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Potential scenarios for broadening stakeholder involvement in the implementing geological disposal technology platform

This paper analyses the potential for the involvement of different types of stakeholders in the Implementing Geological Disposal Technology Platform (IGD-TP). This analysis was conducted as part of the InSOTEC project, a three-year (2011- 2014) collaborative research project funded under the 7. Euratom Framework Programme (Grant Agreement nr. 269906). In our analysis, we consider the extent to which the IGDTP's practice as regards to stakeholder involvement matches its discourse, and what potential for improvement exists given its structural organisation as a European Technology Platform (ETPs). Technology Platforms (TPs) can be understood as knowledge networks, deliberately set up to influence (research) policy in a specific domain. We therefore use knowledge networks as a conceptual approach and look at the IGD-TP as a complex network which includes actors, knowledge and practices across different countries, focusing on a very specific topic (i.e. implementing geological disposal). We compare the way different stakeholders are involved in the IGD-TP to the practice of other ETPs, and explore how the IGD-TP is viewed by its members and by outsiders to the platform Applying Callon's framework of knowledge co-production (1999) we come to define different degrees of interaction between science, society and policy in view of defining research and development (R and D) priorities [1]. Subsequently we describe how these interactions could be conceptualised and interpreted for the IGD-TP. The current approach of the IGDTP can be mainly understood as classical model involving mainly expert stakeholders and scientists. Where there seems to be a good representation among IGD-TP members of industry, research institutes, and some members of the academic community this is not the case for other types of stakeholders, such as public authorities or civil society. At this stage, the overall approach of the IGD-TP would seem to restrict the scope of stakeholder involvement, as it narrows participation down to uniquely technology experts, hindering socio-technical manifestations. Our analysis nevertheless shows that there is room for engaging with a broader range of stakeholders in the field of radioactive waste management, if this is the intention of the IGD-TP. However, this would require a commitment to developing a common knowledge base including other stakeholders through a process of mutual adjustment and negotiation. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Calculation of the nuclear material inventory in a sealed vault by 3D radiation mapping

The paper relates to the determination of the amount of nuclear material contained in a closed, concrete lined vault at the Aktau fast breeder reactor in Kazakhstan. This material had been disposed into the vault after examination in an experimental hot cell directly above the vault. In order to comply with IAEA Safeguards requirements it was necessary to determine the total quantities of nuclear materials - enriched uranium and plutonium - that were held with Kazakhstan. Although it was possible to determine the inventory of all of the accessible nuclear material - the quantity remaining in the vault was unknown. As part of the Global Threat Reduction Programme the UK Government funded a project to determine the inventory of these nuclear materials in this vault. This involved drilling three penetrations through the concrete lined roof of the vault; this enabled the placement of lights and a camera into the vault through two penetrations; while the third penetration enabled a lightweight manipulator arm to be introduced into the vault. This was used to provide a detailed 3D mapping of the dose rate within the vault and it also enabled the collection of samples for radionuclide analysis. The deconvolution of the 3D dose rate profile within the vault enabled the determination of the gamma emitting source distribution on the floor and walls of the vault. The samples were analysed to determine the fingerprint of those radionuclides producing the gamma dose - namely {sup 137}Cs and {sup 60}Co - to the nuclear materials. The combination of the dose rate source terms on the surfaces of the vault and the fingerprint then enabled the quantities of nuclear materials to be determined. The project was a major success and enabled the Kazakhstan Government to comply with IAEA Safeguards requirements. It also enabled the UK DECC Ministry to develop a technology of national (and international) use. Finally the technology was well received by IAEA Safeguards as an acceptable methodology for future studies. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Long-term safety assessment of trench-type surface repository at Chernobyl, Ukraine - computer model and comparison with results from simplified models

The Radioactive Waste Disposal Facility (RWDF) Buryakovka was constructed in 1986 as part of the intervention measures after the accident at Chernobyl NPP (ChNPP). Today, the surface repository for solid low and intermediate level waste (LILW) is still being operated but its maximum capacity is nearly reached. Long-existing plans for increasing the capacity of the facility shall be implemented in the framework of the European Commission INSC Programme (Instrument for Nuclear Safety Co-operation). Within the first phase of this project, DBE Technology GmbH prepared a safety analysis report of the facility in its current state (SAR) and a preliminary safety analysis report (PSAR) for a future extended facility based on the planned enlargement. In addition to a detailed mathematical model, also simplified models have been developed to verify results of the former one and enhance confidence in the results. Comparison of the results show that - depending on the boundary conditions - simplifications like modeling the multi trench repository as one generic trench might have very limited influence on the overall results compared to the general uncertainties associated with respective long-term calculations. In addition to their value in regard to verification of more complex models which is important to increase confidence in the overall results, such simplified models can also offer the possibility to carry out time consuming calculations like probabilistic calculations or detailed sensitivity analysis in an economic manner. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

The Belgian program for low and intermediate short lived waste management: from 1985 to license application

On 31 January 2013, ONDRAF/NIRAS, the Belgian Agency for Radioactive Waste and Enriched Fissile Materials, has introduced the construction and operation license application for the surface disposal facility for category A waste at Dessel. The objective of this paper is to present the development of this national programme. First the key milestones and their impact on the development of the project will be highlighted. This includes in particular: 1) the turning point in 1994, when ONDRAF/NIRAS converts its purely technic-scientific work method into an approach of participation that allows for societal aspects to be taken into account and 2) the decision of the government in 2006 in favour of the surface disposal of category A waste in Dessel. Then the paper presents the pillars of the long-term safety of a surface disposal and the principles for site selection and how they were applied to the surface disposal facility for category A waste at Dessel. The pillars of the long-term safety of a surface disposal are: (1) the passive confinement and isolation provided by the Engineering Barrier System (2) the contribution to this passive isolation and confinement by the site (3) the limitation of the radioactive source term, and (4) the control and monitoring measures. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

The large scale in-situ PRACLAY heater and seal tests in URL HADES, Mol, Belgium

In Belgium, the URL HADES was constructed in the Boom Clay formation at the Mol site to investigate the feasibility of geological disposal in a clay formation. Since 1995, the URL R and D programme has focused on large scale demonstration tests like the PRACLAY Heater and Seal tests. The main objective of the Heater Test is to demonstrate that the thermal load generated by the heat-emitting waste will not jeopardise the safety functions of the host rock. The primary objective of the Seal Test is to provide suitable hydraulic boundary conditions for the Heater Test. The Seal Test also provides an opportunity to investigate the in-situ behaviour of a bentonite-based EBS. The PRACLAY gallery was constructed in 2007 and the hydraulic seal was installed in 2010. The bentonite is hydrated both naturally and artificially. The swelling, total pressure and pore pressure of the bentonite are continuously measured and analysed by numerical simulations to get a better understanding of this hydration processes. The timing of switching on the heater depends on the progress of the bentonite hydration, as a sufficient seal swelling is needed to fulfill its role. A set of conditions to be met for the heater switch-on and its schedule will be given. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Key differentiators influencing the choice of robust shielded containers

The NDA's Upstream Optioneering project has examined the potential implications of using an alternative type of waste package and its influence on the waste management lifecycle across the NDA estate. Robust Shielded Containers (RSCs) are radioactive waste packages that provide integral radiological shielding, reducing the need for remote handling. The robustness of the container could remove the need to immobilise waste by cement encapsulation. RSCs are routinely used to package ILW for interim storage in Germany and have fairly recently been considered for use in the UK because RSCs have the potential to simplify the waste management lifecycle and enable risk and hazard reduction. In particular, the current baseline (included in Magnox Limited lifetime plans) follows the strategy set out in the Magnox Operating Decommissioning Programme (MODP), in which Type II MOSAIK and Type VI Ductile Cast Iron Containers (DCICs) are used to package (in non-encapsulated form) most Magnox ILW arising prior to 2050. By considering representative types of Intermediate Level Waste (ILW) and exploring potential packaging options for these wastes, this paper identifies the factors that could differentiate between cases in which RSCs would, or would not, be an appropriate option. The potential role of RSCs across the waste management lifecycle is examined, from retrieval of waste through to emplacement at a Geological Disposal Facility (GDF), including consideration of other potential uses of RSCs, such as temporary storage of raw wastes for which appropriate treatment and conditioning measures have yet to be developed. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

An integrated approach to geological disposal of UK wastes containing carbon-14

Carbon-14 is a key radionuclide in the assessment of the safety of a geological disposal facility for radioactive waste because of the calculated assessment of the radiological consequences of gaseous carbon-14 bearing species [i]. It may be that such calculations are based on overly conservative assumptions and that better understanding could lead to considerably reduced assessment of the radiological consequences from these wastes. Alternatively, it may be possible to mitigate the impact of these wastes through alternative treatment, packaging or design options. The Radioactive Waste Management Directorate of the UK's Nuclear Decommissioning Authority (NDA RWMD) has established an integrated project team in which the partners are working together to develop a holistic approach to carbon-14 management in the disposal system [ii]. For a waste stream containing carbon-14 to be an issue: There must be a significant inventory of carbon-14 in the waste stream; and That waste stream has to generate carbon-14 bearing gas; and a bulk gas phase has to entrain the carbon-14 bearing gas: and these gases must migrate through the engineered barriers in significant quantities; and these gases must migrate through the overlying geological environment (either as a distinct gas phase or as dissolved gas); and these gases must interact with materials in the biosphere (i.e. plants) in a manner that leads to significant doses and risks to exposed groups or potentially exposed groups. The project team has developed and used this 'and' approach to structure and prioritise the technical work and break the problem down in a manageable way. We have also used it to develop our approach to considering alternative treatment, packaging and design options. For example, it may be possible to pre-treat some wastes to remove some of the inventory or to segregate other wastes so that they are removed from any bulk gas phase which might facilitate migration through the geosphere. Initially, the project team has undertaken a six month programme of work to examine the current understanding of these aspects and has captured this in the Phase 1 report [ii], in a modelling basis spreadsheet and in scoping assessments, which help us better understand the potential significance of carbon-14. Using the current modelling basis, but ignoring any potential benefits from the geosphere in retarding or preventing gas from reaching the surface, the calculated release of carbon- 14 is dominated by: corrosion of irradiated reactive metals (in the operational and early post-closure time frame); corrosion of irradiated stainless steel and leaching of irradiated graphite (in the longer term). The Phase 1 work has shown that there is considerable scope for reducing the calculated radiological consequence for these wastes and a roadmap has been developed for a second Phase of work. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Peel-and-Stick Sensors Powered by Directed RF Energy

PARC, a Xerox Company, is developing a low-cost system of peel-and-stick wireless sensors that will enable widespread building environment sensor deployment with the potential to deliver up to 30% energy savings. The system is embodied by a set of RF hubs that provide power to automatically located sensor nodes, and relay data wirelessly to the building management system (BMS). The sensor nodes are flexible electronic labels powered by rectified RF energy transmitted by an RF hub and can contain multiple printed and conventional sensors. The system design overcomes limitations in wireless sensors related to power delivery, lifetime, and cost by eliminating batteries and photovoltaic devices. Sensor localization is performed automatically by the inclusion of a programmable multidirectional antenna array in the RF hub. Comparison of signal strengths while the RF beam is swept allows for sensor localization, reducing installation effort and enabling automatic recommissioning of sensors that have been relocated, overcoming a significant challenge in building operations. PARC has already demonstrated wireless power and temperature data transmission up to a distance of 20m with less than one minute between measurements, using power levels well within the FCC regulation limits in the 902-928 MHz ISM band. The sensor’s RF energy harvesting antenna achieves high performance with dimensions below 5cm x 9cm

Lalau-Keraly, Christopher↗

A broader view on EUV-masks: adding complementary imaging modes to the SHARP microscope

The authors are expanding the capabilities of the SHARP microscope by implementing complementary imaging modes. SHARP (the SEMATECH High-NA Actinic Reticle review Project) is an actinic, synchrotron-based microscope dedicated to extreme ultraviolet (EUV) photomask research. SHARP’s programmable Fourier Synthesis Illuminator and its use of Fresnel zoneplate lenses as imaging optics provide a versatile framework, facilitating the implementation of diverse modes beyond conventional imaging. In addition to SHARP’s set of standard zoneplates, we have created more than 100 zoneplates for complementary imaging modes, all designed to extract additional information from photomasks, improve navigation and enhance defect detection. More than 50 new zoneplates are installed in the tool; the remaining lenses are currently in production. Here in this paper we discuss the design and fabrication of zoneplates for complementary imaging modes and present image data, obtained using Zernike Phase Contrast and different implementations of Differential Interference Contrast.

36 MATERIALS SCIENCE↗

SU-E-J-211: Design and Study of In-House Software Based Respiratory Motion Monitoring, Controlling and Breath-Hold Device for Gated Radiotherapy

Purpose: The purpose of this present work was to fabricate an in-house software based respiratory monitoring, controlling and breath-hold device using computer software programme which guides the patient to have uniform breath hold in response to request during the gated radiotherapy. Methods: The respiratory controlling device consists of a computer, inhouse software, video goggles, a highly sensitive sensor for measurement of distance, mounting systems, a camera, a respiratory signal device, a speaker and a visual indicator. The computer is used to display the respiratory movements of the patient with digital as well as analogue respiration indicators during the respiration cycle, to control, breath-hold and analyze the respiratory movement using indigenously developed software. Results: Studies were conducted with anthropomophic phantoms by simulating the respiratory motion on phantoms and recording the respective movements using the respiratory monitoring device. The results show good agreement between the simulated and measured movements. Further studies were conducted for 60 cancer patients with several types of cancers in the thoracic region. The respiratory movement cycles for each fraction of radiotherapy treatment were recorded and compared. Alarm indications are provided in the system to indicate when the patient breathing movement exceeds the threshold level. This will help the patient to maintain uniform breath hold during the radiotherapy treatment. Our preliminary clinical test results indicate that our device is highly reliable and able to maintain the uniform respiratory motion and breathe hold during the entire course of gated radiotherapy treatment. Conclusion: An indigenous respiratory monitoring device to guide the patient to have uniform breath hold device was fabricated. The alarm feature and the visual waveform indicator in the system guide the patient to have normal respiration. The signal from the device can be connected to the radiation unit in near future to carry out the gated radiotherapy treatment.

60 APPLIED LIFE SCIENCES↗

SU-E-T-103: Development and Implementation of Web Based Quality Control Software

Purpose: Historically many radiation medicine programs have maintained their Quality Control (QC) test results in paper records or Microsoft Excel worksheets. Both these approaches represent significant logistical challenges, and are not predisposed to data review and approval. It has been our group's aim to develop and implement web based software designed not just to record and store QC data in a centralized database, but to provide scheduling and data review tools to help manage a radiation therapy clinics Equipment Quality control program. Methods: The software was written in the Python programming language using the Django web framework. In order to promote collaboration and validation from other centres the code was made open source and is freely available to the public via an online source code repository. The code was written to provide a common user interface for data entry, formalize the review and approval process, and offer automated data trending and process control analysis of test results. Results: As of February 2014, our installation of QAtrack+ has 180 tests defined in its database and has collected ∼22 000 test results, all of which have been reviewed and approved by a physicist via QATrack+'s review tools. These results include records for quality control of Elekta accelerators, CT simulators, our brachytherapy programme, TomoTherapy and Cyberknife units. Currently at least 5 other centres are known to be running QAtrack+ clinically, forming the start of an international user community. Conclusion: QAtrack+ has proven to be an effective tool for collecting radiation therapy QC data, allowing for rapid review and trending of data for a wide variety of treatment units. As free and open source software, all source code, documentation and a bug tracker are available to the public at https://bitbucket.org/tohccmedphys/qatrackplus/.

07 ISOTOPE AND RADIATION SOURCES↗

SU-E-T-215: Interactive Dose Shaping: Proof of Concept Study for Six Prostate Patients

Purpose: To provide a proof of concept study for IMRT treatment planning through interactive dose shaping (IDS) by utilising the respective tools to create IMRT treatment plans for six prostate patients. Methods: The IDS planning paradigm aims to perform interactive local dose adaptations of an IMRT plan without compromising already established valuable dose features in real-time. Various IDS tools are available in our in-house treatment planning software Dynaplan and were utilised to create IMRT treatment plans for six patients with an adeno-carcinoma of the prostate. The sequenced IDS treatment plans were compared to conventionally optimised clinically approved plans (9 beams, co-planar). The starting point consisted of open fields. The IDS tools were utilised to sculpt dose out of the rectum and bladder. For each patient, several IDS plans were created, with different trade-offs between organ sparing and target coverage. The reference dose distributions were imported into Dynaplan. For each patient, the IDS treatment plan with a similar or better trade-off between target coverage and OAR sparing was selected for plan evaluation, guided by a physician. Pencil beam dose calculation was performed on a grid with a voxel size of 1.95×1.95×2.0 mm{sup 3}. D98%, D2%, mean dose and dose-volume indicators as specified by Quantec were calculated for plan evaluation. Results: It was possible to utilise the software prototype to generate treatment plans for prostate patient geometries in 15–45 minutes. Individual local dose adaptations could be performed in less than one second. The average differences compared to the reference plans were for the mean dose: 0.0 Gy (boost) and 1.2 Gy (CTV), for D98%: −1.1 Gy and for D2%: 1.1 Gy (both target volumes). The dose-volume quality indicators were well below the Quantec constraints. Conclusion: Real-time treatment planning utilising IDS is feasible and has the potential to be implemented clinically. Research at The Institute of Cancer Research is supported by Cancer Research UK under Programme C46/A10588.

60 APPLIED LIFE SCIENCES↗

SU-E-T-415: An Ionization Chamber Array with High Spatial Resolution for External Beam Radiotherapy

Purpose: To characterize an ionization chamber array technology with high spatial resolution and high charge collection efficiency for external beam radiotherapy. Methods: The prototype under test is a linear array of air vented ionization chambers developed by IBA Dosimetry, consisting of 80 pixels with 3.5mm spatial resolution and 4mm{sup 3} sensitive volume. The detector was characterized in a plastic phantom with {sup 60} Co radiation and MV X-rays from an ELEKTA Agility LINAC (with flattened and unflattened beam qualities). Bias voltage was varied in order to evaluate charge collection efficiency. A commercial array of ionization chambers (MatriXX Evolution, IBA Dosimetry) and an amorphous silicon flat panel in direct conversion configuration were used as references. Results: Repeatability (0.4%) and stability under continuous gamma irradiation (0.3%) are very good, in spite of low active volume and sensitivity (∼200pC/Gy). Charge collection efficiency is higher than 99% already at 150V with ∼2mGy dose per pulse, leading to a ±1.1% sensitivity change with dose per pulse in the range 0.09-2mGy (covering all flattened and unflattened applications). Measured dose profiles are in agreement with MatriXX for fields larger than 2×2cm{sup 2}, in which case the linear array offers a much better characterization of the penumbra region. Down to 1×1cm{sup 2}, measured profiles are in very good agreement with the flat panel. Conclusion: The array represents a valuable tool for the characterization of treatment fields in which high spatial resolution is required, together with the dosimetric performance of air vented ionization chambers. Such a technology would be particularly valuable in association with advanced treatment modalities such as rotational radiotherapy, stereotactic treatments (even with unflattened beam qualities) and proton therapy, due to the insensitivity of the chambers on dose per pulse. In the future, a two dimensional prototype based on this technology will be developed and tested. This research project has been supported by a Marie Curie Early Initial Training Network Fellowship of the European Community's Seventh Framework Programme under contract number (PITN-GA-2011-289198-.

07 ISOTOPE AND RADIATION SOURCES↗

TU-A-12A-06: Intra-Observer Variability in Delineation of Target Volumes in Breast Radiotherapy and Its Effect On Accuracy of Deformation Measurements

Purpose: In breast radiotherapy, the target volume may change during treatment and need adaptation of the treatment plan. This is possible for both tumour bed (TB) and whole breast (WB) target volumes. Delineation of the target (to detect changes) is also subject to uncertainty due to intra- and inter-observer variability. This work measured the uncertainty, due to intraobserver variability, in the quantification of tissue deformation. Methods: Datasets consisting of paired prone and supine CT scans of three patients were used. Significant deformation in target volumes is expected between prone and supine patient positions. The selected cases had 1) no seroma, 2) some seroma, and 3) large seroma. The TB and WB were outlined on each dataset three times by one clinician. Delineation variability was defined as the standard deviations of the distances between observer outlines. For each target volume and each case, tissue deformation between prone and supine delineations was quantified using the Dice similarity coefficient (DSC) and the average surface distance (ASD). The uncertainty in the tissue deformation (due to delineation variability) was quantified by measuring the ranges of DSC and ASD using all combinations of pairs of outlines (9 pairs). Results: For the TB, the range of delineation variability was 0.44-1.16 mm. The deformation, DSC and ASD, (and uncertainty in measurement) of the TB between prone and supine position of the cases were: 1) 0.21 (0.17-0.28) and 12.4 mm (11.8-13 mm); 2) 0.54 (0.51-0.57) and 3.3 mm (3.1-3.5 mm); 3) 0.62 (0.61-0.64) and 4.9 mm (4.6-5.2 mm). WB deformation measurements were subject to less uncertainty due to delineation variability than TB deformation measurements. Conclusion: For the first time, the uncertainty, due to observer variability, in the measurement of the deformation of breast target volumes was investigated. Deformations in these ranges would be difficult to detect. This work was supported in part by Cancer Research-UK under Programme Grant C46/A10588 and in part by the National Institute for Health Research (NIHR) through funding of the biomedical research imaging centre. P. Juneja is supported by the EPSRC Platform Grant EP/H046526/1.

60 APPLIED LIFE SCIENCES↗

WE-E-18A-02: Enhancement of Lung Tumor Visibility by Dual-Energy X-Ray Imaging in An Anthropomorphic Chest Phantom Study

Purpose: Intrafractional lung tumor motion during radiotherapy can be compensated for by tracking the tumor position using x-ray imaging and adapting the treatment in real-time. However, locating the tumor with an automated template-matching algorithm is often challenging if the tumor is obscured by ribs. This study investigates the feasibility of creating dual-energy (DE) images of the chest with increased tumor visibility on an Elekta XVI system. Methods: An anthropomorphic chest phantom was imaged at two different energies. Low-energy images were obtained at 80 kVp (0.8 mAs); high-energy images at 129 kVp (0.6 mAs, additional 1.26 mm tin filter). A Geant4 Monte-Carlo framework was developed allowing simulation of the x-ray tube, flat-panel detector and phantom in order to optimize the beam energies, filtration and the weighting factor used to subtract the individual images into a synthetic DE image. The weighting factor was selected to minimize the visibility of bones while maintaining a sufficient tumor visibility. We scored the bone visibility as the contrast of tumor (with bone) to tumor (without bone), and similarly of lung tissue (with bone) to lung tissue (without bone). Tumor visibility was quantified as the contrast between tumor and lung tissue (both without bone). Results: In the experimentally obtained DE image the bone visibility was reduced by 79.2% in tumor and by 96.8% in lung tissue while the overall tumor visibility only decreased by 69.5%. The Monte-Carlo simulation yielded similar results reducing the scores by 90.0%, 85.3% and only 71.9%, respectively. Conclusion: This work demonstrates the feasibility of DE imaging to enhance lung tumor detectability. In the future, we hope to further refine the Monte-Carlo simulation to more accurately predict the weighting factors which would aid real-time implementation. Furthermore, we plan to use the Monte-Carlo framework to simulate DE images of actual lung tumors. The authors would like to thank Paul-Scherrer-Institut and Centre Suisse d'Electronique et Microtechnique for lending us the anthropomorphic phantom. We acknowledge support from Elekta AB under a research agreement. Research at The Institute of Cancer Research is also supported by Cancer Research UK under Programme C46/A10588.

60 APPLIED LIFE SCIENCES↗

WE-G-17A-03: MRIgRT: Quantification of Organ Motion

Purpose: To develop an MRI-based methodology and tools required for the quantification of organ motion on a dedicated MRI-guided radiotherapy system. A three-room facility, consisting of a TrueBeam 6X linac vault, a 1.5T MR suite and a brachytherapy interventional room, is currently under commissioning at our institution. The MR scanner can move and image in either room for diagnostic and treatment guidance purposes. Methods: A multi-imaging modality (MR, kV) phantom, featuring programmable 3D simple and complex motion trajectories, was used for the validation of several image sorting algorithms. The testing was performed on MRI (e.g. TrueFISP, TurboFLASH), 4D CT and 4D CBCT. The image sorting techniques were based on a) direct image pixel manipulation into columns or rows, b) single and aggregated pixel data tracking and c) using computer vision techniques for global pixel analysis. Subsequently, the motion phantom and sorting algorithms were utilized for commissioning of MR fast imaging techniques for 2D-cine and 4D data rendering. MR imaging protocols were optimized (e.g. readout gradient strength vs. SNR) to minimize the presence of susceptibility-induced distortions, which were reported through phantom experiments and numerical simulations. The system-related distortions were also quantified (dedicated field phantom) and treated as systematic shifts where relevant. Results: Image sorting algorithms were validated for specific MR-based applications such as quantification of organ motion, local data sampling, and 4D MRI for pre-RT delivery with accuracy better than the raw image pixel size (e.g. 1 mm). MR fast imaging sequences were commissioning and imaging strategies were developed to mitigate spatial artifacts with minimal penalty on the image spatial and temporal sampling. Workflows (e.g. liver) were optimized to include the new motion quantification tools for RT planning and daily patient setup verification. Conclusion: Comprehensive methods were developed and validated for the quantification of organ motion with applications in MRI-guided RT.

60 APPLIED LIFE SCIENCES↗

TH-A-BRF-12: Assessment of 4D-MRI for Robust Motion and Volume Characterization

Purpose: Precise radiation therapy for abdominal lesions is complicated by respiratory motion and poor soft tissue contrast from 4DCT whereas 4DMRI provides superior tissue discrimination. We evaluated a novel 4D-MRI algorithm for MR-SIM motion management. Methods: Respiratory-triggered, T2-weighted single-shot Turbo Spin Echo 4D-MRI was evaluated for open high-field 1.0T MR-SIM. A programmable platform pulled objects on a trolley ∼2 cm superior-inferior (S-I) for “regular” (sinusoidal, (1-cos{sup 2}), 3-5 second periods) and “irregular” breathing patterns (exaggerated (1-cos{sup 2}) and patient curves), while a respiratory waveform was generated via a pressure sensor device. Coronal 4D-MRIs (2–12;10 phases, TE/TR/α = 35−61/6100 ms/90°, voxel=1×1×4 mm{sup 3}) were acquired for 54 unique phantom cases. Abdominal 4D−MRIs were evaluated for 5 healthy volunteers and 1 liver cancer patient (6–10 phases, TE/TR/α = 30−96/4500−6100 ms/90°, voxel=1×1×5–10 mm{sup 3}) on an IRB-approved protocol. Duty cycle, scan time, and excursion were evaluated between phase acquisitions and compared to coronal cine-MRI (∼1 frame/sec). Maximum intensity projections (MIPs) were analyzed. Results: In phantom, average duty cycle was 42.6 ± 11.4% (range: 23.6–69.1%). Regular, periodic breathing (sinusoidal, (1-cos{sup 2})) yielded higher duty cycles than irregular (48.5% and 35.9%, respectively, p<0.001) and fast periods had higher duty cycles than slow (50.4% for 3s and 39.4% for 5s, p<0.001). ∼4-fold acquisition time increase was measured for 10-phase versus 2-phase. MIP renderings revealed that SI object extent was underestimated a maximum of 4% (3mm) and 8% (6mm) for cine and 2-phase 4D-MRI, respectively, with respect to 10-phases. However, this was waveform dependent. A highly irregular breathing volunteer yielded lowest duty cycle (23%) and longest 10-phase scan time (∼14 minutes), although 6-phase acquisition for a liver cancer patient was reasonable (50% and 7.4 minutes, respectively). Conclusion: 4D-MRI offers potential for excursion characterization, although results suggest the use of adequate phases is important. Further application and clinical validation are warranted. Research supported in part by a grant from Philips HealthCare (Best, Netherlands) and an Internal Mentored Grant from Henry Ford Health System.

60 APPLIED LIFE SCIENCES↗

TH-E-18A-01: Developments in Monte Carlo Methods for Medical Imaging

Monte Carlo simulation methods are widely used in medical physics research and are starting to be implemented in clinical applications such as radiation therapy planning systems. Monte Carlo simulations offer the capability to accurately estimate quantities of interest that are challenging to measure experimentally while taking into account the realistic anatomy of an individual patient. Traditionally, practical application of Monte Carlo simulation codes in diagnostic imaging was limited by the need for large computational resources or long execution times. However, recent advancements in high-performance computing hardware, combined with a new generation of Monte Carlo simulation algorithms and novel postprocessing methods, are allowing for the computation of relevant imaging parameters of interest such as patient organ doses and scatter-to-primaryratios in radiographic projections in just a few seconds using affordable computational resources. Programmable Graphics Processing Units (GPUs), for example, provide a convenient, affordable platform for parallelized Monte Carlo executions that yield simulation times on the order of 10{sup 7} xray/ s. Even with GPU acceleration, however, Monte Carlo simulation times can be prohibitive for routine clinical practice. To reduce simulation times further, variance reduction techniques can be used to alter the probabilistic models underlying the x-ray tracking process, resulting in lower variance in the results without biasing the estimates. Other complementary strategies for further reductions in computation time are denoising of the Monte Carlo estimates and estimating (scoring) the quantity of interest at a sparse set of sampling locations (e.g. at a small number of detector pixels in a scatter simulation) followed by interpolation. Beyond reduction of the computational resources required for performing Monte Carlo simulations in medical imaging, the use of accurate representations of patient anatomy is crucial to the virtual generation of medical images and accurate estimation of radiation dose and other imaging parameters. For this, detailed computational phantoms of the patient anatomy must be utilized and implemented within the radiation transport code. Computational phantoms presently come in one of three format types, and in one of four morphometric categories. Format types include stylized (mathematical equation-based), voxel (segmented CT/MR images), and hybrid (NURBS and polygon mesh surfaces). Morphometric categories include reference (small library of phantoms by age at 50th height/weight percentile), patient-dependent (larger library of phantoms at various combinations of height/weight percentiles), patient-sculpted (phantoms altered to match the patient's unique outer body contour), and finally, patient-specific (an exact representation of the patient with respect to both body contour and internal anatomy). The existence and availability of these phantoms represents a very important advance for the simulation of realistic medical imaging applications using Monte Carlo methods. New Monte Carlo simulation codes need to be thoroughly validated before they can be used to perform novel research. Ideally, the validation process would involve comparison of results with those of an experimental measurement, but accurate replication of experimental conditions can be very challenging. It is very common to validate new Monte Carlo simulations by replicating previously published simulation results of similar experiments. This process, however, is commonly problematic due to the lack of sufficient information in the published reports of previous work so as to be able to replicate the simulation in detail. To aid in this process, the AAPM Task Group 195 prepared a report in which six different imaging research experiments commonly performed using Monte Carlo simulations are described and their results provided. The simulation conditions of all six cases are provided in full detail, with all necessary data on material composition, source, geometry, scoring and other parameters provided. The results of these simulations when performed with the four most common publicly available Monte Carlo packages are also provided in tabular form. The Task Group 195 Report will be useful for researchers needing to validate their Monte Carlo work, and for trainees needing to learn Monte Carlo simulation methods. In this symposium we will review the recent advancements in highperformance computing hardware enabling the reduction in computational resources needed for Monte Carlo simulations in medical imaging. We will review variance reduction techniques commonly applied in Monte Carlo simulations of medical imaging systems and present implementation strategies for efficient combination of these techniques with GPU acceleration. Trade-offs involved in Monte Carlo acceleration by means of denoising and “sparse sampling” will be discussed. A method for rapid scatter correction in cone-beam CT (<5 min/scan) will be presented as an illustration of the simulation speeds achievable with optimized Monte Carlo simulations. We will also discuss the development, availability, and capability of the various combinations of computational phantoms for Monte Carlo simulation of medical imaging systems. Finally, we will review some examples of experimental validation of Monte Carlo simulations and will present the AAPM Task Group 195 Report. Learning Objectives: Describe the advances in hardware available for performing Monte Carlo simulations in high performance computing environments. Explain variance reduction, denoising and sparse sampling techniques available for reduction of computational time needed for Monte Carlo simulations of medical imaging. List and compare the computational anthropomorphic phantoms currently available for more accurate assessment of medical imaging parameters in Monte Carlo simulations. Describe experimental methods used for validation of Monte Carlo simulations in medical imaging. Describe the AAPM Task Group 195 Report and its use for validation and teaching of Monte Carlo simulations in medical imaging.

60 APPLIED LIFE SCIENCES↗