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At least 1,765 records · Page 98
All sourcesNASA NTRSDOE OSTI
DOE OSTI2019

Transcatheter arterial infusion for pancreatic cancer: a 10-year National Cancer Center experience in 115 patients and literature review

Purpose: To evaluate the efficacy and safety of transcatheter arterial infusion (TAI) for the treatment of pancreatic cancer in patients ineligible for or refractory to systemic chemotherapy. Materials and methods: The medical records of 115 consecutive patients (mean age, 58.9 years; 71 males) with documented pancreatic cancer ineligible for or refractory to systemic chemotherapy and underwent TAI between February 2007 and January 2017 were reviewed. Results: A total of 224 TAI sessions [mean, 1.9 (range 1–8)] were performed. Technical success rate was 100%. Disease control (i.e., complete response, partial response, and stable disease) was achieved in 72 (62.6%) patients. The median progression-free survival and median overall survival were 56 days and 147 days, respectively. Subgroup analysis revealed that disease control, progression-free survival, and overall survival were significantly improved in patients with an Eastern Cooperative Oncology Group score of ≤ 1 compared with those in patients with an Eastern Cooperative Oncology Group score of 2 (all p < 0.001) and in patients who received > 1 sessions of TAI compared with that in patients who received only 1 session of TAI (p = 0.012, < 0.001, and = 0.002, respectively). A major complication in the form of cerebral infarction occurred in 1 (0.9%) patient 1 day after the procedure. This patient was treated with conservative therapy and recovered without permanent adverse sequelae. No other major complications were observed. Conclusions: TAI may be effective and safe for the treatment of pancreatic cancer.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

Novel imaging techniques of rectal cancer: what do radiomics and radiogenomics have to offer? A literature review

Introduction: As computational capabilities have advanced, radiologists and their collaborators have looked for novel ways to analyze diagnostic images. This has resulted in the development of radiomics and radiogenomics as new fields in medical imaging. Radiomics and radiogenomics may change the practice of medicine, particularly for patients with colorectal cancer. Radiomics corresponds to the extraction and analysis of numerous quantitative imaging features from conventional imaging modalities in correlation with several endpoints, including the prediction of pathology, genomics, therapeutic response, and clinical outcome. In radiogenomics, qualitative and/or quantitative imaging features are extracted and correlated with genetic profiles of the imaged tissue. Thus far, several studies have evaluated the use of radiomics and radiogenomics in patients with colorectal cancer; however, there are challenges to be overcome before its routine implementation including challenges related to sample size, model design and interpretability, and the lack of robust multicenter validation set. Material and methods: In this article, we will review the concepts of radiomics and radiogenomics and their potential applications in rectal cancer. Conclusion: Radiologists should be aware of the basic concepts, benefits, pitfalls, and limitations of new radiomic and radiogenomics techniques to achieve a balanced interpretation of the results.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

Iatrogenic celiac and hepatic artery dissections during intra-arterial regional tumor therapies: a 16-year retrospective review

Purpose: To identify the incidence and outcomes of iatrogenic celiac and hepatic artery dissections during transarterial therapies, including bland embolization, chemoembolization, radioembolization (TARE), and pre-TARE scintigraphic mapping. Methods: The institution’s quality assessment database, electronic medical record, and picture archiving and communication system were reviewed to identify all patients who underwent transarterial locoregional therapy from 1/2001 to 7/2017 and to determine the incidence of iatrogenic dissection, to assess patency of the arteries after dissection, and to assess the ability to complete therapy. Results: 2253 patients underwent 3776 transarterial hepatic oncology procedures. Among 3776 procedures, 40 (1.1%) were associated with dissection of the visceral vasculature, affecting 39 patients (1.7%). The incidence of flow-limiting dissections was 0.3% (13/3776) and non-flow-limiting dissections was 0.7% (27/3776). After dissection, 68% (27/40) of treatments were completed the same day. Among the 13 aborted treatments, 8 (62%) were completed on a subsequent encounter. Follow-up imaging was obtained in 26 of 40 cases at median time of 63 days. Complete resolution of the dissection was seen in 15/26 cases (58%), near complete resolution (< 30% luminal narrowing) in 3/26 (12%), unchanged appearance of a non-flow-limiting dissection in 4/26 (15%), progressive luminal narrowing in 3/26 (12%), and complete occlusion in 1/26 (4%). Conclusion: Iatrogenic dissections of visceral arteries rarely occur during tumor embolization procedures. 35/39 (90%) of patients underwent successful treatment despite the dissection.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2013

Insertion of Balloon Retained Gastrostomy Buttons: A 5-Year Retrospective Review of 260 Patients

Radiologically inserted gastrostomy (RIG) is an established way of maintaining enteral nutrition in patients who cannot maintain nutrition orally. The purpose of this study was to evaluate the safety and efficacy of primary placement of a wide bore button gastrostomy in a large, varied patient population through retrospective review. All patients who underwent gastrostomy placement from January 1, 2004 to January 1, 2009 were identified. 18-Fr gastrostomy buttons (MIC-Key G) were inserted in the majority. Follow-up ranged from 6 months to 4.5 years. A total of 260 patients (M:F 140:120, average age 59.2 years) underwent gastrostomy during the study period. Overall success rate for RIG placement was 99.6 %, with success rate of 95.3 % for primary button insertion. Indications included neurological disorders (70 %), esophageal/head and neck malignancy (21 %), and other indications (9 %). Major and minor complication rates were 1.2 and 12.8 %, respectively. Thirty-day mortality rate was 6.8 %. One third of patients underwent gastrostomy reinsertion during the study period, the main indication for which was inadvertent catheter removal. Patency rate was high at 99.5 %. The maximum number of procedures in any patient was 8 (n = 2), and the average tube dwell time was 125 days. Primary radiological insertion of a wide bore button gastrostomy is a safe technique, with high success rate, high patency rate, and low major complication rate. We believe that it is feasible to attempt button gastrostomy placement in all patients, once tract length is within limits of tube length. If difficulty is encountered, then a standard tube may simply be placed instead.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2013

Inferior Pancreaticoduodenal Artery Aneurysms Associated with Occlusive Lesions of the Celiac Axis: Diagnosis, Treatment Options, Outcomes, and Review of the Literature

Purpose. To describe the presentation, treatment, and outcomes for 14 patients with aneurysms of the inferior pancreaticoduodenal arteries associated with occlusive lesions of the celiac axis, and to review the literature for similar cases. Methods, Over a period of 12 years, 14 patients (10 women and 4 men) ranging in age from 26 to 50 (mean 46) years were demonstrated to have aneurysms of the inferior pancreaticoduodenal artery origin associated with stenosis or occlusion of the celiac axis. All patients were treated by a combination of surgery and interventional radiology. Results. Outcome data collected between 3 months and 4 years (mean 2 years) demonstrated that all aneurysms remained excluded, and all 14 patients were well. The 49 case reports in the literature confirm the findings of this cohort. Conclusion. In inferior pancreaticoduodenal artery aneurysm resulting from celiac occlusive disease, endovascular treatment is best achieved by stenting the celiac axis and/or embolizing the aneurysm when necessary.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

Imaging and Endovascular Treatment of Bleeding Pelvic Fractures: Review Article

Pelvic fractures are potentially life-threatening injuries with high mortality rates, mainly due to intractable pelvic arterial bleeding. However, concomitant injuries are frequent and may also be the cause of significant blood loss. As treatment varies depending on location and type of hemorrhage, timely imaging is of critical importance. Contrast-enhanced CT offers fast and detailed information on location and type of bleeding. Angiography with embolization for pelvic fracture hemorrhage, particularly when performed early, has shown high success rates as well as low complication rates and is currently accepted as the first method of bleeding control in pelvic fracture-related arterial hemorrhage. In the current review imaging workup, patient selection, technique, results and complications of pelvic embolization are described.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

Adjunctive Thermoprotection During Percutaneous Thermal Ablation Procedures: Review of Current Techniques

Although rare, unintended thermal injury to organs surrounding the ablation zone can lead to severe complications. Over the past 15 years, different protective methods have been developed to limit risk of complications, and expand indications to include more challenging lesions in various locations including liver, kidney, lung and bone. The most frequently used techniques include hydrodissection, carbodissection, balloon interposition and probe torqueing. In most cases, tumours can be physically separated from sensitive structures, reducing risk of thermal injury. Endoluminal cooling/warming is an alternative option for complex ablations close to the ureter or major bile ducts. Different techniques may be combined to achieve successful protection in locations with complex anatomy. The purpose of this review is to provide an overview of available protective measures and discuss respective advantages/drawbacks.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2015

North American extreme temperature events and related large scale meteorological patterns: A review of statistical methods, dynamics, modeling, and trends

This paper reviews research approaches and open questions regarding data, statistical analyses, dynamics, modeling efforts, and trends in relation to temperature extremes. Our specific focus is upon extreme events of short duration (roughly less than 5 days) that affect parts of North America. These events are associated with large scale meteorological patterns (LSMPs). Methods used to define extreme events statistics and to identify and connect LSMPs to extreme temperatures are presented. Recent advances in statistical techniques can connect LSMPs to extreme temperatures through appropriately defined covariates that supplements more straightforward analyses. A wide array of LSMPs, ranging from synoptic to planetary scale phenomena, have been implicated as contributors to extreme temperature events. Current knowledge about the physical nature of these contributions and the dynamical mechanisms leading to the implicated LSMPs is incomplete. There is a pressing need for (a) systematic study of the physics of LSMPs life cycles and (b) comprehensive model assessment of LSMP-extreme temperature event linkages and LSMP behavior. Generally, climate models capture the observed heat waves and cold air outbreaks with some fidelity. However they overestimate warm wave frequency and underestimate cold air outbreaks frequency, and underestimate the collective influence of low-frequency modes on temperature extremes. Climate models have been used to investigate past changes and project future trends in extreme temperatures. Overall, modeling studies have identified important mechanisms such as the effects of large-scale circulation anomalies and land-atmosphere interactions on changes in extreme temperatures. However, few studies have examined changes in LSMPs more specifically to understand the role of LSMPs on past and future extreme temperature changes. Even though LSMPs are resolvable by global and regional climate models, they are not necessarily well simulated so more research is needed to understand the limitations of climate models and improve model skill in simulating extreme temperatures and their associated LSMPs. Furthermore, the paper concludes with unresolved issues and research questions.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

Review: The distribution, flow, and quality of Grand Canyon Springs, Arizona (USA)

An understanding of the hydrogeology of Grand Canyon National Park (GRCA) in northern Arizona, USA, is critical for future resource protection. The ~750 springs in GRCA provide both perennial and seasonal flow to numerous desert streams, drinking water to wildlife and visitors in an otherwise arid environment, and habitat for rare, endemic and threatened species. Spring behavior and flow patterns represent local and regional patterns in aquifer recharge, reflect the geologic structure and stratigraphy, and are indicators of the overall biotic health of the canyon. These springs, however, are subject to pressures from water supply development, changes in recharge from forest fires and other land management activities, and potential contamination. Roaring Springs is the sole water supply for residents and visitors (>6 million/year), and all springs support valuable riparian habitats with very high species diversity. Most springs flow from the karstic Redwall-Muav aquifer and show seasonal patterns in flow and water chemistry indicative of variable aquifer porosities, including conduit flow. They have Ca/Mg-HCO{sub 3} dominated chemistry and trace elements consistent with nearby deep wells drilled into the Redwall-Muav aquifer. Tracer techniques and water-age dating indicate a wide range of residence times for many springs, supporting the concept of multiple porosities. A perched aquifer produces small springs which issue from the contacts between sandstone and shale units, with variable groundwater residence times. Stable isotope data suggest both an elevational and seasonal difference in recharge between North and South Rim springs. This review highlights the complex nature of the groundwater system.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2018

Review: Safe and sustainable groundwater supply in China

Exploitation of groundwater has greatly increased since the 1970s to meet the increased water demand due to fast economic development in China. Correspondingly, the regional groundwater level has declined substantially in many areas of China. Water sources are scarce in northern and northwestern China, and the anthropogenic pollution of groundwater has worsened the situation. Groundwater containing high concentrations of geogenic arsenic, fluoride, iodine, and salinity is widely distributed across China, which has negatively affected safe supply of water for drinking and other purposes. In addition to anthropogenic contamination, the interactions between surface water and groundwater, including seawater intrusion, have caused deterioration of groundwater quality. The ecosystem and geo-environment have been severely affected by the depletion of groundwater resources. Land subsidence due to excessive groundwater withdrawal has been observed in more than 50 cities in China, with a maximum accumulated subsidence of 2–3 m. Groundwater-dependent ecosystems are being degraded due to changes in the water table or poor groundwater quality. This paper reviews these changes in China, which have occurred under the impact of rapid economic development. The effects of economic growth on groundwater systems should be monitored, understood and predicted to better protect and manage groundwater resources for the future.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2022

Physics-informed neural networks (PINNs) for fluid mechanics: a review

Despite the significant progress over the last 50 years in simulating flow problems using numerical discretization of the Navier–Stokes equations (NSE), we still cannot incorporate seamlessly noisy data into existing algorithms, mesh-generation is complex, and we cannot tackle high-dimensional problems governed by parametrized NSE. Moreover, solving inverse flow problems is often prohibitively expensive and requires complex and expensive formulations and new computer codes. Here, we review flow physics-informed learning, integrating seamlessly data and mathematical models, and implement them using physics-informed neural networks (PINNs). Here, we demonstrate the effectiveness of PINNs for inverse problems related to three-dimensional wake flows, supersonic flows, and biomedical flows.

42 ENGINEERING↗
DOE OSTI2019

Mathematical modeling in cancer nanomedicine: a review

Cancer continues to be among the leading healthcare problems worldwide, and efforts continue not just to find better drugs, but also better drug delivery methods. The need for delivering cytotoxic agents selectively to cancerous cells, for improved safety and efficacy, has triggered the application of nanotechnology in medicine. This effort has provided drug delivery systems that can potentially revolutionize cancer treatment. Nanocarriers, due to their capacity for targeted drug delivery, can shift the balance of cytotoxicity from healthy to cancerous cells. The field of cancer nanomedicine has made significant progress, but challenges remain that impede its clinical translation. Several biophysical barriers to the transport of nanocarriers to the tumor exist, and a much deeper understanding of nano-bio interactions is necessary to change the status quo. Mathematical modeling has been instrumental in improving our understanding of the physicochemical and physiological underpinnings of nanomaterial behavior in biological systems. Here, we present a comprehensive review of literature on mathematical modeling works that have been and are being employed towards a better understanding of nano-bio interactions for improved tumor delivery efficacy.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2022

Deuterium incorporation into cellulose: a mini-review of biological and chemical methods

Isotopic enrichment offers structural insights that are not easily accessible with natural abundance isotopic composition. Deuterated cellulose has attracted considerable attention in the field of neutron scattering studies, providing information about the dynamics, structure of cellulose and its interactions with other plant cell wall components. The deuteration of cellulose also allows the analysis of cellulose hydrogen bonds by FTIR or NMR techniques. The chemical structure of cellulose contains both exchangeable hydroxyl and non-exchangeable alkyl hydrogens. Deuterium incorporation can be divided into two classifications: biological route which incorporates both alkyl and hydroxyl bound deuterium, and chemical route which typically replaces hydroxyl-bound exchangeable hydrogen. Additionally, the biological route involves cultivating plants or microorganisms in a deuterium-enriched medium. The chemical route typically involves an exchange reaction between hydroxyl-bound hydrogen and D 2 O, often facilitating with an alkaline reagent. This review provides an overview of recent advances in deuteration methods and characterization as well as the application of deuterated cellulose.

59 BASIC BIOLOGICAL SCIENCES↗
DOE OSTI2017

Low-Cloud Feedbacks from Cloud-Controlling Factors: A Review

Abstract The response to warming of tropical low-level clouds including both marine stratocumulus and trade cumulus is a major source of uncertainty in projections of future climate. Climate model simulations of the response vary widely, reflecting the difficulty the models have in simulating these clouds. These inadequacies have led to alternative approaches to predict low-cloud feedbacks. Here, we review an observational approach that relies on the assumption that observed relationships between low clouds and the “cloud-controlling factors” of the large-scale environment are invariant across time-scales. With this assumption, and given predictions of how the cloud-controlling factors change with climate warming, one can predict low-cloud feedbacks without using any model simulation of low clouds. We discuss both fundamental and implementation issues with this approach and suggest steps that could reduce uncertainty in the predicted low-cloud feedback. Recent studies using this approach predict that the tropical low-cloud feedback is positive mainly due to the observation that reflection of solar radiation by low clouds decreases as temperature increases, holding all other cloud-controlling factors fixed. The positive feedback from temperature is partially offset by a negative feedback from the tendency for the inversion strength to increase in a warming world, with other cloud-controlling factors playing a smaller role. A consensus estimate from these studies for the contribution of tropical low clouds to the global mean cloud feedback is 0.25 ± 0.18 W m −2 K −1 (90% confidence interval), suggesting it is very unlikely that tropical low clouds reduce total global cloud feedback. Because the prediction of positive tropical low-cloud feedback with this approach is consistent with independent evidence from low-cloud feedback studies using high-resolution cloud models, progress is being made in reducing this key climate uncertainty.

58 GEOSCIENCES↗
DOE OSTI2013

Accelerator Sources for THz science: A Review

Free Electron Lasers have been around since 1977 providing not only a test bed for the physics of FELs and electron/photon interactions but as a workhorse of scientific research. More than 30 FELs are presently operating around the world spanning a wavelength range from the millimeter region to the hard x-ray using direct current and rf linear accelerators or storage rings as electron sources. The characteristics that have driven the development of these sources are the desire for high peak and average power, high micropulse energies, wavelength tunability, timing flexibility, and wavelengths that are unavailable from more conventional laser sources. Operation of FELs in the far infrared to terahertz regime poses special challenges which have been and are being addressed at a number of facilities around the world. This paper will review a number of former and existing FELs operating in this regime and discuss future efforts. Broadband collective radiation from relativistic electrons also plays a significant role in the production of FIR/THz radiation and several groups are taking advantage of this source for users. Applications for use of the radiation have evolved from simple imaging to complex pump probe tests of insulator/metal transitions and energy flow in organic molecules. We will discuss the technologies for generating the IR/FIR/THz radiation and cover some of the unique applications of such sources.

43 PARTICLE ACCELERATORS↗
DOE OSTI2015

Review of the synergies between computational modeling and experimental characterization of materials across length scales

With the increasing interplay between experimental and computational approaches at multiple length scales, new research directions are emerging in materials science and computational mechanics. Such cooperative interactions find many applications in the development, characterization and design of complex material systems. This manuscript provides a broad and comprehensive overview of recent trends in which predictive modeling capabilities are developed in conjunction with experiments and advanced characterization to gain a greater insight into structure–property relationships and study various physical phenomena and mechanisms. The focus of this review is on the intersections of multiscale materials experiments and modeling relevant to the materials mechanics community. After a general discussion on the perspective from various communities, the article focuses on the latest experimental and theoretical opportunities. Emphasis is given to the role of experiments in multiscale models, including insights into how computations can be used as discovery tools for materials engineering, rather than to “simply” support experimental work. This is illustrated by examples from several application areas on structural materials. In conclusion this manuscript ends with a discussion on some problems and open scientific questions that are being explored in order to advance this relatively new field of research.

3-D microstructure characterization↗
DOE OSTI2022

Review of computational approaches to predict the thermodynamic stability of inorganic solids

Improvements in the efficiency and availability of quantum chemistry codes, supercomputing centers, and open materials databases have transformed the accessibility of computational materials design approaches. Thermodynamic stability predictions play a central role in the efficacy of these approaches and should be considered carefully. This review covers the fundamentals of calculating thermodynamic stability using first-principles methods. Stability is delineated into two main topics — stability with respect to decomposition into competing phases and stability with respect to phase transition into alternative structures at fixed composition. For each topic, a summary of the state-of-the-art is provided along with a tutorial overview of practical considerations. The application of machine learning to both kinds of stability predictions is also covered. Finally, the limitations of thermodynamic stability predictions are discussed within the context of predicting the synthesizability of materials.

36 MATERIALS SCIENCE↗
DOE OSTI2024

A review of antimicrobial implications for improving indoor air quality

The frequent outbreak of infectious respiratory diseases, such as the recent COVID-19 epidemic, raised the importance of indoor air quality. Removing microorganisms from indoor air is critical to improve indoor air quality. Numerous studies in recent years have been published on developing antimicrobial materials and technologies for antibacterial and antiviral applications. Further, this study critically reviews the recent antimicrobial advances for improving indoor air quality. This paper provides a comprehensive analysis of the antimicrobial mechanisms, development of materials, and deployment strategies, as well as a performance evaluation of the antimicrobial implication for indoor air quality. Furthermore, the challenges and opportunities of future research directions are also highlighted.

59 BASIC BIOLOGICAL SCIENCES↗