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At least 1,117 records · Page 62
All sourcesNASA NTRSDOE OSTI
DOE OSTI2021

An assessment of power flexibility from commercial building cooling systems in the United States

Understanding varying characteristics and aggregate potential of power flexibility from different building types considering regional diversity is critically important to actively engaging building resources in future eco-friendly, low-cost, and sustainable power systems. This paper presents a comprehensive characteristics analysis and potential assessment of the power flexibility from heating, ventilation, and air conditioning (HVAC) loads in commercial buildings in the U.S. using a simulation-based method. In this method, commercial buildings are first grouped by building types and climate regions. The U.S. Department of Energy Commercial Prototype Building Models are used to represent an average building in each group and are simulated to characterize corresponding power flexibility. Based on building survey data, the number of commercial buildings in each group is estimated and used to calculate aggregate power flexibility. It is found that HVAC loads in commercial buildings offer more flexibility for increasing power consumption than for decreasing it. The power consumption of commercial buildings in the U.S. can be increased by 46 GW and decreased by 40 GW on peak summer days. Among all commercial building types, standalone retail buildings provide the most absolute flexibility while the medium office buildings have the most flexibility as a percentage of the rated power consumption.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2021

Evaluation of cooling setpoint setback savings in commercial buildings using electricity and exterior temperature time series data

Commercial buildings account for a significant amount of total energy produced in the US, and the Heating Ventilation and Cooling (HVAC) systems are one of the most significant components of their overall consumption. In this study, we proposed a new data-driven approach to evaluate HVAC cooling systems in commercial buildings and identify savings opportunities. The focus is an investigation of the impact of thermostat setpoint setback but using only whole building, electricity data taken at 15-min intervals for the analysis. We conducted a comparative study of setpoint setback characteristics on 432 commercial buildings with 5 building usage types across the United States. To accomplish this, both piecewise and Random Forest regression algorithms were employed using electricity and exterior temperature datasets to identify operational characteristics and the effective setpoints in the building to determine the corresponding savings opportunities. Both occupied and unoccupied time periods were studied across cooling degree days (CDD), when air conditioning is typically operational. Here the results show that in commercial buildings, on average, cooling systems account for 9.5% of total consumption. When a one degree setback during the cooling season is applied, an average of approximately 1.1% of annual consumption is achieved; retail and office buildings demonstrate the highest potential for savings. Additionally, we identified that the number of cooling degree days and base to peak ratio (BPR) are the most important variables for predicting the magnitude of the consumption of cooling systems.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2023

Grey-box and ANN-based building models for multistep-ahead prediction of indoor temperature to implement model predictive control

Model-based predictive control (MPC) strategies for heating, ventilation, and air-conditioning (HVAC) systems present an opportunity to lower building energy consumption and operational costs. Such approaches rely on the development of a model to precisely forecast building thermal dynamics, such as room air temperature or heating/cooling rate, and make control-related decisions. The control-oriented modeling of building energy systems should be accurate in predicting indoor conditions and present low computational complexity. These features are the key challenge of implementing advanced control methods such as MPC. Extant studies on building modeling for MPC have focused on step-ahead forecasting techniques to forecast building thermal dynamics, while multistep-ahead forecasting is essential. Moreover, machine learning model suitable in case of the domain-based engineering expertise are also not available. To this aim, we perform a comparative analysis of the grey-box model based on a resistance-capacitance (RC) thermal network and a machine learning model composed of an artificial neural network (ANN) for multistep-ahead prediction of building thermal dynamics using current and historical data. Actual experimental data obtained from the Flexible Research Platform (FRP) in Oak Ridge National Laboratory (US) are used for estimation and validation purposes. The average root mean squared error (RMSE) of the grey-box and ANN models are 0.89 °C and 1.02°C, respectively. Finally, the results indicate that the grey-box model outperforms the ANN model in the considered validation periods in terms of accuracy and prediction stability.

42 ENGINEERING↗
DOE OSTI2016

Sperm quality and environment: A retrospective, cohort study in a Northern province of Italy

Background: Several studies proposed a relationship between environmental factors and semen quality, as well as the negative effect of air pollution on spermatogenesis and gonadal function. No specific studies evaluated the environmental influence on semen quality in a specific geographical area. Aim: to evaluate the environmental influence on male sperm parameters in a Northern Italian population referred for semen analysis in the National Health System. The objective of the study is the assessment of the relationship of both air pollution and environmental parameters with quality-related sperm variables, during the coldest months of the year when air is usually most polluted, due to low ventilation and poor rainfall. Study design: A retrospective, observational, cohort study was carried out in the province of Modena, located in the Emilia-Romagna region of Northern Italy. Methods: Semen analyses (n=406), environmental temperature, air humidity and air particulate matter (PM) measurements from the 1st of November 2014 to the 19th of February 2015 were acquired to the first database. Since spermatogenesis lasts over two months, a second, wider database was arranged, evaluating environmental exposure in the 3 months before semen collection (from August 1st 2014). All data included in the database were registered by geo-coding the residential address of the patients and the site of registration of environmental factors. The geo-codification of parameters was performed using Fusion Tables of Google available at (https://www.google.com/fusiontables/data? dsrcid=implicit), considering the exact time of measurement. Results: Average air temperature was inversely related to sperm concentration and to total sperm number (p<0.001). Semen volume was inversely related only to the minimum (p<0.001) and not to maximum recorded temperature (p=0.110). Air humidity was not related to sperm quantity and quality. PM{sub 2.5} was directly related to total sperm number (p<0.001). PM{sub 10} was directly related to both semen volume (0<0.001), and typical forms (p<0.001), inversely related to atypical forms (p<0.001), but related neither to sperm concentration (p=0.430) nor to sperm motility. The extended analyses considering environmental parameters in the 3 months before semen collection, confirmed the relationship between air temperature and sperm quantity, whereas no influence was found between PM and sperm quality. Conclusion: An influence of environmental temperature on semen quantity is suggested, without a clear effect of air pollution, as assessed through PM{sub 10} levels, on sperm parameter variations.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2017

Exposure to lead in South African shooting ranges

Introduction: Lead exposure in shooting ranges has been under scrutiny for decades, but no information in this regard is available in respect of African settings, and in South Africa specifically. The aim of this study was to determine the blood lead levels in the users of randomly selected private shooting ranges in South Africa's Gauteng province. Methods: An analytical cross sectional study was conducted, with participants recruited from four randomly selected shooting ranges and three archery ranges as a comparator group. Results: A total of 118 (87 shooters and 31 archers) were included in the analysis. Shooters had significantly higher blood lead levels (BLL) compared to archers with 36/85 (42.4%) of shooters versus 2/34 (5.9%) of archers found to have a BLL ≥10 μg/dl (p<0.001). Conclusion: Shooting ranges may constitute an import site of elevated exposure to lead. Improved ventilation, low levels of awareness of lead hazards, poor housekeeping, and inadequate personal hygiene facilities and practices at South African shooting ranges need urgent attention. - Highlights: • This is the first study, to our knowledge, of lead exposure in shooting ranges in an African setting. • This study indicates highly elevated lead exposure amongst the users of certain private shooting ranges in South Africa. • Lead exposure may be a serious, yet under-studied, source of adult lead exposure in South Africa, and possibly elsewhere on the African continent.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

Factors determining the exposure of dairy farmers to thoracic organic dust

Highlights: • Dairy farming exposes to thoracic dusts containing bacteria and moulds. • Specific tasks and farm characteristics control exposures to thoracic organic dusts. • Temperature and hygrometry also control the levels of organic dust exposure. Bronchial respiratory diseases are more common in dairy farmers than in the general population, perhaps because the repeated inhalation of organic dust contributes to the development of these disorders. However, the factors determining the exposure of farmers to particles that can enter the lower bronchial tract and interact with it, i.e. the thoracic fraction of the inhalable dust, remain to be identified. We therefore measured the exposure of dairy farmers to thoracic organic dust and identified the farm features and tasks that increased exposure. We measured thoracic particles (n = 110) and farm characteristics and occupational tasks in 29 Brittany dairy farms. The mean (GM) (geometric standard deviation, GSD) concentration of thoracic dust in air inhaled by farmers was 0.24 mg/m{sup 3} (2.8) and the concentrations of endotoxins, Gram-positive bacteria and fungi in the thoracic fraction were 128 EU/m{sup 3} (4.0), 960 CFU/m{sup 3} (6.3) and 690 CFU/m{sup 3} (5.4), respectively. Model-based estimates of the association between exposure, farm features and tasks indicated that manual grain and feed handling and mechanical bedding spreading significantly increased exposure to thoracic dust, endotoxins, bacteria and fungi. Exposure to bacteria and fungi was reduced by cowsheds divided into cubicles, whereas using automatic muck scrappers in alleyway and automatic milking tended to increase exposure to bacteria and endotoxins. Finally, exposure to endotoxin and fungi were reduced by warmer farm buildings and well-ventilated buildings having walls with large openings. In conclusions, major occupational tasks and specific farm features determine the exposure of Breton dairy farmers to thoracic organic dust.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2021

A first principles framework to predict the transient performance of latent heat thermal energy storage

Thermal energy storage (TES) is increasingly recognized as an essential component of efficient Combined Heat and Power (CHP), Concentrated Solar Power (CSP), Heating Ventilation and Air Conditioning (HVAC), and refrigeration as it reduces peak demand while helping to manage intermittent availability of energy (e.g., from solar or wind). Latent Heat Thermal Energy Storage (LHTES) is a viable option because of its high energy storage density. Parametric analysis of LHTES in terms of dimensionless numbers is highly desired as a tool to model LHTES systems. One approach is to develop a model equation so as to minimize the error between the model and data obtained from experiments or simulations. While this approach can produce an accurate correlation applicable within the range of data used for its creation, it does not provide physical understanding of the rate-limiting process controlling the transient behavior of the device. In this paper we present an alternative approach whereby the potential rate-limiting processes are identified from first principles and then the key process is determined as a function of time as a LHTES device is charged. For example, in a simple geometry, the melt-fraction can be expected to vary linearly in time if the heat transfer rate is limited by natural convection of the phase changing material and we show it scales with the PCM Grashof number as $Gr^1_p$ and PCM Prandtl number as $Pr_p^{(1/3)}$. On the other hand, if surface area of solid PCM limits the heat transfer rate, the melt fraction increases asymptotically to reach full melting. The existence of these linear and asymptotic regions and the $Gr^1_pP r^{1/3}_p$ shape of the melt fraction curve is verified using our database of 64 simulations. Of practical importance in designing LHTES devices is the melt fraction at which the heat transfer rate ceases to be limited by convection, after which the heat storage rate deteriorates. For our geometry, this is found to be about 90%. This test case of our methodology shows the value of our approach, that predicting heat storage rate based on the rate-limiting physical phenomenon as a function of time is an effective approach to modeling LHTES devices.

25 ENERGY STORAGE↗
DOE OSTI2025

An international study on THM modelling of the full-scale heater experiment at Mont Terri laboratory

We present results from an international model comparison study of the Full-Scale Emplacement (FE) experiment in Opalinus Clay at the Mont Terri Laboratory, Switzerland. Based on a provided parameter set the teams decided which parameters they adopted for their models, whether they considered the excavation and the ventilation phase in addition to the heating phase and if they included technical features like the shotcrete or the EDZ. The teams were able to reproduce the measured parameters temperature, relative humidity and pore pressure. The modelled results for temperature agree very closely between the teams especially in the sensors in Opalinus Clay. All teams were able to reproduce the redistribution of water in the bentonite backfill due to heating. The evolution of the relative humidity showed similar trends with differences in the intensity of the dry out effect. To model the pore pressure evolution is more complex because it comprises the full interaction of the coupled THM processes. The spread between the pore pressure modelled by the teams was larger, with some teams overestimating the pressure increase due to heating and some teams overestimating the extent of drainage. The agreement of modelled results with measurements improves with larger distance to the heater. We conclude that the EDZ and the shotcrete potentially influence the behaviour of the rock causing higher differences closer to the heater. Further research is needed to better implement those influences into the models. Based on the calibrated models, the future evolution of temperature, relative humidity and pore pressure was predicted over the next 10 years following a change of the heat power applied in 2023 and 2024. Again, the predicted temperatures agree very closely between the teams. Most teams do not expect an increase in relative humidity during the next 10 years after the initial dry-out.

58 GEOSCIENCES↗
DOE OSTI2022

Tri-level hybrid interval-stochastic optimal scheduling for flexible residential loads under GAN-assisted multiple uncertainties

Various building loads, such as heating, ventilation, and air conditioners (HVACs), electric water heaters (EWHs), and electric vehicles (EVs), can introduce opportunities for improving the flexibility of electricity consumption while satisfying the needs of building owners as well as benefiting the resilience of distribution system. To utilize such flexibility, a tri-level distribution market framework is established, including residential consumers, load aggregators (LAs), and the distribution system operator (DSO). In this work, the uncertainties from all three levels are considered. The random consumption behavior at the consumer level is modeled as a Gaussian noise that is also aggregated and transmitted to the LA level. The weather temperature in the LA level is forecasted as an interval, and the photovoltaic (PV) power in the market-clearing level is modeled by a set of power scenarios generated by Generative Adversarial Networks (GANs). Then, a hybrid interval-stochastic programming is proposed to transform the uncertain problems in the first two levels into deterministic ones. For real-time implementations, a rolling horizon optimization (RHO) scheme is employed to continuously optimize the power consumption based on the latest operating information. Finally, case studies on a modified IEEE 69-bus system validate the effectiveness of the proposed uncertainty modeling strategies and the RHO scheme.

24 POWER TRANSMISSION AND DISTRIBUTION↗
DOE OSTI2025

Innovative approach to counterfeit and noncompliant refrigerant detection: A cost-effective, portable solution

The increasing prevalence of counterfeit and incompatible refrigerants presents significant risks to Heating, Ventilation, Air Conditioning, and Refrigeration (HVAC&R) systems, including compromised equipment performance, safety hazards, and non-compliance. This article details the development of a novel, cost-effective, and portable detection device designed to accurately verify refrigerants. The device utilizes a controlled gas sampling and analysis system within a sealed chamber, ensuring precise measurements while maintaining safety through a purging mechanism. The system features a high-sensitivity sensor integrated with an onboard control module that analyzes gas composition in real-time, providing feedback within a 2-minute duration. Laboratory validation demonstrated the device’s high accuracy (>95 % based on correct identification of compliant vs. non-compliant blends) in detecting unauthorized refrigerant blends. The projected cost of the product stands at ∼ $150, based on the retail pricing of individual components. Laboratory validation demonstrated the device’s high accuracy (>95 % for composition identification, 100 % rejection of tested counterfeit/incorrect blends) in detecting unauthorized refrigerant blends with a response time <2 min. The device correctly identified authentic R-454A/B/C blends and reliably rejected R-407F and closely related counterfeit mixtures. Key advantages include affordability, ease of use, rapid response time, and compatibility with a wide range of refrigerants. This solution supports compliance with regulatory frameworks, enhances safety in HVAC&R operations, and mitigates the risks associated with counterfeit refrigerants.

Counterfeit refrigerants↗
DOE OSTI2025

Advances in Desiccant Wheels for Dehumidification, VOC Mitigation, and CO 2 Removal for Energy-Efficient IAQ Management

Humidity control is pivotal to maintain occupant thermal comfort and suppress mold growth in indoor environments. Furthermore, poor indoor air quality (IAQ) due to the presence of volatile organic compounds (VOCs) and high concentrations (>1,000 ppm) of CO 2 can cause health issues and negatively affect cognitive performance. Therefore, providing high-quality indoor air has gained significant attention over the past decade. Conventional cooling coil and filter-based HVAC systems have limited capability to meet the augmented demand for occupant thermal comfort and high indoor air quality. Moreover, modern buildings are increasingly airtight to save energy, and increasing ventilation to mitigate VOC and CO 2 concentration is discouraged. Separate sensible and latent cooling technology using a rotary desiccant wheel presents a promising solution in this respect. Because of the development of desiccant materials with high water vapor, VOC, and CO 2 uptake, desiccant wheels can be used as an integrated technology option for IAQ management. Here, to promote desiccant wheel use for energy-efficient management of IAQ in buildings, this article reviews recent advancements in using desiccant wheels for dehumidification, VOC mitigation, and CO 2 capture from outdoor air. Finally, the article presents the authors’ perspective by summarizing the key research gaps in the field and discussing the future direction of research to address these gaps from two different aspects, namely, suitable adsorbent material development and desiccant wheel design.

CO2 capture↗
DOE OSTI2016

Comparison of the safety-related physical and combustion properties of liquid hydrogen and liquid natural gas in the context of the SF-BREEZE high-speed fuel-cell ferry

Here, we review liquid hydrogen (LH 2 ) as a maritime vessel fuel, from descriptions of its fundamental properties to its practical application and safety aspects, in the context of the San Francisco Bay Renewable Energy Electric Vessel with Zero Emissions (SF-BREEZE) high-speed fuel-cell ferry. Since marine regulations have been formulated to cover liquid natural gas (LNG) as a primary propulsion fuel, we frame our examination of LH 2 as a comparison to LNG, for both maritime use in general, and the SF-BREEZE in particular. Due to weaker attractions between molecules, LH 2 is colder than LNG, and evaporates more easily. We describe the consequences of these physical differences for the size and duration of spills of the two cryogenic fuels. The classical flammability ranges are reviewed, with a focus on how fuel buoyancy modifies these combustion limits. We examine the conditions for direct fuel explosion (detonation) and contrast them with initiation of normal (laminar) combustion. Direct fuel detonation is not a credible accident scenario for the SF-BREEZE. For both fuels, we review experiments and theory elucidating the deflagration to detonation transition (DDT). LH 2 fires have a shorter duration than energy-equivalent LNG fires, and produce significantly less thermal radiation. The thermal (infrared) radiation from hydrogen fires is also strongly absorbed by humidity in the air. Hydrogen permeability is not a leak issue for practical hydrogen plumbing. We describe the chemistry of hydrogen and methane at iron surfaces, clarifying their impact on steel-based hydrogen storage and transport materials. These physical, chemical and combustion properties are pulled together in a comparison of how a LH 2 or LNG pool fire on the Top Deck of the SF-BREEZE might influence the structural integrity of the aluminum deck. Neither pool fire scenario leads to net heating of the aluminum decking. Overall, LH 2 and LNG are very similar in their physical and combustion properties, thereby posing similar safety risks. For ships utilizing LH 2 or LNG, precautions are needed to avoid fuel leaks, minimize ignition sources, minimize confined spaces, provide ample ventilation for required confined spaces, and to monitor the enclosed spaces to ensure any fuel accumulation is detected far below the fuel/air mix threshold for any type of combustion.

08 HYDROGEN↗
DOE OSTI2017

R1234yf and R1234ze(E) as low-GWP refrigerants for residential heat pump water heaters; Le R1234yf et le R1234ze(E) comme frigorigènes à faible GWP pour des chauffe-eau domestiques à pompe à chaleur

Owing to the growing concerns about the relatively high global warming potential (GWP) of current refrigerants, a serious effort is currently in progress to find lower-GWP substitutes. The hydrofluoroolefin (HFO)-based refrigerants R1234yf and R1234ze(E) are being considered for use in multiple heating, ventilation, air conditioning, and refrigeration applications because of their very low GWP. A study was conducted to model a residential heat pump water heater using these HFOs. A system model was calibrated using experimental data and the calibrated model was used to evaluate the potential of HFOs to replace R134a. A series of parametric analyses were used to investigate the impacts of condenser wrap pattern, condenser tube size, evaporator size, and heat loss factor from the storage tank. It has been shown that both R1234yf and R1234ze(E) can be substituted for R134a with comparable performance and no substantial modifications to the original system. Finally, this study presents a detailed feasibility analysis for successful replacement of high-GWP refrigerants with low-GWP refrigerants with acceptable performance.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2022

In Tube Condensation Heat Transfer and Pressure Drop for R454B and R32—Potential Replacements for R410A

The heating, ventilation and air conditioning (HVAC) industry in the United States seeks near-term alternative refrigerants to replace R-410A in unitary equipment. Two potential replacement refrigerants are R-454B and R-32. It is of interest to investigate the capability and accuracy of existing heat exchanger design methods when applied to these replacement refrigerants. To that end, this work presents empirical condensation quasi-local heat transfer coefficient and pressure drop data for R-454B and R-32. These data were obtained in a $\frac{3}{8}$ in. (9.52 mm) outside diameter (OD) smooth copper tube with a wall thickness of 0.032 in. (0.81 mm). The experimental variables and their ranges included refrigerant absolute pressure ( 1960 ≤ P a b s ≤ 3196 kPa), condensation temperature ( 35 ≤ T c o n d ≤ 50 °C), mass flux ( 100 ≤ G ≤ 200 kg m -2 s -1 ), vapor quality ( 0 ≤ x ≤ 1 ), and heat flux ( 32.9 ≤ q ″ ≤ 62.97 kW m -2 ). It was found that the heat transfer correlation developed by Cavallini et al. Cavallini et al. (2006) predicted the experimental condensation heat transfer data, for both R-454B and R-32, with the greatest accuracy. Using the Cavallini et al. correlation, it was found that the mean absolute percentage error (MAPE) was 10.5% and 15.1% for R-454B and R-32, respectively. Additionally, the pressure drop correlation developed by Friedel Friedel (1979) predicted the experimentally determined pressure gradient with a MAPE of 7.7% and 5.5% for R-454B and R-32, respectively. These results will assist the practicing thermal engineer to choose the most appropriate design correlation for these near-term replacement refrigerants.

42 ENGINEERING↗
DOE OSTI2011

Isotoxic Dose Escalation in the Treatment of Lung Cancer by Means of Heterogeneous Dose Distributions in the Presence of Respiratory Motion

Purpose: To test, in the presence of intrafractional respiration movement, a margin recipe valid for a homogeneous and conformal dose distribution and to test whether the use of smaller margins combined with heterogeneous dose distributions allows an isotoxic dose escalation when respiratory motion is considered. Methods and Materials: Twenty-three Stage II-III non-small-cell lung cancer patients underwent four-dimensional computed tomography scanning. The gross tumor volume and clinical target volume (CTV) were outlined in the mid-ventilation phase. The CTV-to-planning target volume (PTV) margin was calculated by use of a standard margin recipe and the patient-specific respiration pattern. Standard three-dimensional treatment plans were generated and recalculated on the remaining respiration phases. The planning was repeated for a CTV-to-PTV margin decreased by 2.5 and 5 mm relative to the initial margin in all directions. Time-averaged dose-volume histograms (four-dimensional dose-volume histograms) were calculated to evaluate the CTV-to-PTV margin. Finally, the dose was escalated in the plans with decreased PTV such that the mean lung dose (predictor of radiation-induced pneumonitis) was equal to mean lung dose in the plan by use of the initially calculated margin. Results: A reduction of the standard margin by 2.5 mm compared with the recipe resulted in too low of a minimum dose for some patients. A combination of dose escalation and use of heterogeneous dose distribution was able to increase the minimum dose to the target by approximately 10% and 20% for a CTV-to-PTV margin reduction of 2.5 mm and 5.0 mm, respectively. Conclusion: The margin recipe is valid for intrafractional respiration-induced tumor motions. It is possible to increase the dose to the target without increased mean lung dose with an inhomogeneous dose distribution.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2012

Long-term Changes in Pulmonary Function After Incidental Lung Irradiation for Breast Cancer: A Prospective Study With 7-Year Follow-up

Purpose: To evaluate late pulmonary function changes after incidental pulmonary irradiation for breast cancer. Methods and Materials: Forty-three consecutive female patients diagnosed with breast carcinoma and treated with postoperative radiation therapy (RT) at the same dose (50 Gy) and fractionation (2 Gy/fraction, 5 days/week) were enrolled. Pulmonary function tests (PFT) and ventilation/perfusion scans were performed before RT and 6, 12, 24, and 84 months afterward. Results: Forty-one patients, mean age 55 years, were eligible for the analysis. No differences were found in the baseline PFT values for age, smoking status and previous chemotherapy; women undergoing mastectomy showed baseline spirometric PFT values lower than did women treated with conservative surgery. The mean pulmonary dose was 10.9 Gy, being higher in women who also received lymph node RT (15.8 vs 8.6, P<.01). Only 1 patient experienced symptomatic pneumonitis. All PFT values showed a reduction at 6 months. From then on, the forced vital capacity and forced expiratory volume in 1 second began their recovery until reaching, and even exceeding, their baseline values at 7 years. Diffusing capacity of the lungs for carbon monoxide and ventilation/perfusion scans continued to reduce for 24 months and then partially recovered their baseline values (-3.5%, -3.8%, and -5.5%, respectively). Only the percentage difference at 7 years in the ventilation scan correlated with the dosimetric parameters studied. Other variables, such as age, smoking status, previous chemotherapy, and concomitant tamoxifen showed no significant relation with changes in PFT ({Delta}PFT) values at 7 years. Conclusions: The study of reproducible subclinical parameters, such as PFT values, shows how their figures decrease in the first 2 years but practically recover their baseline values in the long term. The extent of the reduction in PFT values was small, and there was no clear association with several dosimetric and clinical parameters.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2013

Repetitive Pediatric Anesthesia in a Non-Hospital Setting

Purpose: Repetitive sedation/anesthesia (S/A) for children receiving fractionated radiation therapy requires induction and recovery daily for several weeks. In the vast majority of cases, this is accomplished in an academic center with direct access to pediatric faculty and facilities in case of an emergency. Proton radiation therapy centers are more frequently free-standing facilities at some distance from specialized pediatric care. This poses a potential dilemma in the case of children requiring anesthesia. Methods and Materials: The records of the Indiana University Health Proton Therapy Center were reviewed for patients requiring anesthesia during proton beam therapy (PBT) between June 1, 2008, and April 12, 2012. Results: A total of 138 children received daily anesthesia during this period. A median of 30 fractions (range, 1-49) was delivered over a median of 43 days (range, 1-74) for a total of 4045 sedation/anesthesia procedures. Three events (0.0074%) occurred, 1 fall from a gurney during anesthesia recovery and 2 aspiration events requiring emergency department evaluation. All 3 children did well. One aspiration patient needed admission to the hospital and mechanical ventilation support. The other patient returned the next day for treatment without issue. The patient who fell was not injured. No patient required cessation of therapy. Conclusions: This is the largest reported series of repetitive pediatric anesthesia in radiation therapy, and the only available data from the proton environment. Strict adherence to rigorous protocols and a well-trained team can safely deliver daily sedation/anesthesia in free-standing proton centers.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2015

Accuracy and Utility of Deformable Image Registration in {sup 68}Ga 4D PET/CT Assessment of Pulmonary Perfusion Changes During and After Lung Radiation Therapy

Purpose: Measuring changes in lung perfusion resulting from radiation therapy dose requires registration of the functional imaging to the radiation therapy treatment planning scan. This study investigates registration accuracy and utility for positron emission tomography (PET)/computed tomography (CT) perfusion imaging in radiation therapy for non–small cell lung cancer. Methods: {sup 68}Ga 4-dimensional PET/CT ventilation-perfusion imaging was performed before, during, and after radiation therapy for 5 patients. Rigid registration and deformable image registration (DIR) using B-splines and Demons algorithms was performed with the CT data to obtain a deformation map between the functional images and planning CT. Contour propagation accuracy and correspondence of anatomic features were used to assess registration accuracy. Wilcoxon signed-rank test was used to determine statistical significance. Changes in lung perfusion resulting from radiation therapy dose were calculated for each registration method for each patient and averaged over all patients. Results: With B-splines/Demons DIR, median distance to agreement between lung contours reduced modestly by 0.9/1.1 mm, 1.3/1.6 mm, and 1.3/1.6 mm for pretreatment, midtreatment, and posttreatment (P<.01 for all), and median Dice score between lung contours improved by 0.04/0.04, 0.05/0.05, and 0.05/0.05 for pretreatment, midtreatment, and posttreatment (P<.001 for all). Distance between anatomic features reduced with DIR by median 2.5 mm and 2.8 for pretreatment and midtreatment time points, respectively (P=.001) and 1.4 mm for posttreatment (P>.2). Poorer posttreatment results were likely caused by posttreatment pneumonitis and tumor regression. Up to 80% standardized uptake value loss in perfusion scans was observed. There was limited change in the loss in lung perfusion between registration methods; however, Demons resulted in larger interpatient variation compared with rigid and B-splines registration. Conclusions: DIR accuracy in the data sets studied was variable depending on anatomic changes resulting from radiation therapy; caution must be exercised when using DIR in regions of low contrast or radiation pneumonitis. Lung perfusion reduces with increasing radiation therapy dose; however, DIR did not translate into significant changes in dose–response assessment.

62 RADIOLOGY AND NUCLEAR MEDICINE↗