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At least 1,585 records · Page 88
All sourcesNASA NTRSDOE OSTI
DOE OSTI2019

Scale-Adaptive Simulation of Transient Two-Phase Flow in Continuous-Casting Mold

Scale-adaptive simulation (SAS) of the transient gas–liquid two-phase flow in a laboratory-scale continuous-casting mold is presented. The main objective is to investigate the applicability of the scale-adaptive unsteady Reynolds-averaged Navier–Stokes turbulent model (URANS SAS) for predicting the transient multiscale turbulent structures in a two-phase flow. Good quantitative agreements with the experimental data and the large eddy simulation (LES) results are obtained both for the time-averaged velocity field and for the transient turbulent characteristics. The introduction of the von Karman length-scale into the turbulence-scale equation allows the SAS model to dynamically adjust to the resolved turbulent structures. The LES-like pulsating behavior of the air gas and the large-scale liquid eddy magnitudes in the unsteady regions of flow field are captured by the SAS model. The classical − 5/3 law of power spectrum density (PSD) of the axial velocity is kept properly for the single-phase turbulent flow. For two-phase flow, the decay of PSD is too steep at the high-frequency region; the predicted PSD obtained with SAS is damped stronger than that estimated by LES. The SAS model offers an attractive alternative to the existing LES approach or to the other hybrid RANS/LES models for strongly unsteady flows.

36 MATERIALS SCIENCE↗
DOE OSTI2023

Adaptive sampling quasi-Newton methods for zeroth-order stochastic optimization

Here, we consider unconstrained stochastic optimization problems with no available gradient information. Such problems arise in settings from derivative-free simulation optimization to reinforcement learning. We propose an adaptive sampling quasi-Newton method where we estimate the gradients using finite differences of stochastic function evaluations within a common random number framework. We develop modified versions of a norm test and an inner product quasi-Newton test to control the sample sizes used in the stochastic approximations and provide global convergence results to the neighborhood of a locally optimal solution. We present numerical experiments on simulation optimization problems to illustrate the performance of the proposed algorithm. When compared with classical zeroth-order stochastic gradient methods, we observe that our strategies of adapting the sample sizes significantly improve performance in terms of the number of stochastic function evaluations required.

97 MATHEMATICS AND COMPUTING↗
DOE OSTI2023

Adaptive primal–dual control for distributed energy resource management

With the increased adoption of distributed energy resources (DERs) in distribution networks, their coordinated control with a DER management system (DERMS) that provides grid services (e.g., voltage regulation, virtual power plant) is becoming more necessary. One particular type of DERMS using primal–dual control has recently been found to be very effective at providing multiple grid services among an aggregation of DERs; however, the main parameter, the primal–dual step size, must be manually tuned for the DERMS to be effective, which can take a considerable amount of engineering time and labor. To this end, we design a simple method that self-tunes the step size(s) and adapts it to changing system conditions. Additionally, it gives the DER management operator the ability to prioritize among possibly competing grid services. Here we evaluate the automatic tuning method on a simulation model of a real-world feeder in Colorado with data obtained from an electric utility. Through a variety of scenarios, we demonstrate that the DERMS with automatically and adaptively tuned step sizes provides higher-quality grid services than a DERMS with a manually tuned step size.

24 POWER TRANSMISSION AND DISTRIBUTION↗
DOE OSTI2023

Adaptive cold-load pickup considerations in 2-stage microgrid unit commitment for enhancing microgrid resilience

In an extended main grid outage spanning multiple days, load shedding serves as a critical mechanism for islanded microgrids to maintain essential power and energy reserves that are indispensable for fulfilling reliability and resiliency mandates. However, using load shedding for such purposes leads to increasing occurrence of cold load pickup (CLPU) events. Here, this study presents an innovative adaptive CLPU model that introduces a method for determining and incorporating parameters related to CLPU power and energy requirements into a two-stage microgrid unit commitment (MGUC) algorithm. In contrast to the traditional fixed-CLPU-curve approach, this model calculates CLPU duration, power, and energy demands by considering outage durations and ambient temperature variations within the MGUC process. By integrating the adaptive CLPU model into the MGUC problem formulation, it allows for the optimal allocation of energy resources throughout the entire scheduling horizon to fulfill the CLPU requirements when scheduling multiple CLPU events. The performance of the enhanced MGUC algorithm considering CLPU needs is assessed using actual load and photovoltaic (PV) data. Simulation results demonstrate significant improvements in dispatch optimality evaluated by the amount of load served, customer comfort, energy storage operation, and adherence to energy schedules. These enhancements collectively contribute to reliable and resilient microgrid operation.

24 POWER TRANSMISSION AND DISTRIBUTION↗
DOE OSTI2017

Increase in proteins involved in mitochondrial fission, mitophagy, proteolysis and antioxidant response in type I endometrial cancer as an adaptive response to respiratory complex I deficiency

Pathogenic mtDNA mutations associated with alterations of respiratory complex I, mitochondrial proliferation (oncocytic-like phenotype) and increase in antioxidant response were previously reported in type I endometrial carcinoma (EC). To evaluate whether in the presence of pathogenic mtDNA mutations other mitochondrial adaptive processes are triggered by cancer cells, the expression level of proteins involved in mitochondrial dynamics, mitophagy, proteolysis and apoptosis were evaluated in type I ECs harboring pathogenic mtDNA mutations and complex I deficiency. An increase in the fission protein Drp1, in the mitophagy protein BNIP3, in the mitochondrial protease CLPP, in the antioxidant and anti-apoptotic protein ALR and in Bcl-2 as well as a decrease in the fusion protein Mfn2 were found in cancer compared to matched non malignant tissue. Moreover, the level of these proteins was measured in type I EC, in hyperplastic (the premalignant form) and in non malignant tissues to verify whether the altered expression of these proteins is a common feature of endometrial cancer and of hyperplastic tissue. This analysis confirmed in type I EC samples, but not in hyperplasia, an alteration of the expression level of these proteins. These results suggest that in this cancer mitochondrial fission, antioxidant and anti-apoptotic response may be activated, as well as the discharge of damaged mitochondrial proteins as adaptation processes to mitochondrial dysfunction.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2021

Adaptive behavior and different thermal experiences of real people: A Bayesian neural network approach to thermal preference prediction and classification

Various observed and unquantifiable factors affect the thermal comfort of occupants in indoor environments and can lead to high uncertainty in the prediction and classification of their thermal preferences. The behavioral adaptation of occupants, by operating window systems for example, changes their thermal experience and expectations and therefore contributes to even higher prediction uncertainty. In this study, we applied a Bayesian neural network (BNN) algorithm to build a predictive model for occupant thermal preference using the ASHRAE Global Thermal Comfort Database II. The Bayesian method allows us to synthesize prior knowledge and available measurements into a unified modeling framework. It also offers a way to express and quantify uncertainty. Here we have performed a systematic study to test the efficiency and robustness of different BNN model configurations. In this study, the results show that the BNN model outperforms conventional thermal comfort models such as Predicted Mean Vote (PMV) and adaptive comfort model. The BNN model tends to produce more confident “prefer cooler” predictions with high possibility and low uncertainty. In contrast, the BNN model produces less certain predictions for “prefer no change” and “prefer warmer” across all occupants. Our findings suggest that linking occupants’ subjective evaluation measures and window opening/closing behavior to thermal comfort modeling effectively improves predictive performance.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2025

Boosting efficiency and reducing graph reliance: Basis adaptation integration in Bayesian multi-fidelity networks

The computational cost of high-fidelity numerical models makes outer-loop analysis, which requires repeated interrogation of the model such as uncertainty quantification, computationally demanding. Multi-fidelity methods, which construct a surrogate model using data from an ensemble of models of varying cost and accuracy, can substantially reduce the cost of outer-loop analysis. However, these methods can be difficult to apply when the model ensemble does not admit a clear hierarchy a priori and the correlations between models are low. Consequently, in this paper, we present a multi-fidelity method that leverages dimension reduction to enhance the correlation between models, thereby reducing the amount of data needed to train a surrogate from an unordered ensemble of models. Our method utilizes basis adaptation to build low-dimensional polynomial chaos expansions of each model and employs Multi-fidelity Networks to encode the relationships among models. We show that the resulting method exhibit two notable advantages over its counterpart: (1) enhanced accuracy (both reduced bias and variance); and (2) reduced dependency on the graph structure encoding relationships among models. We demonstrate the approach on an analytical test problem and a challenging finite element model for a spent nuclear fuel. Our method produces a surrogate model that is significantly more accurate than either a single-fidelity surrogate or a multi-fidelity surrogate constructed without basis adaptation.

42 ENGINEERING↗
DOE OSTI2019

Adaptive mesh refinement for steady flows in Nek5000

Adaptive mesh refinement is performed in the framework of the spectral element method augmented by approaches to error estimation and control. The h-refinement technique is used for adapting the mesh, where selected grid elements are split by a quadtree (2D) or octree (3D) structure. Continuity between parent-child elements is enforced by high-order interpolation of the solution across the common faces. Parallel mesh partitioning and grid management respectively, are taken care of by the external libraries ParMETIS and p4est. Two methods are considered for estimating and controlling the error of the solution. The first error estimate is local and based on the spectral properties of the solution on each element. This method gives a local measure of the L-2-norm of the solution over the entire computational domain. The second error estimate uses the dual-weighted residuals method - it is based on and takes into account both the local properties of the solution and the global dependence of the error in the solution via an adjoint problem. The objective of this second approach is to optimize the computation of a given functional of physical interest. The simulations are performed by using the code Nek5000 and three steady-state test cases are studied: a two-dimensional lid-driven cavity at Re = 7, 500, a two-dimensional flow past a cylinder at Re = 40, and a three-dimensional lid-driven cavity at Re = 2,000 with a moving lid tilted by an angle of 30 degrees. Finally, the efficiency of both error estimators is compared in terms of refinement patterns and accuracy on the functional of interest. In the case of the adjoint error estimators, the trend on the error of the functional is shown to be correctly represented up to a multiplicative constant.

42 ENGINEERING↗
DOE OSTI2019

DFT-FE – A massively parallel adaptive finite-element code for large-scale density functional theory calculations

We present an accurate, efficient and massively parallel finite-element code, DFT-FE, for large-scale ab-initio calculations (reaching ~100,000 electrons) using Kohn-Sham density functional theory (DFT). DFT-FE is based on a local real-space variational formulation of the Kohn-Sham DFT energy functional that is discretized using a higher-order adaptive spectral finite-element (FE) basis, and treats pseudopotential and all-electron calculations in the same framework, while accommodating non-periodic, semi-periodic and periodic boundary conditions. We discuss the main aspects of the code, which include, the various strategies of adaptive FE basis generation, and the different approaches employed in the numerical implementation of the solution of the discrete Kohn-Sham problem that are focused on significantly reducing the floating point operations, communication costs and latency. We demonstrate the accuracy of DFT-FE by comparing the energies, ionic forces and periodic cell stresses on a wide range of problems with popularly used DFT codes. Further, we demonstrate that DFT-FE significantly outperforms widely used plane-wave codes---both in CPU-times and wall-times, and on both non-periodic and periodic systems---at systems sizes beyond a few thousand electrons, with over 5-10 fold speedups in systems with more than 10,000 electrons. In conclusion, the benchmark studies also highlight the excellent parallel scalability of DFT-FE, with strong scaling demonstrated on up to 192,000 MPI tasks.

97 MATHEMATICS AND COMPUTING↗
DOE OSTI2016

Adaptation of EVIAVE methodology for monitoring and follow-up when evaluating the environmental impact of landfills

Treatment and final disposal of Municipal Solid Waste can have a significant role in the generation of negative environmental impacts. As a prevention strategy, such activities are subjected to the process of Environmental Impact Assessment (EIA). Still, the follow-up of Environmental Management Plans or mitigation measures is limited, for one due to a lack of methodological approaches. In searching for possibilities, the University of Granada (Spain) developed a diagnostic methodology named EVIAVE, which allows one to quantify, by means of indexes, the environmental impact of landfills in view of their location and the conditions of exploitation. EVIAVE is applicable within the legal framework of the European Union and can be adapted to the environmental and legal conditions of other countries. This study entails its adaptation in Colombia, for the follow-up and control of the EIA process for landfills. Modifications involved inclusion of the environmental elements flora and fauna, and the evaluation of the environmental descriptors in agreement with the concept of vulnerability. The application of the modified EVIAVE in Colombian landfills allowed us to identify the elements affected by the operating conditions and maintenance. It may be concluded that this methodology is viable and effective for the follow-up and environmental control of EIA processes for landfills, and to analyze the associated risks, as it takes into account related environmental threats and vulnerabilities. - Highlights: • A modified methodology is used to monitor and follow-up environmental impacts in landfills. • The improved methodology includes the Vulnerability of Flora and Fauna to evaluate environmental impact of landfills. • The methodology serves to identify and evaluate the sources of risk generated in the construction and siting of landfills. • Environmental vulnerability indicators improve effectiveness of the control and follow-up phases of landfill management. • The follow-up of environmental management plans may help diminish the implementation gap in Environmental Impact Assessment.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2023

Off-policy deep reinforcement learning with automatic entropy adjustment for adaptive online grid emergency control

Electric overloading conditions and contingencies put modern power systems at risk of voltage collapse and blackouts. Load shedding is crucial to maintain voltage stability for grid emergency control. However, the rule- or model-based schemes rely on accurate dynamic system models and face considerable challenges in adapting to various operating conditions and uncertain event occurrences. Here, to address these issues, this paper proposes a novel deep reinforcement learning (DRL)-based voltage stability control algorithm with automatic entropy adjustment (AEA) for grid emergency control. Various dynamic network components for complex system operations are modeled to construct the DRL environment. An off-policy soft actor-critic architecture is developed to maximize the expected reward and policy entropy simultaneously. The AEA mechanism is proposed to facilitate the policy maximum entropy procedure, and the proposed method can automatically provide effective discrete and continuous actions against various fault scenarios. Our approach accomplishes high sampling efficiency, scalability, and auto-adaptivity of the control policies under high uncertainties. Comparative studies with the existing DRL-based control methods in IEEE benchmarks indicate salient performance improvement of the proposed method for dynamic system emergency control.

24 POWER TRANSMISSION AND DISTRIBUTION↗
DOE OSTI2025

Adaptive Interface-PINNs (AdaI-PINNs) for transient diffusion: Applications to forward and inverse problems in heterogeneous media

We model transient diffusion in heterogeneous materials using a novel physics-informed neural networks framework (PINNs) termed Adaptive interface physics-informed neural networks or AdaI-PINNs (Roy et al. arXiv preprint arXiv:2406.04626, 2024). AdaI-PINNs utilize different activation functions with trainable slopes tailored to each material region within the computational domain, allowing for a fully automated and adaptive PINNs approach to model interface problems with strongly and weakly discontinuous solutions. To enhance its performance in highly heterogeneous transient diffusion systems, we prescribe a suite of robust practices, including appropriate non-dimensionalization of equations, a biased sampling method, Glorot initialization, and the hard enforcement of boundary and initial conditions. Here we evaluate the efficacy of the proposed method on several benchmark forward and inverse problems. Comparative studies on one-dimensional and two-dimensional benchmark problems reveal that the modified AdaI-PINNs outperform its unmodified counterpart, achieving root-mean-square errors that are at least two orders of magnitude better in forward problems. For inverse problems, the maximum errors in the approximated diffusion coefficients by modified AdaI-PINNs are four orders of magnitude better than those of the unmodified version. Additionally, modified AdaI-PINNs demonstrate improved stability in problems with large material mismatches.

42 ENGINEERING↗
DOE OSTI2025

Adaptive Interface-PINNs (AdaI-PINNs) for inverse problems: Determining material properties for heterogeneous systems

Here, we determine spatially varying discontinuous material properties using a domain-decomposition based physics-informed neural networks (PINNs) framework named the Adaptive Interface-PINNs or AdaI-PINNs (Roy et al., 2024). We propose the use of distinct neural networks for the field variables and material properties within each material, utilizing adaptive activation functions. While the neural networks across different materials share the same weights and biases, their activation functions are uniquely tailored using a hyperparameter that influences the slope of the activation function. The proposed framework is tested on several one-dimensional and two-dimensional benchmark examples, and its performance is compared with conventional PINNs and existing domain-decomposition PINNs frameworks, namely, the Multi-domain physics-informed neural network (M-PINN), and the eXtended physics-informed neural networks (XPINNs). The results demonstrate that the proposed approach can determine randomly distributed discontinuous material properties with an L 2 error of $\mathscr{O}$ (10 -3 ) for the material property and the root-mean-square error of $\mathscr{O}$ (10 -3 ) for the primary variable while the other approaches yield errors that are approximately two orders of magnitude larger (that is, $\mathscr{O}$ (10 -1 )). Moreover, the spatial distribution of material properties obtained using the proposed framework is in close agreement with the true distribution, whereas the other approaches fare much worse. Additionally, the proposed approach is approximately 40% faster than its competitors, indicating its potential as a robust alternative for solving inverse problems in heterogeneous materials.

36 MATERIALS SCIENCE↗
DOE OSTI2024

Trajectory Shaper: A Solution for Disrupted Cooperative Adaptive Cruise Control

Cooperative adaptive cruise control (CACC) can effectively reduce energy consumption, alleviate traffic congestion, and enhance safety. However, communication-related constraints and uncooperative vehicle users can disrupt CACC during real-world operations, significantly undermining the putative benefits of CACC. To alleviate the negative impacts of disrupted CACC, this study develops the trajectory shaper (TS) methods as backup solutions for two scenarios: (i) communication between vehicles is infeasible, and vehicles execute adaptive cruise control (ACC) using local sensor measurements; (ii) follower vehicles reject forming a cooperative platoon and execute their local distributed controllers using the information attained via communication. When communication is infeasible, a distributed TS is devised on each vehicle to modify the sensor measurements, enabling safe and efficient ACC operations. When communication is available but uncooperative agents are involved, the lead vehicle of the platoon executes a centralized TS to modify the information shared with uncooperative agents, achieving optimal platoon-level performance. The centralized and distributed TSs are implemented based on the model predictive control algorithms to yield optimal modifications on input information. Robustness is also factored to tackle model uncertainties during TS operations to ensure safety and efficiency. Numerical experiments validate the control performance of the proposed TSs.

Zhou, Anye [ORNL] (ORCID:0000000301455579)↗
DOE OSTI2025

Adaptive Algebraic Derivative Estimation for Battery Electric Buses Energy Consumption Forecasting

The limited service life of onboard batteries for EVs is a challenge, underscoring the need for real-time battery usage prediction. This paper proposes an adaptive Algebraic Derivative Estimation (ADE) approach for forecasting the energy consumption of battery electric buses. By dynamically adjusting the sliding window length, the adaptive ADE retains the fixed-length ADE’s key advantage—namely, operating online without reliance on extensive historical datasets—while substantially bolstering forecast accuracy by actively trading estimation bias off estimation variance. Comparative experiments against both the conventional ADE with a fixed length and a representative machine learning algorithm, XGBoost, were conducted, with performance evaluated via root mean square error, mean absolute error, and the coefficient of determination. The results demonstrate that the proposed approach significantly outperforms baseline methods.

Cui, Tianyang [The University of Texas at Dallas]↗
DOE OSTI2014

Clinical Implementation of an Online Adaptive Plan-of-the-Day Protocol for Nonrigid Motion Management in Locally Advanced Cervical Cancer IMRT

Purpose: To evaluate the clinical implementation of an online adaptive plan-of-the-day protocol for nonrigid target motion management in locally advanced cervical cancer intensity modulated radiation therapy (IMRT). Methods and Materials: Each of the 64 patients had four markers implanted in the vaginal fornix to verify the position of the cervix during treatment. Full and empty bladder computed tomography (CT) scans were acquired prior to treatment to build a bladder volume-dependent cervix-uterus motion model for establishment of the plan library. In the first phase of clinical implementation, the library consisted of one IMRT plan based on a single model-predicted internal target volume (mpITV), covering the target for the whole pretreatment observed bladder volume range, and a 3D conformal radiation therapy (3DCRT) motion-robust backup plan based on the same mpITV. The planning target volume (PTV) combined the ITV and nodal clinical target volume (CTV), expanded with a 1-cm margin. In the second phase, for patients showing >2.5-cm bladder-induced cervix-uterus motion during planning, two IMRT plans were constructed, based on mpITVs for empty-to-half-full and half-full-to-full bladder. In both phases, a daily cone beam CT (CBCT) scan was acquired to first position the patient based on bony anatomy and nodal targets and then select the appropriate plan. Daily post-treatment CBCT was used to verify plan selection. Results: Twenty-four and 40 patients were included in the first and second phase, respectively. In the second phase, 11 patients had two IMRT plans. Overall, an IMRT plan was used in 82.4% of fractions. The main reasons for selecting the motion-robust backup plan were uterus outside the PTV (27.5%) and markers outside their margin (21.3%). In patients with two IMRT plans, the half-full-to-full bladder plan was selected on average in 45% of the first 12 fractions, which was reduced to 35% in the last treatment fractions. Conclusions: The implemented online adaptive plan-of-the-day protocol for locally advanced cervical cancer enables (almost) daily tissue-sparing IMRT.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2016

Clinical Outcomes With Dose-Escalated Adaptive Radiation Therapy for Urinary Bladder Cancer: A Prospective Study

Purpose: The purpose of this study was to assess feasibility, clinical outcomes, and toxicity in patients with bladder cancer treated with adaptive, image guided radiation therapy (IGRT) for bladder preservation as a part of trimodality treatment. The role of dose escalation was also studied. Methods and Materials: Forty-four patients with localized bladder cancer were enrolled in a prospective study. They underwent maximal safe resection of bladder tumor and concurrent platinum-based chemotherapy. Patients with large tumors were offered induction chemotherapy. Radiation therapy planning was done using either 3 (n=34) or 6 (n=10) concentrically grown planning target volumes (PTV). Patients received 64 Gy in 32 fractions to the whole bladder and 55 Gy to the pelvic nodes and, if appropriate, a simultaneous integrated boost to the tumor bed to 68 Gy (equivalent dose for 2-Gy fractions assuming α/β of 10 [EQD2]{sub 10} = 68.7 Gy). Daily megavoltage (MV) imaging helped to choose the most appropriate PTV encompassing bladder for the particular day (using plan-of-the-day approach). Results: Most patients (88%) had T2 disease. Sixteen patients (36%) received neoadjuvant chemotherapy. A majority of the patients (73%) received prophylactic nodal irradiation, whereas 55% of the patients received escalated dose to the tumor bed. With a median follow-up of 30 months, the 3-year locoregional control (LRC), disease-free survival, and overall survival (OS) were 78%, 66%, and 67%, respectively. The bladder preservation rate was 83%. LRC (87% vs 68%, respectively, P=.748) and OS (74% vs 60%, respectively, P=.36) rates were better in patients receiving dose escalation. Instances of acute and late Radiation Therapy Oncology Group (RTOG) grade 3 genitourinary toxicity was seen in 5 (11%) and 2 (4%) patients, respectively. There was no acute or late RTOG grade 3 or higher gastrointestinal toxicity. Conclusions: Adaptive IGRT using plan-of-the-day approach for bladder preservation is clinically feasible, with good oncological outcomes and low rates of acute and late toxicities. Dose escalation is safe and possibly improves outcomes in bladder preservation.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2016

Prospective Study Delivering Simultaneous Integrated High-dose Tumor Boost (≤70 Gy) With Image Guided Adaptive Radiation Therapy for Radical Treatment of Localized Muscle-Invasive Bladder Cancer

Purpose: Image guided adaptive radiation therapy offers individualized solutions to improve target coverage and reduce normal tissue irradiation, allowing the opportunity to increase the radiation tumor dose and spare normal bladder tissue. Methods and Materials: A library of 3 intensity modulated radiation therapy plans were created (small, medium, and large) from planning computed tomography (CT) scans performed at 30 and 60 minutes; treating the whole bladder to 52 Gy and the tumor to 70 Gy in 32 fractions. A “plan of the day” approach was used for treatment delivery. A post-treatment cone beam CT (CBCT) scan was acquired weekly to assess intrafraction filling and coverage. Results: A total of 18 patients completed treatment to 70 Gy. The plan and treatment for 1 patient was to 68 Gy. Also, 1 patient's plan was to 70 Gy but the patient was treated to a total dose of 65.6 Gy because dose-limiting toxicity occurred before dose escalation. A total of 734 CBCT scans were evaluated. Small, medium, and large plans were used in 36%, 48%, and 16% of cases, respectively. The mean ± standard deviation rate of intrafraction filling at the start of treatment (ie, week 1) was 4.0 ± 4.8 mL/min (range 0.1-19.4) and at end of radiation therapy (ie, week 5 or 6) was 1.1 ± 1.6 mL/min (range 0.01-7.5; P=.002). The mean D{sub 98} (dose received by 98% volume) of the tumor boost and bladder as assessed on the post-treatment CBCT scan was 97.07% ± 2.10% (range 89.0%-104%) and 99.97% ± 2.62% (range 96.4%-112.0%). At a median follow-up period of 19 months (range 4-33), no muscle-invasive recurrences had developed. Two patients experienced late toxicity (both grade 3 cystitis) at 5.3 months (now resolved) and 18 months after radiation therapy. Conclusions: Image guided adaptive radiation therapy using intensity modulated radiation therapy to deliver a simultaneous integrated tumor boost to 70 Gy is feasible, with acceptable toxicity, and will be evaluated in a randomized trial.

62 RADIOLOGY AND NUCLEAR MEDICINE↗