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All sourcesNASA NTRSDOE OSTI
DOE OSTI2017

Enantiomerically enriched, polycrystalline molecular sieves

Zeolite and zeolite-like molecular sieves are being used in a large number of applications such as adsorption and catalysis. Achievement of the long-standing goal of creating a chiral, polycrystalline molecular sieve with bulk enantioenrichment would enable these materials to perform enantioselective functions. Here, we report the synthesis of enantiomerically enriched samples of a molecular sieve. For this study, enantiopure organic structure directing agents are designed with the assistance of computational methods and used to synthesize enantioenriched, polycrystalline molecular sieve samples of either enantiomer. Computational results correctly predicted which enantiomer is obtained, and enantiomeric enrichment is proven by high-resolution transmission electron microscopy. The enantioenriched and racemic samples of the molecular sieves are tested as adsorbents and heterogeneous catalysts. The enantioenriched molecular sieves show enantioselectivity for the ring opening reaction of epoxides and enantioselective adsorption of 2-butanol (the R enantiomer of the molecular sieve shows opposite and approximately equal enantioselectivity compared with the S enantiomer of the molecular sieve, whereas the racemic sample of the molecular sieve shows no enantioselectivity).

36 MATERIALS SCIENCE↗
DOE OSTI2020

3d TQFTs from Argyres–Douglas theories

We construct a new class of three-dimensional topological quantum field theories (3d TQFTs) by considering generalized Argyres–Douglas theories on S 1 × M 3 with a non-trivial holonomy of a discrete global symmetry along the S 1 . For the minimal choice of the holonomy, the resulting 3d TQFTs are non-unitary and semisimple, thus distinguishing themselves from theories of Chern–Simons and Rozansky–Witten types respectively. Changing the holonomy performs a Galois transformation on the TQFT, which can sometimes give rise to more familiar unitary theories such as the ${\left({G}_{2}\right)}_{1}$ and ${\left({F}_{4}\right)}_{1}$ Chern–Simons theories. Our construction is based on an intriguing relation between topologically twisted partition functions, wild Hitchin characters, and chiral algebras which, when combined together, relate Coulomb branch and Higgs branch data of the same 4d $\mathcal{N}=2$ theory. Finally, we test our proposal by applying localization techniques to the conjectural $\mathcal{N}=1$ UV Lagrangian descriptions of the (A 1 , A 2 ), (A 1 , A 3 ) and (A 1 , D 3 ) theories.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗
DOE OSTI2025

Forecasting constraints on the high-z IGM thermal state from the Lyman-α forest flux autocorrelation function

ABSTRACT The autocorrelation function of the Lyman-$\alpha$ (Ly $\alpha$) forest flux from high-z quasars probes the small-scale structure of the intergalactic medium (IGM). The thermal state of the IGM, determined by the physics of reionization, sets the small-scale power observed in the Ly $\alpha$ forest. To explore the sensitivity of the autocorrelation function to the IGM’s thermal state, we compute the autocorrelation function from a cosmological hydrodynamical simulation with an instantaneous reionization model and 135 post-processed thermal states. Using mock data sets of 20 quasars, we forecast constraints on $T_0$ and $\gamma$, which characterize the post-processed IGM thermal state, at $5.4 \le z \le 6$. While this model simplifies the IGM’s thermal state, it serves as a key first step in assessing future observational prospects. We also perform an inference test on mocks and re-weight out posterior distributions to guarantee that they exhibit statistically correct behaviour. At $z = 5.4$, we find that an idealized data set constrains $T_0$ to 59 per cent and $\gamma$ to 16 per cent at the 1$\sigma$ equivalent confidence level. To explore more realistic, non-instantaneous reionization scenarios, we analyse four models combining temperature and ultraviolet background (UVB) fluctuations at $z = 5.8$. We find that mock data generated from a model with both temperature and UVB fluctuations can rule out a model with only temperature fluctuations at the $> 1\sigma$ level 73.9 per cent of the time.

Wolfson, Molly↗
DOE OSTI2015

SU-E-J-200: Operation of An Electron Accelerator On An Integrated MR-Linac System

Purpose: An integrated MRI guided radiotherapy system poses a challenge of operating a linear accelerator in the presence of a magnetic field as the magnetic force acting on the electrons could Result in radiation source displacement and subsequent reduction of dose output. It was the purpose of this work to test the performance of a linac in the presence of a 1.5T MRI system. Methods: The first experimental MRI guided radiotherapy system at UMC-Utrecht consisting of an Elekta linac rotating around a 1.5T Magnex magnet was examined. A passive magnetic shield was simulated, designed and installed to reduce the influence of the MRI magnet stray field on the electron beamline. The B field inside the shield was measured as a function of gantry angle and measurements of dose rate constancy upon gantry rotation were performed. Results: The magnitude of the magnetic field on the electron beam path without the shield was as high as 70G. It varied by up to 15G with gantry rotation due to the presence of metal beams in the bunker floor which resulted in dose output drop of up to 70% at certain gantry angles. With the prototype shield, field magnitude was reduced to well below 0.5G everywhere along the electron beam path. Field variation with gantry rotation was decreased to below 0.2G and enabled dose output of the linac to be recovered at all gantry angles. The homogeneity of the field inside the MRI magnet has not been compromised. Conclusion: It was demonstrated that the influence of the 1.5T magnet and the bunker design on the linac operation has been minimised. The performance will be further improved on the Elekta Atlantic system which incorporates a newly developed and optimised Philips magnet design and bunker construction. J Harasimowicz, D Roberts, I Shinton and S Sund are employed by Elekta Limited Crawley, H Wang and M Zhong are employed by Elekta Beijing Medical Systems Co. Ltd., J Overweg is employed by Philips Technologie GmbH Forschungslaboratorien.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2016

A highly active and stable IrO x /SrIrO 3 catalyst for the oxygen evolution reaction

Oxygen electrochemistry plays a key role in renewable energy technologies such as fuel cells and electrolyzers, but the slow kinetics of the oxygen evolution reaction (OER) limit the performance and commercialization of such devices. Here we report an iridium oxide/strontium iridium oxide (IrO x /SrIrO 3 ) catalyst formed during electrochemical testing by strontium leaching from surface layers of thin films of SrIrO 3 . This catalyst has demonstrated specific activity at 10 milliamps per square centimeter of oxide catalyst (OER current normalized to catalyst surface area), with only 270 to 290 millivolts of overpotential for 30 hours of continuous testing in acidic electrolyte. Density functional theory calculations suggest the formation of highly active surface layers during strontium leaching with IrO 3 or anatase IrO 2 motifs. The IrO x /SrIrO 3 catalyst outperforms known IrO x and ruthenium oxide (RuO x ) systems, the only other OER catalysts that have reasonable activity in acidic electrolyte.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗
DOE OSTI2022

Classification of bacterial plasmid and chromosome derived sequences using machine learning

Plasmids are important genetic elements that facilitate horizonal gene transfer between bacteria and contribute to the spread of virulence and antimicrobial resistance. Most bacterial genome sequences in the public archives exist in draft form with many contigs, making it difficult to determine if a contig is of chromosomal or plasmid origin. Using a training set of contigs comprising 10,584 chromosomes and 10,654 plasmids from the PATRIC database, we evaluated several machine learning models including random forest, logistic regression, XGBoost, and a neural network for their ability to classify chromosomal and plasmid sequences using nucleotide k-mers as features. Based on the methods tested, a neural network model that used nucleotide 6-mers as features that was trained on randomly selected chromosomal and plasmid subsequences 5kb in length achieved the best performance, outperforming existing out-of-the-box methods, with an average accuracy of 89.38% ± 2.16% over a 10-fold cross validation. The model accuracy can be improved to 92.08% by using a voting strategy when classifying holdout sequences. In both plasmids and chromosomes, subsequences encoding functions involved in horizontal gene transfer—including hypothetical proteins, transporters, phage, mobile elements, and CRISPR elements—were most likely to be misclassified by the model. This study provides a straightforward approach for identifying plasmid-encoding sequences in short read assemblies without the need for sequence alignment-based tools.

59 BASIC BIOLOGICAL SCIENCES↗
DOE OSTI2024

Equipment Qualification Report Environmental Qualification of GNB Absolyte Valve Regulated Lead Acid (VRLA) 1600 Ah100G33 Battery Rack Assembly (24590-QL-POA-EDB0-00001-11-00002_00A)

Greenberry Environmental Qualification Report 550001.001-35.0.5 provides basis for assignment of qualified life for: GNB Absolyte Valve Regulated Lead Acid (VRLA) 1600 Ah 100G33 Battery Rack Assembly in accordance with the requirements specified 24590-WTP-3PS-G000-T0015 (Rev 2) and Environmental Qualification Plan 550001.001-35.0.1 (Rev. 3). The equipment qualification basis represents the most conservative capability of the equipment. The analysis performed for the qualification is not less conservative than the bounding environmental conditions detailed in contract documents issued to Greenberry in contract 24509-QL-POA-EDB0-00001 Rev.0. The qualified life of 10 years has been established based upon an end-condition objective of the equipment condition indicators that correlate to the ability of equipment to perform its safety function. The VRLA Battery Cell Assembly was aged by 10 years (minimum) in accordance with conditions specified by Bechtel Equipment Qualification Datasheet 24590-LAW-EUQ-UPE 00003 Rev. 3 and the process conditions specified by the Instrument Data Sheet 24590-LAW EUD-UPE-00009 Rev. 2. Greenberry Industrial has contracted with GNB Industrial Battery Co located at 4115 S Zero St, Fort Smith, AR 72908 to perform age conditioning, monitoring, and capacity testing in accordance with Environmental Qualification Plan 550001.001-35.0.1 Rev. 1. The required process at the stated conditions set by the parameters established by the plan were completed satisfactorily. The details of the of the test process observed by Greenberry is detailed in the attached Seismic Test Log 550001.001-7.0.3, including examples of the objective evidence collected during the qualification process.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

Summary and Assessment of Metal Fuel Capabilities in Bison

The work described in this report was performed under funding from the Nuclear Energy Advanced Modeling and Simulation (NEAMS) program. This report is issued in satisfaction of the level 2 milestone M2MS-18IN0201012 on Release Bison with Initial Metallic Fuel Performance Capability. Metallic fuel development began in Bison a few years after light water reactor development began (~ 2009). The initial development was funded by the Advanced Fuels Campaign. With recent interest from industry, the Nuclear Regulatory Commission, and the Versatile Test Reactor program, the Nuclear Energy Modeling Simulation Program has increased funding for metallic fuel development and validation in FY18. The material models with the most mature development are binary uranium-zirconium and ternary uranium-plutonium-zirconium alloys for fuel and HT9 for cladding. The first material models were incorporated from open literature sources, which include mechanical and thermal material properties that are functions of temperature, porosity, and zirconium concentration, swelling, fission gas release, zirconium diffusion, creep, and sodium coolant channel boundary conditions. These material models have been utilized to simulate ERB-II fuel pins and the results compared to measurements. The EBR-II experiment measurements mostly consist of cladding strain and zirconium redistribution. As such, comparisons to EBR-II measurements are currently limited to these two figures of merit. Simulations and comparisons to experiment measurements have also been done for transient testing of EBR- II fuel pins in TREAT, which included temperature measurements. Preliminary comparisons between Bison calculations and experiment measurements are favorable. These comparisons have also highlighted the importance of the fuel swelling and fission gas release models on cladding strain. Also, Bison metallic fuel simulations are currently being run in support of ATR experiments and VTR exploratory design calculations. Further development and evaluation of individual material models and fuel system models are planned for FY19.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗
DOE OSTI2015

Experimental and numerical validation of an ultrasonic visualization system for nuclear reactor application

This paper deals with the design of ultrasonic imaging systems for the next generation of nuclear reactors cooled by liquid metal. Indeed, a generation IV research nuclear reactor is being developed by the Belgian Nuclear Research Center (SCK-CEN) in the frame of the MYRRHA project (for Multipurpose hYbrid Research Reactor for High-tech Applications). This sub-critical/critical reactor is cooled by Lead-Bismuth Eutectic (LBE). The opacity of this liquid metal requires the development of an ultrasonic visualization system for internal inspection and object detection. But due to the peculiar conditions met in the core of the reactor, velocity as well as temperature gradients are expected and are likely to affect directly the ultrasonic propagation. The objective of this work is to validate the ultrasonic imaging strategy by tests performed in a dedicated test rig and by numerical simulations using a ray-tracing method. The experimental investigations have been performed on a specific water facility reproducing conditions similar to those encountered in the core of the MYRRHA reactor. These conditions include the propagation over large distance, and the presence of temperature and velocity gradients. In the MYRRHA reactor application, the distance to be travelled by the acoustic waves of the visualization system is about 5 m, including a reflection. The acoustic absorption, the scattering losses, the beam divergence and the transmitted energy during reflection have been determined as a function of the travelled distance. The experimental values are compared with the literature for validation. The presence of temperature and velocity gradients in the core of the reactor is due to the coolant circulation. These gradients are about 5 K over 0.1 m and 1 m/s over 0.2 m, respectively, and are reproduced in the facility for investigating their influence on the propagation of ultrasounds. The experimental data are used for improving and validating a ray-tracing algorithm. This algorithm is then applied to the full scale application for validating the ultrasonic visualization system for nuclear reactor application. (authors)

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗
DOE OSTI2021

SD-WAN Evaluation Criteria for a Defense Information Systems Network Expeditionary Customer Edge

The Defense Information Systems Agency (DISA) has identified a service provision gap midway between the capacity and capability of a Defense Information Systems Network (DISN) transport Edge Points of Presence (POP) and U.S. Department of Defense (DoD) Enterprise Classified Travel Kit (DECTK). Some deployed force 100-user Tactical Operations Centers are in field locations far removed from the DISN transport core, in challenging environmental conditions with limitations on space, weight, power, and cooling for network equipment. As part of a multi-phase project, Pacific Northwest National Laboratory (PNNL) will gather and analyze requirements, design, develop, prototype, and test a miniaturized and ruggedized DISN Customer Edge POP scaled to support approximately 100 users in a field Tactical Operations Center. An Expeditionary Customer Edge (ECE) will be more suitable for field deployment than a DISN transport Edge POP, using ruggedized hardware and network function virtualization (NFV) to operate in challenging field environmental conditions, plus reduce weight, power, and cooling requirements. A key enabling technology for ECE is Software Defined Wide Area Networking (SD-WAN). This document provides: • A brief overview of SD-WAN use cases and how they apply to ECE • How SD-WAN technology compares to existing networks like DISN that use Optical Transport Networking (OTN) and Multiprotocol Label Switching (MPLS) • SD-WAN functional requirements relevant to ECE • A description of an ECE Virtual Prototype, including simulated wide area network paths and a DISN-representative implementation of MPLS, in Cisco Modeling Labs • Detailed network flow walkthroughs • Evaluation criteria based on ECE-relevant SD-WAN functional requirements Finally, an appendix provides an informal evaluation of Speedify—a commercial retail Virtual Private Network service—against the ECE SD-WAN evaluation criteria.

42 ENGINEERING↗
DOE OSTI2014

Testing for the Photon Doppler Broadening Data Sampling Bug in MCNP5/X

MCNP5/X has the capability to perform photon Doppler broadening to incorporate the effect of bound electrons on photon scattering. This effect is generally important if energy spectra or detector responses are desired for photons in the tens to hundreds of keY energy range. In the Fall of 2011, a diligent MCNP user noticed that the sampling routines in MCNP were inconsistent with t he data for sampling which atomic shell t he electron is bound. The data are provided in probability density function (PDF) format, whereas MCNP sampled the data as if they are in a cumulative density function (CDF) format, leading to erroneous results.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
DOE OSTI2015

An adaptive filtered back-projection for photoacoustic image reconstruction

Purpose: The purpose of this study is to develop an improved filtered-back-projection (FBP) algorithm for photoacoustic tomography (PAT), which allows image reconstruction with higher quality compared to images reconstructed through traditional algorithms. Methods: A rigorous expression of a weighting function has been derived directly from a photoacoustic wave equation and used as a ramp filter in Fourier domain. The authors’ new algorithm utilizes this weighting function to precisely calculate each photoacoustic signal’s contribution and then reconstructs the image based on the retarded potential generated from the photoacoustic sources. In addition, an adaptive criterion has been derived for selecting the cutoff frequency of a low pass filter. Two computational phantoms were created to test the algorithm. The first phantom contained five spheres with each sphere having different absorbances. The phantom was used to test the capability for correctly representing both the geometry and the relative absorbed energy in a planar measurement system. The authors also used another phantom containing absorbers of different sizes with overlapping geometry to evaluate the performance of the new method for complicated geometry. In addition, random noise background was added to the simulated data, which were obtained by using an arc-shaped array of 50 evenly distributed transducers that spanned 160° over a circle with a radius of 65 mm. A normalized factor between the neighbored transducers was applied for correcting measurement signals in PAT simulations. The authors assumed that the scanned object was mounted on a holder that rotated over the full 360° and the scans were set to a sampling rate of 20.48 MHz. Results: The authors have obtained reconstructed images of the computerized phantoms by utilizing the new FBP algorithm. From the reconstructed image of the first phantom, one can see that this new approach allows not only obtaining a sharp image but also showing the correct signal strength of the absorbers. The reconstructed image of the second phantom further demonstrates the capability to form clear images of the spheres with sharp borders in the overlapping geometry. The smallest sphere is clearly visible and distinguishable, even though it is surrounded by two big spheres. In addition, image reconstructions were conducted with randomized noise added to the observed signals to mimic realistic experimental conditions. Conclusions: The authors have developed a new FBP algorithm that is capable for reconstructing high quality images with correct relative intensities and sharp borders for PAT. The results demonstrate that the weighting function serves as a precise ramp filter for processing the observed signals in the Fourier domain. In addition, this algorithm allows an adaptive determination of the cutoff frequency for the applied low pass filter.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗
DOE OSTI2015

A prediction of dislocation‐free CdTe/CdS photovoltaic multilayers via nano‐patterning and composition grading

Abstract Defects in multilayered films have long been a performance‐limiting problem for the semiconductor industry. For instance, CdTe/CdS solar cell efficiencies have had significant improvement in the past 15years or more without addressing the problem of high misfit dislocation densities. Overcoming this stagnation requires a fundamental understanding of interfacial defect formation. Herein, we demonstrate a new first principles‐based CdTe bond‐order approach that enables efficient molecular dynamics to approach the fidelity of density functional theory. Stringent quantum‐mechanical verification and experimental validation tests reveal that our new approach provides an accurate prediction of defects that earlier methods cannot. Using this new capability, we show that misfit dislocations in CdTe/CdS multilayers can be significantly reduced via nano‐patterning and composition grading and more importantly, dislocation‐free multilayers naturally arise when the pattern dimension is reduced below 90nm. Our predictive methods are generally applicable to other materials, highlighting a rational approach towards low‐defect semiconductor films. Copyright © 2015 John Wiley & Sons, Ltd.

Zhou, Xiao Wang↗
DOE OSTI2023

Influence of Oxygen Uptake on Pitch Carbon Fiber

Carbon fiber precursor materials, such as polyacrylonitrile, pitch, and cellulose/rayon, require thermal stabilization to maintain structural integrity during conversion into carbon fiber. Thermal stabilization mitigates undesirable decomposition and liquification of the fibers during the carbonization process. Generally, the thermal stabilization of mesophase pitch consists of the attachment of oxygen-containing functional groups onto the polymeric structure. In this study, the oxidation of mesophase pitch precursor fibers at various weight percentage increases (1, 3.5, 5, 7.5 wt%) and temperatures (260, 280, 290 °C) using in situ differential scanning calorimetry and thermogravimetric analysis is investigated. The results are analyzed to determine the effect of temperature and weight percentage increase on the stabilization process of the fibers, and the fibers are subsequently carbonized and tested for tensile mechanical performance. Finally, the findings provide insight into the relationship between stabilization conditions, fiber microstructure, and mechanical properties of the resulting carbon fibers.

36 MATERIALS SCIENCE↗
DOE OSTI2015

Impact of Anatomical, Procedural, and Operator Skill Factors on the Success and Duration of Fluoroscopy-Guided Transjugular Intrahepatic Portosystemic Shunt

PurposeTo assess the impact of anatomical, procedural, and operator skill factors on the success and duration of fluoroscopy-guided transjugular intrahepatic portoystemic shunt following standard operating procedure (SOP).Material and MethodsDuring a 32-month period, 102 patients underwent transjugular intrahepatic portosystemic shunt creation (TIPS) by two interventional radiologists (IR) following our institutional SOP based on fluoroscopy guidance. Both demographic and procedural data were assessed. The duration of the intervention (D{sub Int}) and of the portal vein puncture (D{sub Punct}) was analyzed depending on the skill level of the IR as well as the anatomic or procedural factors.ResultsIn 99 of the 102 patients, successful TIPS without peri-procedural complications was performed. The mean D{sub Int} (IR1: 77 min; IR2: 51 min, P < 0.005) and the mean D{sub Punct} (IR1: 19 min; IR2: 13 min, P < 0.005) were significantly higher in TIPS performed by IR1 (with 2 years of clinical experience performing TIPS, n = 38) than by IR2 (>10 years of clinical experience performing TIPS, n = 61), (P < 0.005 both, Mann–Whitney U test). D{sub Int} showed a higher correlation with D{sub Punct} for IR2 (R{sup 2} = 0.63) than for IR1 (R{sup 2} = 0.13). There was no significant difference in the D{sub Punct} for both IRs with regard to the success of the wedged portography (P = 0.90), diameter of the portal vein (P = 0.60), central right portal vein length (P = 0.49), or liver function (MELD-Score before the TIPS procedure; P = 0.14).ConclusionTIPS following SOP is safe, fast, and reliable. The only significant factor for shorter D{sub Punct} and D{sub Int} was the clinical experience of the IR. Anatomic variability, successful portography, or liver function did not alter the duration or technical success of TIPS.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2022

GW-PINN: A deep learning algorithm for solving groundwater flow equations

Machine learning methods provide new perspective for more convenient and efficient prediction of groundwater flow. In this study, a deep learning method “GW-PINN” without labeled data for solving groundwater flow equations with wells was proposed. GW-PINN takes the physics inform neural network (PINN) as the backbone and uses either the hard or soft constraint in the loss function for training. A locally refined sampling strategy (LRS) is adopted to generate the consistent spatial sampling points for problems with strong hydraulic head change, and then combined with an appropriate temporal sampling scheme to obtain the final spatial-temporal sampling points. A snowball-style two-stage training strategy by dividing the temporal domain into two subdomains is designed to decrease the sampling points. Five cases were designed to test the training performance of GW-PINN under different sampling strategies and two constraints. The predicted results of GW-PINN were compared with MODFLOW and the analytical solution. The results demonstrate that GW-PINN possesses strong ability in capturing the hydraulic head change for both confined and un-confined aquifers. The hard constraint owns more robust learning ability than the soft constraint. The LRS strategy can generate more accurate results with much fewer sampling points than traditional sampling strategies, and the snowball-style two-stage training strategy is significantly efficient for problems with the drastic change of hydraulic head. Additionally, the application of GW-PINN as a surrogate model for parameterized groundwater flow equations is illustrated. This study provides an option tool for efficient groundwater flow simulation, especially for those with local refinements are needed.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2017

Prospective Study of Hippocampal-Sparing Prophylactic Cranial Irradiation in Limited-Stage Small Cell Lung Cancer

Purpose: To prospectively evaluate cognitive function and intracranial failure patterns after hippocampal-sparing prophylactic cranial irradiation (PCI) for limited-stage small cell lung cancer (SCLC). Methods and Materials: Adults with limited-stage SCLC, achieving a complete response to chemoradiotherapy and no brain metastases, were eligible. Patients received PCI 25 Gy/10 fractions, with a mean hippocampal dose limited to <8 Gy and ≥90% of the brain receiving 90% of the prescription. A diverse battery of neuropsychological testing was performed at baseline and 6 and 12 months after PCI. Brain MRI scans were performed at baseline and 6, 12, 18, and 24 months. The primary endpoint was memory measured by the Hopkins Verbal Learning Test-Revised Delayed Recall at 6 months after PCI. The 25-Gy arm of Radiation Therapy Oncology Group protocol 0212 was used as a reference of potential efficacy. Development of intracranial metastases was recorded. Overall survival and progression-free survival were estimated using the Kaplan-Meier method. Results: Eight men and 12 women with a median age of 61 years enrolled. Two-year overall survival was 88% (95% confidence interval 68%-100%). There was no significant decline in performance between baseline and 6 or 12 months for any of the tests. The association between baseline intelligence quotient and change in performance on testing was not significant. Magnetic resonance imaging revealed asymptomatic brain metastases at a cumulative rate of 20%, with no concurrent extracranial progression. Two patients developed a metastasis in the under-dosed region. Neither involved the dentate gyrus, but 1 involved the avoidance region. Both patients concurrently developed additional metastasis in fully treated brain regions. There were 2 neurologic deaths. Conclusions: This prospective study suggests a potential benefit of hippocampal sparing in limiting the neuropsychological sequelae of brain radiation, but with a risk of failures in the spared region. These data strongly support continued enrollment on ongoing cooperative group randomized trials. Clinical Trials registration number: (NCT01797159).

62 RADIOLOGY AND NUCLEAR MEDICINE↗