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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 1,567 records · Page 87
All sourcesNASA NTRSDOE OSTI
DOE OSTI2013

Complete genome sequencing and evolutionary analysis of Indian isolates of Dengue virus type 2

Highlights: •Complete genome of Indian DENV-2 was deciphered for the first time in this study. •The recent Indian DENV-2 revealed presence of many unique amino acid residues. •Genotype shift (American to Cosmopolitan) characterizes evolution of DENV-2 in India. •Circulation of a unique clade of DENV-2 in South Asia was identified. -- Abstract: Dengue is the most important arboviral infection of global public health significance. It is now endemic in most parts of the South East Asia including India. Though Dengue virus type 2 (DENV-2) is predominantly associated with major outbreaks in India, complete genome information of Indian DENV-2 is not available. In this study, the full-length genome of five DENV-2 isolates (four from 2001 to 2011 and one from 1960), from different parts of India was determined. The complete genome of the Indian DENV-2 was found to be 10,670 bases long with an open reading frame coding for 3391 amino acids. The recent Indian DENV-2 (2001–2011) revealed a nucleotide sequence identity of around 90% and 97% with an older Indian DENV-2 (1960) and closely related Sri Lankan and Chinese DENV-2 respectively. Presence of unique amino acid residues and non-conservative substitutions in critical amino acid residues of major structural and non-structural proteins was observed in recent Indian DENV-2. Selection pressure analysis revealed positive selection in few amino acid sites of the genes encoding for structural and non-structural proteins. The molecular phylogenetic analysis based on comparison of both complete coding region and envelope protein gene with globally diverse DENV-2 viruses classified the recent Indian isolates into a unique South Asian clade within Cosmopolitan genotype. A shift of genotype from American to Cosmopolitan in 1970s characterized the evolution of DENV-2 in India. Present study is the first report on complete genome characterization of emerging DENV-2 isolates from India and highlights the circulation of a unique clade in South Asia.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2015

Determinants of land take at the regional scale: a study concerning Sardinia (Italy)

In its “Roadmap to a Resource Efficient Europe” (Communication COM(2011) 571 of 20 September 2011), the European Commission (EC) established an ambitious goal for the European Union (EU), that of achieving no land take by 2050; towards this aim, a key milestone for the year 2020 was set, by stating that European policies in the programming period 2014–2020 ought to consider both their direct and their indirect impacts on land use in the EU. Within this framework, this paper builds upon the findings of a previous paper (Zoppi and Lai, 2014), in which we estimated the magnitude of land take over a short period of time (2003–2008) in Sardinia, an Italian NUTS2 region, and we assessed whether and how land take is related to a set of variables that are regarded as important determinants in the literature, such as parcel size, accessibility, and proximity to main cities and towns, to the coastline, or to protected areas. In this paper we study the land-taking process taking Sardinia as a case study, in two larger time periods, 1960–1990 and 1990–2008. We assess if, and to what extent, these factors reveal similar, or different, effects in the two periods, and try to identify consistencies concerning the determinants of land take. - Highlights: • Population density and parcel size significantly affect the magnitude of land take. • The presence of nature conservation areas hinders land taking processes. • Extensive urbanization might effectively preserve non-artificial land. • Balanced accessibility of settlements and nature conservation regional policies can effectively contrast land take. • Size of non-artificial land parcels that become artificial is negatively and significantly connected to land take.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

Life cycle assessment of an energy-economy nexus: The case of Israel and South Korea

Israel and South Korea have both achieved rapid economic growth since their post-war establishment, and among the common challenges that the two countries have faced is a conspicuous lack of domestic oil supplies. Although this chronic energy scarcity has not impeded the economic trajectory of either country, it has influenced their industrial structures in strikingly different ways – with Korea nevertheless developing a vast energy-intensive manufacturing sector, while Israel has largely relied on its service sector to support a growing consumer society. While different in industrial structure, however, the two economies have been connected by intensive trade relations, meaning that energy is consumed in one country for the production of goods used in the other. In order to examine the economic and environmental implications of the two economies' structural divergence and bilateral trade relations, we use economic input-output analysis to track the life cycle (LC) energy consumption of passenger cars – a product which has significant environmental impact due to energy consumption in both its production and use stages – which were manufactured in Korea and exported to Israel during the period of 1997–2011. Our findings show that while most of the LC energy consumption of the vehicles occurs in Israel where the vehicle operation takes place, this does not mean that Israel's “avoided energy” by importing the Korean cars is insignificant. The embodied energy of vehicles traded in 2011 reached 3179 TJ, exceeding the amount of energy used by Israel's entire on-site building construction sector over the same period. If the Israeli economy had hypothetically developed its own auto manufacturing industry including secondary suppliers to meet domestic demand as well as exports – as was done in Korea – the energy consumption in those industries would be equivalent to about half of the current energy use by Israel's entire industrial sector.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗
DOE OSTI2015

Anti-smoking legislation and its effects on urinary cotinine and cadmium levels

Anti-smoking legislation has been associated with an improvement in health indicators. Since the cadmium (Cd) body burden in the general population is markedly increased by smoke exposure, we analyzed the impact of the more restrictive legislation that came into force in Spain in 2011 by measuring Cd and cotinine in first morning urine samples from 83 adults in Madrid (Spain) before (2010) and after (2011) introduction of this law. Individual pair-wise comparisons showed a reduction of creatinine corrected Cotinine and Cd levels for non-active smokers, i. e. those which urinary cotinine levels are below 50 μg/L. After the application of the stricter law, cotinine levels in urine only decreased in non-active smokers who self-reported not to be exposed to second-hand smoke. The reduction in second hand smoke exposure was significantly higher in weekends (Friday to Sunday) than in working days (Monday to Thursday). The decrease in U-Cd was highly significant in non-active smokers and, in general, correlated with lower creatinine excretion. Therefore correction by creatinine could bias urinary Cd results, at least for cotinine levels higher than 500 μg/L. The biochemical/toxicological benefits detected herein support the stricter application of anti-smoking legislation and emphasize the need to raise the awareness of the population as regards exposure at home.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

Spatial analysis of concentrations of multiple air pollutants using NASA DISCOVER-AQ aircraft measurements: Implications for exposure assessment

Highlights: • Aircraft measurements showed spatially varying relations of multiple air pollutants. • NO{sub x}, toluene, and xylenes/ethylbenzene were reasonable proxies of traffic and urban air pollution. • Between-pollutant concentration correlations and ratios varied by space. • Multiple pollutant relations provided insights for exposure assessment and multipollutant epidemiology. In recent years, multipollutant approaches have been employed to investigate the association with health outcomes to better represent real-world conditions than more traditional analysis that considers a single pollutant. With regard to the exposure assessment of a mixture of air pollutants, it is critical to understand the spatial variability in multipollutant relations in order to assess their potential health implications. In this study, we investigated the spatial relations of multiple pollutant concentrations (i.e., NO{sub x}, NO{sub y}, black carbon, carbon monoxide, acetaldehyde, formaldehyde, toluene, xylenes/ethylbenzene, ozone, water-soluble organic carbon, and aerosol extinction) observed from the P-3B aircraft in the 2011 NASA field campaign in Baltimore/Washington D.C. areas during July 2011. The between-pollutant Pearson correlations and Z-scores (calculated from log-transformed concentrations) between near-highways and non-highways and between near-urban centers and non-urban centers varied by pollutant pair and space. We found generally lower correlations between NO{sub x} and other pollutants for near-highways (average r = 0.36) than for non-highways (average r = 0.41) and also for non-urban centers (average r = 0.37) than for near-urban centers (average r = 0.41). This indicated that the temporal associations between NO{sub x} and health outcomes might be less affected by other pollutants, which were also related to same health outcomes, for near-highways and non-urban centers. The analysis of between-pollutant Z-scores showed varying spatial relations for popular traffic-related pollutants with the Z-score differences of 0.43 (NO{sub x}-carbon monoxide), 0.29 (NO{sub x}-black carbon), and 0.17 (black carbon-carbon monoxide) between near-highways and non-highways. This result exhibited heterogeneous traffic-related pollutant mixtures with the proximity to highways, potentially leading to the diverse extent of health associations. Furthermore, a mixed effects model presented pollutant-specific associations between the concentrations and the proximity to highways and urban centers, showing larger declines for NO{sub x}, xylenes/ethylbenzene, toluene, and NO{sub y} than those for the pollutants related to secondary pollutant formation. The model also demonstrated the different sensitivity of each pollutant to meteorological parameters, which may modify the spatial and temporal variability in the relations between the pollutants. Our findings provide insights for exposure assessment studies to better understand the cumulative health consequences associated with multiple air pollutants simultaneously.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

A game theory approach for assessing risk value and deploying search-and-rescue resources after devastating tsunamis

Highlights: • Two game theoretic models are designed for search-and-rescue resource allocation. • A simulation based upon 2011 Japan tsunami data. • Shapley value division is more efficient than the proportional division. The current early-warning system and tsunami protection measures tend to fall short because they always underestimate the level of destruction, and it is difficult to predict the level of damage by a devastating tsunami on uncertain targets. As we know, the key to minimizing the total number of fatalities after a disaster is the deployment of search and rescue efforts in the first few hours. However, the resources available to the affected districts for emergency response may be limited. This study proposes two game theoretic models that are designed for search-and-rescue resource allocation. First, the interactions between a compounded disaster and a response agent in the affected district are modelled as a non-cooperative game, after which the risk value is derived for each district from the Nash equilibrium. The risk value represents the threat, vulnerability, and consequence of a specific disaster for the affected district. Second, the risk values for fifteen districts are collected for calculation of each district's Shapley value. Then an acceptable plan for resource deployment among all districts is made based on their expected marginal contribution. The model is verified in a simulation based upon 2011 tsunami data. The experimental results show the proposed approach to be more efficient than the proportional division of rescue resources, for dealing with compounded disaster, and is feasible as a method for planning the mobilization of resources and to improve relief efforts against devastating tsunamis.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

Long-term nitrogen dioxide exposure assessment using back-extrapolation of satellite-based land-use regression models for Australia

Highlights: • We assessed how well a year-2006 satellite-based LUR model captures historical NO{sub 2}. • We used three methods to estimate annual mean NO{sub 2} during 1990–2005. • We measured their performance using standard LUR validation techniques. • Back-extrapolated 2006 levels captured up to 76% of spatial variability (90–05). Assessing historical exposure to air pollution in epidemiological studies is often problematic because of limited spatial and temporal measurement coverage. Several methods for modelling historical exposures have been described, including land-use regression (LUR). Satellite-based LUR is a recent technique that seeks to improve predictive ability and spatial coverage of traditional LUR models by using satellite observations of pollutants as inputs to LUR. Few studies have explored its validity for assessing historical exposures, reflecting the absence of historical observations from popular satellite platforms like Aura (launched mid-2004). We investigated whether contemporary satellite-based LUR models for Australia, developed longitudinally for 2006–2011, could capture nitrogen dioxide (NO{sub 2}) concentrations during 1990–2005 at 89 sites around the country. We assessed three methods to back-extrapolate year-2006 NO{sub 2} predictions: (1) ‘do nothing’ (i.e., use the year-2006 estimates directly, for prior years); (2) change the independent variable ‘year’ in our LUR models to match the years of interest (i.e., assume a linear trend prior to year-2006, following national average patterns in 2006–2011), and; (3) adjust year-2006 predictions using selected historical measurements. We evaluated prediction error and bias, and the correlation and absolute agreement of measurements and predictions using R{sup 2} and mean-square error R{sup 2} (MSE-R{sup 2}), respectively. We found that changing the year variable led to best performance; predictions captured between 41% (1991; MSE-R{sup 2} = 31%) and 80% (2003; MSE-R{sup 2} = 78%) of spatial variability in NO{sub 2} in a given year, and 76% (MSE-R{sup 2} = 72%) averaged over 1990–2005. We conclude that simple methods for back-extrapolating prior to year-2006 yield valid historical NO{sub 2} estimates for Australia during 1990–2005. These results suggest that for the time scales considered here, satellite-based LUR has a potential role to play in long-term exposure assessment, even in the absence of historical predictor data.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2015

Bicarbonate impact on U(VI) bioreduction in a shallow alluvial aquifer

Field-scale biostimulation and desorption tracer experiments conducted in a uranium (U) contaminated, shallow alluvial aquifer have provided insight into the coupling of microbiology, biogeochemistry, and hydrogeology that control U mobility in the subsurface. Initial experiments successfully tested the concept that Fe-reducing bacteria such as Geobacter sp. could enzymatically reduce soluble U(VI) to insoluble U(IV) during in situ electron donor amendment (Anderson et al., 2003; Williams et al., 2011). In parallel, in situ desorption tracer tests using bicarbonate amendment demonstrated rate-limited U(VI) desorption (Fox et al., 2012). These results and prior laboratory studies underscored the importance of enzymatic U(VI)-reduction and suggested the ability to combine desorption and bioreduction of U(VI). Here in this paper we report the results of a new field experiment in which bicarbonate-promoted uranium desorption and acetate amendment were combined and compared to an acetate amendment-only experiment in the same experimental plot. Results confirm that bicarbonate amendment to alluvial aquifer sediments desorbs U(VI) and increases the abundance of Ca-uranyl-carbonato complexes. At the same time, the rate of acetate-promoted enzymatic U(VI) reduction was greater in the presence of added bicarbonate in spite of the increased dominance of Ca-uranyl-carbonato aqueous complexes. A model-simulated peak rate of U(VI) reduction was ~3.8 times higher during acetate-bicarbonate treatment than under acetate-only conditions. Lack of consistent differences in microbial community structure between acetate-bicarbonate and acetate-only treatments suggest that a significantly higher rate of U(VI) reduction in the bicarbonate-impacted sediment may be due to a higher intrinsic rate of microbial reduction induced by elevated concentrations of the bicarbonate oxyanion. The findings indicate that bicarbonate amendment may be useful in improving the engineered bioremediation of uranium in aquifers.

58 GEOSCIENCES↗
DOE OSTI2021

Flow condensation heat transfer performance of natural and emerging synthetic refrigerants

There is great interest in predicting flow condensation heat transfer for lower global warming potential (GWP) fluids. This paper analyzes the efficacy of common flow condensation correlations developed for particular fluids in order to identify their suitability to predict heat transfer performance of low GWP fluids. Condensation heat transfer data were extracted from the literature, including 19 papers and 1,473 data points for natural refrigerants [i.e., ammonia (R717), CO 2 (R744), propane (R290), isobutane (R600a)] and 35 papers and 5,030 data points for synthetic refrigerants [i.e., R12, R1234yf, R1234ze(E), R1234ze(Z), R22, R32, R41, R123, R125, R134a, R142b, R152a, R161, R404A, R410A, R448A, R449A, R450A, R452B, R454C, R455A, R513A] encompassing tube diameters of 0.1–11.5 mm, mass fluxes of 55–1200 kg/m2s, and saturation temperatures of -25°C–65°C. Correlations analyzed included Akers et al. (1959), Cavallini et al. (2006, 2011), Kim and Mudawar (2013), Macdonald and Garimella (2016), Shah (1979, 2009, 2013, 2016) and Traviss et al. (1973) for smooth tubes and Chamra et al. (2005) and Kedzierski and Goncalves (1999) for enhanced tubes. Since most studies did not report wall temperature, correlations which relied on wall temperature directly or indirectly were excluded from the analysis. For synthetic refrigerants, mean average error (MAE) ranged from 6%–257%, and Cavallini et al. (2011) and Kim and Mudawar (2013) were the best predictors for emerging synthetic refrigerants. Furthermore, the Kim and Mudawar (2013) correlation was found to best predict the heat transfer performance for propane and R600a data, but most correlations did not accurately predict ammonia and CO 2 flow condensation.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2014

Current Status and Recommendations for the Future of Research, Teaching, and Testing in the Biological Sciences of Radiation Oncology: Report of the American Society for Radiation Oncology Cancer Biology/Radiation Biology Task Force, Executive Summary

In early 2011, a dialogue was initiated within the Board of Directors (BOD) of the American Society for Radiation Oncology (ASTRO) regarding the future of the basic sciences of the specialty, primarily focused on the current state and potential future direction of basic research within radiation oncology. After consideration of the complexity of the issues involved and the precise nature of the undertaking, in August 2011, the BOD empanelled a Cancer Biology/Radiation Biology Task Force (TF). The TF was charged with developing an accurate snapshot of the current state of basic (preclinical) research in radiation oncology from the perspective of relevance to the modern clinical practice of radiation oncology as well as the education of our trainees and attending physicians in the biological sciences. The TF was further charged with making suggestions as to critical areas of biological basic research investigation that might be most likely to maintain and build further the scientific foundation and vitality of radiation oncology as an independent and vibrant medical specialty. It was not within the scope of service of the TF to consider the quality of ongoing research efforts within the broader radiation oncology space, to presume to consider their future potential, or to discourage in any way the investigators committed to areas of interest other than those targeted. The TF charge specifically precluded consideration of research issues related to technology, physics, or clinical investigations. This document represents an Executive Summary of the Task Force report.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2014

Attitudes Toward Blinding of Peer Review and Perceptions of Efficacy Within a Small Biomedical Specialty

Purpose: Peer reviewers' knowledge of author identity may influence review content, quality, and recommendations. Therefore, the International Journal of Radiation Oncology, Biology, Physics (“Red Journal”) implemented double-blinded peer review in 2011. Given the relatively small size of the specialty and the high frequency of preliminary abstract presentations, we sought to evaluate attitudes, the efficacy of blinding, and the potential impact on the disposition of submissions. Methods and Materials: In May through August 2012, all Red Journal reviewers and 1 author per manuscript completed questionnaires regarding demographics, attitudes, and perceptions of success of blinding. We also evaluated correlates of the outcomes of peer review. Results: Questionnaires were received from 408 authors and 519 reviewers (100%). The majority of respondents favored double blinding; 6% of authors and 13% of reviewers disagreed that double blinding should continue in the Red Journal. In all, 50% of the reviewers did not suspect the identity of the author of the paper that they reviewed; 19% of reviewers believed that they could identify the author(s), and 31% suspected that they could. Similarly, 23% believed that they knew the institution(s) from which the paper originated, and 34% suspected that they did. Among those who at least suspected author identity, 42% indicated that prior presentations served as a clue, and 57% indicated that literature referenced did so. Of those who at least suspected origin and provided details (n=133), 13% were entirely incorrect. Rejection was more common in 2012 than 2011, and submissions from last authors with higher H-indices (>21) were more likely to survive initial review, without evidence of interactions between submission year and author gender or H-index. Conclusions: In a relatively small specialty in which preliminary research presentations are common and occur in a limited number of venues, reviewers are often familiar with research findings and suspect author identity even when manuscript review is blinded. Nevertheless, blinding appears to be effective in many cases, and support for continuing blinding was strong.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2014

National Cancer Data Base Analysis of Radiation Therapy Consolidation Modality for Cervical Cancer: The Impact of New Technological Advancements

Purpose: To utilize the National Cancer Data Base to evaluate trends in brachytherapy and alternative radiation therapy utilization in the treatment of cervical cancer, to identify associations with outcomes between the various radiation therapy modalities. Methods and Materials: Patients with International Federation of Gynecology and Obstetrics stage IIB-IVA cervical cancer in the National Cancer Data Base who received treatment from January 2004 to December 2011 were analyzed. Overall survival was estimated by the Kaplan-Meier method. Univariate and multivariable analyses were performed to identify factors associated with type of boost radiation modality used and its impact on survival. Results: A total of 7654 patients had information regarding boost modality. A predominant proportion of patients were Caucasian (76.2%), had stage IIIB (48.9%) disease with squamous (82.0%) histology, were treated at academic/research centers (47.7%) in the South (34.8%), and lived 0 to 5 miles (27.9%) from the treating facility. A majority received brachytherapy (90.3%). From 2004 to 2011, brachytherapy use decreased from 96.7% to 86.1%, whereas intensity modulated radiation therapy (IMRT) and stereotactic body radiation therapy (SBRT) use increased from 3.3% to 13.9% in the same period (P<.01). Factors associated with decreased brachytherapy utilization included older age, stage IVA disease, smaller tumor size, later year of diagnosis, lower-volume treatment centers, and facility type. After controlling for significant factors from survival analyses, IMRT or SBRT boost resulted in inferior overall survival (hazard ratio, 1.86; 95% confidence interval, 1.35-2.55; P<.01) as compared with brachytherapy. In fact, the survival detriment associated with IMRT or SBRT boost was stronger than that associated with excluding chemotherapy (hazard ratio, 1.61′ 95% confidence interval, 1.27-2.04′ P<.01). Conclusions: Consolidation brachytherapy is a critical treatment component for locally advanced cervical cancer; however, there has been declining utilization of brachytherapy. Increased use of IMRT and SBRT boost coupled with increased mortality risk should raise concerns about utilizing these approaches over brachytherapy.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2014

Choosing Wisely? Patterns and Correlates of the Use of Hypofractionated Whole-Breast Radiation Therapy in the State of Michigan

Purpose: Given evidence from randomized trials that have established the non-inferiority of more convenient and less costly courses of hypofractionated radiotherapy to the whole breast in selected breast cancer patients who receive lumpectomy, we sought to investigate the use of hypofractionated radiation therapy and factors associated with its use in a consortium of radiation oncology practices in Michigan. We sought to determine the extent to which variation in use occurs at the physician or practice level versus the extent to which use reflects individualization based on potentially relevant patient characteristics (such as habitus, age, chemotherapy receipt, or laterality). Methods and Materials: We evaluated associations between receipt of hypofractionated radiation therapy and various patient, provider, and practice characteristics in a multilevel model. Results: Of 1477 patients who received lumpectomy and whole-breast radiation therapy and were registered by the Michigan Radiation Oncology Quality Consortium (MROQC) from October 2011 to December 2013, 913 had T1-2, N0 breast cancer. Of these 913, 283 (31%) received hypofractionated radiation therapy. Among the 13 practices, hypofractionated radiation therapy use ranged from 2% to 80%. On multilevel analysis, 51% of the variation in the rate of hypofractionation was attributable to the practice level, 21% to the provider level, and 28% to the patient level. On multivariable analysis, hypofractionation was more likely in patients who were older (odds ratio [OR] 2.16 for age ≥50 years, P=.007), less likely in those with larger body habitus (OR 0.52 if separation between tangent entry and exit ≥25 cm, P=.002), and more likely without chemotherapy receipt (OR 3.82, P<.001). Hypofractionation use was not higher in the last 6 months analyzed: 79 of 252 (31%) from June 2013 to December 2013 and 204 of 661 (31%) from October 2011 to May 2013 (P=.9). Conclusions: Hypofractionated regimens of whole-breast radiation therapy have been variably administered in the adjuvant setting in Michigan after the publication of long-term trial results and consensus guidelines. Most of this variability is explained at the practice and provider level rather than by patient-level features, although care is being individualized to some degree.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2015

Delayed Workforce Entry and High Emigration Rates for Recent Canadian Radiation Oncology Graduates

Purpose: To determine the employment status and location of recent Canadian radiation oncology (RO) graduates and to identify current workforce entry trends. Methods and Materials: A fill-in-the-blank spreadsheet was distributed to all RO program directors in December 2013 and June 2014, requesting the employment status and location of their graduates over the last 3 years. Visa trainee graduates were excluded. Results: Response rate from program directors was 100% for both survey administrations. Of 101 graduates identified, 99 (98%) had known employment status and location. In the December survey, 5 2013 graduates (16%), 17 2012 graduates (59%), and 18 2011 graduates (75%) had permanent staff employment. Six months later, 5 2014 graduates (29%), 15 2013 graduates (48%), 24 2012 graduates (83%), and 21 2011 graduates (88%) had secured staff positions. Fellowships and temporary locums were common for those without staff employment. The proportion of graduates with staff positions abroad increased from 22% to 26% 6 months later. Conclusions: Workforce entry for most RO graduates was delayed but showed steady improvement with longer time after graduation. High emigration rates for jobs abroad signify domestic employment challenges for newly certified, Canadian-trained radiation oncologists. Coordination on a national level is required to address and regulate radiation oncologist supply and demand disequilibrium in Canada.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗
DOE OSTI2016

Practical Implications of the Publication of Consensus Guidelines by the American Society for Radiation Oncology: Accelerated Partial Breast Irradiation and the National Cancer Data Base

Purpose: To examine utilization trends of accelerated partial breast irradiation (APBI) in the American College of Surgeons' National Cancer Database and changes in APBI use after the 2009 publication of the American Society for Radiation Oncology (ASTRO) guidelines. Methods and Materials: A total of 399,705 women were identified who were diagnosed from 2004 to 2011 with nonmetastatic invasive breast cancer or ductal carcinoma in situ who were treated with breast-conserving surgery and radiation therapy to the breast. Patients were divided by the type of treatment received (whole breast irradiation or APBI) and by suitability to receive APBI as defined by the ASTRO guidelines. Logistic regression was applied to study APBI use overall and within guideline categorization, and a multivariable model was created to determine predictors of treatment with brachytherapy-based APBI based on guideline categorization. Results: For all patients, APBI use increased, from 3.8% in 2004 to 10.6% in 2011 (P<.0001). Overall rates of APBI utilization were higher among “suitable” than “cautionary”/“unsuitable” patients (14.8% vs 7.1%, P<.0001). The majority of APBI treatment was delivered using brachytherapy, for which use peaked in 2008. Starting in 2009, among “suitable” patients, utilization of APBI via brachytherapy plateaued, whereas for “cautionary”/“unsuitable” patients, treatment with brachytherapy-based APBI declined and then plateaued. Conclusion: Use of APBI across all patient groups increased from 2004 through 2008. After publication of the ASTRO APBI guidelines in 2009, rates of brachytherapy-based APBI treatment plateaued among “suitable” patients and declined and then plateaued among “cautionary”/“unsuitable” patients. Our study highlights how large national databases can be used to assess national trends in radiation use in response to the publication of guidelines.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2021

Trends in Use of Hypofractionated Whole Breast Radiation in Breast Cancer: An Analysis of the National Cancer Database

Use of hypofractionated radiation (HR) as a component of breast-conserving treatment (BCT) in breast cancer is relatively low in the United States despite studies demonstrating its efficacy and guidelines supporting its use from the American Society for Radiation Oncology (ASTRO) in 2011 and 2018. Little is known regarding national trends in uptake and factors associated with uptake of HR in the US since the 2011 ASTRO guidelines.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2015

Spine stereotactic body radiation therapy plans: Achieving dose coverage, conformity, and dose falloff

We report our experience of establishing planning objectives to achieve dose coverage, conformity, and dose falloff for spine stereotactic body radiation therapy (SBRT) plans. Patients with spine lesions were treated using SBRT in our institution since September 2009. Since September 2011, we established the following planning objectives for our SBRT spine plans in addition to the cord dose constraints: (1) dose coverage—prescription dose (PD) to cover at least 95% planning target volume (PTV) and 90% PD to cover at least 99% PTV; (2) conformity index (CI)—ratio of prescription isodose volume (PIV) to the PTV < 1.2; (3) dose falloff—ratio of 50% PIV to the PTV (R{sub 50%}); (4) and maximum dose in percentage of PD at 2 cm from PTV in any direction (D{sub 2cm}) to follow Radiation Therapy Oncology Group (RTOG) 0915. We have retrospectively reviewed 66 separate spine lesions treated between September 2009 and December 2012 (31 treated before September 2011 [group 1] and 35 treated after [group 2]). The χ{sup 2} test was used to examine the difference in parameters between groups. The PTV V{sub 100%} {sub PD} ≥ 95% objective was met in 29.0% of group 1 vs 91.4% of group 2 (p < 0.01) plans. The PTV V{sub 90%} {sub PD} ≥ 99% objective was met in 38.7% of group 1 vs 88.6% of group 2 (p < 0.01) plans. Overall, 4 plans in group 1 had CI > 1.2 vs none in group 2 (p = 0.04). For D{sub 2cm}, 48.3% plans yielded a minor violation of the objectives and 16.1% a major violation for group 1, whereas 17.1% exhibited a minor violation and 2.9% a major violation for group 2 (p < 0.01). Spine SBRT plans can be improved on dose coverage, conformity, and dose falloff employing a combination of RTOG spine and lung SBRT protocol planning objectives.

61 RADIATION PROTECTION AND DOSIMETRY↗
DOE OSTI2013

Multiplicity and transverse momentum dependence of two- and four-particle correlations in pPb and PbPb collisions

Measurements of two- and four-particle angular correlations for charged particles emitted in pPb collisions are presented over a wide range in pseudorapidity and full azimuth. The data, corresponding to an integrated luminosity of approximately 31 inverse nanobarns, were collected during the 2013 LHC pPb run at a nucleon-nucleon center-of-mass energy of 5.02 TeV by the CMS experiment. The results are compared to 2.76 TeV semi-peripheral PbPb collision data, collected during the 2011 PbPb run, covering a similar range of particle multiplicities. The observed correlations are characterized by the near-side (abs(Delta(phi)~0) associated pair yields and the azimuthal anisotropy Fourier harmonics (v[n]). The second-order (v[2]) and third-order (v[3]) anisotropy harmonics are extracted using the two-particle azimuthal correlation technique. A four-particle correlation method is also applied to obtain the value of v[2] and further explore the multi-particle nature of the correlations. Both associated pair yields and anisotropy harmonics are studied as a function of particle multiplicity and transverse momentum. The associated pair yields, the four-particle v[2], and the v[3] become apparent at about the same multiplicity. A remarkable similarity in the v[3] signal as a function of multiplicity is observed between the pPb and PbPb systems. Predictions based on the color glass condensate and hydrodynamic models are compared to the experimental results.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗