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Experiment design for the neutron irradiation of $\mathrm{PM-HIP}$ alloys for nuclear reactors

Here, this article describes the design of an Advanced Test Reactor (ATR) drop-in neutron irradiation experiment aiming to directly compare the performance of nuclear structural alloys fabricated by powder metallurgy with hot isostatic pressing (PM-HIP) against conventional casting or forging. There is growing interest in PM-HIP alloys for nuclear applications because of their microstructural uniformity, superior mechanical properties, and reduced dependence on welding and machining, compared to cast/forged alloys. Nuclear code-qualification of PM-HIP alloys requires neutron irradiation testing to demonstrate performance under relevant conditions. In this experiment, six nuclear structural alloys were irradiated: Ni-based alloys 625 and 690, Grade 91 ferritic steel, SA508 pressure vessel steel, and 304L and 316L austenitic stainless steels. The experiment is assembled into seven capsules in four test trains and irradiated in three ATR inboard A positions. Both the PM-HIP and cast/forged versions of each alloy were irradiated under nearly identical conditions for comparative purposes, to target doses of 1 ± 0.2 and 3 ± 0.2 dpa at temperatures of 300 ± 50 °C and 400 ± 50 °C. A thorough description of the experiment design and thermal, structural and neutronic analyses performed to ensure the targeted irradiation conditions are met is provided. Specimens were configured as small disks, compact tension specimens and tensile bars to facilitate post-irradiation examination (PIE) that will include mechanical testing, microstructure characterization, and fracture toughness testing. Given the considerations for ASTM standardized mechanical testing, comparative fluence and temperature across specimen pairs, and comprehensive PIE planning herein, this work serves as a template for future nuclear materials qualification experiment designs.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

The state of the art for neutron irradiation experiments from the perspective of the High Flux Isotope Reactor (HFIR)

Irradiation experiment campaigns are critical to advancing nuclear energy technologies by providing data on material performance under relevant radiation conditions. Successful irradiation experiments require integrated design efforts that balance technical goals with facility constraints. Here, this paper presents an expert-informed overview of irradiation experiment design at the High Flux Isotope Reactor. It addresses the nuclear materials research and irradiation experiment communities to guide them toward developing technically sound, facility-compatible campaigns. The High Flux Isotope Reactor is a multipurpose reactor supporting isotope production, neutron scattering, and materials testing. Its high, steady-state neutron flux is ideal for irradiation experiments, but successful execution demands coordinated thermal, structural, and reactor physics analyses. The paper outlines the complete development workflow from concept definition and design optimization to safety qualification and post-irradiation examination. Standardized capsule platforms are also discussed in terms of flexibility, specimen capacity, and thermal performance. Common failure modes such as unanticipated geometric variations, can impact temperature-dose profiles and compromise data reliability. Therefore, detailed thermal modeling and accurate as-built characterization are essential for meaningful post-irradiation data interpretation. Key recommendations include early engagement all stakeholders, clearly defined design expectations, and alignment of specimen geometries with post-irradiation examination capabilities. This approach reduces design iterations, enhances data quality, and supports more efficient use of irradiation resources. Strategic and well-planned irradiation testing not only improves individual campaign success but also accelerates the deployment of advanced nuclear technologies. By closing critical data gaps and reducing development risks, the nuclear materials community can more effectively contribute to the future of clean, resilient energy systems.

Experiments↗

Same-sided successive-shock HED instability experiments

Inertial confinement fusion (ICF) and high-energy density (HED) physics experiments experience complicated forcing for instability growth and mix due to the ubiquitous presence of multiple shocks interacting with perturbations on multiple material interfaces. One common driver of instability growth is successive shocks from the same direction. However, there is a severe lack of analytic work and modeling validation for same-sided successive shocks since they are extremely difficult to achieve with conventional (non-HED) drivers. Successive shocks access a large instability parameter space; idealized fluid theory [K. O. Mikaelian, Phys. Rev. A 31, 410 (1985)] predicts 15 different interface evolution scenarios for a sinusoidal perturbation. Growth becomes more complex for multi-mode, compressible HED systems. The Mshock campaign is the first experiment in any fluid regime to probe a wide portion of successive shock parameter space. This is enabled by our development of a hybrid direct/indirect drive platform capable of creating independently controllable successive shocks on the National Ignition Facility. These experiments have delivered the first data capable of rigorously challenging our models and their ability to accurately capture Richtmyer–Meshkov growth under successive shocks. Single-mode and two-mode experiments have successfully demonstrated the ability to access and control the various growth scenarios of the shocked interface, including re-inversion, freeze out, and continued growth. Simulations and theoretical modeling are shown to accurately capture the experimental observations in the linear growth phase, giving us confidence in our ICF/HED design codes.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Design of a High-Assay Low-Enriched Uranium Tri-Structural Isotropic Critical Experiment for Advanced Reactor Validation

High-assay low-enriched uranium (HALEU) fuel is a key component of many small modular reactor designs. Critical experiments are an important way to understand the neutronic performance of systems by obtaining nuclear data validations through measurements. Data reduce uncertainty and risk by showing that systems respond as predicted to changes such as temperature, subsequently advancing the overall technology readiness level of the materials within. Numerous critical experiments have been performed at the National Criticality Experiments Research Center (NCERC) operated by Los Alamos National Laboratory at the Nevada National Security Site since it became operational in 2011. However, the first experiment with HALEU fuel did not occur until 2024. Through extensive engineering, the experiment described in this paper was successfully designed and executed for the Comet vertical lift assembly at NCERC to perform measurements with HALEU tri-structural isotropic fuel that will assist in validation of nuclear data and computational modeling of small modular reactors for years to come.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Contribution of Lobe Power to Experiment Heating in the Advanced Test Reactor

In order to ease the computational burden associated with designing irradiation experiments in the Advanced Test Reactor (ATR), scaling factors are often used to estimate design parameters at different lobe powers. Here, this paper examines the validity of long-standing assumptions about the contribution of lobe power to total experiment heating in the ATR. For each of the ATR’s 77 different experiment positions, the fractional contribution of each of the ATR’s five lobes to the total heating in that position is calculated and compared to traditional assumptions. The updated fractional contributions are then used to scale heating rates in a sample problem, and the results are compared to traditional scaling methods as well as explicit MC21 heating calculations. It is concluded that for experiment locations in close proximity to the ATR driver fuel (i.e. flux traps and the A, H, and B positions), heating rates scaled with the updated fractional contributions generally agree better with explicit MC21 calculations than do heating rates scaled using the traditionally assumed contributions. For the I positions, which are located on the very periphery of the ATR core, both scaling methods led to poor results when compared against explicit calculations due to the effect that movement of the outer shim control cylinders has on the experiment heating in those positions.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

EGS Collab Experiment 1 Stimulation Data

Stimulation data from Experiment 1 of EGS Collab, which occurred on the 4850 ft level of the Sanford Underground Research Facility (SURF). A detailed description of the stimulation data is provided in the StimulationDataNotes.docx and is also available on the EGS Collab Wiki. A Meta Data Cheat Sheet, which describes all of the channels in the Raw CSV files, is available as well. Note that this cheat sheet is a comprehensive meta data descriptor and channels were added as the experiment evolved. This means that some columns may not be populated in early data. Additionally, we have included the chat logs from these experiments. The experiments were broadcast over teleconferencing software and real-time data displays were available to remote observers. The logs contain important observations from those personnel performing the experiment and the remote contributors. Finally, we have included summary and individual plots of all of the data for the user to compare to.

15 GEOTHERMAL ENERGY↗

Critical Experiment Design Phase 2 Report for Integral Request 304

This report documents the second phase of the critical experiment design process (CED-2) conducted as part of integral experiment request (IER) 304. The purpose of IER-304 is to develop a temperature-dependent critical experiment capability at the Sandia National Laboratories critical experiment facility using low-enriched uranium oxide fuel. Only a few benchmark quality critical experiments are currently available to validate criticality safety computational methods at temperatures other than room temperature. Recent advancements in computational techniques such as implementation of on-the-fly Doppler broadening techniques and advanced treatment of thermal scattering data necessitate the development of additional experimental capabilities in this area. The work described in this report developed representative configurations using 7uPCX and BUCCX fuels, analyzed the physics exercised by the different arrays, and analyzed the estimated experimental uncertainties. This report also scopes the information necessary for performing modifications to the reactor to accommodate operation at elevated and reduced temperatures.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

NCSP Integral Experiments at Sandia in FY21 [Slides]

This presentation provides details regarding integral experiments at Sandia National Laboratory for fiscal year 2021. The experiments discussed are as follows: IER 230: Characterize the Thermal Capabilities of the 7uPCX; IER 304: Temperature Dependent Critical Benchmarks; IER 305: Critical Experiments with UO 2 Rods and Molybdenum Foils; IER 306: Critical Experiments with UO 2 Rods and Rhodium Foils ; IER 441: Epithermal HEX Lattices with SNL 7uPCX Fuel for Testing Nuclear Data; IER 452: Inversion Point of the Isothermal Reactivity Coefficient; and IER 523: Critical Experiments with ACRR UO 2 -BeO Fuel.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

IER-501 CED-3b: Experiment Execution Summary for the Pulsed-Neutron Die-Away Experimental Testbed for Thermal Scattering Law Benchmarks (PNDA)

This report summarizes the experiments done for IER-501, a testbed for pulsed-neutron die-away (PNDA) experiments at Lawrence Livermore National Laboratory (LLNL). The PNDA experiments were conducted in two separate two-day campaigns: one campaign for high-density polyethylene and another for Lucite. All experiments were performed at Lawrence Livermore Laboratory. They will become high-quality benchmarks that serve to optimize and validate thermal neutron scattering laws (TSLs), which are high priority nuclear data for the Department of Energy’s Nuclear Criticality Safety Program (NCSP). The report presents the PNDA design and its equipment, and it documents the experimental die-away curves. It presents the characterization measurements that have been performed to-date. Importantly, mass spectrometry measurements to determine sample impurities were not yet completed. These will be included in the final benchmark. The report gives the fitted decay constants for the die-away curves of each target sample. It also provides the data for the die-away curves in the appendices. The HDPE experiments examined twelve targets of varying size. The Lucite measurements included ten targets of varying size. Experimenters in the campaign were Daniel Siefman, William Zywiec, and Ruby Araj.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Nuclear Criticality Experiments Research Center Futures: A Report of a Workshop held September 6-9, 2022, Los Alamos, NM, November, 2022

Experiments and training with critical assemblies and fissionable material (at or near the critical state) that explore reactivity phenomena are central to a number of national security challenges. From fission energy to nuclear weapons to a broad suite of scientific challenges, it is clear that additional capacity and capability are needed. The National Criticality Experiments Research Center (NCERC) marked 10 years of operations in 2021. This anniversary was an opportune time to celebrate our successes and progress, and to evaluate the remaining and emergent challenges. Against this backdrop, a workshop of approximately 140 national and international leaders in nuclear research was convened in Los Alamos, New Mexico to explore “NCERC Futures.” Therefore, the present workshop focused specifically on needed capabilities and tools to meet the research challenges in eight topical mission areas served by NCERC. As each Topical Group summarized their discussions in the out brief, it was recognized that key challenges could be met through enabling infrastructure investments and new critical assemblies. Enabling infrastructure includes staffing, additional space/buildings, developing an agile bounding safety basis, the ability to keep pace with technological advances in detectors and data acquisition systems (allowing use of those with Bluetooth™ and similar technologies), an expanded set of materials options (especially plutonium), a “Plug and Play” design and implementation mindset, and a facility that enabled free-field measurements. The new critical assemblies that were identified as having the most impact were a bare plutonium (Pu) Critical Assembly, a Horizontal Split Table (HST), a Super Comet, and a Uranium Solution Burst Assembly. NECRC is a unique, one-of-a-kind facility in the United States. If all the improvements were to be made, NCERC would enable the United States and its partners to address many important research questions related to criticality. These include but are not limited to: (1) Covering the entire neutron energy spectrum for both highly enriched uranium (HEU) and Pu in configurations for virtually all conceivable applications; (2) Performing multi-physics solution experiments and irradiations with a Uranium Solution Burst Assembly, which more closely resembles actual criticality accidents; (3) Conducting free-field experiments to make basic fission physics measurements and much cleaner benchmarks with various experimental observables; and (4) Providing more training classes and more experiments annually at greater cost efficiency enabled by additional buildings and machines and an agile, bounding, risk-balanced Safety Basis. In the end, workshop attendees enthusiastically concluded that NCERC Futures are bright and the workshop helped to identify a roadmap of capability gaps that need to be addressed. This report documents the results of those efforts.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

HALEU Experiments [Slides]

The DNCSH, through the HALEU Availability Program, needs publicly available benchmarks supporting Advanced Reactor Fuel Cycle and Transportation. LANL is uniquely positioned to support this goal, with its past experiments at TA-18, planned experiments at NCERC, experiment design capability, and ties to industry. The Deimos experiment will be executed soon and serve as a premier benchmark for the program. LANL expects to submit proposals to the call when issued (soon). Additional experiments supporting DNCSH have already been designed

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

Summary of Thermocouple Performance in the Advanced Gas Reactor Experiment AGR-5/6/7 During Irradiation in the Advanced Test Reactor

The Advanced Gas Reactor -5/6/7 (AGR-5/6/7) experiment was the fourth and final experiment in the AGR experiment series and completed irradiation in July 2020. It serves as the formal fuel qualification test for the TRISO fuels under development by the US Department of Energy. This experiment was designed to irradiate fuel particles at temperatures ranging from 800°C ? 1500°C. The high end of the range created unique challenges for thermocouple-based temperature measurements. Commercially available high-temperature platinum-rhodium thermocouples (Types S, R, and B) and tungsten-rhenium thermocouples (Type C) suffer rapid decalibration due to transmutation of the thermoelements from neutron absorption. A special low neutron cross-section thermocouple system based on molybdenum/niobium thermoelements called High Temperature Irradiation Resistant thermocouple (HTIR-TC) has been under development at INL since circa 2004. Several examples of this thermocouple type were incorporated into regions of the test operating above 1200°C. For regions in the test operating in the 1000°C ? 1200°C range, high-performance versions of Type N thermocouples recently developed at Cambridge University were installed. Standard Type N thermocouples were used in regions of the test operating below 1000°C. A total of 54 thermocouples were incorporated into the test. A report of the performance of this large heterogenous set of thermocouples over the first third of the irradiation was previously provided (ANIMMA 2019). This follow-on paper discusses results from the balance of the experiment (Feb 2019 - July 2020). Special attention is focused on potential drift of thermocouples operating in the higher temperature regions.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Summary of Thermocouple Performance in the Advanced Gas Reactor Experiment AGR-5/6/7 During Irradiation in the Advanced Test Reactor

This is a conference presentation ppt file. The following abstract is for the entire conference paper - which will later be the subject of a PRS artifact The Advanced Gas Reactor -5/6/7 (AGR-5/6/7) experiment was the fourth and final experiment in the AGR experiment series and completed irradiation in July 2020. It serves as the formal fuel qualification test for the TRISO fuels under development by the US Department of Energy. This experiment was designed to irradiate fuel particles at temperatures ranging from 800°C ? 1500°C. The high end of the range created unique challenges for thermocouple-based temperature measurements. Commercially available high-temperature platinum-rhodium thermocouples (Types S, R, and B) and tungsten-rhenium thermocouples (Type C) suffer rapid decalibration due to transmutation of the thermoelements from neutron absorption. A special low neutron cross-section thermocouple system based on molybdenum/niobium thermoelements called High Temperature Irradiation Resistant thermocouple (HTIR-TC) has been under development at INL since circa 2004. Several examples of this thermocouple type were incorporated into regions of the test operating above 1200°C. For regions in the test operating in the 1000°C ? 1200°C range, high-performance versions of Type N thermocouples recently developed at Cambridge University were installed. Standard Type N thermocouples were used in regions of the test operating below 1000°C. A total of 54 thermocouples were incorporated into the test. A report of the performance of this large heterogenous set of thermocouples over the first third of the irradiation was previously provided (ANIMMA 2019). This follow-on paper discusses results from the balance of the experiment (Feb 2019 - July 2020). Special attention is focused on potential drift of thermocouples operating in the higher temperature regions.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Irradiation Experiments and Thermal Analysis for Reactor System Design and Analysis at INL

Idaho National Laboratory (INL) is the nation's lead nuclear laboratory working to enhance reactor systems' safety, security, economics, and efficiency. Research and development (R&D) programs at INL support the current fleet of nuclear reactors for safer operation and newer reactors technology design, development, demonstration, and deployment. A major focus of INL's mission is the reactor system design and analysis supported by the irradiation experiments and thermal analysis of advanced and current-generation nuclear fuels and materials. The irradiation experiments and thermal analysis provide a deeper understanding of basic radiation damage processes that can determine the basis for performance improvements and verification of modeling assumptions. These experiments and analyses include experiment management: design, fabrication, characterization, irradiation, and post-irradiation examination. This research involves thermal, neutronic, and material investigation using the INL's Advanced Test Reactor (ATR) and Transient Reactor Test (TREAT) facilities. The results from these experiments and analysis are required to develop the regulatory basis for deploying new or modified fuels and materials. This seminar talk will also provide a general overview of the INL's research facilities, ongoing research programs, core capabilities, and opportunities for students and faculties.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Experiment Design and Preparation for a Shielding Benchmark Utilizing Godiva-IV

An experiment is currently being designed to provide a high-quality shielding benchmark for Criticality Accident Alarm System (CAAS) modeling. Previous benchmarks have suffered from uncertainty primarily due to two factors. The first factor is radiation that is not directly coming from the source, also known as room return. Room return is notoriously difficult to account for in experimental data and to model in benchmarks. The second factor is uncertainty associated with the source term itself. In order to reduce these two sources of uncertainty, this experiment will utilize a room return shield [1] that will reduce the effect of room return and previous work performed to ensure the reproducibility of the source term. The experiment will use the Godiva IV [2] assembly located at the National Criticality Experiments Research Center (NCERC) to provide a neutron source representative of a criticality accident. Previous experiments [3]-[4] have shown that Godiva IV is capable of producing both bursts and steady-state emissions of equal magnitude which will allow for reduced uncertainty in the source term. The room return shield will house and isolate the shielding samples, neutron activation foils, and other detectors. Data collected will provide a comparison of the neutron and gamma dose for shielded and unshielded configurations. This data will be used to validate shielding data used for modeling criticality accident alarm systems. Shielding samples included in this benchmark are C, Fe, NaCl, Pb, high density polyethylene, and SiO 2 . This paper details the design of the room return shield, the experimental plan, challenges, and mitigation strategies.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

Neutron Absorber Plate Characterization Plan for Criticality Experiments Design

After being used in nuclear installations, depleted fuel can still be highly reactive and must be handled securely to prevent any radiological or criticality concerns. In particular, spent fuel from use in nuclear power reactors must be stored and transported in specifically designed containers using neutron absorber materials to prevent criticality. Various neutron absorber material types exist and are manufactured by various entities, as thoroughly described in the Handbook of Neutron Absorber Materials for Spent Nuclear Fuel Storage and Transportation Applications written by EPRI. Presently, one of the most modern and most widely used types of neutron absorber material contains particles of boron carbide, or B 4 C, embedded in aluminum matrix: Boralcan, manufactured by Rio Tinto. It is very important for the community to know as much as possible about such neutron absorber materials. Therefore, in the recent years, a US Department of Energy National Nuclear Security Administration–Nuclear Criticality Safety Program funded project initiated design of an experiment that places Boralcan neutron-absorbing plates in an established critical assembly using low-enriched uranium fuel at the Sandia Pulsed Reactor Facility/Critical Experiments (SPRF/CX) apparatus at Sandia National Laboratories. The goal of the experiment is to produce high-quality benchmark data to submit to the International Criticality Safety Benchmark Evaluation Project (ICSBEP), for use in validating calculational tools and nuclear data by criticality safety analysts. The project, named IER-554, is currently in its final design stage, following a successful preliminary design. In the work documented in the design study, ten critical configurations using Boralcan neutron absorber plates were designed, and the experiment was proven to be feasible, with a predicted low k eff uncertainty around 100 pcm. An overview of the modeled cutout of the critical assembly with a Boralcan plate is shown in Figure 1, representing one of the configurations planned for the critical experiments. Before the plates are inserted in the critical assembly, it is necessary to know more about their composition and uniformity. This summary focuses on the plate characterization plans. Each plate will undergo (1) neutron transmission measurements at different locations to determine the 10 B areal density and (2) an in-depth x-ray computed tomography (XCT) examination to obtain the exact Sizes and distribution of the B4C powder particles inside the plates. In parallel, plate modeling studies are performed with a goal to determine the validity of the currently used approximation of modeling the neutron absorber plates as a homogeneous mixture of Aluminum 1100 alloy and B4C— instead of explicitly modeling the B4C particles. By using the experimental 10 B areal density measurements, and the exact size and location of the B4C particles obtained by XCT, a plate model can theoretically be built that reproduces the plate with extremely high fidelity. The results of this modeling study could increase the confidence of the criticality safety community in its modeling methods when using this type of neutron absorber material, and the industry could use these validations to change the boron loading credit limits from the U.S. Nuclear Regulatory Commission standard review plan for dry cask storage of spent nuclear fuel. The modeling calculations are performed with SCALE 6.3.0 using the KENO V.a sequence for criticality calculations with the ENDF/B-VIII.0 continuous-energy cross section library.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Validation Testing for Molten Chloride Reactor Experiment Equipment Removal and Disposal Techniques

The Molten Chloride Reactor Experiment (MCRE) will be the first reactor featuring a fast-spectrum molten chloride circulating nuclear fuel system in the world. Planning for equipment removal and disposal (ERD) of MCRE has identified several technology gaps due to the unique environment of this nuclear experiment. Some of the gaps arise from the application of existing disassembly and/or sizing methods to novel material forms or in novel configurations. Others arise from unknown material behavior. This paper summarizes proposed test plans for ERD validation experiments to address these complicated or unknown equipment removal procedures. At the Waste Management Symposia in 2024, the Idaho National Laboratory (INL) MCRE ERD team presented the challenges associated with hosting multiple nuclear experiments in series with only brief transition periods between systems. Such difficulties include higher dose rates, the presence of radioisotopes infrequently encountered in reactor decommissioning and radioactive waste management, lack of intrinsic remote-operations infrastructure in the test bed, space constraints in the test bed, and contamination minimization requirements. To address these challenges, remote or semi-remote technologies are planned to be implemented in a non-hot cell environment with limited space availability. The team also discussed how a systems engineering approach is being used for conceptual development and design of equipment removal systems to address these challenges. For example, to reduce constraints for the removal of more difficult components, non-activated, noncontaminated elements are planned to be taken out first where possible. Still, there are complexities associated with the remaining components. In this work, the operational framework for MCRE ERD was reviewed for technical gaps and open questions, and test plans were drafted to address these areas. The tests plans were written for the following categories: vision systems, pipe cutting, drill/grout/filler, flush salt, and miscellaneous, with the miscellaneous group consisting of tests like techniques for removing bearings and reflector bricks. The test plans explore material, infrastructure, and staffing requirements needed for test execution. The test plans additionally focus on the evaluation of success. Determining the outcome of a test is imperative - as these explorative actions have the potential to rearrange or re-scope planned ERD activities. Success criteria identified thus far include required tool output, required area(s), debris production and mitigation, and repeatability. Test plans are an essential aspect of the systems engineering approach to MCRE ERD. They are used as the beginning steps in defining use cases for the ERD system. Performance of the validation tests is expected to begin in the summer of 2025 and will take approximately 9 to 12 months to complete. Execution of these plans will be expedited by specifying test needs ahead of time, facilitating efficient interactions with any subcontractors tasked with running the requested tests. Evaluating the outcomes of these tests will inform MCRE ERD procedures and timing and will also identify additional technical constraints for the MCRE ERD System. This upfront process optimization effort will help the project save time and resources at the end of the experiment.

21 - SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLAN↗

A novel methodology to integrate outcomes regarding perioperative pain experience into a composite score: Prediction model development and validation

Abstract Background An integrated score that globally assesses perioperative pain experience and rationally weights each component has not yet been developed. Methods A development dataset specific to adult Chinese patients undergoing orthopaedic surgery was obtained from PAIN OUT (1985 qualified patients of 2244). A more recent validation dataset obeying the same conditions was obtained from the Chinese Anaesthesia Shared‐database Platform (1004 qualified patients of 1032). Outcomes were assessed using the International Pain Outcomes Questionnaire (IPO‐Q), which comprises key patient‐level outcomes of perioperative pain management, including pain experience and perceptions of care. Using principal component analysis and regression models, a composite score (CS) was inferred to integrate pain experience. The discrimination of the CS for dissatisfaction and desire for more pain treatment was compared with that of the worst pain score. Results A CS was developed from the 12 items of the IPO‐Q regarding pain experience. The weight for calculating the CS was worst pain 11, least pain 17, time spent in severe pain 11, interference with activity in bed 9, interference with breathing deeply or coughing 10, interference with sleep 9, anxiety 12, helplessness 12, nausea 0, drowsiness 2, itch 5 and dizziness 2. In external validation, the CS indicated superior discrimination to the worst pain in predicting dissatisfaction ( p < 0.001) and desire for more pain treatment ( p < 0.001). Conclusions This study introduced a methodology to integrate outcomes regarding perioperative pain experience into a CS, which was based on the weight of each item. Significance This novel methodology sheds additional light on the riveting issue of carefully integrating several measures into a composite endpoint, which may be useful for quality improvement purposes when addressing the impact of a change in clinical practice.

Jiang, Bailin↗