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Medical Data Architecture Platform and Recommended Requirements for A Medical Data System for Exploration Missions

Minimize or reduce the risk of adverse health outcomes and decrements in performance due to in-flight medical capabilities on human exploration missions. To mitigate this risk, the ExMC MDA project addresses the technical limitations identified in ExMC Gap Med 07: We do not have the capability to comprehensively process medically relevant information to support medical operations during exploration missions. This gap identifies that the current in-flight medical data management includes a combination of data collection and distribution methods that are minimally integrated with on-board medical devices and systems. Furthermore, there are a variety of data sources and methods of data collection. For an exploration mission, the seamless management of such data will enable a more medically autonomous crew than the current paradigm of medical data management on the International Space Station. ExMC has recognized that in order to make informed decisions about a medical data architecture framework, current methods for medical data management must not only be understood, but an architecture must also be identified that provides the crew with actionable insight to medical conditions. This medical data architecture will provide the necessary functionality to address the challenges of executing a self-contained medical system that approaches crew health care delivery without assistance from ground support. Hence, the products derived from the third MDA prototype development will directly inform exploration medical system requirements for Level of Care IV in Gateway missions.In fiscal year 2019, the MDA project developed Test Bed 3, the third iteration in a series of prototypes, that featured integrations with cognition tool data, ultrasound image analytics and core Flight Software (cFS). Maintaining a layered architecture design, the framework implemented a plug-in, modular approach in the integration of these external data sources. An early version of MDA Test Bed 3 software was deployed and operated in a simulated analog environment that was part of the Next Space Technologies for Exploration Partnerships (NextSTEP) Gateway tests of multiple habitat prototypes. In addition, the MDA team participated in the Gateway Test and Verification Demonstration, where the MDA cFS applications was integrated with Gateway-in-a-Box software to send and receive medically relevant data over a simulated vehicle network. This software demonstration was given to ExMC and Gateway Program stakeholders at the NASA Johnson Space Center Integrated Power, Avionics and Software (iPAS) facility. Also, the integrated prototypes served as a vehicle to provide Level 5 requirements for the Crew Health and Performance Habitat Data System for Gateway Missions (Medical Level of Care IV). In the upcoming fiscal year, the MDA project will continue to provide systems engineering and vertical prototypes to refine requirements for medical Level of Care IV and inform requirements for Level of Care V.

Krihak, M.↗

Streamlining GNC Architecture Development and FSW Integration forthe Mars Ascent Vehicle

The Mars Ascent Vehicle (MAV) will be the first vehicle to perform an ascent from the surface ofanother atmospheric planetary body outside of the Earth-Moon system. Significant light-time delayrequires complete autonomy of flight throughout ascent, and naturally a high level of reliability isdesired in both MAV’s hardware and software subsystems. The MAV Guidance, Navigation and Controls(GNC) team and the MAV Flight Software (FSW) team have partnered together to improve the efficiencyof algorithm integration onto the MAV flight processor, and to increase confidence that said integrationis successful and without human error. An interface architecture is proposed for the GNC suite thatallows both the guidance and navigation subsystems to provide code algorithms directly in C++, and thecontrols subsystem to provide MATLAB Simulink auto-coded algorithms. Several continuous integration/deployment (CI/CD) methodologies have been considered for ease of transition of algorithm code fromthe GNC team to the FSW team. The GNC/FSW teams also worked together to develop a cFS-friendlywrapper which abstracts the integration of the GNC algorithm code into an interface-level API that iscompatible with cFS. Several iterations of vehicle GNC code have been produced between the GNC/FSWteam’s partnership, and this strong interface between these two teams have allowed the GNC/FSWteams to greatly increase confidence of efficient and error-free implementation of the GNC code ontoMAV for a successful flight.

GNC↗

Streamlining GNC Architecture Development and FSW Integration for the Mars Ascent Vehicle

The Mars Ascent Vehicle (MAV) will be the first vehicle to perform an ascent from the surface of another atmospheric planetary body outside of the Earth-Moon system. Significant light-time delay requires complete autonomy of flight throughout ascent, and naturally a high level of reliability is desired in both MAV’s hardware and software subsystems. The MAV Guidance, Navigation and Controls (GNC) team and the MAV Flight Software (FSW) team have partnered together to improve the efficiency of algorithm integration onto the MAV flight processor, and to increase confidence that said integration is successful and without human error. An interface architecture is proposed for the GNC suite that allows both the guidance and navigation subsystems to provide code algorithms directly in C++, and the controls subsystem to provide MATLAB Simulink auto-coded algorithms. Several continuous integration/deployment (CI/CD) methodologies have been considered for ease of transition of algorithm code from the GNC team to the FSW team. The GNC/FSW teams also worked together to develop a cFS-friendly wrapper which abstracts the integration of the GNC algorithm code into an interface-level API that is compatible with cFS. Several iterations of vehicle GNC code have been produced between the GNC/FSW team’s partnership, and this strong interface between these two teams have allowed the GNC/FSW teams to greatly increase confidence of efficient and error-free implementation of the GNC code onto MAV for a successful flight.

Engineering↗

Emulation of Core Flight System Applications for Flight Software Development and Validation

The Mars Sample Return (MSR) campaign is an unprecedented attempt in the return of Martian samples back to Earth. The ascent from the surface will be performed by the Mars Ascent Vehicle (MAV), a critical element in the mission that National Aeronautics and Space Administration (NASA) Marshall Space Flight Center (MSFC) is developing. To this end, innovations in flight software development, verification, and validation are occurring. The MAV flight computer will run Core Flight System (cFS), an open-source software environment developed by NASA Goddard Space Flight Center (GSFC). NASA Marshall’s MAV Mission and Fault Management (M&FM) Team has implemented an emulation of two applications of this architecture: Limit Checker and Stored Command. Using an emulation of the functionalities of these applications allows for rapid prototyping of table-based algorithms. Further, M&FM is leveraging an in-house, low-fidelity but high-throughput State Analysis Model (SAM), an integrated MATLAB Stateflow Plant and Software model. This model is run in parallel with the cFS emulation for full flyout testing of the M&FM algorithms, verification of intent of these algorithms, and for future auto-generation of application-ingestible M&FM tables. The tables can then be delivered to the MAV Flight Software (FSW) team in a seamless process, reducing the cost of traditional FSW development and the risk of starting M&FM FSW development at later points in the NASA program life cycle.

Cody Wheeler↗

Emulation of Core Flight System Applications for Flight Software Development and Validation

The Mars Sample Return (MSR) campaign is an unprecedented attempt in the return of Martian samples back to Earth. The ascent from the surface will be performed by the Mars Ascent Vehicle (MAV), a critical element in the mission that National Aeronautics and Space Administration (NASA) Marshall Space Flight Center (MSFC) is developing. To this end, innovations in flight software development, verification, and validation are occurring. The MAV flight computer will run Core Flight System (cFS), an open-source software environment developed by NASA Goddard Space Flight Center (GSFC). NASA Marshall’s MAV Mission and Fault Management (M&FM) Team has implemented an emulation of two applications of this architecture: Limit Checker and Stored Command. Using an emulation of the functionalities of these applications allows for rapid prototyping of table-based algorithms. Further, M&FM is leveraging an in-house, low-fidelity but high-throughput State Analysis Model (SAM), an integrated MATLAB Stateflow Plant and Software model. This model is run in parallel with the cFS emulation for full flyout testing of the M&FM algorithms, verification of intent of these algorithms, and for future auto-generation of application-ingestible M&FM tables. The tables can then be delivered to the MAV Flight Software (FSW) team in a seamless process, reducing the cost of traditional FSW development and the risk of starting M&FM FSW development at later points in the NASA program life cycle.

Cody Wheeler↗

Mars Ascent Vehicle GNC Targeting Routines with Considerations for Flight Software Development

The Mars Ascent Vehicle (MAV) will be the first vehicle to perform an ascent from the surface of another atmospheric planetary body outside of the Earth-Moon system. Significant light-time delay requires complete autonomy of flight throughout ascent, and naturally a high level of reliability is desired in both MAV’s hardware and software subsystems. The MAV Guidance, Navigation and Controls (GNC) team and the MAV Flight Software (FSW) team have partnered together to improve the efficiency of algorithm integration onto the MAV flight processor, and to increase confidence that said integration is successful and without human error. An interface architecture is proposed for the GNC suite that allows both the guidance and navigation subsystems to provide code algorithms directly in C++, and the controls subsystem to provide MATLAB Simulink auto-coded algorithms. Several continuous integration/deployment (CI/CD) methodologies have been considered for ease of transition of algorithm code from the GNC team to the FSW team. The GNC/FSW teams also worked together to develop a cFS-friendly wrapper which abstracts the integration of the GNC algorithm code into an interface-level API that is compatible with cFS. Several iterations of vehicle GNC code have been produced between the GNC/FSW team’s partnership, and this strong interface between these two teams have allowed the GNC/FSW teams to greatly increase confidence of efficient and error-free implementation of the GNC code onto MAV for a successful flight.

Jason Everett↗

Celestial Navigation in Cislunar Space with autoNGC

Celestial navigation (CelNav) is a source of navigation observables where images of known solar system bodies are used to locate a spacecraft, beneficial within the solar system for both cislunar and deep space missions. CelNav provides a variety of design benefits to support and enable current and new autonomous space operations- using only a camera and a processor to produce in-situ measurements for navigation. This technology reduces subscription to ground-based tracking during all phases of a mission, freeing up resources for other operational needs. This also supports secure navigation since it eliminates the need for ground contact. CelNav enables missions where the light time delay between Earth and the spacecraft is too long (or the Earth to spacecraft line of sight is obscured) to support critical operations. It also enables smaller mission classes, where Deep Space Network (DSN)time is cost prohibitive, to reduce its cost by focusing primarily on data downlink. Finally, it enables the NASA Artemis program and other cislunar human space flight by providing redundant navigation to traditional radiometric tracking. In this presentation, we discuss the implementation of a CelNav app in autonomous Navigation, Guidance, and Control (autoNGC), a comprehensive flight software suite for onboard autonomy that is built on the core Flight System (cFS). The presentation also summarizes the results of flight software-in-the-loop (SIL) and processor-in-the-loop (PIL) demonstrations. Both are high-fidelity simulations with the use of a camera emulator hosted on a GPU server that simulates images that would be captured by the camera. The CelNav app leverages the use of cGIANT (cFS Goddard Image Analysis and Navigation Tool).Previously developed for the autoNGC software suite, cGIANT is an onboard autonomous image processing and optical navigation (OpNav) tool that performs limb-based OpNav and Terrain Relative Navigation. The added CelNav capability of cGIANT generates bearing measurements to multiple known celestial bodies (planets, moons, asteroids, comets, etc.) in monocular (2D) images. These observables are then fed to the Goddard Enhanced Onboard Navigation System (GEONS)navigation filter app, enabling us to navigate the spacecraft autonomously. In early 2025, the autoNGC CelNav capability is planned to be flight tested as part of the onboard autonomy experiment on the Cislunar Autonomous Positioning System Technology Operations and Navigation Experiment(CAPSTONE) spacecraft that is currently in a Lunar Near Rectilinear Halo Orbit(NRHO).

celestial navigation↗

Toward Rational Design of Nickel Catalysts for Thermocatalytic Decomposition of Methane for Carbon Dioxide-Free Hydrogen and Value-Added Carbon Co-Product: A Review

Thermocatalytic decomposition of methane provides opportunities for hydrogen (H2) production with no emission of carbon dioxide. However, high-value carbon products need to be produced for economic deployment of thermocatalytic decomposition and to achieve a minimum H 2 selling price below the U.S, Department of Energy target of $ 1/kg H 2 . In this review, we re-evaluate data on catalyst development reported in the literature and propose correlations between catalyst characteristics, catalytic stability, and properties of carbon co-products. In the first part of the review, growth mechanisms for carbon nanotubes using state-of-the-art chemical vapor deposition are reviewed to catalog the effects of catalyst characteristics, the influence of carbon sources, interactions between metal particles and supports, and metal particle sizes on carbon growth. In the second part, representative developments in mono-, bi-, and tri-metallic nickel catalysts are highlighted. We present kinetic analysis of reactions catalyzed by mono-metallic nickel catalysts, which generates a correlation between metal particle size and catalyst stability. Rational design of Ni-based catalysts for TCD of methane requires attention to the size of the metal particle and effective normalization of the reaction rates. Further attention to the distribution of the metal particle sizes may help identify catalyst properties that contribute longevity and selectivity to processes that use them. While it is tempting to focus on the highest valued carbon products (e.g., CNTs and CFs), analysis of the markets for other carbon products suggests that a more flexible approach may generate comparable returns without the risk associated with specialization.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Probabilistic assessment of cloud fraction using Bayesian blending of independent datasets: Feasibility study of a new method

We describe and evaluate a novel method to blend two observed cloud fraction (CF) datasets through Bayesian posterior estimation. The research reported here is a feasibility study designed to explore the method. In this proof‐of‐concept study, we illustrate the approach using specific observational datasets from the U. S. Department of Energy Atmospheric Radiation Measurement Program's Southern Great Plains site in the central United States, but the method is quite general and is readily applicable to other datasets. The total sky image (TSI) camera observations are used to determine the prior distribution. A regression model and the active remote sensing of clouds (ARSCL) radar/lidar observations are used to determine the likelihood function. The posterior estimate is a probability density function (pdf) of the CF whose mean is taken to be the optimal blend of the two observations. The data at hourly, daily, 5‐day, monthly, and annual time scales are considered. Some physical and probabilistic properties of the CFs are explored from radar/lidar, camera, and satellite observations and from simulations using the Community Atmosphere Model (CAM5). Our results imply that (a) the Beta distribution is a reasonable model for CF for both short‐ and long‐time means, the 5‐day data are skewed right, and the annual data are almost normally distributed, and (b) the Bayesian method developed successfully yields a pdf of CF, rather than a deterministic CF value, and it is feasible to blend the TSI and ARSCL data with a capability for bias correction.

58 GEOSCIENCES↗

Cloud fraction at the ARM SGP site: Reducing uncertainty with self-organizing maps

Instrument downtime leads to uncertainty in the monthly and annual record of cloud fraction (CF), making it difficult to perform time series analyses of cloud properties and perform detailed evaluations of model simulations. As cloud occurrence is partially controlled by the large-scale atmospheric environment, this knowledge is used to reduce uncertainties in the instrument record. Synoptic patterns diagnosed from the North American Regional Reanalysis (NARR) during the period 1997–2010 are classified using a competitive neural network known as the self-organizing map (SOM). The classified synoptic states are then compared to the Atmospheric Radiation Measurement (ARM) Southern Great Plains (SGP) instrument record to determine the expected CF. A number of SOMs are tested to understand how the number of classes and the period of classifications impact the relationship between classified states and CFs. Bootstrapping is utilized to quantify the uncertainty of the instrument record when statistical information from the SOM is included. Although all SOMs significantly reduce the uncertainty of the CF record calculated in Kennedy et al. (Theor Appl Climatol 115:91–105, 2014), SOMs with a large number of classes and separated by month are required to produce the lowest uncertainty and best agreement with the annual cycle of CF. Lastly, this result may be due to a manifestation of seasonally dependent biases in NARR.

54 ENVIRONMENTAL SCIENCES↗

Kinetics of Recycling CF/EP Composites by Thermal Excitation of Cr{sub 2}O{sub 3}

Recycling high performance carbon fibers (CFs) by thermal excitation of Cr{sub 2}O{sub 3} semiconductor was proposed. The kinetic model of decomposition of epoxy resin was established and the method for solving kinetic parameters was proposed. The influences of temperature and treatment time on the decomposition rate of epoxy resin were investigated. The kinetic equation was established and the accuracy was verified experimentally. The morphology of the recycled CF was observed and monofilament tensile strength was determined. Results indicated that temperature and treatment time had positive correlation with decomposition rate of the epoxy resin. The reaction order n was 1.5, with excitation energy E of 85.03 kJ·mol{sup −1} and pre-exponential factor k{sub 0} of 1.26 × 10{sup 6} min{sup −1}. The established kinetic equation could be used to estimate the temperature and treatment time. Prolongation of treatment time could improve the monofilament tensile strength. The monofilament tensile strength of the recycled CF at 480 °C for 30 min was 102.72% of that of the original CF, indicating that surface heat treatment was performed on CF during the recycling process.

36 MATERIALS SCIENCE↗

ETV6-NTRK3 as a therapeutic target of small molecule inhibitor PKC412

Highlights: Black-Right-Pointing-Pointer ETV6-NTRK3 is an oncogene with transformation activity in multiple cell lineages. Black-Right-Pointing-Pointer PKC412 could block ETV6-NTRK3 activation. Black-Right-Pointing-Pointer Loss of ETV6-NTRK3 phosphorylation leads to inactivation of its downstream signaling pathway. Black-Right-Pointing-Pointer Inhibition of ETV6-NTRK3 activation by PKC412 could be a novel strategy for the treatment. -- Abstract: The ETV6-NTRK3 (EN) fusion gene which encodes a chimeric tyrosine kinase was first identified by cloning of the t(12;15)(p13;q25) translocation in congenital fibrosarcoma (CFS). Since then, EN has been also found in congenital mesoblastic nephroma (CMN), secretory breast carcinoma (SBC) and acute myelogenous leukemia (AML). Using IMS-M2 and M0-91 cell lines harboring the EN fusion gene, and Ba/F3 cells stably transfected with EN, we demonstrated that PKC412, also known as midostaurin, is an inhibitor of EN. Inhibition of EN activity by PKC412 suppressed the activity of it downstream molecules leading to inhibition of cell proliferation and induction of apoptosis. Our data for the first time suggested that PKC412 could serve as therapeutic drug for treatment of patients with this fusion.

60 APPLIED LIFE SCIENCES↗

Inhibition of Pin1 alleviates myocardial fibrosis and dysfunction in STZ-induced diabetic mice

Therapeutic management of diabetic myocardial fibrosis remains an unsolved clinical problem. Pin1, a peptidyl–prolyl isomerase, impacts diverse cellular processes and plays a pivotal role in regulating cardiac pathophysiology. Here we investigate the potential mechanism of action of Pin1 and its role in diabetes-induced myocardial fibrosis and dysfunction in mice. Cardiac Pin1, transforming growth factor β1 (TGF-β1), α-smooth muscle actin (α-SMA) and extracellular matrix deposits (collagen I and III) are found to be increased in diabetic mice, which are effectively prevented by Pin1 inhibition by juglone. Pin1 inhibition alleviates cardiac fibrosis and dysfunction. In vitro, high glucose increases Pin1 expression with an accompanying increase in phospho-Akt (Ser 473), p-Smad2, p-Smad3, TGF-β1, and α-SMA in cardiac fibroblasts (CFs). These increases are effectively prevented by the inhibition of Pin1 by juglone. Furthermore, Pin1 inhibition inhibits HG-induced CF proliferation and migration. Our results indicate that Pin1 inhibition attenuates cardiac extracellular matrix deposition by regulating the phosphorylation of Akt, TGF-β1/Smads, MMP activities, and α-SMA expression in diabetic mice.

60 APPLIED LIFE SCIENCES↗

A lightweight and metal-free current collector for battery anode applications

The requirement for high energy density batteries is driving the development of high-capacity electrode materials while reducing the amount of inactive battery components such as separators, binders, and current collectors. Though current collectors are an inactive component, they are still required for successful working of a battery cell. Conventional current collectors include aluminum foil for cathode and copper foil for anode. Copper foil is quite heavy (8.7 mg/cm 2 ) for 10μm thickness. Therefore, there is a need for a lightweight current collector for anode applications. In this work, a metal-free current collector comprised of aligned carbon fiber (CFs) layer filled with carbon nanotubes (CNTs) mixed in polymer (P) is developed to be used as a current collector for anodes. Further, anodes coated on the CF-CNT-P showed lower charge transfer resistance and improved rate capability compared with the anodes fabricated on conventional copper foil-based current collectors. The CF-CNT-P are lighter (≈1.5 mg/cm 2 ) than the commonly used copper foil (8.7 mg/cm 2 ), which will increase the gravimetric energy density.

25 ENERGY STORAGE↗

Coupled geomechanical investigation of depletion-induced fault reactivation

Fault reactivation during subsurface fluid production pose significant challenges to safe and sustainable resource extraction. Here, this study presents a three-dimensional coupled geomechanical framework to investigate the processes driving fault reactivation, capturing the interactions between reservoir dynamics and geomechanical responses. Verification against theoretical estimations based on linear poroelasticity confirms the model's capacity in representing reservoir background stress responses. However, the study reveals that relying solely on background stress states can underestimate or overestimate fault reactivation potential, emphasizing the importance of including localized stress perturbations such as differential compaction and stress redistribution. Applied to a fault (M1) inspired by the geological characteristics of the Groningen field, the model shows slip initiation at 2965 m depth with 16.0 MPa depletion, aligning with field observations where seismicity occurred at approximately 3 km depth after 15.8 MPa depletion. Parametric studies reveal: (1) inelastic reservoir compaction delays fault reactivation and mitigates fault slip by reducing stress concentration, (2) higher intermediate in-situ stress magnitudes decrease the Coulomb Failure Stress (CFS) increase rate and reduce fault slip, (3) larger fault offsets amplify shear stress near the offset zone, promoting earlier reactivation and longer rupture propagation, and (4) fault permeability significantly influences pressure diffusion, with low-permeability faults leading to sharper stress changes and earlier fault destabilization. These insights highlight the critical role of geological and mechanical parameters in fault reactivation and provide a predictive framework for mitigating induced seismicity risks.

Coupled geomechanical modeling↗

Epidermal Growth Factor Receptor Expression As Prognostic Marker in Patients With Anal Carcinoma Treated With Concurrent Chemoradiation Therapy

Purpose: To investigate the prognostic value of epidermal growth factor receptor (EGFR) expression in pretreatment tumor biopsy specimens of patients with anal cancer treated with concurrent 5-fluorouracil and mitomycin C-based chemoradiation therapy (CRT). Methods and Materials: Immunohistochemical staining for EGFR was performed in pretreatment biopsy specimens of 103 patients with anal carcinoma. EGFR expression was correlated with clinical and histopathologic characteristics and with clinical endpoints, including local failure-free survival (LFFS), colostomy-free survival (CFS), distant metastases-free survival (DMFS), cancer-specific survival (CSS), and overall survival (OS). Results: EGFR staining intensity was absent in 3%, weak in 23%, intermediate in 36% and intense in 38% of the patients. In univariate analysis, the level of EGFR staining was significantly correlated with CSS (absent/weak vs intermediate/intense expression: 5-year CSS, 70% vs 86%, P=.03). As a trend, this was also observed for DMFS (70% vs 86%, P=.06) and LFFS (70% vs 87%, P=.16). In multivariate analysis, N stage, tumor differentiation, and patients’ sex were independent prognostic factors for CSS, whereas EGFR expression only reached borderline significance (hazard ratio 2.75; P=.08). Conclusion: Our results suggest that elevated levels of pretreatment EGFR expression could be correlated with favorable clinical outcome in anal cancer patients treated with CRT. Further studies are warranted to elucidate how EGFR is involved in the response to CRT.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Prospective Evaluation of Acute Toxicity and Quality of Life After IMRT and Concurrent Chemotherapy for Anal Canal and Perianal Cancer

Purpose: A prospective cohort study was conducted to evaluate toxicity, quality of life (QOL), and clinical outcomes in patients treated with intensity modulated radiation therapy (IMRT) and concurrent chemotherapy for anal and perianal cancer. Methods and Materials: From June 2008 to November 2010, patients with anal or perianal cancer treated with IMRT were eligible. Radiation dose was 27 Gy in 15 fractions to 36 Gy in 20 fractions for elective targets and 45 Gy in 25 fractions to 63 Gy in 35 fractions for gross targets using standardized, institutional guidelines, with no planned treatment breaks. The chemotherapy regimen was 5-fluorouracil and mitomycin C. Toxicity was graded with the National Cancer Institute Common Terminology Criteria for Adverse Events, version 3. QOL was assessed with the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and CR29 questionnaires. Correlations between dosimetric parameters and both physician-graded toxicities and patient-reported outcomes were evaluated by polyserial correlation. Results: Fifty-eight patients were enrolled. The median follow-up time was 34 months; the median age was 56 years; 52% of patients were female; and 19% were human immunodeficiency virus—positive. Stage I, II, III, and IV disease was found in 9%, 57%, 26%, and 9% of patients, respectively. Twenty-six patients (45%) required a treatment break because of acute toxicity, mainly dermatitis (23/26). Acute grade 3 + toxicities included skin 46%, hematologic 38%, gastrointestinal 9%, and genitourinary 0. The 2-year overall survival (OS), disease-free survival (DFS), colostomy-free survival (CFS), and cumulative locoregional failure (LRF) rates were 90%, 77%, 84%, and 16%, respectively. The global QOL/health status, skin, defecation, and pain scores were significantly worse at the end of treatment than at baseline, but they returned to baseline 3 months after treatment. Social functioning and appetite scores were significantly better at 12 months than at baseline. Multiple dose-volume parameters correlated moderately with diarrhea, skin, and hematologic toxicity scores. Conclusion: IMRT reduces acute grade 3 + hematologic and gastrointestinal toxicities compared with reports from non-IMRT series, without compromising locoregional control. The reported QOL scores most relevant to acute toxicities returned to baseline by 3 months after treatment.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Aligned carbon fibers-carbon nanotube-polymer-based composite as lithium-ion battery current collector

High energy density demand is pushing the development of high-voltage cathode materials, which necessitates improved electrochemical stability of other battery components such as binders, electrolytes, and current collectors. Current collectors are considered to be an inactive component but still play an essential role. In this study, a metal-free composite film containing directionally aligned carbon fiber (CF), carbon nanotube (CNT), and polymer (P) was developed to replace aluminum foil as a cathode current collector, which relies on forming an Al 2 O 3 layer to ensure electrochemical stability at high voltage. Here, each component in the new cathode current collector played a functional role. The CNTs provided uniform current densities, and CFs improved the electronic conductivity and mechanical strength of the composite material. The polymer enhanced the adhesion of the cathode coating with the current collector and provided an impervious support to the cathode materials. The CF-CNT-P composite demonstrated excellent electrochemical and thermal stability. Cathodes coated on the CF-CNT-P composite exhibited lower charge transfer resistance, improved rate capability, and improved cyclic stability compared with the cathodes deposited on conventional aluminum foil. Additionally, the composite current collector was lighter (1.81 mg/cm 2 and 15 µm thick) than the commonly used aluminum foil (4.35 mg/cm2 and 15 µm thick), which can increase the cell energy density. Additionally, the CF-CNT-P did not need to be separated from the cathode coating during recycling and can be burnt out with binder, simplifying the recycling process.

25 ENERGY STORAGE↗