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At least 1,261 records · Page 70

Temporal dynamics of CO 2 and CH 4 loss potentials in response to rapid hydrological shifts in tidal freshwater wetland soils

Earth System Models predict climate extremes that will impact regional and global hydrology. Aquatic-terrestrial transition zones like wetlands are subjected to the immediate consequence of climate change with shifts in the magnitude and dynamics of hydrologic flow. Such fluctuating hydrology can alter the nature and rate of biogeochemical transformations and significantly impact the carbon balance of the ecosystem. We tested the impacts of fluctuating hydrology and, specifically, the role of antecedent moisture conditions in determining the dominant carbon loss mechanisms in soils sampled from a tidal freshwater wetland system in the lower Columbia River, WA, USA. Our objective was to understand shifts in biogeochemical processes in response to changing soil moisture, based on soil respiration and methane production rates, and to elucidate such responses based on the observed electron acceptor and metabolite profiles under laboratory conditions. Metabolomics and biogeochemical process rates provided evidence that soil redox was the principal factor driving metabolic function. Fluctuating redox conditions altered terminal electron acceptor and donor availability and recovery strengths of their concentrations in soil such that a disproportionate release of carbon dioxide stemmed from alternative anaerobic degradation processes like sulfate and iron reduction compared to carbon loss due to methano genesis. Our results show that extended and short-term saturation created conditions conducive to increasing metabolite availability for anaerobic decomposition processes, with a significant lag in methanogenesis. In contrast,extended drying caused a cellular-level stress response and rapid recycling of alternate electron acceptors.

anaerobic respiration, tidal wetlands, methane pro↗

Pressure Monitoring to Detect Fault Rupture Due to CO 2 Injection

The capacity for fault systems to be reactivated by fluid injection is well-known. In the context of CO 2 sequestration, however, the consequence of reactivated faults with respect to leakage and monitoring is poorly understood. Using multi-phase fluid flow simulations, this study addresses key questions concerning the likelihood of ruptures, the timing of consequent upward leakage of CO 2 , and the effectiveness of pressure monitoring in the reservoir and overlying zones for rupture detection. A range of injection scenarios was simulated using random sampling of uncertain parameters. These include the assumed distance between the injector and the vulnerable fault zone, the critical overpressure required for the fault to rupture, reservoir permeability, and the CO 2 injection rate. We assumed a conservative scenario, in which if at any time during the five-year simulations the critical fault overpressure is exceeded, the fault permeability is assumed to instantaneously increase. For the purposes of conservatism we assume that CO 2 injection continues ‘blindly’ after fault rupture. We show that, despite this assumption, in most cases the CO 2 plume does not reach the base of the ruptured fault after 5 years. As a result, one possible implication of this result is that leak mitigation strategies such as pressure management have a reasonable chance of preventing a CO 2 leak.

58 GEOSCIENCES↗

Assessing corporate project impacts in changeable contexts: A human rights perspective

Project-level impact assessment was originally conceived as a snapshot taken in advance of project implementation, contrasting current conditions with a likely future scenario involving a variety of predicted impacts. Current best practice guidance has encouraged a shift towards longitudinal assessments from the pre-project stage through the implementation and operating phases. Experience and study show, however, that assessment of infrastructure-intensive projects rarely endures past the project's construction phase. Negative consequences for environmental, social and health outcomes have been documented. Such consequences clarify the pressing need for longitudinal assessment in each of these domains, with human rights impact assessment (HRIA) as an umbrella over, and critical augmentation of, environmental, social and health assessments. Project impacts on human rights are more closely linked to political, economic and other factors beyond immediate effects of a company's policy and action throughout the project lifecycle. Delineating these processes requires an adequate framework, with strategies for collecting longitudinal data, protocols that provide core information for impact assessment and guidance for adaptive mitigation strategies as project-related effects change over time. This article presents general principles for the design and implementation of sustained, longitudinal HRIA, based on experience assessing and responding to human rights impact in a uranium mining project in Malawi. The case study demonstrates the value of longitudinal assessment both for limiting corporate risk and improving human welfare. - Graphical abstract: Assessing changes in human rights condition as affected by both project and context, over time. - Highlights: • Corporate capital projects affect human rights in myriad ways. • Ongoing, longitudinal impact assessment techniques are needed. • We present an approach for conducting longitudinal human rights impact assessment. • Our methodology allows distinguishing corporate impacts from contextual changes. • Promptly observing context changes and impacts enables companies to react nimbly.

54 ENVIRONMENTAL SCIENCES↗

Consideration of climate change impacts and adaptation in EIA practice — Perspectives of actors in Austria and Germany

Current political discussions and developments indicate the importance and urgency of incorporating climate change considerations into EIA processes. The recent revision of the EU Directive 2014/52/EU on Environmental Impact Assessment (EIA) requires changes in the EIA practice of the EU member states. This paper investigates the extent to which the Environmental Impact Assessment (EIA) can contribute to an early consideration of climate change consequences in planning processes. In particular the roles of different actors in order to incorporate climate change impacts and adaptation into project planning subject to EIA at the appropriate levels are a core topic. Semi-structured expert interviews were carried out with representatives of the main infrastructure companies and institutions responsible in these sectors in Austria, which have to carry out EIA regularly. In a second step expert interviews were conducted with EIA assessors and EIA authorities in Austria and Germany, in order to examine the extent to which climate-based changes are already considered in EIA processes. This paper aims to discuss the different perspectives in the current EIA practice with regard to integrating climate change impacts as well as barriers and solutions identified by the groups of actors involved, namely project developers, environmental competent authorities and consultants (EIA assessors/practitioners). The interviews show that different groups of actors consider the topic to different degrees. Downscaling of climate change scenarios is in this context both, a critical issue with regards to availability of data and costs. Furthermore, assistance for the interpretation of relevant impacts, to be deducted from climate change scenarios, on the specific environmental issues in the area is needed. The main barriers identified by the EIA experts therefore include a lack of data as well as general uncertainty as to how far climate change should be considered in the process without reliable data but in the presence of knowledge about possible consequences at an abstract level. A joint strategy on how to cope with uncertain prognoses about main impacts on environmental issues for areas without reliable data requires a discussion and cooperation between EIA consultants and environmental authorities. - Highlights: • The consideration of climate change impacts in EIA practice in Austria and Germany was analysed through expert interviews. • Barriers as well as possible solutions were indentified by the different groups of actors involved in EIA. • The main challenges regard the investigation of specific entry points. • Limits of feasibility need to be discussed amongst the different groups of actors.

54 ENVIRONMENTAL SCIENCES↗

On the indiscriminate use of imported emission factors in environmental impact assessment: A case study in Chile

Environmental Impact Assessment (EIA) aims to determine if the environmental effect of an activity or project complies with standards and regulations. A primary component of the environment to evaluate is air and the effect that various activities can have on its quality. To this end, emission factors (EFs), which are empirical coefficients or mathematical relationships, are normally used. The present research critically analyzes the implications and consequences of using imported EFs in environmental impact studies (EISs), taking as case of study the situation in Chile. Among the main results, the widespread use of EFs in EISs in the country and the lack of assessments of their actual applicability stand out. In addition, the official guidelines related to emissions estimation that are used for EIA in the country mostly include EFs derived elsewhere, without considering the recommendations or restrictions that the original sources indicate for their use. Finally, the broad use of default values defined for the Metropolitan Region in Central Chile, is highly questionable for a country that extends north-south along more than 35° of latitude, with wide variability in climate, traffic conditions, population, soil types, etc. Finally, it is very likely that situations similar to those observed in the present work occurs in other countries with young environmental impact assessment systems, and therefore, that the results herein presented should be of general interest and relevance. - Highlights: • Emission factors are widely used in environmental impact assessment in Chile. • There is a lack of a proper understanding of the limitations of EFs for EIA. • Imported emission factors use requires caution and full understanding. • Misuse of foreign EFs may have serious environmental and economic consequences.

54 ENVIRONMENTAL SCIENCES↗

Assessing the urban carbon footprint: An overview

All cities present environmental sustainability issues, above all regarding greenhouse gas (GHG) emissions, and specifically carbon dioxide (CO{sub 2}), that directly affect climate change. Consequently, it is very important to quantify and report their Carbon Footprint (CF) for implementing national and international policies/strategies aimed at mitigating and adapting these concerns. The Urban Carbon Footprint (UCF), indeed, has been recognized as the more valuable choice to inform, specifically, decision makers about city environmental sustainability. Several accounting systems and inventory methods have been taken into account to perform UCF, highlighting the complexity of the topic and generating very often confusion among users. In this context, the authors aim to summarize what has been done and what is going on with UCFs, trying to classify them according to some principal dimensions. Thus, they divide UFCs in two main categories namely: “spatial” or “direct”, with a limited amount of data requested, and “economic” or “life cycle based”, more or less data inclusive according to the accounting systems considered. Furthermore, they observe that there is not a “global agreed-upon protocol” yet, neither is there a specific model shared among researchers, even if some steps have been made towards this direction (Relative Carbon Footprint - RCF, Publicly Available Specification – PAS 2070 and Global Protocol for Community scale - GPC). Consequently, it is necessary to complete and standardize, in the short term, the accounting and reporting frameworks, in order to compare different UCFs for adopting shared climate strategies and actions at global level. - Highlights: •Cities present environmental sustainability issues. •GHG emissions - specifically carbon dioxide - directly affect climate change. •UCF is a tool to support policy makers towards city environmental sustainability. •There is not a “global agreed-upon protocol” to perform UFC. •There are still missing points to be considered to provide a sharing model.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Are current effectiveness criteria fit for purpose? Using a controversial strategic assessment as a test case

Highlights: • The effectiveness framework of Bond et al. (2015) is tested on a case study. • The strategic assessment of the proposed Browse LNG Precinct is evaluated. • The effectiveness framework is modified as a result of the analysis. • “Legitimacy” encompasses both pluralism and normative effectiveness. • Substantive effectiveness should include consideration of unintended consequences. - Abstract: The aim of this paper is to test the broader utility of the sustainability assessment effectiveness framework of Bond et al. (2015) by applying it to a controversial strategic assessment case study. The effectiveness framework comprises six dimensions: procedural effectiveness, substantive effectiveness, transactive effectiveness, normative effectiveness, pluralism, and knowledge and learning. It was originally developed to evaluate sustainability assessment at a system-wide level and it has not been previously applied to a specific case study. The analysis was conducted through document review and the first-hand experience of two of the authors who were involved in the case study in different capacities. The case study selected was the strategic assessment of the proposed Browse Liquefied Natural Gas (LNG) Precinct in Western Australia, which was conducted over the period 2007–2015 under the strategic assessment provisions of both the Western Australian and Australian Commonwealth environmental legislation. The framework provided a useful structure within which this complex case study could be explored, its strengths and weaknesses brought to light, and the interactions between the dimensions highlighted. We also found opportunities for refinement of the framework. As a result of this analysis we propose to replace the final three dimensions of the framework with legitimacy, where a legitimate process is one which all stakeholders agree is fair and which delivers an acceptable outcome for all parties, though we acknowledge the need for further conceptualisation of this dimension. We also suggest that the concept of substantive effectiveness should be expanded to incorporate the unintended consequences of impact assessment. Our research thus makes both a useful addition to the literature already published on the Browse case study, as well as to the literature on impact assessment effectiveness.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Power lines and impacts on biodiversity: A systematic review

Highlights: • Transmission lines (TL) may cause at least 28 different biotic impacts. • Biotic impacts result from 13 abiotic impacts. • Most impacts persist during operation phase. • There are few studies on habitat loss and the response of lower-mobility species. • To guide Terms of Reference preparation for TL licensing we make an impact framework - Abstract: The growth of energy consumption demands a large expansion of transmission line (TL) networks worldwide. The reduction of the environmental impacts of these infrastructures will depend on the effectiveness of environmental impact assessments, that ultimately depend on the quality of the screening phase, the scoping phase, and the prioritization of potential environmental consequences. We conducted the first systematic review that encompasses all known potential impacts on biodiversity of the installation and operation of energy TLs, documented in the scientific literature and in a sample of Environmental Impact Studies (EIS). We examined 206 articles and 19 EIS and identified 28 impacts that correspond to biotic outcomes at the individual, population and community levels. Although scientific interest on TL impact evaluation is increasing, most studies have been focused on vertebrate taxa, especially birds. There are few published studies concerning habitat loss and the responses of functional groups with lower mobility or sensitive to physical alterations, such as amphibians. Most impacts appear in early stages of a project, during TL construction, but persist during operation. We summarized the biotic impacts in a framework that may guide the screening of relevant impacts to be included in the EIS and consequently improve the outcomes of the environmental licensing process of transmission line projects.

54 ENVIRONMENTAL SCIENCES↗

Wickability-optimized textured liquid-desiccant air dehumidifiers for independent moisture management in energy-efficient buildings

Liquid-desiccant-based air conditioning systems are envisioned to enable independent humidity management, thereby improving the energy efficiency of future buildings. Existing liquid-desiccant-based air conditioning concepts, however, suffer from a poor liquid flow distribution deteriorating moisture removal rate. They are consequently flooded with the liquid-desiccant solution, which significantly degrades the energy efficiency of the dehumidification process. Here, in this work, the capillary forces and wickability effect of textured air dehumidifier surfaces are altered to minimize the liquid-desiccant flow rate of the fully wetted state, thereby transforming the physics of interfacial desiccant flow distribution. Consequently, the wickability-optimized air dehumidifier surface maximizes both moisture removal rate and dehumidification energy efficiency. It was interestingly found that the length scale of a textured air dehumidifier surface concept is optimized at an intermediate pattern density. Dry solid-air menisci appear at length scales exceeding the optimum pattern distance while the effective liquid–air interfacial area is reduced at smaller length scales, both of which degrade the moisture removal rate. At the optimum pattern density, the effective liquid–air interfacial area increases with the solution flow rate, thereby increasing the dehumidification rate. At a water vapor pressure potential of 3 kPa and a solution flow rate of 2.8 g/s, experimental results indicated a moisture removal rate of 0.16 g/m2-s for a textured surface concept with a capillary length scale of 3 mm, a 28% improvement compared with that of smooth-plate dehumidifier surfaces. A high moisture removal rate of the textured surface at a low desiccant flow rate led to a high thermal efficiency of 0.75 at a water vapor pressure potential of 5.6 kPa and a LiBr flow rate of 2.8 g/s. The insights gained from the present study accelerate the development of advanced textured surface concepts for next-generation liquid-desiccant-based air dehumidification systems offering independent humidity management for future energy-efficient buildings.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Adverse physiological and psychological effects of screen time on children and adolescents: Literature review and case study

A growing body of literature is associating excessive and addictive use of digital media with physical, psychological, social and neurological adverse consequences. Research is focusing more on mobile devices use, and studies suggest that duration, content, after-dark-use, media type and the number of devices are key components determining screen time effects. Physical health effects: excessive screen time is associated with poor sleep and risk factors for cardiovascular diseases such as high blood pressure, obesity, low HDL cholesterol, poor stress regulation (high sympathetic arousal and cortisol dysregulation), and Insulin Resistance. Other physical health consequences include impaired vision and reduced bone density. Psychological effects: internalizing and externalizing behavior is related to poor sleep. Depressive symptoms and suicidal are associated to screen time induced poor sleep, digital device night use, and mobile phone dependency. ADHD-related behavior was linked to sleep problems, overall screen time, and violent and fast-paced content which activates dopamine and the reward pathways. Early and prolonged exposure to violent content is also linked to risk for antisocial behavior and decreased prosocial behavior. Psychoneurological effects: addictive screen time use decreases social coping and involves craving behavior which resembles substance dependence behavior. Brain structural changes related to cognitive control and emotional regulation are associated with digital media addictive behavior. A case study of a treatment of an ADHD diagnosed 9-year-old boy suggests screen time induced ADHD-related behavior could be inaccurately diagnosed as ADHD. Screen time reduction is effective in decreasing ADHD-related behavior.

60 APPLIED LIFE SCIENCES↗

Modeling an unmitigated thermal quench event in a large field magnet in a DEMO reactor

The superconducting magnet systems of future fusion reactors, such as a Demonstration Power Plant (DEMO), will produce magnetic field energies in the 10 s of GJ range. The release of this energy during a fault condition could produce arcs that can damage the magnets of these systems. The public safety consequences of such events must be explored for a DEMO reactor because the magnets are located near the DEMO's primary radioactive confinement barrier, the reactor's vacuum vessel (VV). Great care will be taken in the design of DEMO's magnet systems to detect and provide a rapid field energy dump to avoid any accidents conditions. During an event when a fault condition proceeds undetected, the potential of producing melting of the magnet exists. If molten material from the magnet impinges on the walls of the VV, these walls could fail, resulting in a pathway for release of radioactive material from the VV. A model is under development at Idaho National Laboratory (INL) called MAGARC to investigate the consequences of this accident in a large toroidal field (TF) coil. Recent improvements to this model are described in this paper, along with predictions for a DEMO relevant event in a toroidal field magnet.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Spatiotemporal dynamics of ecosystem fires and biomass burning-induced carbon emissions in China over the past two decades

Fire is a major type of disturbance that has important influences on ecosystem dynamics and carbon cycles. Yet our understanding of ecosystem fires and their carbon cycle consequences is still limited, largely due to the difficulty of large-scale fire monitoring and the complex interactions between fire, vegetation, climate, and anthropogenic factors. Here, using data from satellite-derived fire observations and ecosystem model simulations, we performed a comprehensive investigation of the spatial and temporal dynamics of China's ecosystem fire disturbances and their carbon emissions over the past two decades (1997–2016). Satellite-derived results showed that on average about 3.47 - 4.53 x 10 4 km 2 of the land was burned annually during the past two decades, among which annual burned forest area was about 0.81 - 1.25 × 10 4 km 2 , accounting for 0.33-0.51% of the forest area in China. Biomass burning emitted about 23.02 TgC per year. Compared to satellite products, simulations from the Energy Exascale Earth System Land Model (ELM) strongly overestimated China's burned area and fire-induced carbon emissions. Annual burned area and fire-induced carbon emissions were high for boreal forest in Northeast China's Daxing'anling region and subtropical dry forest in South Yunnan, as revealed by both the satellite product and the model simulations. Our results suggest that climate and anthropogenic factors play critical roles in controlling the spatial and seasonal distribution of China's ecosystem fire disturbances. Our findings highlight the importance of multiple complementary approaches in assessing ecosystem fire disturbance and its carbon consequences. Further studies are required to improve the methods of observing and modelling China's ecosystem fire disturbances, which will provide valuable information for fire management and ecosystem sustainability in an era when both human activities and the natural environment are rapidly changing.

54 ENVIRONMENTAL SCIENCES↗

Value of abstraction in performance assessment – When is a higher level of detail necessary?

In this study, different approaches in performance assessment (PA) of the long-term safety of a repository for radioactive waste were examined. This investigation was carried out as part of the DECOVALEX-2023 project, an international collaborative effort for research and model comparison. One specific task of the DECOVALEX-2023 project was the Salt Performance Assessment Modelling task (Salt PA), which aimed at comparing various models and methods employed in the performance assessment of deep geological repositories in salt. In the context of the Salt PA task, three distinct teams from SNL (United States), Quintessa Ltd (United Kingdom), and GRS (Germany) examined the consequences of employing different levels of abstractions when modelling the repository's geometry and implementing various features and processes, using the example of a simple hypothetical repository structure in domal salt. Each team applied their own tools: PFLOTRAN (SNL), QPAC (Quintessa) and LOPOS (GRS). These differ essentially regarding numerical concept and degree of detail in the representation of the underlying physical processes. The discussion focused on when simplifications can be appropriately applied and what consequences result from them. Furthermore, it was explored when and if a higher level of fidelity in geometry or physical processes is required.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Mitigating commutation failures in HVDC systems with SFCL deployment

Commutation failures represent a prevalent issue encountered in line-commutated-converter high voltage direct current (LCC-HVDC) systems. As the widespread deployment of HVDC systems continues, the risk associated with commutation failures increases, posing a growing threat to power grids due to their potential to trigger severe consequences, including cascading failures and widespread blackouts. This research paper aims to address the significant issue of commutation failure within direct current (DC) systems through advocating for the use of resistive-type Superconducting Fault Current Limiters (R-SFCLs). To substantiate the efficacy of this proposed strategy, an array of simulations are executed using the PSCAD/EMTDC software. This comprehensive study investigates the performance characteristics of R-SFCLs configured with varying resistance values, scrutinizing their response under diverse fault resistance scenarios and distinct fault initiation times within the LCC-HVDC system. The outcomes of these simulations are that SFCLs confer significant advantages for mitigating commutation failures, surpassing traditional mitigation methods in terms of effectiveness. Consequently, SFCLs emerge as an optimal solution to prevent commutation failures in the HVDC systems.

Commutation failure↗

Modeling of induced seismicity and ground vibrations associated with geologic CO 2 storage, and assessing their effects on surface structures and human perception

In this paper, we present model simulations of ground motions caused by CO 2 -injection-induced fault reactivation and analyze the results in terms of the potential for damage to ground surface structures and nuisance to the local human population. It is an integrated analysis from cause to consequence, including the whole chain of processes starting from earthquake inception in the subsurface, wave propagation toward the ground surface, and assessment of the consequences of ground vibration. For a small magnitude (M w =3) event at a hypocenter depth of about 1000m, we first used the simulated ground-motion wave train in an inverse analysis to estimate source parameters (moment magnitude, rupture dimensions and stress drop), achieving good agreement and thereby verifying the modeling of the chain of processes from earthquake inception to ground vibration. We then analyzed the ground vibration results in terms of peak ground acceleration (PGA), peak ground velocity (PGV) and frequency content, with comparison to U.S. Geological Survey's instrumental intensity scales for earthquakes and the U.S. Bureau of Mines' vibration criteria for cosmetic damage to buildings, as well as human-perception vibration limits. Our results confirm the appropriateness of using PGV (rather than PGA) and frequency for the evaluation of potential ground-vibration effects on structures and humans from shallow injection-induced seismic events. For the considered synthetic M w =3 event, our analysis showed that the short duration, high frequency ground motion may not cause any significant damage to surface structures, but would certainly be felt by the local population.

54 ENVIRONMENTAL SCIENCES↗

Exploring the potential of hydrogen in decarbonizing China's light-duty vehicle market

The Chinese government has pledged to achieve overall carbon neutrality by 2060. Currently, the transportation sector contributes to about 10% of total greenhouse gas (GHG) emissions in China. Hence, China has created a well-defined energy vehicle development strategy to reduce GHG emissions from the transportation sector, further expanding into hydrogen vehicle technologies. In this study, the Transportation Energy Analysis Model (TEAM) investigates the potential of hydrogen internal combustion engine vehicles (H2- ICEVs) and fuel cell vehicles (FCEVs) as a reliable pathway towards the government's aspiration of carbon neutrality in the transportation sector. According to TEAM, by adopting FCEVs and H2-ICEVs in the vehicle market, hydrogen demand could reach 25% of the total light-duty transportation energy demand in 2050. Consequently, this will lead to an annual reduction of more than 35 million tons GHG compared to only counting on the electrification pathway in the decarbonization task. Besides, FCEVs would take longer to penetrate the light-duty vehicle market compared to H2-ICEVs, as the current fuel cell technology still requires much improvement to attain a competitive vehicle cost of production.

Life cycle analysis↗

Near Real-Time Assessment of Anatomic and Dosimetric Variations for Head and Neck Radiation Therapy via Graphics Processing Unit–based Dose Deformation Framework

Purpose: The purpose of this study was to systematically monitor anatomic variations and their dosimetric consequences during intensity modulated radiation therapy (IMRT) for head and neck (H&N) cancer by using a graphics processing unit (GPU)-based deformable image registration (DIR) framework. Methods and Materials: Eleven IMRT H&N patients undergoing IMRT with daily megavoltage computed tomography (CT) and weekly kilovoltage CT (kVCT) scans were included in this analysis. Pretreatment kVCTs were automatically registered with their corresponding planning CTs through a GPU-based DIR framework. The deformation of each contoured structure in the H&N region was computed to account for nonrigid change in the patient setup. The Jacobian determinant of the planning target volumes and the surrounding critical structures were used to quantify anatomical volume changes. The actual delivered dose was calculated accounting for the organ deformation. The dose distribution uncertainties due to registration errors were estimated using a landmark-based gamma evaluation. Results: Dramatic interfractional anatomic changes were observed. During the treatment course of 6 to 7 weeks, the parotid gland volumes changed up to 34.7%, and the center-of-mass displacement of the 2 parotid glands varied in the range of 0.9 to 8.8 mm. For the primary treatment volume, the cumulative minimum and mean and equivalent uniform doses assessed by the weekly kVCTs were lower than the planned doses by up to 14.9% (P=.14), 2% (P=.39), and 7.3% (P=.05), respectively. The cumulative mean doses were significantly higher than the planned dose for the left parotid (P=.03) and right parotid glands (P=.006). The computation including DIR and dose accumulation was ultrafast (∼45 seconds) with registration accuracy at the subvoxel level. Conclusions: A systematic analysis of anatomic variations in the H&N region and their dosimetric consequences is critical in improving treatment efficacy. Nearly real-time assessment of anatomic and dosimetric variations is feasible using the GPU-based DIR framework. Clinical implementation of this technology may enable timely plan adaptation and improved outcome.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Deep Inspiration Breath Hold—Based Radiation Therapy: A Clinical Review

Several recent developments in linear accelerator–based radiation therapy (RT) such as fast multileaf collimators, accelerated intensity modulation paradigms like volumeric modulated arc therapy and flattening filter-free (FFF) high-dose-rate therapy have dramatically shortened the duration of treatment fractions. Deliverable photon dose distributions have approached physical complexity limits as a consequence of precise dose calculation algorithms and online 3-dimensional image guided patient positioning (image guided RT). Simultaneously, beam quality and treatment speed have continuously been improved in particle beam therapy, especially for scanned particle beams. Applying complex treatment plans with steep dose gradients requires strategies to mitigate and compensate for motion effects in general, particularly breathing motion. Intrafractional breathing-related motion results in uncertainties in dose delivery and thus in target coverage. As a consequence, generous margins have been used, which, in turn, increases exposure to organs at risk. Particle therapy, particularly with scanned beams, poses additional problems such as interplay effects and range uncertainties. Among advanced strategies to compensate breathing motion such as beam gating and tracking, deep inspiration breath hold (DIBH) gating is particularly advantageous in several respects, not only for hypofractionated, high single-dose stereotactic body RT of lung, liver, and upper abdominal lesions but also for normofractionated treatment of thoracic tumors such as lung cancer, mediastinal lymphomas, and breast cancer. This review provides an in-depth discussion of the rationale and technical implementation of DIBH gating for hypofractionated and normofractionated RT of intrathoracic and upper abdominal tumors in photon and proton RT.

62 RADIOLOGY AND NUCLEAR MEDICINE↗