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At least 1,387 records · Page 77

Engine restart aid

A system is disclosed comprising an engine having coolant passages defined therethrough, a first coolant pump, and a first radiator. The system additionally comprises a second coolant pump, a second radiator, and a liquid-to-air heat exchanger configured to condition the temperature of intake air to the engine. The system further includes a coolant valve means. For a first configuration of the coolant valve means the first coolant pump is configured to urge coolant through the coolant passages in the engine and through the first radiator, and the second coolant pump is configured to urge coolant through the liquid-to-air heat exchanger and through the second radiator. For a second configuration of the coolant valve means the second coolant pump is configured to urge coolant through the coolant passages in the engine and through the liquid-to-air heat exchanger. A method for controlling the system is also disclosed.

42 ENGINEERING↗

Provisioning cooling elements for chillerless data centers

Systems and methods for cooling include one or more computing structure, an inter-structure liquid cooling system that includes valves configured to selectively provide liquid coolant to the one or more computing structures; a heat rejection system that includes one or more heat rejection units configured to cool liquid coolant; and one or more liquid-to-liquid heat exchangers that include valves configured to selectively transfer heat from liquid coolant in the inter-structure liquid cooling system to liquid coolant in the heat rejection system. Each computing structure further includes one or more liquid-cooled servers; and an intra-structure liquid cooling system that has valves configured to selectively provide liquid coolant to the one or more liquid-cooled servers.

42 ENGINEERING↗

Methods and compositions for rapid thermal cycling

The rapid thermal cycling of a material is targeted. A microfluidic heat exchanger with an internal porous medium is coupled to tanks containing cold fluid and hot fluid. Fluid flows alternately from the cold tank and the hot tank into the porous medium, cooling and heating samples contained in the microfluidic heat exchanger's sample wells. A valve may be coupled to the tanks and a pump, and switching the position of the valve may switch the source and direction of fluid flowing through the porous medium. A controller may control the switching of valve positions based on the temperature of the samples and determined temperature thresholds. A sample tray for containing samples to be thermally cycled may be used in conjunction with the thermal cycling system. A surface or internal electrical heater may aid in heating the samples, or may replace the necessity for the hot tank.

36 MATERIALS SCIENCE↗

Gas Gun Model and Comparison to Experimental Performance of Pipe Guns Operating with Light Propellant Gases and Large Cryogenic Pellets

Injection of multiple large (~10 to 30 mm diameter) shattered pellets into ITER plasmas is presently part of the scheme planned to mitigate the deleterious effects of disruptions on the vessel components. To help in the design and optimize performance of the pellet injectors for this application, a model referred to as “the gas gun simulator” has been developed and benchmarked against experimental data. The computer code simulator is a Java program that models the gas-dynamics characteristics of a single-stage gas gun. Following a stepwise approach, the code utilizes a variety of input parameters to incrementally simulate and analyze the dynamics of the gun as the projectile is launched down the barrel. Using input data, the model can calculate gun performance based on physical characteristics, such as propellant-gas and fast-valve properties, barrel geometry, and pellet mass. Although the model is fundamentally generic, the present version is configured to accommodate cryogenic pellets composed of H2, D2, Ne, Ar, and mixtures of them and light propellant gases (H2, D2, and He). The pellets are solidified in situ in pipe guns that consist of stainless steel tubes and fast-acting valves that provide the propellant gas for pellet acceleration (to speeds ~200 to 700 m/s). The pellet speed is the key parameter in determining the response time of a shattered pellet system to a plasma disruption event. The calculated speeds from the code simulations of experiments were typically in excellent agreement with the measured values. With the gas gun simulator validated for many test shots and over a wide range of physical and operating parameters, it is a valuable tool for optimization of the injector design, including the fast valve design (orifice size and volume) for any operating pressure (~40 bar expected for the ITER application) and barrel length for any pellet size (mass, diameter, and length). Key design parameters and proposed values for the pellet injectors for the ITER disruption mitigation systems are discussed.

Combs, S. K.↗

Provisioning cooling elements for chillerless data centers

Systems and methods for cooling include one or more computing structure, an inter-structure liquid cooling system that includes valves configured to selectively provide liquid coolant to the one or more computing structures; a heat rejection system that includes one or more heat rejection units configured to cool liquid coolant; and one or more liquid-to-liquid heat exchangers that include valves configured to selectively transfer heat from liquid coolant in the inter-structure liquid cooling system to liquid coolant in the heat rejection system. Each computing structure further includes one or more liquid-cooled servers; and an intra-structure liquid cooling system that has valves configured to selectively provide liquid coolant to the one or more liquid-cooled servers.

42 ENGINEERING↗

Engine control systems and methods for nitrogen oxide reduction

A fuel control module controls fuel injection of an engine based on a predetermined lean air/fuel ratio. The predetermined lean air/fuel ratio is fuel lean relative to a stoichiometric air/fuel ratio for the fuel. A cylinder control module selectively deactivates opening of intake and exhaust valves of M cylinders of the engine to increase removal of nitrogen oxide (NOx) from exhaust. M is an integer greater than 0 and less than a total number of cylinders of the engine. The fuel control module further: disables fueling of the M cylinders while opening of the intake and exhaust valves of the M cylinders is deactivated; and, while fueling of the M cylinders is disabled and opening of the intake and exhaust valves of the M cylinders is deactivated, controls fuel injection of other cylinders based on a predetermined rich air/fuel ratio that is fuel rich relative to the stoichiometric air/fuel ratio.

42 ENGINEERING↗

Solar thermoelectricity via advanced latent heat storage

An aspect of the present disclosure is a system that includes a thermal valve having a first position and a second position, a heat transfer fluid, and an energy converter where, when in the first position, the thermal valve prevents the transfer of heat from the heat transfer fluid to the energy converter, and when in the second position, the thermal valve allows the transfer of heat from the heat transfer fluid to the energy converter, such that at least a portion of the heat transferred is converted to electricity by the energy converter.

30 DIRECT ENERGY CONVERSION↗

DOE Award No.: DE-FE0023919 Phase 4 Scientific/Technical Report

This is the Phase 4 Report for the ‘Deepwater Methane Hydrate Characterization and Scientific Assessment or Genesis of Methane Hydrates in the Gulf of Mexico (GOM2)’ research project (DOE Award No. DE-FE0023919). The report summarizes activities from October 1, 2019 to September 30, 2020. The project is led by the University of Texas at Austin (UT). The project objective is to gain insight into the nature, formation, occurrence and physical properties of methane hydrate-bearing sediments for the purpose of methane hydrate resource appraisal through the planning and execution of drilling, coring, logging, testing and analytical activities that assess the geologic occurrence, regional context, and characteristics of marine methane hydrate deposits in the Gulf of Mexico outer continental shelf (OCS). We published a dedicated American Association of Petroleum Geologists Bulletin volume describing initial results from the UT-GOM2-1 expedition in Sept. 2020. This is part 1 of a multi-volume commitment by AAPG to this project. We further confirmed that the natural gas in hydrate at GC-955 was formed by primary microbial processes (>76.1 %). The in-situ effective permeability hydrate-bearing sandy silts at the GC-955 reservoir ranges from 0.1 md (1.0×10-16 m2) to 2.4 md (2.4×10-15m2) in cores with 83% to 93% hydrate saturation. The intrinsic permeability (the single phase permeability) is estimated from reconstituted samples to be ~12 md (1.2×10-14 m2) to ~41 md (4.1×10-14 m2). We used observation and models to interpret that the core degradation that is found in pressure cores is due to dissociation of the methane hydrate in the outer circumference of the core and dissolution of that methane into the fresh pore water that the core is stored with. We are designing approaches to minimize this core loss in the future. We spent an enormous amount of effort to further improve the ability of the pressure coring tool (the PCTB) to pressure seal correctly. We completed upgrading the upper section of the PCTB to address poor pressure. We successful tested the modifications at Geotek’s test facility in Salt Lake City (Bench Test II). We completed a Land Test of the PCTB at the Schlumberger Cameron Test and Training Facility (CTTF). The tool did not seal in 6 out of 7 tests and we clearly demonstrated that cuttings were wedging in the ball valve assembly, keeping the ball valve from sealing. We reproduced the failure mechanism observed during the land test at Salt Lake City and confirmed the sensitivity of the ball valve assembly to grit. Geotek designed and tested 9 modifications to address this issue and the PCTB is now 100% successfully sealing in the presence of grit. Our science expedition is scheduled for spring 2022 and we are fully focused on preparing for this. UT and Ohio State completed a Shallow Hazard Assessment report for each proposed UT-GOM2-2 drilling location, pursuant to 30 CFR 250.214(f) and 250.244 (f). The Shallow Hazard Reports will accompany the UT-GOM2-2 Exploration Plan that is submitted to BOEM, and completes the geological and geophysical analysis for UT-GOM2-2 permitting efforts. We updated the UT-GOM2-2 Operations Plan (Version 1). We completed the UT-GOM2-2 Science and Sample Distribution Plan (Version 1). We evaluated the scope, budget, and schedule that would result from using a commercial vessel. We developed detailed drilling schedule, mud volume, and resource estimates. We developed a vessel specification document and a well plan, and sent these documents to prospective vessel contractors.

03 NATURAL GAS↗

Irrigation system

A gravity irrigation system includes a distribution piping having apertures to distribute water to a field, and a valve located upstream of the distribution piping. The valve limits a pressure of the water being delivered to the distribution piping. The system also includes a sump to receive the water at a lowest elevation of the field, a depth sensor disposed within the sump, and a return pump disposed at least partially within the sump to move the water to an elevated portion of the field. The system also includes a motor to drive the return pump, and a power source coupled to a variable frequency drive that powers the motor and controls a motor speed proportionately to an indication of the depth sensor. The system also includes a transfer piping to bring the water from the return pump to a check valve and to the distribution piping.

Henry, Christopher G.↗

Refueling water storage tank (RWST) with tailored passive emergency core cooling (ECC) flow

A nuclear reactor comprises a pressure vessel containing a nuclear reactor core. A reactor core cooling system comprises a standpipe including a plurality of orifices in fluid communication with a refueling water storage tank (RWST) to drain water from the RWST into the standpipe, and an injection line configured to drain water from the standpipe to the pressure vessel. In some embodiments the standpipe is disposed in the RWST, while in other embodiments the standpipe is disposed outside of the RWST and cross-connection pipes connect the plurality of orifices with the RWST. The reactor core cooling system may further comprise a valve configured to control flow through one orifice of the plurality of orifices in fluid communication with the RWST based on water level in the standpipe. The valve may comprise a float valve having its float disposed in the standpipe.

Watson, Ronald C.↗

Power Take-Off Design Study for a Small-Scale Oscillating Surge Wave Energy Converter for Powering the Blue Economy Applications: Preprint

The power take-off (PTO) is an integral part of wave energy conversion, and the design process is nontrivial. Better PTOs, and better processes for selecting and designing PTO architectures for various applications, would benefit devices that assist in powering the blue economy by decreasing time and money spent on PTO design and increasing the overall energy capture performance of these devices. This paper chronicles the selection process of a PTO for a small-scale surge-type wave energy converter (WEC) for the purpose of informing future PTO selection processes. Three PTO architectures are evaluated in WEC-Sim: a hydraulic check valve PTO, a hydraulic active valving PTO, and a directly electrified PTO. Simple models of each PTO are constructed. Because a model for the small-scale device was initially unavailable, the PTOs are simulated on a large-scale device. The results are scaled down using Froude scaling and compared to results from directly simulating a small-scale model. Strong assumptions are made because this work is early in the design stages, and a coarse look at PTO options was desired. Specifically, the effectiveness of controls is investigated, along with the efficiency of energy conversion. However, energy capture is only part of the consideration; there are also logistic concerns to be considered when selecting a PTO. For example, components for large-scale WECs are so large and expensive that it may make sense to custom-build PTO components, but small- scale WECs would benefit from off-the-shelf availability because the cost of customization would be a significant portion of the total capital cost of deployment at a small scale. Submersible, off-the-shelf components are much easier to source for hydraulic PTOs. Because of highly effective controls, efficient energy conversion, and availability of marine-grade components, an active valving hydraulic PTO is selected for this small-scale surge-type WEC.

electric PTO↗

Lessons Learned Concerning the Onsite Disposal Facility at the Fernald Preserve, Harrison, Ohio - 16176

An onsite disposal facility (OSDF) was constructed at the Fernald Preserve, Ohio, for the disposal of contaminated soil and debris generated during a Comprehensive Environmental Response, Compensation, and Liability Act site cleanup. Completed in October of 2006, the 30 ha facility contains 2.26 million m{sup 3} of waste materials, has a maximum height of approximately 19.8 m, and consists of eight individual cells. The dimensions of cells 1-7 are approximately 213 m x 122 m each, or 26,000 m{sup 2} (2.60 ha). The dimensions of cell 8 (the last cell constructed) are larger than those of the other cells (approximately 3.8 ha). Each cell was constructed with a leachate collection system (LCS) that collected rainwater and storm-water runoff during waste placement and prevented it from entering the underlying environment. Other engineered features include a multilayer composite liner system, a leak detection system (LDS) positioned beneath the primary liner, and a multilayer composite cover that was placed over each cell following the completion of waste-placement activities. The LCS and LDS layers are designed to convey (by gravity) any leachate/fluid that enters the system through pipes to the west side of the facility and into tanks located in valve houses. From there, leachate can be sampled and conveyed to treatment. Groundwater is monitored beneath each cell via monitoring wells. In November 2006, the US DOE Office of Legacy Management (LM) assumed responsibility for the long-term care and maintenance of the OSDF. LM has nine years of monitoring and maintenance experience with the Fernald OSDF. Monitoring data is reported each year in the Fernald Annual Site Environmental Report. The data collected and inspections conducted indicate that the facility is operating as designed. The past nine years has provided LM with the opportunity to evaluate how well many of the design and as-built features of the facility have functioned over time as they pertain to environmental monitoring, valve-house operation and maintenance, and leachate transmission. Lessons learned concerning the long-term care and maintenance of the OSDF at the Fernald Preserve are presented. The main lessons learned include the following: How bivariate plots can be used to address environmental monitoring challenges created by installing an engineered disposal facility in a location where contamination is above the background level but below cleanup standards. How valve-house design decisions can help to alleviate long-term monitoring challenges. How scale buildup can lead to leachate transmission issues. Some additional minor lessons learned are also presented. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Portable self-contained pressure testing manifold and associated methods

A portable, case-enclosed pressure test manifold, configured to support both pneumatic and hydrostatic pressure testing, and comprising a downstream fluid path (e.g., a system test gauge, a ball valve, a system test port, a system relief valve, and other components/piping) and an upstream fluid path (e.g., a low-pressure gauge, a high-pressure gauge, and other components/piping). A regulator and/or the ball valve selectively operate the downstream fluid path, defining a hydrostatic pressure testing path, to receive a liquid; and the upstream fluid path in combination with the downstream fluid path, defining a pneumatic pressure testing path, to receive a gas. Manifold components are pressure rated based on use and are ASME Code B31.3 compliant. A flexible hose connects with either of the pneumatic pressure testing path and the hydrostatic pressure testing path of the manifold. The case includes parking receptables and a carrying handle configured to stow the hose during transport.

Milholland, Roger A.↗

Materials for Advanced Ultra-Supercritical (A-USC) Steam Turbines --- A-USC Component Demonstration

The U.S. Advanced Ultra-Supercritical (A-USC) Consortium was formed in 2001 as a government/industry program, sponsored by the U.S. Department of Energy (DOE) and the Ohio Coal Development Office (OCDO) and cost shared by industrial and not-for-profit partners. The purpose of the consortium was to advance the state of the art for power generation by evaluating and developing materials that allow the use of advanced steam cycles in coal-based power plants. These advanced cycles, with steam temperatures up to 1400°F (760°C), can increase the efficiency of coal-fired boilers from an average of 35% (current U.S. fleet) to more than 45% higher heating value (HHV) (>49% lower heating value [LHV]). The increase in a plant’s efficiency is limited unless new materials able to withstand these higher operating temperatures and pressures are identified and approved for use. The A-USC Consortium identified these needed materials during earlier phases of the program. It developed the welding and joining techniques along with manufacturing processes for casting and wrought products made from these new high-nickel alloys. It subjected these materials to extensive laboratory and steam loop testing. It then obtained ASME code approval for their use in U.S. boiler systems. The program’s successes leave this last remaining activity (ComTest Phase 2) that the U.S. utility industry has recommended to be accomplished prior to commercialization. The focus of the activity is the evaluation and demonstration of commercial readiness for “full scale” components to be made from these nickel-based alloy materials and provided by a U.S. domestic supply chain that is new to working with these alloys. According to studies completed by the Electric Power Research Institute (EPRI), the cost of an A-USC plant is approximately 20% higher than a non-A-USC plant because of its use of nickel-based alloys needed for the high temperature operating conditions. However, CO 2 reductions of approximately 30% from the current fleet average provide a strong incentive for its consideration. The actual costs and perceived value for CO 2 abatement will determine whether new or retrofitted plants are undertaken, although decisions to build A-USC plants in India would indicate its economic feasibility while also being part of a global carbon emissions strategy. The work by the A-USC Consortium, prior to the start of the ComTest project, has included lab scale and pilot scale materials testing, both in air and oxy-combustion. This testing has included air-cooled and steam-cooled “loops” that were installed into existing operating utility boilers to gain exposure of these materials to realistic conditions of high temperature and corrosion caused by the constituents in the coal ash. The A-USC Consortium also gained ASME Code approval of the Inconel 740 material, has cast and extruded the largest high nickel precipitation hardened alloys, and developed unique welding techniques to avoid problems identified by the competing European program. However, as valuable as these material test loops and accomplishments have been for obtaining information, their scale is below that required to minimize the risk associated for a U.S. utility to build a multibillion-dollar A-USC power plant. To reduce the final identified risk barrier to full-scale commercialization of these advanced materials and systems, the A-USC Consortium (guided by a utility industry advisory committee) has identified the key areas of the technology they desire to see as being capable of full-scale manufacturing and/or fabrication from an identified, capable U.S. domestic supplier base. A significant amount of work was accomplished during Phase 1 to identity the components, as well as the component size, that would be manufactured from advanced alloys such as Inconel 740H or Haynes 282 alloys. Pathways to supply these components for ComTest have been identified, as well as any further development that would be required. The Phase 2 effort used Phase 1 findings for designing these key full-scale components for A-USC boilers and turbines to include large castings; extrusions, forgings, fabrication of water walls and steam loops with headers from advanced materials, raw material (such as pipe extrusion billets) are at the commercial readiness level to permit advancement to a demonstration project. The Phase 2 work scope was addressed by a diverse team, including government, industry, and not-for-profit partners. The work scope under Phase 2 addressed fabrication of components identified as being outside of the proven capabilities of the existing supply chain, including the following: Steam turbine rotor forging and Haynes 282 nozzle carrier casting Superheater and reheater header and tube assemblies Large-diameter pipe extrusions and forgings Test valve articles to support ASME Code approval. In addition, key fabrication steps were completed, including boiler weld overlays and simulated field repairs. Throughout, extensive inspection and quality assurance testing of the components were performed. The team worked to advance ASME Code approval for key components and processes. Although much of the focus of ComTest Phase 2 was the high-temperature nickel-based alloy materials, a broader range of materials were incorporated, which would be representative of the materials used in full-scale A-USC power plant applications and have cross-cutting applicability on other high-temperature power generation options, such as advanced nuclear, supercritical CO 2 cycles, and central solar receivers. This report that has been submitted is organized in the following manner: Section 1 contains an Executive Summary. Section 2 discusses the ComTest project background and organization. Section 3 discusses project management and reporting. Section 4 discusses the procurement of nickel-based alloy and other A-USC materials and components. Section 5 discusses the fabrication of procurement of nickel-based alloy and other A-USC materials and components. Section 6 discusses the fabrication of cast nickel-based A-USC steam turbine components. Section 7 discusses the fabrication of forged nickel-based A-USC steam turbine piping and steam pipe components. Section 8 discusses the qualification of pressure relieve valves (PRVs) for A-USC power plants. Section 9 discusses proposed plans for future evaluation of A-USC components. Section 10 contains the summary and conclusion.

01 COAL, LIGNITE, AND PEAT↗

Imaging Strategies for Evaluating Low-Flow, Low-Gradient Aortic Stenosis with Reduced and Preserved Left Ventricular Ejection Fraction

Purpose of Review: Aortic stenosis (AS) is one of the most common valvular heart diseases, and aortic valve replacement (AVR) provides both symptomatic and survival benefit in symptomatic severe AS patients. The purpose of this review is to discuss low-flow low-gradient AS which is still a challenging diagnostic entity. Recent Findings: Thirty–forty percent of patients with AS have low flow which makes it difficult to differentiate truly severe AS that benefits from AVR compared to pseudo-severe AS which is currently managed conservatively. Patients with low-flow low-gradient AS (LF-LG AS) include those with reduced left ventricular systolic function (classical LF-LG AS) and those with preserved left ventricular systolic function (paradoxical LF-LG AS). Low-dose dobutamine stress echocardiography (DSE) helps to identify truly severe stenosis in patients with classical LF-LG AS. Aortic valve calcium scoring with multidetector computed tomography plays a major role in patients with paradoxical LF-LG AS and also among classical LF-LG AS patients who have reduced contractile reserve on DSE. Summary: This article will provide an overview of imaging strategies for evaluating LF-LG AS with reduced and preserved left ventricular ejection fraction.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Automatic calculation of myocardial external efficiency using a single {sup 11}C-acetate PET scan

Background: Myocardial external efficiency (MEE) is defined as the ratio of kinetic energy associated with cardiac work [forward cardiac output (FCO)*mean systemic pressure] and the chemical energy from oxygen consumed (MVO{sub 2}) by the left ventricular mass (LVM). We developed a fully automated method for estimating MEE based on a single {sup 11}C-acetate PET scan without ECG-gating. Methods and Results: Ten healthy controls, 34 patients with aortic valve stenosis (AVS), and 20 patients with mitral valve regurgitation (MVR) were recruited in a dual-center study. MVO{sub 2} was calculated using washout of {sup 11}C -acetate activity. FCO and LVM were calculated automatically using dynamic PET and parametric image formation. FCO and LVM were also obtained using cardiac magnetic resonance (CMR) in all subjects. The correlation between MEE{sub PET-CMR} and MEE{sub PET} was high (r = 0.85, P < 0.001) without significant bias. MEE{sub PET} was 23.6 ± 4.2% for controls and was lowered in AVS (17.2 ± 4.3%, P < 0.001) and in MVR (18.0 ± 5.2%, P = 0.004). MEE{sub PET} was strongly associated with both NYHA class (P < 0.001) and the magnitude of valvular dysfunction (mean aortic gradient: P < 0.001, regurgitant fraction: P = 0.009). Conclusion: A single {sup 11}C-acetate PET yields accurate and automated MEE results on different scanners. MEE might provide an unbiased measurement of the phenotypic response to valvular disease.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Experimental demonstration of a dispatchable latent heat storage system with aluminum-silicon as a phase change material

In this work, we present the design, construction, and experimental results of a prototype latent heat thermal energy storage system. The prototype consists of a thermal storage tank with 100 kg of the aluminum-silicon eutectic as a phase change material, a valved thermosyphon that controls heat flow from the thermal storage tank to the power block, and thermoelectric generators for conversion of heat to electricity. We tested the prototype over four simulated days, where each day consisted of four phases of operation: charging, discharging, simultaneous charging and discharging, and storage. Our results show three major conclusions. First, the thermal energy storage system was able to receive and distribute heat with small temperature gradients - less than 5 degrees C throughout the thermal storage tank. Second, the valved thermosyphon was able to effectively control heat transfer, demonstrating an on/off thermal conductance ratio of 430. Third, the interfaces between subsystems had small temperature drops: of the ~ 560 degrees C temperature drop from the thermal storage tank to the heat rejection system, ~ 525 degrees C occurred across the power block. This work overcomes the challenges of integrating previously-developed subsystems together, providing a proof-of-concept of this system.

14 SOLAR ENERGY↗

Valvular Abnormalities Detected by Echocardiography in 5-Year Survivors of Childhood Cancer: A Long-Term Follow-Up Study

Purpose: To determine the prevalence of valvular abnormalities after radiation therapy involving the heart region and/or treatment with anthracyclines and to identify associated risk factors in a large cohort of 5-year childhood cancer survivors (CCS). Methods and Materials: The study cohort consisted of all 626 eligible 5-year CCS diagnosed with childhood cancer in the Emma Children's Hospital/Academic Medical Center between 1966 and 1996 and treated with radiation therapy involving the heart region and/or anthracyclines. We determined the presence of valvular abnormalities according to echocardiograms. Physical radiation dose was converted into the equivalent dose in 2-Gy fractions (EQD{sub 2}). Using multivariable logistic regression analyses, we examined the associations between cancer treatment and valvular abnormalities. Results: We identified 225 mainly mild echocardiographic valvular abnormalities in 169 of 545 CCS (31%) with a cardiac assessment (median follow-up time, 14.9 years [range, 5.1-36.8 years]; median attained age 22.0 years [range, 7.0-49.7 years]). Twenty-four CCS (4.4%) had 31 moderate or higher-graded abnormalities. Most common abnormalities were tricuspid valve disorders (n=119; 21.8%) and mitral valve disorders (n=73; 13.4%). The risk of valvular abnormalities was associated with increasing radiation dose (using EQD{sub 2}) involving the heart region (odds ratio 1.33 per 10 Gy) and the presence of congenital heart disease (odds ratio 3.43). We found no statistically significant evidence that anthracyclines increase the risk. Conclusions: Almost one-third of CCS treated with potentially cardiotoxic therapy had 1 or more asymptomatic, mostly mild valvular abnormalities after a median follow-up of nearly 15 years. The most important risk factors are higher EQD{sub 2} to the heart region and congenital heart disease. Studies with longer follow-up are necessary to investigate the clinical course of asymptomatic valvular abnormalities in CCS.

62 RADIOLOGY AND NUCLEAR MEDICINE↗