class C β-lactamase present in carbapenem-resistant Acinetobacter baumannii (CR Ab )

ABSTRACT Antimicrobial resistance inAcinetobacter baumanniiis partly mediated by chromosomal class C β-lactamases, theAcinetobacter-derived cephalosporinases (ADCs). Recently, a growing number of emerging variants were described, expanding this threat. Consistent with other β-lactamases, one of the main areas of variance exists in the Ω-loop region near the site of cephalosporin binding. Interestingly, a common alanine duplication (Adup) is found in this region. Herein, we studied specific Adup variants expressed in a uniformEscherichia coligenetic background that demonstrated high-level resistance to multiple oxyimino-cephalosporins. For ceftolozane and ceftazidime, the Adup ADCs significantly increased levels of resistance (minimum inhibitory concentration [MIC] ≥ 512 µg/mL and MIC ≥ 1,024 µg/mL, respectively). These observations were consistent with the increasedk cat /K M for ceftazidime. For cefiderocol, three Adup variants exhibited increased MICs and increasedk cat /K M for this compound. Timed electrospray ionization mass spectrometry demonstrated stable cephalosporin:ADC adducts with ADC-30 (non-Adup), but not with ADC-33 (Adup), consistent with turnover. The X-ray crystal structure of Adup variant ADC-33 in complex with ceftazidime was determined (1.57 Å resolution) and suggests that increased turnover is facilitated by conformational changes (shift in Tyr221 and orientation of the oxyimino portion of the R1 side chain) and repositioning of water in the active site. These changes appear to favor substrate-assisted catalysis as an alternative mechanism to base-assisted catalysis. These studies also provide unprecedented insight into the mechanism underlying oxyimino-cephalosporin hydrolysis by expanded-spectrum ADC β-lactamases and possibly other class C β-lactamases, which is of critical importance to future drug design. IMPORTANCE The characterization of emergingAcinetobacter-derived cephalosporinase (ADC) variants is necessary to understand the increasing resistance to β-lactam antibiotics inAcinetobacterspp. In this study, cefiderocol retains effectiveness against ADC variants with and without an Ω-loop alanine duplication (Adup). However, the presence of the Adup appears to introduce loop flexibility and structural alterations resulting in increased resistance and steady-state turnover of larger cephalosporins. Further characterization provides unprecedented insight into the mechanism of cephalosporin hydrolysis by ADC β-lactamases and supports a concomitant increase in ADC structural flexibility and cephalosporin affinity that leads to more efficient hydrolysis. In addition, the crystal structure of ADC-33 in complex with ceftazidime is consistent with a substrate-assisted catalysis mechanism. The structural differences in the ADC-33 active site leading to ceftazidime catalysis provide a better understanding of β-lactamase Adup variants and open important opportunities for future drug design and development.

Microbiology↗