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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 289 records · Page 16

COVID-19 prevention at institutions of higher education, United States, 2020–2021: implementation of nonpharmaceutical interventions

Background, In early 2020, following the start of the coronavirus disease 2019 (COVID-19) pandemic, institutions of higher education (IHEs) across the United States rapidly pivoted to online learning to reduce the risk of on-campus virus transmission. We explored IHEs’ use of this and other nonpharmaceutical interventions (NPIs) during the subsequent pandemic-affected academic year 2020–2021. Methods, From December 2020 to June 2021, we collected publicly available data from official webpages of 847 IHEs, including all public (n = 547) and a stratified random sample of private four-year institutions (n = 300). Abstracted data included NPIs deployed during the academic year such as changes to the calendar, learning environment, housing, common areas, and dining; COVID-19 testing; and facemask protocols. We performed weighted analysis to assess congruence with the October 29, 2020, US Centers for Disease Control and Prevention (CDC) guidance for IHEs. For IHEs offering ≥50% of courses in person, we used weighted multivariable linear regression to explore the association between IHE characteristics and the summated number of implemented NPIs. Results, Overall, 20% of IHEs implemented all CDC-recommended NPIs. The most frequently utilized NPI was learning environment changes (91%), practiced as one or more of the following modalities: distance or hybrid learning opportunities (98%), 6-ft spacing (60%), and reduced class sizes (51%). Additionally, 88% of IHEs specified facemask protocols, 78% physically changed common areas, and 67% offered COVID-19 testing. Among the 33% of IHEs offering ≥50% of courses in person, having < 1000 students was associated with having implemented fewer NPIs than IHEs with ≥ 1000 students. Conclusions, Only 1 in 5 IHEs implemented all CDC recommendations, while a majority implemented a subset, most commonly changes to the classroom, facemask protocols, and COVID-19 testing. IHE enrollment size and location were associated with degree of NPI implementation. Additional research is needed to assess adherence to NPI implementation in IHE settings.

59 BASIC BIOLOGICAL SCIENCES↗

Designing an Optimal Sensor Network via Minimizing Information Loss

Optimal experimental design is a classic topic in statistics, with many well-studied problems, applications, and solutions. The design problem we study is the placement of sensors to monitor spatiotemporal processes, explicitly accounting for the temporal dimension in our modeling and optimization. We observe that recent advancements in computational sciences often yield large datasets based on physics-based simulations, which are rarely leveraged in experimental design. We introduce a novel model-based sensor placement criterion, along with a highly-efficient optimization algorithm, which integrates physics-based simulations and Bayesian experimental design principles to identify sensor networks that “minimize information loss” from simulated data. Our technique relies on sparse variational inference and (separable) Gauss-Markov priors, and thus may adapt many techniques from Bayesian experimental design. We validate our method through a case study monitoring air temperature in Phoenix, Arizona, using state-of-the-art physics-based simulations. Our results show our framework to be superior to random or quasi-random sampling, particularly with a limited number of sensors. We conclude by discussing practical considerations and implications of our framework, including more complex modeling tools and real-world deployments.

54 ENVIRONMENTAL SCIENCES↗

Long Term Per-Component Power and Thermal Measurements of the OLCF Summit System

As we move into the exascale era, the power and energy footprints of high-performance computing (HPC) systems have grown significantly larger. Due to the harsh power and thermal conditions the system, components are exposed to extreme operating conditions. Operation of such modern HPC systems requires deep insights into long term system behavior to maintain its efficiency as well as its longevity. To help the HPC community to gain such insights, we provide a dataset that records the long-term power and thermal behavior of the 200PF pre-exascale supercomputer at the Oak Ridge Leadership Computing Facility (OLCF), Summit. This system is an IBM AC922 based system that has 9,252 IBM Power9 CPUs and 27,756 Nvidia V100 GPUs and can consume up to 13MW power at peak. Heat removal is performed using medium temperature direct liquid cooling and rear-door heat exchanger based secondary cooling loop. Originally extracted from a high-resolution (1Hz) per-component (GPUs, CPUs) measurements from the system, we primarily provide a dataset that has 10-second and 1-minute mean power and thermal measurements selected from five month-long segments over the course of 2020 (January and August), 2021 (February and August), and 2022 (January). For convenience, we also provide various sub datasets randomly sampled from the time and space (hosts) of the cluster. Further details and example code for analysis can be found in the following GitHub repository: https://github.com/at-aaims/summit_power_and_thermal_data

97 MATHEMATICS AND COMPUTING↗

Proposal and application of ROM-Lasso method for sensitivity coefficient evaluation

We propose a novel method for evaluating sensitivity coefficients of neutronics parameters to cross sections, so-called the reduced-order modeling technique ROM-Lasso. In this method, cross sections of interest are randomly sampled, and corresponding perturbed core analyses are performed. Then, the sensitivity coefficient vector of the higher-level model is expanded via the active subspace bases obtained with the lower-level model whose dimensional complexity is smaller than that of the higher-level model, and the expansion coefficients are estimated by the Lasso regression. A unique feature of the ROM-Lasso method allows the use of different bases optimized for each neutronics parameter. We conducted a verification calculation for an accelerator-driven system and demonstrated that the ROM-Lasso method can reproduce the sensitivity coefficients with a much smaller number of forward calculations than the direct method. The proposed method can be used to practically evaluate sensitivity coefficients. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Description and Use of SCALE Sampler Parametric Capability for Engineering Analysis and Optimization

The Sampler sequence was introduced into the SCALE nuclear modeling and simulation suite in SCALE 6.2 to perform uncertainty quantification via random sampling of nuclear data, material number densities, and dimensions. Sampler was expanded with the introduction of a parametric capability in SCALE 6.2.2. This paper discusses input for the Sampler parametric sequence and presents two case studies of analyses performed using the sequence. These case studies include preconceptual design of a package for transporting high assay low-enriched uranium (HALEU) oxide and scoping calculations to support subcritical limit development for a future update of the ANSI/ANS-8.1 (ANS-8.1) standard. The parametric capability within Sampler provides many benefits to analysts. For instance, parametric sweeps are frequently used to identify optimum parameter values as part of safety analysis or system design, but such sweeps can require substantial engineering time or may rely on custom-written scripts or scripts such as Write One, Run Many (or WORM) developed outside of any software quality assurance program. With the parametric capabilities in Sampler, however, a large number of inputs can be generated automatically without recourse to scripting by individual analysts. The parametric capability can also be used in lieu of the CSAS5S search sequence to identify optimum parameters more simply with straightforward inputs and outputs. Sampler can also be used to calculate input parameters from engineering specifications. For example, diameters can be converted to radii, or masses can be used to calculate number densities. Overall, the Sampler parametric capability provides a robust feature within SCALE, eliminating the need for user-developed scripting.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Ptychographic wavefront characterization for single-particle imaging at x-ray lasers

A well-characterized wavefront is important for many x-ray free-electron laser (XFEL) experiments, especially for single-particle imaging (SPI), where individual biomolecules randomly sample a nanometer region of highly focused femtosecond pulses. We demonstrate high-resolution multiple-plane wavefront imaging of an ensemble of XFEL pulses, focused by Kirkpatrick–Baez mirrors, based on mixed-state ptychography, an approach letting us infer and reduce experimental sources of instability. From the recovered wavefront profiles, we show that while local photon fluence correction is crucial and possible for SPI, a small diversity of phase tilts likely has no impact. Our detailed characterization will aid interpretation of data from past and future SPI experiments and provides a basis for further improvements to experimental design and reconstruction algorithms.

47 OTHER INSTRUMENTATION↗

Transit Rider/Travel Behavior Inventory Survey - Minneapolis-St. Paul Metro - 1990

The 1990 transit on-board survey aimed to update the 1988 survey, which was conducted as part of the Preliminary Engineering Study for the Hennepin County Light Rail Transit System. The 1988 study received Regional Transit Board funding, and survey results could be applied to a mode split model for projecting ridership on the proposed Light Rail Transit System. However, this survey was designed with the 1990 Travel Behavior Inventory in mind. The intention had been to update the 1988 survey in 1990 to be compatible with the 1990 Travel Behavior Inventory data. The results of the 1990 survey were used primarily to create a table of observed transit trips between each of the 1,200 traffic analysis zones in the region. This trip table was used to calibrate a new mode split model, which estimated future year travel by mode. The 1990 update survey focused on new routes and routes that had changed significantly since 1988. To preserve compatibility with the 1988 survey, the same survey questionnaire card was used, together with the same survey procedures for data collection. The procedures randomly sampled bus patrons during the transit trip, asking key questions about the patron and the transit trip. The survey card was intended for patrons to fill out quickly so it could be completed during the transit trip. The questions focused on conditions that have proven over time to significantly influence ridership. In all, a total of 20,126 valid survey records were processed. Adding surrogate trips, the survey data file is composed of a total of 27,159 trip records . About 10% of the records were filled out by persons who had answered more than one questionnaire.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Proof-of-Concept Study for Uncertainty Quantification and Sensitivity Analysis using the BRL Shaped-Charge Example

These are the slides for a graduate presentation at Mississippi State University. It covers the following: the BRL Shaped-Charge Geometry in PAGOSA, mesh refinement study, surrogate modeling using a radial basis function network (RBFN), ruling out parameters using sensitivity analysis (equation of state study), uncertainty quantification (UQ) methodology, and sensitivity analysis (SA) methodology. In summary, a mesh convergence study was used to ensure that solutions were numerically stable by comparing PDV data between simulations. A Design of Experiments (DOE) method was used to reduce the simulation space to study the effects of the Jones-Wilkins-Lee (JWL) Parameters for the Composition B main charge. Uncertainty was quantified by computing the 95% data range about the median of simulation output using a brute force Monte Carlo (MC) random sampling method. Parameter sensitivities were quantified using the Fourier Amplitude Sensitivity Test (FAST) spectral analysis method where it was determined that detonation velocity, initial density, C1, and B1 controlled jet tip velocity.

45 MILITARY TECHNOLOGY, WEAPONRY, AND NATIONAL DEF↗

NSR&D Program Fiscal Year 2015 Funded Research Stochastic Modeling of Radioactive Material Releases Final Report

Nonreactor nuclear facilities operating under the approval authority of the U.S. Department of Energy use unmitigated hazard evaluations to determine if potential radiological doses associated with design basis events challenge or exceed dose evaluation guidelines. Unmitigated design basis events that sufficiently challenge dose evaluation guidelines or exceed the guidelines for members of the public or workers, merit selection of safety structures, systems, or components or other controls to prevent or mitigate the hazard. Idaho State University, in collaboration with Idaho National Laboratory, has developed a portable and simple to use software application called SODA (Stochastic Objective Decision-Aide) that stochastically calculates the radiation dose distribution associated with hypothetical radiological material release scenarios. Rather than producing a point estimate of the dose, SODA produces a dose distribution result to allow a deeper understanding of the dose potential. SODA allows users to select the distribution type and parameter values for all of the input variables used to perform the dose calculation. Users can also specify custom distributions through a user defined distribution option. SODA then randomly samples each distribution input variable and calculates the overall resulting dose distribution. In cases where an input variable distribution is unknown, a traditional single point value can be used. SODA, developed using the MATLAB coding framework, has a graphical user interface and can be installed on both Windows and Mac computers. SODA is a standalone software application and does not require MATLAB to function. SODA provides improved risk understanding leading to better informed decision making associated with establishing nuclear facility material-at-risk limits and safety structure, system, or component selection. It is important to note that SODA does not replace or compete with codes such as MACCS or RSAC; rather it is viewed as an easy to use supplemental tool to help improve risk understanding and support better informed decisions. The SODA development project was funded through a grant from the DOE Nuclear Safety Research and Development Program.

42 ENGINEERING↗

Application of the SHARP Toolkit to Sodium-Cooled Fast Reactor Challenge Problems

The Simulation-based High-efficiency Advanced Reactor Prototyping (SHARP) toolkit is under development by the Nuclear Energy Advanced Modeling and Simulation (NEAMS) Campaign of the U.S. Department of Energy, Office of Nuclear Energy. To better understand and exploit the benefits of advanced modeling simulations, the NEAMS Campaign initiated the “Sodium-Cooled Fast Reactor (SFR) Challenge Problems” task, which include the assessment of hot channel factors (HCFs) and the demonstration of zooming capability using the SHARP toolkit. If both challenge problems are resolved through advanced modeling and simulation using the SHARP toolkit, the economic competitiveness of a SFR can be significantly improved. The efforts in the first year of this project focused on the development of computational models, meshes, and coupling procedures for multi-physics calculations using the neutronics (PROTEUS) and thermal-hydraulic (Nek5000) components of the SHARP toolkit, as well as demonstration of the HCF calculation capability for the 100 MWe Advanced Fast Reactor (AFR-100) design. Testing the feasibility of the SHARP zooming capability is planned in FY 2018. The HCFs developed for the earlier SFRs (FFTF, CRBR, and EBR-II) were reviewed, and a subset of these were identified as potential candidates for reduction or elimination through high-fidelity simulations. A one-way offline coupling method was used to evaluate the HCFs where the neutronics solver PROTEUS computes the power profile based on an assumed temperature, and the computational fluid dynamics solver Nek5000 evaluates the peak temperatures using the neutronics power profile. If the initial temperature profile used in the neutronics calculation is reasonably accurate, the one-way offline method is valid because the neutronics power profile has weak dependence on small temperature variation. In order to get more precise results, the proper temperature profile for initial neutronics calculations was obtained from the STAR-CCM+ calculations. The HCFs of the peak temperatures at cladding outer surface, cladding inner wall surface, and fuel centerline induced by cladding manufacturing tolerance and uncertainties on the cladding, coolant, and fuel properties were evaluated for the AFR-100. Some assessment on the effect of wire wrap configuration and size of the bundle shows that it is practical to use the 7-pin bare rod bundle to calculate the HCFs. The resulting HCFs obtained from the high-fidelity SHARP calculations are generally smaller than those developed for the earlier SFRs because the most uncertainties involved in the modeling and simulations were disappeared. For completeness, additional investigations are planned in FY 2018, which will use random sampling techniques.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

Use of Neutron Flux Calculated by Shift in a Grizzly Reactor Pressure Vessel Fracture Simulation

The reactor pressure vessel (RPV) plays the critical role of containing the reactor and coolant in a light water reactor nuclear power plant, and must be able to safely perform this function under a variety of normal and off-normal transient loading conditions. The RPV is subjected to harsh environmental conditions (elevated temperature and high neutron flux) whenever the plant is operating, which leads to embrittlement of the steel over time. RPVs contain populations of flaws introduced during the manufacturing process, and the primary safety concern is that during a transient event, a fracture could initiate at the site of one of these flaws and lead to rupture of the RPV. RPVs are very rugged structures, and the probability of this occurring is very low, but as the RPV's steel becomes embrittled over time, its resistance to fracture decreases and this becomes more likely. Assessing the likelihood of RPV fracture during a transient event involves performing a probabilistic fracture mechanics analysis, in which random sampling procedures are used to assess the probability of fracture of a population of flaws. Grizzly offers unique capabilities for modeling the RPV using 1D, 2D, or 3D representations, taking advantage of parallel computing for this type of analysis. One of the important inputs to Grizzly is the spatial distribution of the neutron fluence, which has a large impact on the material embrittlement, and should thus be characterized as accurately as possible. The VERA core simulator developed by the CASL program takes advantage of high performance computing resources to perform high-fidelity multiphysics simulations of reactor physics, including the effects of neutron transport, fuel performance, and thermal hydraulics. Recently a capability was developed to also evaluate neutron fluxes away from the reactor core through the Shift code. This allows for a detailed 3D map of the spatial variation of the fluence in components such as the RPV to be computed, which is ideal for use with Grizzly. This report documents a procedure developed to use the fluences computed in Shift in a Grizzly simulation, which allows for improved realisim in the prediction of the effects of environmental exposure on propensity for reactor pressure vessel fracture. This capability demonstrated on RPVs with multiple types of configurations.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

Quantifying Uncertainty in All-to-All Estimates of Space Object Conjunction Probabilities using U-Statistics

Predicting space object conjunctions is inherently probabilistic due to initial state and orbit model uncertainty. A commonly considered Monte Carlo estimator of the conjunction probability is the ’all-to-all’ estimator. Given independent random samples of the trajectories of both objects, the estimator is the percentage of all pairs of trajectories that result in a conjunction. Intuitively, the all-to-all estimator is the best possible estimator of the conjunction probability since it considers all pairs of Monte Carlo samples. However, its distribution is not available in closed-form, which limits its use in practice and makes this intuition difficult to make rigorous. In this paper, the all-to-all estimator is identified as a U-statistic, which implies that it has several favorable properties. Specifically, the estimator is the minimum variance unbiased estimator of the conjunction probability and is asymptotically Gaussian distributed. An approximate confidence interval for the conjunction probability is obtained from an estimate of the asymptotic Gaussian distribution. We show how to efficiently compute the confidence interval and demonstrate that the interval has the nominal coverage level. The confidence intervals are also seen to be narrower than those based on the commonly-used each-to-each estimator. Furthermore, the all-to-all estimator is shown to allow different Monte Carlo sample sizes, whereas the each-to-each estimator requires equal sample sizes.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Sensitivity and Uncertainty of the IFR-1 BISON Benchmark

The fuel performance code BISON is being used to evaluate metallic fuel for a new fast-spectrum test reactor called the Versatile Test Reactor, which is being considered by the US Department of Energy. To quantify the accuracy of BISON predictions, researchers at Oak Ridge National Laboratory have been developing a series of benchmarks based on legacy metallic fuel experiments. As part of this effort, the sensitivity of BISON predictions to variations in model inputs and the uncertainties associated with BISON predictions must be established. This report summarizes efforts to perform a comprehensive sensitivity analysis (SA) and uncertainty quantification (UQ) on a benchmark based on the IFR-1 experiment. For the SA, at least one input was chosen from every BISON model and physics module used in the benchmark. The inputs were varied individually in a series of BISON simulations. The resulting variations in benchmark predictions were normalized to calculate sensitivities. The strongest sensitivities were identified and used to inform input selections for the UQ. The UQ was performed using the Monte Carlo UQ method. A literature review was conducted to estimate uncertainty distributions for the selected inputs, and values were sampled randomly from each distribution in a series of BISON simulations. Variations in the benchmark predictions were used to estimate uncertainty distributions and confidence intervals. It was found that nearly 100% of benchmark predictions matched the corresponding legacy values within the confidence intervals. However, this is at least partially because of the wide confidence intervals associated with the benchmark predictions. The uncertainty contributions of assumptions in the benchmark, experimental uncertainties, and BISON models were quantified. Some analysis was performed to identify inputs that contributed to the uncertainties. Finally, recommendations are made for future benchmark development and future BISON development.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Monte Carlo Transport: Computational Physics Summer Workshop [Slides]

In general, Monte Carlo methods simulate large numbers of random trials in order to observe numerical behavior of systems described by probabilistic behavior. In radiation transport, pseudo-random number generators are used to randomly sample individual particle lives. Information about the particles are tallied.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Natural Selection Footprints Among African Chicken Breeds and Village Ecotypes

Natural selection is likely a major factor in shaping genomic variation of the African indigenous rural chicken, driving the development of genetic footprints. Selection footprints are expected to be associated with adaptation to locally prevailing environmental stressors, which may include diverse factors as high altitude, disease resistance, poor nutrition, oxidative and heat stresses. To determine the existence of a selection footprint, 268 birds were randomly sampled from three indigenous ecotypes from East Africa (Rwanda and Uganda) and North Africa (Baladi), and two registered Egyptian breeds (Dandarawi and Fayoumi). Samples were genotyped using the chicken Affymetrix 600K Axiom R Array. A total of 494,332 SNPs were utilized in the downstream analysis after implementing quality control measures. The intra-population runs of homozygosity (ROH) that occurred in >50% of individuals of an ecotype or in >75% of a breed were studied. To identify inter-population differentiation due to genetic structure, FST was calculated for North- vs. East-African populations and Baladi and Fayoumi vs. Dandarawi for overlapping windows (500 kb with a step-size of 250 kb). The ROH and FST mapping detected several selective sweeps on different autosomes. Results reflected selection footprints of the environmental stresses, breed behavior, and management. Intra-population ROH of the Egyptian chickens showed selection footprints bearing genes for adaptation to heat, solar radiation, ion transport and immunity. The high-altitude-adapted East-African populations’ ROH showed a selection signature with genes for angiogenesis, oxygen-heme binding and transport. The neuroglobin gene (GO:0019825 and GO:0015671) was detected on a Chromosome 5 ROH of Rwanda–Uganda ecotypes. The sodium-dependent noradrenaline transporter, SLC6A2 on a Chromosome 11 ROH in Fayoumi breed may reflect its active behavior. Inter-population FST among Egyptian populations reflected genetic mechanisms for the Fayoumi resistance to Newcastle Disease Virus (NDV), while FST between Egyptian and Rwanda–Uganda populations indicated the Secreted frizzled related protein 2, SFRP2, on Chromosome 4, that contributes to melanogenic activity and most likely enhances the Dandarawi chicken adaptation to high-intensity of solar radiation in Southern Egypt. These results enhance our understanding of the natural selection forces role in shaping genomic structure for adaptation to the stressful African conditions.

59 BASIC BIOLOGICAL SCIENCES↗

Simultaneous Discovery of Positive and Negative Interactions Among Rhizosphere Bacteria Using Microwell Recovery Arrays

Understanding microbe-microbe interactions is critical to predict microbiome function and to construct communities for desired outcomes. Investigation of these interactions poses a significant challenge due to the lack of suitable experimental tools available. Here we present the microwell recovery array (MRA), a new technology platform that screens interactions across a microbiome to uncover higher-order strain combinations that inhibit or promote the function of a focal species. One experimental trial generates 10 4 microbial communities that contain the focal species and a distinct random sample of uncharacterized cells from plant rhizosphere. Cells are sequentially recovered from individual wells that display highest or lowest levels of focal species growth using a high-resolution photopolymer extraction system. Interacting species are then identified and putative interactions are validated. Using this approach, we screen the poplar rhizosphere for strains affecting the growth of Pantoea sp. YR343, a plant growth promoting bacteria isolated from Populus deltoides rhizosphere. In one screen, we montiored 3,600 microwells within the array to uncover multiple antagonistic Stenotrophomonas strains and a set of Enterobacter strains that promoted YR343 growth. The later demonstrates the unique ability of the platform to discover multi-membered consortia that generate emergent outcomes, thereby expanding the range of phenotypes that can be characterized from microbiomes. This knowledge will aid in the development of consortia for Populus production, while the platform offers a new approach for screening and discovery of microbial interactions, applicable to any microbiome.

59 BASIC BIOLOGICAL SCIENCES↗

A fast Monte Carlo cell-by-cell simulation for radiobiological effects in targeted radionuclide therapy using pre-calculated single-particle track standard DNA damage data

Introduction: We developed a new method that drastically speeds up radiobiological Monte Carlo radiation-track-structure (MC-RTS) calculations on a cell-by-cell basis. Methods: The technique is based on random sampling and superposition of single-particle track (SPT) standard DNA damage (SDD) files from a “pre-calculated” data library, constructed using the RTS code TOPAS-nBio, with “time stamps” manually added to incorporate dose-rate effects. This time-stamped SDD file can then be input into MEDRAS, a mechanistic kinetic model that calculates various radiation-induced biological endpoints, such as DNA double-strand breaks (DSBs), misrepairs and chromosomal aberrations, and cell death. As a benchmark validation of the approach, we calculated the predicted energy-dependent DSB yield and the ratio of direct-to-total DNA damage, both of which agreed with published in vitro experimental data. We subsequently applied the method to perform a superfast cell-by-cell simulation of an experimental in vitro system consisting of neuroendocrine tumor cells uniformly incubated with 177 Lu. Results and discussion: The results for residual DSBs, both at 24 and 48 h post-irradiation, are in line with the published literature values. Our work serves as a proof-of-concept demonstration of the feasibility of a cost-effective “in silico clonogenic cell survival assay” for the computational design and development of radiopharmaceuticals and novel radiotherapy treatments more generally.

62 RADIOLOGY AND NUCLEAR MEDICINE↗