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At least 19 records

Initial Feasibility and Clinical Implementation of Daily MR-Guided Adaptive Head and Neck Cancer Radiation Therapy on a 1.5T MR-Linac System: Prospective R-IDEAL 2a/2b Systematic Clinical Evaluation of Technical Innovation

This prospective study is, to our knowledge, the first report of daily adaptive radiation therapy (ART) for head and neck cancer (HNC) using a 1.5T magnetic resonance imaging-linear accelerator (MR-linac) with particular focus on safety and feasibility and dosimetric results of an online rigid registration-based adapt to position (ATP) workflow.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Enhancing the mass resolving power of FRIB’s proposed high-voltage MR-ToF mass separator and spectrometer: Addressing non-ideal conditions

Multi-reflection time-of-flight mass separators and spectrometers (MR-ToF MSs) are indispensable tools at radioactive ion beam (RIB) facilities. These electrostatic ion beam traps act as highly selective mass separators and high-precision mass spectrometers for rare and exotic nuclei. When well-tuned and designed to minimize higher-order flight-time aberrations, state-of-the-art MR-ToF MSs approach, and slightly exceed, mass resolving powers of m/Δm = 10 6 . Achieving m/Δm ≥ 3 ⋅ 10 6 would provide the ability to resolve > 90 % of all known isomeric states with half-lives above 10 ms. However, the ability to mass separate in all practical setups is limited by non-ideal conditions which place such resolving powers out of reach. Here, to this end, we present a simulated analysis of these conditions in the newly proposed high-voltage MR-ToF MS for the Facility for Rare Isotope Beams (FRIB). It is expected to store ions at 30 keV beam energy and increase ion throughput by two orders of magnitude compared to current devices. Existing efforts to mitigate the effects of non-ideal conditions employed for current MR-ToF devices storing ions at < 3 keV beam energy will already enable mass resolving powers approaching 10 6 for FRIB’s high-voltage MR-ToF device. Simulations of newly proposed mitigation strategies show that even mass resolving powers approaching 10 7 might become feasible.

Electrostatic ion beam traps↗

Relativistic MR-MP Energy Levels for K-like Fe

Relativistic Multi-Reference Møller-Plesset (MR-MP) many-body perturbation theory calculations are reported for the ground and excited states of Fe viii. Energies are provided for states coming from the configurations $3{s}^{m}3{p}^{n}3{d}^{p}4{l}^{q}$ (l = s, p, d, and f) with $m+n+p+q=9$, p ≤ 3, and q ≤ 1. The MR-MP results were compared with the recommended observed values in the CHIANTI-v8 database and with previous ab-initio calculations. The MR-MP calculations reproduce 90% of the available observed values within 3500 cm –1 . The previous accurate ab-initio calculations reproduce only 50% of the observed values within 3500 cm –1 . Furthermore, the electronic structure of Fe viii is very complex and our MR-MP results show that accurate calculations require the inclusion of not only 3s 2 –3d 2 , 3p 2 –3d 2 , and 3s3p–3d 2 promotions but also of all electron correlations via perturbation theory.

74 ATOMIC AND MOLECULAR PHYSICS↗

ToF-SIMS spectral analysis of Shewanella oneidensis MR-1 biofilms

Analysis of bacterial biofilms is particularly challenging and important with diverse applications from systems biology to biotechnology. Among the variety of techniques that have been applied, time-of-flight secondary ion mass spectrometry (ToF-SIMS) has many powerful features in studying the surface characteristics of biofilms. ToF-SIMS offers high spatial resolution, mass resolution, and mass accuracy, which permit surface sensitive analysis of biofilm components. Thus, ToF-SIMS provides a powerful solution to addressing the challenge of bacterial biofilm analysis. This dataset covers ToF-SIMS analysis of Shewanella oneidensis MR-1 isolated from freshwater lake sediment in New York state. The MR-1 strain is known to have metal and sulfur reducing properties and it can be used for bioremediation and wastewater treatment. There is a current need to identify small molecules and fragments produced from bacterial biofilms, especially those from extracellular polymeric substance (EPS). Static ToF-SIMS spectra of MR-1 were obtained using an IONTOF TOF.SIMS V instrument equipped with a 25 keV Bi$^+_3$ metal ion gun. Identified molecules and molecular fragments are compared against known biological databases and the reported peaks have at least 65 ppm mass accuracy. These molecules range from lipids, fatty acids, flavonoids, and quinolones to other naturally occurring organic compounds. It is anticipated that the mass spectral identification of key peaks will assist detection of metabolites, EPS molecules like polysaccharides, and biologically relevant small organic molecules using ToF-SIMS in future surface and interface research.

59 BASIC BIOLOGICAL SCIENCES↗

Field-Scale Testing of a High-Efficiency Membrane Reactor (MR)—Adsorptive Reactor (AR) Process for H2 Generation and Pre-Combustion CO2 Capture

The study objective was to field-validate the technical feasibility of a membrane- and adsorption-enhanced water gas shift reaction process employing a carbon molecular sieve membrane (CMSM)-based membrane reactor (MR) followed by an adsorptive reactor (AR) for pre-combustion CO2 capture. The project was carried out in two different phases. In Phase I, the field-scale experimental MR-AR system was designed and constructed, the membranes, and adsorbents were prepared, and the unit was tested with simulated syngas to validate functionality. In Phase II, the unit was installed at the test site, field-tested using real syngas, and a technoeconomic analysis (TEA) of the technology was completed. All project milestones were met. Specifically, (i) high-performance CMSMs were prepared meeting the target H2 permeance (>1 m3/(m2.hbar) and H2/CO selectivity of >80 at temperatures of up to 300 °C and pressures of up to 25 bar with a <10% performance decline over the testing period; (ii) pelletized adsorbents were prepared for use in relevant conditions (250 °C < T < 450 °C, pressures up to 25 bar) with a working capacity of >2.5 wt.% and an attrition rate of <0.2; (iii) TEA showed that the MR-AR technology met the CO2 capture goals of 95% CO2 purity at a cost of electricity (COE) 30% less than baseline approaches.

42 ENGINEERING↗

Sacroiliac Joint Ablation Using MR-HIFU

The sacroiliac joint is the culprit in 15–30% of patients with chronic lumbar back pain. Ablation of the posterior sensory nerves supplying the joint is an established treatment option before arthrodesis. We report the successful application of MR-HIFU in a patient with therapy–refractory pain using the Sonalleve MR-HIFU system. The outpatient procedure was performed under spinal anaesthesia and analgosedation. The ramus dorsalis of L5 as well as the lateral branches of the ramus dorsalis S1–S3 was targeted, and tissue peak temperature per sonication was controlled using MR-thermometry. There were no post-interventional complications. Clinical improvement began 4 days post-intervention with complete resolution of the pain after 1 month.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Patterns of Care, Tolerability, and Safety of the First Cohort of Patients Treated on a Novel High-Field MR-Linac Within the MOMENTUM Study: Initial Results From a Prospective Multi-Institutional Registry

High-field magnetic resonance-linear accelerators (MR-Linacs), linear accelerators combined with a diagnostic magnetic resonance imaging (MRI) scanner and online adaptive workflow, potentially give rise to novel online anatomic and response adaptive radiation therapy paradigms. The first high-field (1.5T) MR-Linac received regulatory approval in late 2018, and little is known about clinical use, patient tolerability of daily high-field MRI, and toxicity of treatments. Herein we report the initial experience within the MOMENTUM Study (NCT04075305), a prospective international registry of the MR-Linac Consortium.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

MR imaging of hand microcirculation as a potential tool for space glove testing and design

The task of evaluating and designing space gloves requires accurate biomechanical characterization of the hand. The availability of magnetic resonance (MR) imaging has created new opportunities for in vivo analysis of physiological phenomena such as the relationship between circulation and fatigue. An MR imaging technique originally proposed to quantitatively evaluate cerebral perfusion has been modified to evaluate the capillary microcirculation in hand muscles. An experimental protocol was developed to acquire perfusion-weighted images in the hand before and after various levels of exercise. Preliminary results on the feasibility of applying the MR imaging technique to the study of microcirculation and fatigue in the hand are presented. The potential of this method for space glove testing and design is also discussed.

Peterson, Steven W.↗

MR-CDF: Managing multi-resolution scientific data

MR-CDF is a system for managing multi-resolution scientific data sets. It is an extension of the popular CDF (Common Data Format) system. MR-CDF provides a simple functional interface to client programs for storage and retrieval of data. Data is stored so that low resolution versions of the data can be provided quickly. Higher resolutions are also available, but not as quickly. By managing data with MR-CDF, an application can be relieved of the low-level details of data management, and can easily trade data resolution for improved access time.

Salem, Kenneth↗

Discovery of Associated Absorption Lines in an X-Ray Warm Absorber: Hubble Space Telescope Faint Object Spectrograph Observations of MR 2251-178

The presence of a 'warm absorber' was first suggested to explain spectral variability in an X-ray spectrum of the radio-quiet quasi-stellar object (QSO) MR 2251-178. A unified picture, in which X-ray warm absorbers and 'intrinsic' UV absorbers are the same, offers the opportunity to probe the nuclear environment of active galactic nuclei. To test this scenario and understand the physical properties of the absorber, we obtained a UV spectrum of MR 2251-178 with the Faint Object Spectrograph on board the Hubble Space Telescope (HST). The HST spectrum clearly shows absorption due to Lyalpha, N v, and C IV, blueshifted by 300 km s(exp -1) from the emission redshift of the QSO. The rarity of both X-ray and UV absorbers in radio-quiet QSOs suggests these absorbers are physically related, if not identical. Assuming the unified scenario, we place constraints on the physical parameters of the absorber and conclude the mass outflow rate is essentially the same as the accretion rate in MR 2251-178.

Monier, Eric M.↗

The Properties and the Evolution of the Highly Ionized Gas in MR 2251-178

We present the first XMM-Newton observations of the radio-quiet quasar MR 2251-178 obtained in 2000 and 2002. The EPIC-pn spectra show a power-law continuum with a slope of Gamma = 1.6 at high energies absorbed by at least two warm absorbers (WAs) intrinsic to the source. The underlying continuum in the earlier observation shows a soft excess at low X-ray energies which can be modeled as an additional power-law with Gamma = 2.9. The spectra also show a weak narrow iron K alpha emission line. The high-resolution grating spectrum obtained in 2002 shows emission lines from N VI, O VII, O VIII, Ne IX, and Ne X, as well as absorption lines from the low-ionization ions of O III, O IV, and O V, and other confirmed and suspected weaker absorption lines. The O III - O V lines are consistent with the properties of the emission line gas observed as extended optical (O III) emission in this source. The signal-to-noise of the 2000 grating data is too low to detect any lines. We suggest a model for the high-resolution spectrum which consist of two or three warm-absorber (WA) components. The two-components model has a high-ionization WA with a column density of 10(exp 21.5)-10 (exp 21.8) sq cm and a low-ionization absorber with a column density of 10(exp 20.3) sq cm. In the three-components model we add a lower ionization component that produces the observed iron M-shell absorption lines. We investigate the spectral variations in MR 2251-178 over a period of 8.5 years using data from ASCA, BeppoSAX, and XMM-Newton. All X-ray observations can be fitted with the above two power laws and the two absorbers. The observed luminosity variations seems to correlate with variations in the soft X-ray continuum. The 8.5 year history of the source suggests a changing X-ray absorber due to material that enters and disappears from the line-of-sight on timescales of several months. We also present, for the first time, the entire FUSE spectrum of MR 2251-178. We detect emission from N III, C III, and O VI and at least 4 absorption systems in C III, H I, and O VI, one at -580 km/s and at least 3 others which are blended together and form a wide trough covering the velocity range of 0 to -500 km/s. The general characteristics of the UV and X-ray absorbers are consistent with an origin in the same gas.

Kaspi, Shai↗

Submaximal delayed-onset muscle soreness: correlations between MR imaging findings and clinical measures

PURPOSE: To assess correlations between muscle edema on magnetic resonance (MR) images and clinical indexes of muscle injury in delayed-onset muscle soreness (DOMS) produced by submaximal exercise protocols. MATERIALS AND METHODS: Sixteen subjects performed 36 elbow flexions ("biceps curls") at one of two submaximal workloads that emphasized eccentric contractions. Changes in MR imaging findings, plasma levels of creatine kinase, and pain scores were correlated. RESULTS: Both exercise protocols produced DOMS in all subjects. The best correlation was between change in creatine kinase level and volume of muscle edema on MR images, regardless of the workload. Correlations tended to be better with the easier exercise protocol. CONCLUSION: Whereas many previous studies of DOMS focused on intense exercise protocols to ensure positive results, the present investigation showed that submaximal workloads are adequate to produce DOMS and that correlations between conventionally measured indexes of injury may be enhanced at lighter exercise intensities.

Clinical Trial↗

R2 relaxometry based MR imaging for estimation of liver iron content: A comparison between two methods

Purpose: To compare the reproducibility and accuracy of R2-relaxometry MRI for estimation of liver iron concentration (LIC) between in-house analysis and FDA-approved commercially available third party results. Methods: All MR studies were performed on a 1.5T scanner. Multi-echo spin-echo scans with a fixed TR and increasing TE values of 6 ms, 9 ms, 12 ms, 15 ms, and 18 ms (spaced at 3 ms intervals) were used. Post-processing of the images to calculate mean relaxivity, R2, included drawing of regions of interest to include the whole liver on mid-slice. The relationship between liver R2 values and estimated LIC calculated with in-house analysis and values reported by an external company (FerriScan{sup ®}, Resonance Health, Australia) were assessed with correlation coefficients and Bland–Altman difference plots. Continuous variables are presented as mean ± standard deviation. Significance was set at p value < 0.05. Results: 474 studies from 175 patients were included in the study (mean age 10.4 ± 4.2 years (range 1–18 years); 254 studies from girls, 220 studies from boys). LIC ranged from 0.6 to 43 mg/g dry tissue, covering a broad range from normal levels to extremely high iron levels. Linearity between proprietary and in-house methods was excellent across the observed range for R2 (31.5 to 334.8 s{sup −1}); showing a correlation coefficient of r = 0.87, p < 0.001. Bland–Altman R2 difference plot between the two methods shows a mean bias of + 21.5 s{sup −1} (range − 47.0 to + 90.0 s{sup −1} between two standard deviations). LIC reported by FerriScan{sup ®} compared with LIC estimated in-house with R2 as reported by FerriScan{sup ®} agreed strongly, (r = 1.0, p < 0.001). Conclusion: R2 relaxometry MR imaging for liver iron concentration estimation is reproducible between proprietary FDA-approved commercial software and in-house analysis methods.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Pictorial review on abdominal applications of ferumoxytol in MR imaging

Though gadolinium-based contrast agents are the most widely used contrast media in MR for clinical use, problems with nephrogenic systemic fibrosis and tissue deposition render their safety debatable, at least in a selected patient population. Ferumoxytol has the potential to be used as an alternate contrast medium for various clinical applications across multiple organs. It has prolonged intravascular signal and delayed intracellular macrophage uptake which are unique properties compared to gadolinium-based agents. This pictorial review aims to review the current and potential clinical applications of ferumoxytol as a contrast agent in abdominal MR imaging.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

MR Persei - A new rotating, spotted flare star

Spectroscopy and photometry are used to show that MR Persei, an object originally classified as a dwarf nova, is in fact a flare star. The automated CCD photometry consists of sequences of exposures within a single night as well as long-term photometry over a five-month interval. One sequence shows a 30-min flare, accompanied by post-flare 'dips'. A 0.2 mag variation with a period of about one-half day is also seen in this sequence. The long-term photometry is used to refine the period to 0.45483 d, which we attribute to the rotation of a spotted star. Evidence for membership of MR Per in the young Alpha Per cluster is considered, and found to be inconclusive.

Honeycutt, R. K.↗

Sequence and Genetic Characterization of etrA, an fnr Analog that Regulates Anaerobic Respiration in Shewanella putrefaciens MR-1

An electron transport regulatory gene, etrA, has been isolated and characterized from the obligate respiratory bacterium Shewanella putrefaciens MR-l. The deduced amino acid sequence of etrA (EtrA) shows a high degree of identity to both the Fnr of Escherichia coli (73.6%) and the analogous protein (ANR) of Pseudomonas aeruginosa (50.8%). The four active cysteine residues of Fnr are conserved in EtrA, and the amino acid sequence of the DNA-binding domains of the two proteins are identical. Further, S.putrefaciens etrA is able to complement an fnr mutant of E.coli. In contrast to fnr, there is no recognizable Fnr box upstream of the etrA sequence. Gene replacement etr.A mutants of MR-1 were deficient in growth on nitrite, thiosulfate, sulfite, trimethylamine-N-oxide, dimethyl sulfoxide, Fe(III), and fumarate, suggesting that EtrA is involved in the regulation of the corresponding reductase genes. However, the mutants were all positive for reduction of and growth on nitrate and Mn(IV), indicating that EtrA is not involved in the regulation of these two systems. Southern blots of S.putrefaciens DNA with use of etrA as a probe revealed the expected etrA bands and a second set of hybridization signals whose genetic and functional properties remain to be determined.

Saffarini, Daad A.↗

Distal airways in humans: dynamic hyperpolarized 3He MR imaging--feasibility

Dynamic hyperpolarized helium 3 (3He) magnetic resonance (MR) imaging of the human airways is achieved by using a fast gradient-echo pulse sequence during inhalation. The resulting dynamic images show differential contrast enhancement of both distal airways and the lung periphery, unlike static hyperpolarized 3He MR images on which only the lung periphery is seen. With this technique, up to seventh-generation airway branching can be visualized. Copyright RSNA, 2003.

NASA Discipline Life Sciences Technologies↗