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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 1,513 records · Page 84
All sourcesNASA NTRSDOE OSTI
DOE OSTI2016

Cryoablation of Hepatocellular Carcinoma with High-Risk for Percutaneous Ablation: Safety and Efficacy

PurposeThe aim of this study was to evaluate the safety and effectiveness of cryoablation in the treatment of subcapsular hepatocellular carcinoma (HCC) adjacent to various organs.Materials and MethodsTwenty-eight patients with subcapsular HCC were treated with cryoablation in our institution. The degree of peri-procedural pain was measured using the visual analog scale (VAS). Technical success, local tumor progression, and overall disease progression rates were calculated. Procedure-related complications were identified by reviewing electronic medical records. Biochemical data, including serum aspartate aminotransferase (AST), alanine aminotransferase (ALT), and total bilirubin levels before and after the procedure were collected.ResultsSubcapsular HCC tumors were located near the gallbladder, colon, stomach, kidney, diaphragm, or abdominal wall. The technical success rate of cryoablation was 96.4 % (27/28). Local recurrence- and progression-free survival rates were 96 and 84 % at 6 months, and 82 and 43 % at 1 year, respectively. All patients survived during the follow-up period. The VAS pain score ranged from 0 to 3 (mean, 1.57). A major complication occurred in one patient (3.6 %) and minor complications occurred at a rate of 17.9 %. Transient elevations of serum AST, ALT, and bilirubin levels were observed.ConclusionCryoablation is a safe and an effective procedure for the treatment of subcapsular HCC adjacent to various major organs.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2016

Resolution of Postural Orthostatic Tachycardia Syndrome After CT-Guided, Percutaneous T2 Ethanol Ablation for Hyperhidrosis

Postural orthostatic tachycardia syndrome is characterized by orthostatic intolerance. Orthostasis (or other mild physical stress) triggers a cascade of inappropriate tachycardia, lightheadedness, palpitations, and often fainting. The underlying defect is sympathetic dysregulation of the heart, which receives its sympathetic tone from the cervical and upper thoracic sympathetic ganglia. Primary hyperhidrosis is also thought to be the result of sympathetic dysregulation. We present the case of a patient treated with CT-guided, percutaneous T2 EtOH sympatholysis for craniofacial hyperhidrosis. The patient also suffered from postural orthostatic tachycardia syndrome for many years and was unresponsive to treatment. Immediately after sympatholysis, the patient experienced resolution of both craniofacial hyperhidrosis and postural orthostatic tachycardia syndrome.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2016

Differences in Patient Characteristics and Midterm Outcome Between Asian and European Patients Treated with Radiofrequency Ablation for Hepatocellular Carcinoma

PurposeThe aim of this study was to compare patient characteristics and midterm outcomes after RFA for unresectable Hepatocellular carcinoma (HCC) in Asian and European cohorts.Materials and MethodsThe study was based on retrospective analysis of 279 patients (mean 64.8 ± 12.1 years; 208 males) treated with RFA for de novo HCC in tertiary referral centers in Singapore and the Netherlands, with median follow-up of 28.2 months (quartiles: 13.1–40.5 months). Cumulative incidence of recurrence and death were analyzed using a competing risk model.ResultsAge was higher in the Asian group: 66.5 versus 60.1 years (p < 0.0001). The most common etiology was hepatitis B in the Asian group (48.0 %) and alcohol-induced cirrhosis in Europeans (54.4 %); p < 0.001. Asian patients had less advanced disease: 35.5, 55.0, and 3.0 %, respectively, had BCLC 0, A, and B versus 21.5, 58.2, and 15.2 % in the European group (p = 0.01). The cumulative incidences of recurrence in the Asian group at 1, 2, 3, and 5 years were 37.0, 56.4, 62.3, and 67.7 %, respectively, compared to 32.6, 47.2, 49.7, and 53.4 % in the European group (p = 0.474). At 1, 2, 3, and 5 years, the cumulative incidence rates of death in the Asian group were 2.0, 3.9, 4.9, and 4.9 %, respectively, corresponding to 7.7, 9.2, 14.1, and 21.0 % in the European group (p = 0.155).ConclusionSimilar short-term treatment outcomes are achieved with RFA in HCC patients in the South-East Asian and Northern-European populations. Midterm recurrence and death rates differ between the groups as a result of differences in baseline patient characteristics and patient selection. Our study provides insight relevant to the design of future international studies.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2016

Bayesian Integration and Characterization of Composition C-4 Plastic Explosives Based on Time-of-Flight Secondary Ion Mass Spectrometry and Laser Ablation-Inductively Coupled Plasma Mass Spectrometry

Key elements regarding the use of non-radioactive ionization sources will be presented as related to explosives detection by mass spectrometry and ion mobility spectrometry. Various non-radioactive ionization sources will be discussed along with associated ionization mechanisms pertaining to specific sample types.

Bayesian integration↗
DOE OSTI2012

CO{sub 2} laser pulse shortening by laser ablation of a metal target

A repeatable and flexible technique for pulse shortening of laser pulses has been applied to transversely excited atmospheric (TEA) CO{sub 2} laser pulses. The technique involves focusing the laser output onto a highly reflective metal target so that plasma is formed, which then operates as a shutter due to strong laser absorption and scattering. Precise control of the focused laser intensity allows for timing of the shutter so that different temporal portions of the pulse can be reflected from the target surface before plasma formation occurs. This type of shutter enables one to reduce the pulse duration down to {approx}2 ns and to remove the low power, long duration tails that are present in TEA CO{sub 2} pulses. The transmitted energy is reduced as the pulse duration is decreased but the reflected power is {approx}10 MW for all pulse durations. A simple laser heating model verifies that the pulse shortening depends directly on the plasma formation time, which in turn is dependent on the applied laser intensity. It is envisaged that this plasma shutter will be used as a tool for pulse shaping in the search for laser pulse conditions to optimize conversion efficiency from laser energy to useable extreme ultraviolet (EUV) radiation for EUV source development.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗
DOE OSTI2012

Time and space resolved measurement of the electron temperature, mass density and ionization state in the ablation plasma between two exploding Al wires

We have determined the properties of plasma around and between two exploding wires using high-resolution x-ray absorption spectroscopy. Plasma densities and temperatures ranging from Greater-Than-Or-Equivalent-To 0.1g/cm{sup 3} and a few eV to less than 0.01 g/cm{sup 3} and 30 eV have been measured in experiments at Cornell University with two 40 {mu}m aluminum (Al) wires spaced 1 mm apart driven by {approx}150 kA peak current pulses with 100 ns rise time. The wire plasma was backlit by the 1.4-1.6 keV continuum radiation produced by a Mo wire X-pinch. The spectrometer employed two spherically bent quartz crystals to record the absorption and backlighter spectra simultaneously. The transition between the dense Al wire core and the coronal plasma is seen as a transition from cold K-edge absorption to Mg-, Na-, and finally Ne-like absorption at the boundary. In the plasma that accumulates between the wires, ionization states up to C-Like Al are observed. The spectrometer geometry and {approx}2{mu}m X-pinch source size provide 0.3 eV spectral resolution and 20 {mu}m spatial resolution enabling us to see 1s{yields} 2p satellite transitions as separate lines as well as O-, F-, and Ne-like 1s{yields} 3p transitions that have not been seen before. A step wedge was used to calibrate the transmission, enabling density to be measured within a factor of two and temperature to be measured within {+-}25%. A genetic algorithm was developed to fit synthetic spectra calculated using the collisional-radiative code SCRAM to the experimental spectra. In order to obtain agreement it was necessary to assume multiple plasma regions with variable thicknesses, thereby allowing the inferred plasma conditions to vary along the absorption path.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗
DOE OSTI2012

A Langmuir probe diagnostic for time-of-flight measurements of transient plasmas produced by high-energy laser ablation

We discuss here the development of a Langmuir probe (LP) diagnostic to examine high-density, high-temperature inhomogeneous plasmas such as those that can be created at the University of Rochester's Laboratory for Laser Energetics OMEGA facility. We have configured our diagnostic to examine the velocity of the plasma expanding from the target. We observe velocities of approximately 16-17 cm/{mu}s, with individual LP currents displaying complex structures, perhaps due to the multiple atomic species and ionization states that exist.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗