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Tidal Energy Resource Characterization, Bottom Lander Measurements, Cook Inlet, AK, 2021

These datasets are from tidal resource characterization measurements collected on the Terrasond High Energy Oceanographic Mooring (THEOM) from 1 July 2021 to 30 August 2021 (60 days) in Cook Inlet, Alaska. The lander was deployed at 60.7207031 N, 151.4294998 W in ~50 m of water. The dataset contains raw and processed data from the following two instruments: 1. A Nortek Signature 500 kHz acoustic Doppler current profiler (ADCP). Data were recorded in 4 Hz in the beam coordinate system from all 5 beams. Processed data has been averaged into 5 minutes bins and converted to the East-North-Up (ENU) coordinate system. 2. A Nortek Vector acoustic Doppler velocimeter (ADV). Data were recorded at 8 Hz in the beam coordinate system. Processed data has been averaged into 5 minutes bins and converted to the Streamwise - Cross-stream - Vertical (Principal) coordinate system. Turbulence statistics were calculated from 5-minute bins, with an FFT length equal to the bin length, and saved in the processed dataset. Data was read and analyzed using the DOLfYN (version 1.0.2) python package and saved in MATLAB (.mat) and netCDF (.nc) file formats. Files containing analyzed data (".b1") were standardized using the TSDAT (version 0.4.2) python package. NetCDF files can be opened using DOLfYN (e.g., `dat = dolfyn.load(''*.nc")`) or the xarray python package (e.g. `dat = xarray.open_dataset("*.nc"). All distances are in meters (e.g., depth, range, etc), and all velocities in m/s. See the DOLfYN documentation linked in the submission, and/or the Nortek documentation for additional details.

16 TIDAL AND WAVE POWER↗

Sun-induced chlorophyll fluorescence/eddy covariance measurements at NGEE Arctic Council site, Seward Peninsula, Alaska, 2022

Sun-induced chlorophyll fluorescence (SIF) is emitted from the chlorophyll antenna complexes during the light harvesting and photophysical reactions of photosynthesis. It is directly coupled with and therefore can be used to estimate photosynthetic electron transport and CO2 assimilation. SIF, when observed at the ecosystem level, provides information about ecosystem functions that complements the net ecosystem exchange (NEE) of CO2, CH4, water vapor, and sensible heat. NEE observations have been conducted with the eddy covariance (EC) approach at the NGEE Arctic Council, Alaska site for years. However, concurrent SIF observations have not been available. In June 2022, we installed the fluorescence automated measurement equipment (FAME) at the NGEE Arctic Council site. The zip file contains 3,187 *.dat files that can be opened with a text editor or in *.csv.The Next-Generation Ecosystem Experiments: Arctic (NGEE Arctic), was a research effort to reduce uncertainty in Earth System Models by developing a predictive understanding of carbon-rich Arctic ecosystems and feedbacks to climate. NGEE Arctic was supported by the Department of Energy's Office of Biological and Environmental Research. The NGEE Arctic project had two field research sites: 1) located within the Arctic polygonal tundra coastal region on the Barrow Environmental Observatory (BEO) and the North Slope near Utqiagvik (Barrow), Alaska and 2) multiple areas on the discontinuous permafrost region of the Seward Peninsula north of Nome, Alaska. Through observations, experiments, and synthesis with existing datasets, NGEE Arctic provided an enhanced knowledge base for multi-scale modeling and contributed to improved process representation at global pan-Arctic scales within the Department of Energy's Earth system Model (the Energy Exascale Earth System Model, or E3SM), and specifically within the E3SM Land Model component (ELM).

54 ENVIRONMENTAL SCIENCES↗

2017 Western Passage Tidal Energy Resource Characterization Measurements

These data are from tidal resource characterization measurements collected between April and July 2017 in Western Passage near Eastport, Maine, USA. The dataset contains the following four sub-datasets, each of which is described in more detail in the README.pdf. 1. A bottom-mounted Teledyne RDI Workhorse 600 kHz acoustic Doppler current profiler (ADCP) was deployed at 44.92015 N, 66.98915 W in ~50 m of water from 3 April to 18 July (106 days). Data were recorded in 6-minute increments in the ENU (East, magnetic North, Up) coordinate system with bin-mapping enabled. 2. A bottom-mounted Nortek Signature 500 kHz ADCP was deployed at 44.92192 N, 66.98913 W in ~50 m of water from 4 April to 18 July (105 days). Data were sampled and recorded at 2 Hz and recorded in the ENU (East, magnetic North, Up) coordinate system. 3. Between those stations along a cross-channel transect, a Stable Tidal Turbulence Mooring (STTM) positioned ~10 m above the seabed was deployed for one week during a spring tide. The STTM was outfitted with two Nortek Vector acoustic Doppler velocimeters equipped with inertial motion units (ADVs), a bottom-tracking downward-looking Teledyne RDI Workhorse 600 kHz ADCP to provide motion-corrected flow and turbulence characteristics at high temporal resolution, and an upward-looking Teledyne RDI Sentinel V20 ADCP. The STTM was deployed at 44.92098 N, 66.98922 W from 24-31 May. 4. A vessel-mounted Teledyne RDI Workhorse 300 kHz ADCP collected current data along three transects over two days, 4-5 April. The data processing used DOLfYN version 0.11.2. All hdf5 files (i.e., files ending in `.h5`) contained here can be opened using that version of DOLfYN (e.g., `dat = dolfyn.load('')`). All distances are in meters (e.g., depth, range, MLLW, hab, eta, z_), and all velocities in m/s. See the DOLfYN documentation https://lkilcher.github.io/dolfyn/), and/or the Nortek and Teledyne RDI documentation for additional details. Additional details on the dataset can be found in the README.pdf, including: - Format details of each data file. - How to regenerate the data-processing (using the files in the `wp2017_processing.zip` archive).

16 TIDAL AND WAVE POWER↗

Model, data, and code for paper "Modeling of streamflow in a 30-kilometer-long reach spanning 5 years using OpenFOAM 5.x"

The data package includes data, model, and code that support the analyses and conclusions in the paper titled “modeling of streamflow in a 30-kilometer-long reach spanning 5 years using OpenFOAM 5.x”. The primary goal of this paper is to demonstrate that key streamflow properties such as water depth, flow velocity, and dynamic pressure in a natural river at 30-kilometer scale over 5 years can be reliably and efficiently modeled using the computational framework presented in this paper. To support the paper, various data types from remote sensing, field observations, and computational models are used. Specific details are described as follows. Firstly, the river bathymetry data was obtained from a Light Detection and Ranging (LiDAR) survey. This data is then converted to a triangulated surface format, STL, for mesh generation in OpenFOAM. The STL data can be found in Model_Setups/BaseCase_2013To2015/constant/triSurface. The OpenFOAM mesh generated using this STL file can be found in constant/polyMesh. Other model setups, boundary and initial conditions can be found in /system and /0.org under folder BaseCase_2013To2015. A similar data structure can also be found in BaseCase_2018To2019 for the simulations during 2018 and 2019. Secondly, the OpenFOAM simulations need the upstream discharge and water depth information at the upstream boundary to drive the model. These data are generated from a one-dimensional hydraulic model and the data can be found under the folder Model_Setups /1D model Mass1 data. The mass1_65.csv and mass1_191.csv files include the results of the 1D model at the model inlet and outlet, respectively. The Matlab source code Mass1ToOFBC20182019.m is used to convert these data into OpenFOAM boundary condition setups.With the above OpenFOAM model, it can generate data for water surface elevation, flow velocity, and dynamic pressure. In this paper, the water surface elevation was measured at 7 locations during different periods between 2011 and 2019. The exact survey locations (see Fig1_SurveyLocations.txt) can be found in folder Fig_1. The variation of water stage over time at the 7 locations can be found in folder /Observation_WSE. The data type include .txt, .csv, .xlsx, and .mat. The .mat data can be loaded by Matlab.We also measured the flow velocities at 12 cross-sections along the river. At each cross-section, we recorded the x, y locations, depth, three velocity components u,v,w. These data are saved to a Matlab format which can be found under folder /Observation_Velocity and /Fig_1. The relative locations of velocity survey locations to the river bathymetry can be found in Figure 1c.The water stage data at the 7 locations from OpenFOAM, 1D, and 2D hydraulic models are also provided to evaluate the long-term performance of 3D models vs 1D/2D models. The water stage data for the 7 locations from OpenFOAM have been saved to .mat format and can be found in /OpenFOAM_WSE. The water stage data from the 1D model are saved in .csv format and can be found in /Mass1_WSE. The water stage from the 2D model is saved as .mat format and can be found in / Mass2_WSEIn addition, the OpenFOAM model outputs the information of hydrostatic and hydrodynamic pressure. They are saved as .mat format under folder /Fig_11/2013_1. As the files are too large, we only uploaded the data for January 2013. The area of different ratio of dynamic pressure to static pressure for all simulation range, i.e., 2013-2015, are saved to .mat format. They can be found in /Fig_11/PA. Further, the data of wall clock time versus the solution time of the OpenFOAM modeling are also saved to .mat format under folder /Fig_13/LogsMat. In summary, the data package contains seven data types, including .txt, .csv, .xlsx, .dat, .stl, .m, and .mat. The former 4 types can be directly open using a text editor or Microsoft Office. The .mat format needs to be read by Matlab. The Matlab source code .m files need to be run with Matlab. The OpenFOAM setups can be visualized in ParaView. The .stl file can be opened in ParaView or Blender. The data in subfolders Fig_1 to Fig_10 and Fig_12 are copied from the aforementioned data folders to generate specific figures for the paper. A readME.txt file is included in each subfolder to further describe how the data in each folder are generated and used to support the paper.Please use the data package's DOI to cite the data package. Please contact yunxiang.chen@pnnl.gov if you need more data related to the paper.

54 ENVIRONMENTAL SCIENCES↗

A Markov State-based Quantitative Kinetic Model of Sodium Release from the Dopamine Transporter

Here, the dopamine transporter (DAT) belongs to the neurotransmitter:sodium symporter (NSS) family of membrane proteins that are responsible for reuptake of neurotransmitters from the synaptic cleft to terminate a neuronal signal and enable subsequent neurotransmitter release from the presynaptic neuron. The release of one sodium ion from the crystallographically determined sodium binding site Na2 had been identified as an initial step in the transport cycle which prepares the transporter for substrate translocation by stabilizing an inward-open conformation. We have constructed Markov State Models (MSMs) from extensive molecular dynamics simulations of human DAT (hDAT) to explore the mechanism of this sodium release. Our results quantify the release process triggered by hydration of the Na2 site that occurs concomitantly with a conformational transition from an outward-facing to an inward-facing state of the transporter. The kinetics of the release process are computed from the MSM, and transition path theory is used to identify the most probable sodium release pathways. An intermediate state is discovered on the sodium release pathway, and the results reveal the importance of various modes of interaction of the N-terminus of hDAT in controlling the pathways of release.

60 APPLIED LIFE SCIENCES↗

Model data for Flood Frequency Analysis using Stochastic Storm Transposition and an Integrated Surface-Subsurface Hydrological Model

This archived provides scripts and input files used for the implementation of a novel approach to conduct process-based Flood Frequency Analysis using a Stochastic Storm Transposition (SST) and an Integrated Surface-Subsurface Hydrological Model (ISSHM). As a proof-of-concept, this study uses the ISSHM, Advanced Terrestrial Simulator (Amanzi-ATS) model, and the SST model, RainyDay, to conduct flood frequency analysis by simulating the flood response to 5,000 annual synthetic storm events in a ~2000 km2 Southeast Texas watershed.The Watershed Workflow package is implemented in Python3. The Jupyter notebooks can be executed through multiple open-source tools, for example, Anaconda Jupyter Lab, VS Studio Code, etc. Other data files include TXT, CSV, DAT, SBATCH, SHP, TIF, NetCDF, and HDF5 files, which can be read through Python scripts. The input files for the ATS model and RainyDay model have .XML and .SST extensions, respectively, and can be edited in any commonly used text editors.This archive contains:* Scripts and data files essential for generating the ATS model input. It uses the Watershed Workflow package to produce both mesh and ATS input files. * Jupyter notebooks designated for the ATS model evaluation, covering both long-term simulations and 40 rainfall-runoff events.* Input files required to simulate SST storm events using RainyDay.

54 ENVIRONMENTAL SCIENCES↗

Reconfigurable perovskite nickelate electronics for artificial intelligence

Reconfigurable devices offer the ability to program electronic circuits on demand. Here, in this work, we demonstrated on-demand creation of artificial neurons, synapses, and memory capacitors in post-fabricated perovskite NdNiO 3 devices that can be simply reconfigured for a specific purpose by single-shot electric pulses. The sensitivity of electronic properties of perovskite nickelates to the local distribution of hydrogen ions enabled these results. With experimental data from our memory capacitors, simulation results of a reservoir computing framework showed excellent performance for tasks such as digit recognition and classification of electrocardiogram heartbeat activity. Using our reconfigurable artificial neurons and synapses, simulated dynamic networks outperformed static networks for incremental learning scenarios. The ability to fashion the building blocks of brain-inspired computers on demand opens up new directions in adaptive networks.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

Physically-based control-oriented modeling for turbocharged stoichiometric spark-ignited engine with cooled EGR and flexible VVT systems

Accurate estimation and prediction of engine gas exchange system and in-cylinder conditions are critical for spark-ignited engine control and diagnostic algorithm development. In this paper, a physically-based, control-oriented model for a 2.8 l turbocharged, variable valve timing (VVT) and low pressure (LP) exhaust gas recirculation (EGR)-utilizing SI engine was developed. The model includes the impact of modulation to any combination of 10 actuators, including the throttle valve, compressor bypass valve, fueling rate, waste-gate, LP EGR valve, number of deactivated cylinders, intake valve open (IVO) timing, intake valve close (IVC) timing, exhaust valve open (EVO) timing and exhaust valve close (EVC) timing. The accuracy of the model in capturing engine dynamics was demonstrated by validating it against high-fidelity engine GT-Power simulation results for various drive cycles, particularly emphasizing elevated loads. In comparison to the open literature, novel contributions of the effort described in this paper includes in-cylinder gas composition modeling and turbine-out pressure estimation.

Zhang, Xu↗

Field and Model Data Associated with the Manuscript “Drivers of Streamflow Intermittency in Humid Regions: 1. Evaluating Above- and Below-ground Controls of Flow Persistence in a Forested Catchment”

This package contains field data, modeling files, and scripts supporting the investigation of the drivers of streamflow intermittency in a forested catchment. It includes the field data collected from electrical resistivity tomography (ERT) surveys, ground penetrating radar (GPR), continuous self-potential (SP) monitoring, electromagnetic (EM) imaging, groundwater and stilling well. In addition, it contains the data and results of the coupled water- and electrical-flow model developed using the COMSOL Multiphysics and Advanced Terrestrial Simulator (ATS), as well as software files and Jupyter notebooks used to process the data and generate figures in the manuscript submitted for peer review. The data archive is organized in the following directories: 1) Climate Includes hourly precipitation and daily evapotranspiration time series (2024 – 2025) provided as CSV files, alongside a text file detailing dataset units. 2) Coupled_model Contains two subfolders: Synthetic and Field_Application subfolder. Synthetic subfolder contains the ATS XML input script (can be opened using any code editor) for the four synthetic hydrological cases tested (Connected and gaining, Connected and losing, Disconnected and losing, and dry stream). It also includes other experimental cases to test the influence of precipitation and concentration gradient. For each synthetic case, the flow model simulation is executed using the ATS XML scripts and the included Python script (generate_data_set.py) to convert ATS output to COMSOL-ready input. COMSOL Multiphysics template (.mph can be opened with the commercial software COMSOL and requires a license) is executed using the ATS output data to simulate the potential field. It also includes the Synthetic_model_plot.ipynb (can be opened using any code editor) to visualize the SP result and generate manuscript figures. The data subfolder contains mesh files to run both the ATS (.exo and .stl files can be viewed using Paraview; .h5 files can be opened using HDFView software and h5py Python package) and COMSOL models. Field_Application subfolder contains two subfolders: ES_MDA_inversion and Final_Model. ES_MDA_inversion contains the Python script (.py can be opened using any code editor) and SP observation data used to run the Ensemble Smoother with Multiple Data Assimilation (ES-MDA) inversion sequence to get the optimal model parameters. The Final_model subfolder contains the ATS XML input scripts, data files, output data for the two SP sites. The same workflow steps outlined for the Synthetic subfolder apply here. It also contains the Jupyter notebook (Plot_final_calib.ipynb) to visualize the results of the modeled SP, stream-groundwater exchange and moisture content. 3) Discharge Includes the electrical conductivity (EC) time series (provided as CSV files) from salt slug injections. It also includes the Jupyter notebook (Discharge_process.ipynyb) used to estimate discharge. All discharge measurements collated into rating_curve_processed.csv 4) EM Contains the CSV file of the EM data from the DUALEM-42, including spatial coordinates (x, y, z), apparent conductivity, and in-phase measurements at 2 m coil separations for horizontal coplanar (HCP) and perpendicular (PRP) geometries. 5) ERT Contains raw resistivity data (provided as CSV files), spatial location of each of the electrodes (provided as CSV files), and files used for the resistivity inversion (.resipy can be opened with the open-source ResIPy software). 6) GPR Includes GPR field datasets collected at 100 MHz and 250 MHz antenna frequencies, along with the processing/interpretation project file (GPR_process.gpz can be viewed using EKKO_Project 6, a commercial software by Sensors & Software that requires a license). 7) Slug_test Includes the slug test data at all the groundwater wells provided as CSV files, as well as the Jupyter notebook (Slug_test.ipynb) for calculating hydraulic conductivity. 8) SP Contains the SP data collected in field at the two SP sites (one in the perennial reach and the other in the intermittent reach), provided as DAT files. 9) Well_data Contains two subfolders: 1) Raw, which provides unprocessed pressure, electrical conductivity and temperature timeseries downloaded from the loggers in all the groundwater and stilling wells, and 2) Processed, which contains sorted, QA/QC timeseries data for each well. The data archive also contains data_process.ipynb, a Jupyter notebook used for field data analysis and generating figures (plotting well, SP, climate, and discharge data, as well as calculating head gradient at sites with nested groundwater wells). It also includes DTW.ipynb, a Jupyter notebook containing the code for the dynamic time warping (DTW) with sliding window to evaluate SP signal synchronicity.

ATS↗

The LAKE model input dataset for three Arctic lakes

This dataset contains meteorological data collected for three Arctic lakes and compiled to satisfy input requirements of the LAKE 2.0 model. The dataset was generated to act as a benchmarking dataset for future model-data inter-comparisons. The LAKE 2.0 model simulates temperatures within the water later and the sedimentary layer of a lake. The LAKE2.0. is an open-source code and available to download via this weblike http://tesla.parallel.ru/Viktor/LAKE/-/wikis/LAKE-model (last visit July 14, 2021). The meteorological data are required to simulate the surface energy balance at the surface of a lake. This dataset includes a compilation of the meteorological data pulled from multiple data streams, including National Oceanic and Atmospheric Administration (NOAA) climate data, Circumarctic Lakes Observation Network (CALON) data, and the United States Geological Survey (USGS) data. The data were compiled for three Arctic lakes: FoxDen (66.55877, -164.45670), Atqasuk (70.452497, -156.951984), and Toolik (68.63150, -149.60740). Each meteorological data is in comma-delimited format (file extension ‘.dat’) and includes eight columns: Temperature [K], Pressure [Pa], longwave downward radiation [W/m2], shortwave downward radiation [W/m2], “U” wind speed [m/s], ”V” wind speed [m/s], humidity [kg/kg], precipitation [m/s]. In addition to the meteorological data file, we included setup and driver files. The Toolik lake is the deepest out of three lakes and has inflowing and outflowing groundwater data. InflowOutflowREADME.txt has more information about inflow and outflow flies. The other two lakes are much shallower and modeled as a closed system (i.e. no water inflow or outflow).

54 ENVIRONMENTAL SCIENCES↗

Expanding PV Value: Lessons Learned from Utility-led Distributed Energy Resource Aggregation in the United States

Distributed PV capacity in the United States has increased from about 0.4 Gigawatts (GW) in 2010 to 10.5 GW in 2017 (GTM Research and SEIA 2018). When distributed PV is coupled with other emerging distributed energy resources (DERs) like battery storage and electric vehicles (EVs) they can provide demand response, voltage regulation, and other grid services. When many DERs are aggregated and called upon to provide these services simultaneously they may offer the same or more value than large, centralized power producers. In the United States, utility efforts to aggregate DERs are in the nascent stage. If initial DER aggregation programs prove successful, it could open new value streams for PV and other emerging DERs, thereby expanding deployment and transforming the energy market. The literature on the scope, performance, and lessons learned from utility-led DER aggregation programs is limited. This report fills this research gap, first by surveying utility-led DER aggregation programs nationwide, and then providing a deeper analysis of five utility pilots. We compare lessons learned across the five cases to develop a list of common challenges and related solutions that other utilities might consider when developing next generation programs.

14 SOLAR ENERGY↗

Data for Zheng et al. (2025), "AquaMEND: Reconciling multiple impacts of salinization on soil carbon biogeochemistry"

Soil salinization, exacerbated by climate change, poses a global threat to coastal ecosystems and soil function. Salinity affects soil carbon cycling by directly impacting microbial activity and indirectly altering soil physicochemical properties, but current models inadequately represent these complexities. This dataset contains the observational and modeling data from Zheng et al. (2025), which described a process-based modeling framework that couples soil solution chemistry with microbial carbon cycling reactions to study the impacts of soil salinization. This conceptual model is implemented numerically into the open-source geochemical program PHREEQC 3.0 (Parkhurst and Appelo, 2013). This dataset consists of: - Figure2_AquaMEND_salinity_buffer: Contains model simulation outputs to assess the impact of three different cation exchange and surface complexation processes on salinity buffering (Fig. 2 from Zheng et al. 2025). - Figure3_Salinity_function: Contains salinity function fitting for literature data (Fig. 3 from Zheng et al. 2025). - Figure4_AquaMEND_microbial_mechanisms: Contains model simulation outputs for testing various microbial process-based hypotheses related to soil salinization, including microbial mortality, carbon use efficiency (CUE), extracellular enzyme activity, and other microbial mechanisms (Fig. 4 from Zheng et al. 2025). - Figure5_AquaMEND_Redox: Contains on model simulation outputs to evaluate shifts among key redox processes, such as aerobic respiration, sulfate reduction, and methanogenesis (Fig.5 from Zheng et al. 2025). - Figure6_AquaMEND_sorption: Contains on model simulation outputs for investigating the effects of salinity on dissolved organic matter (DOM) sorption and desorption processes (Fig. 6 from Zheng et al. 2025). - Figure7_AquaMEND_process_couple: Contains on model simulation outputs for exploring coupled biotic-abiotic processes and their interactions (Fig. 7 from Zheng et al. 2025). - data: Includes datasets used to develop salinity response functions and evaluate salinity buffering capacity. Datasets for MEND model calibration. - database: Contains the `.dat` file required by PHREEQC for model execution. - README.md: A Markdown plain text file describing the computational tools and directories. Files are a mixture of plain text CSV (comma-separated value) and plain text *.dat files written by the model; no special software is required to read them.

EARTH SCIENCE > AGRICULTURE > SOILS > SOIL SALINIT↗

A Phase 2 Trial of Concurrent Chemotherapy and Proton Therapy for Stage III Non-Small Cell Lung Cancer: Results and Reflections Following Early Closure of a Single-Institution Study

Purpose: Proton therapy has been shown to reduce radiation dose to organs at risk (OAR) and could be used to safely escalate the radiation dose. We analyzed outcomes in a group of phase 2 study patients treated with dose-escalated proton therapy with concurrent chemotherapy for stage 3 non-small cell lung cancer (NSCLC). Methods and Materials: From 2009 through 2013, LU02, a phase 2 trial of proton therapy delivering 74 to 80 Gy at 2 Gy/fraction with concurrent chemotherapy for stage 3 NSCLC, was opened to accrual at our institution. Due to slow accrual and competing trials, the study was closed after just 14 patients (stage IIIA, 9 patients; stage IIIB, 5 patients) were accrued over 4 years. During that same time period, 55 additional stage III patients were treated with high-dose proton therapy, including 7 in multi-institutional proton clinical trials, 4 not enrolled due to physician preference, and 44 who were ineligible based on strict entry criteria. An unknown number of patients were ineligible for enrollment due to insurance coverage issues and thus were treated with photon radiation. Median follow-up of surviving patients was 52 months. Results: Two-year overall survival and progression-free survival rates were 57% and 25%, respectively. Median lengths of overall survival and progression-free survival were 33 months and 14 months, respectively. There were no acute grade 3 toxicities related to proton therapy. Late grade 3 gastrointestinal toxicity and pulmonary toxicity each occurred in 1 patient. Conclusions: Dose-escalated proton therapy with concurrent chemotherapy was well tolerated with encouraging results among a small cohort of patients. Unfortunately, single-institution proton studies may be difficult to accrue and consideration for pragmatic and/or multicenter trial design should be considered when developing future proton clinical trials.

62 RADIOLOGY AND NUCLEAR MEDICINE↗