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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 37 records · Page 2
All sourcesNASA NTRSDOE OSTI
DOE OSTI2022

On large-scale dynamos with stable stratification and the application to stellar radiative zones

Our understanding of large-scale magnetic fields in stellar radiative zones remains fragmented and incomplete. Such magnetic fields, which must be produced by some form of dynamo mechanism, are thought to dominate angular-momentum transport, making them crucial to stellar evolution. A major difficulty is the effect of stable stratification, which generally suppresses dynamo action. We explore the effects of stable stratification on mean-field dynamo theory with a particular focus on a non-helical large-scale dynamo (LSD) mechanism known as the magnetic shear-current effect. We find that the mechanism is robust to increasing stable stratification as long as the original requirements for its operation are met: a source of shear and non-helical magnetic fluctuations (e.g. from a small-scale dynamo). Both are plausibly sourced in the presence of differential rotation. Our idealized direct numerical simulations, supported by mean-field theory, demonstrate the generation of near equipartition large-scale toroidal fields. Additionally, a scan over magnetic Reynolds number shows no change in the growth or saturation of the LSD, providing good numerical evidence of a dynamo mechanism resilient to catastrophic quenching, which has been an issue for helical dynamos. These properties – the absence of catastrophic quenching and robustness to stable stratification – make the mechanism a plausible candidate for generating in situ large-scale magnetic fields in stellar radiative zones.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2020

A Computational-experimental Study to Simulate Mixing and Thermal Stratification in SFRs

This NEUP project 16-10579 entitled “A Computational-Experimental Study to Simulate Mixing and Thermal Stratification in SFRs”, has investigated important phenomena of thermal stratification and mixing in Sodium-cooled Faster reactors (SFRs). A liquid metal experimental set-up was built at Kansas State University to generate high fidelity experimental data and validate computational models. The scope of the work involved - scaled down design of experimental facility, construction and commissioning of the new facility, conducting thermal-hydraulics experiments relevant to the physics of thermal stratification and mixing in the plena, developing 3D CFD models of the experiments, developing SAS4A/SASSYS-1 system model of the liquid metal experimental facility , survey of previous data in literature on stratification experiments and recommendations for improved models.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗
DOE OSTI2022

Benchmark Specification for Select Experiments Conducted at the University of Wisconsin-Madison Thermal Stratification Test Facility

The Department of Energy (DOE)-Nuclear Energy University Programs (NEUP) supported the creation and operation of the Thermal Stratification Test Facility (TSTF) at the University of Wisconsin Madison (UWM) as part of a larger effort to understand thermal stratification behavior in liquid-metal-cooled reactors. The TSTF was designed to simulate transients in a reactor plenum that are known to cause thermal stratification. High-reliability and high-resolution measurements of the flow and temperature were collected for use as experimental benchmarks to support validation efforts for computational models. The results of these tests contribute to the greater understanding of thermal stratification behavior of liquid sodium under various configurations and operating conditions. The six TSTF tests selected for benchmarking are a set of forced circulation tests at a fixed flow rate with different Upper Internal Structure (UIS) configurations in the test section (no UIS, solid UIS, and a UIS with flow area of 4, 8, 12, and 100%). This report provides a complete description of the benchmark problems, including all key test facility details, descriptions of each test condition, and measured data for comparison with modeled results.

42 ENGINEERING↗
DOE OSTI2021

Fuel Stratification Effects on Gasoline Compression Ignition with a Regular-Grade Gasoline on a Single-Cylinder Medium-Duty Diesel Engine at Low Load

Prior research studies have investigated a wide variety of gasoline compression ignition (GCI) injection strategies and the resulting fuel stratification levels to maintain control over the combustion phasing, duration, and heat release rate. Previous GCI research at the US Department of Energy’s Oak Ridge National Laboratory has shown that for a combustion mode with a low degree of fuel stratification, called “partial fuel stratification” (PFS), gasoline range fuels with anti-knock index values in the range of regular-grade gasoline (~87 anti-knock index or higher) provides very little controllability over the timing of combustion without significant boost pressures. On the contrary, heavy fuel stratification (HFS) provides control over combustion phasing but has challenges achieving low temperature combustion operation, which has the benefits of low NOX and soot emissions, because of the air handling burdens associated with the required high exhaust gas recirculation rates. Furthermore, this work investigates HFS and PFS combustion, efficiency, and emissions performance on a single-cylinder, medium-duty engine with a regular-grade gasoline (91 research octane number) at 1,200 rpm, 4.3 bar, and 3.0 nominal gross indicated mean effective pressure operating points with boost levels similar to those in a medium-duty diesel application. Authority of combustion phasing with main injection timing sweeps for HFS and second injection timing sweeps and fuel split sweeps for PFS are shown. In addition, this work is discussed in the context of previous findings with a light-duty diesel platform, and next steps and future direction for this work are presented.

33 ADVANCED PROPULSION SYSTEMS↗
DOE OSTI2020

An Efficient 1-D Thermal Stratification Model for Pool-Type Sodium-Cooled Fast Reactors

Investigating thermal stratification in the upper plenum of a sodium fast reactor (SFR) is presently a technology gap in SFR safety analysis. Understanding thermal stratification will promote safe operation of the SFR before its commercial deployment. Stratified layers of liquid sodium with a large vertical temperature gradient could be established in the upper plenum of an SFR during a down-power or a loss-of-flow transient. These stratified layers are unstable and could result in uncertainties for the core safety of an SFR. In order to predict the occurrence of the thermal stratification efficiently, we developed a one-dimensional (1-D) transport model to estimate the temperature profile of the ambient fluid in the upper plenum. This model demands much less computational effort than computational fluid dynamics (CFD) codes and provides calculations with higher fidelity than historical system-level codes. Two flow conditions were considered separately in the current study depending on if in-vessel components are presented in the upper plenum. For the condition where in-vessel components, specifically the upper internal structure, are presented, we assumed that the impinging sodium was evenly dispersed in the ambient fluid within the distance between the bottom of the in-vessel component and the jet inlet surface. For the condition where no in-vessel components are presented, we assumed that the impinging sodium was evenly dispersed in the ambient fluid within the jet length, which was determined through data-driven trainings. The newly developed 1-D model showed similar performance with the CFD model in both cases. However, due to the assumption of flat profiles of the impinging jet axial dispersion rate, nonnegligible discrepancies between the 1-D prediction and the measured data were observed.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗
DOE OSTI2024

High-Fidelity Simulation of the Light-to-Dense Stratification Transient in the HiRJET Facility

Density stratification in a large enclosure is a crucial phenomenon to heat transfer and sustainable passive heat removal of a sodium fast reactor during reactivity transients. However, engineering turbulence models were identified to have unsatisfactory performance in predicting propagation of a stratified front. Yet, the scarcity of high-resolution data for stratification hampers the development of models. To explor e applications of leveraging direct numerical simulation (DNS) data to support turbulence model development, this work conducted DNS using NekRS to study a long stratification transient in the High-Resolution Jet (HiRJET) experimental facility. Here, this work considers an experiment run where light fluid is injected into a tank containing a denser fluid with a relative density difference of 1.5%. Formation of the stratified layer is identified as impingement of the buoyant jet promoting mixing of the two fluids. Based on the transient statistics, transport of the concentration can be characterized by regions with dominating effects of turbulent mixing, buoyant dissipation, and molecular diffusion, respectively, as moving away from the elevation of jet impingement. Concentration near the stratified front also exhibits oscillation at Brunt-Väisälä frequency. Preliminary validation of the simulation showed encouraging agreement of the concentration distribution with the reference experiment.

buoyant mixing↗
DOE OSTI2021

Gasoline Compression Ignition on a Light-Duty Multi-Cylinder Engine Using a Wide Range of Fuel Reactivities and Heavy Fuel Stratification

Many research studies have focused on utilizing gasoline in modern compression ignition engines to reduce emissions and improve efficiency. Collectively, this combustion mode has become kn+own as gasoline compression ignition (GCI). One of the biggest challenges with GCI operation is maintaining control over the combustion process through the fuel injection strategy, such that the engine can be controlled on a cycle-by-cycle basis. Research studies have investigated a wide variety of GCI injection strategies (i.e., fuel stratification levels) to maintain control over the heat release rate while achieving low-temperature combustion (LTC). This work shows that at loads relevant to light-duty engines, partial fuel stratification (PFS) with gasoline provides very little controllability over the timing of combustion. On the contrary, heavy fuel stratification (HFS) provides very linear and pronounced control over the timing of combustion. However, the HFS strategy has challenges achieving LTC operation due to the air handling burdens associated with the high exhaust gas recirculation (EGR) rates that are required to reduce NOx emissions to near zero levels. In this work, a wide variety of gasoline fuel reactivities (octane numbers ranging from <40 to 87) were investigated to understand the engine performance and emissions of HFS-GCI operation on a multi-cylinder light-duty engine. Overall, the results indicate that over an EGR sweep at 4 bar brake mean effective pressure (BMEP), the gasoline fuels can achieve LTC operation with ultra-low NO x and soot emissions, while conventional diesel combustion (CDC) is unable to simultaneously achieve low NO x and soot. At 10 bar BMEP, all the gasoline fuels were compared to diesel, but using mixing controlled combustion and not LTC.

33 ADVANCED PROPULSION SYSTEMS↗
DOE OSTI2022

Implications of Shear and Thermal Stratification on Wind Turbine Tip-Vortex Stability

The interaction between wind turbines in a wind farm through their wakes is a phenomenon that has been studied for decades and is still relevant today. Turbines clustered together in arrays will often operate in the wake of other upstream turbines which may lead to significant power losses and fatigue loads. For modern large-scale wind turbines, the mean shear velocity profile and thermal stratification are major components of the atmospheric boundary layer so it is important to understand their impact on near-wake development. Additionally, veer is present due to the rotation of the Earth. The impact of shear, thermal stratification and veer on the stable wake length of turbines with a dynamic control strategy is studied numerically in this work using a suite of highly resolved large-eddy simulations. Instantaneous flow fields are extracted from the simulations and used to conduct proper orthogonal decomposition (POD) and compute the mean kinetic energy fluxes by different POD modes to better understand the tip-vortex instability mechanisms. Our findings show that the dynamic pitch control scheme is able to shorten the stable wake length to about 1.5R in uniform flow. Shear can significantly affect the break up of wind turbine tip-vortices as well as the shape and stable length of the wake, whereas thermal stratification seems to only have limited contribution to the spatial development of the near-wake field. Veer causes the wake boundary to skew but has a limited impact on the wake length.

length thermal stratification↗
DOE OSTI2025

The role of thermal stratification on the co‐spectral properties of momentum transport above an Amazonian forest

The influence of thermal stratification on the turbulent kinetic energy balance has been widely studied; however, its influence on the turbulent stress remains less explored in the presence of tall vegetated canopies and less ideal micrometeorological conditions. Here, the impact of thermal stratification on turbulent momentum flux is considered in the roughness sublayer (RSL) and the atmospheric surface layer (ASL) using the Amazon Tall Tower Observatory (ATTO) in Brazil. A scalewise co‐spectral budget (CSB) model is developed using standard closure schemes for the pressure–velocity decorrelation. The CSB revealed that the co‐spectrum ${F}_{wu}\left({k}_x\right)$ between longitudinal (u') and vertical (w') velocity fluctuations is impacted by the energy spectrum of the vertical velocity ${E}_{ww}\left({k}_x\right)$ and the much less studied longitudinal heat‐flux co‐spectrum ${F}_{u{\theta}_{\mathrm{v}}}\left({k}_x\right)$, where ${\theta}_{\mathrm{v}}^{\prime }$ are temperature fluctuations and ${k}_x$ is the longitudinal wavenumber. Under stable, very stable, and dynamic–convective conditions, the scaling exponent ${F}_{wu}\left({k}_x\right)$ in for the inertial subrange (ISR) scales is dominated by ${F}_{u{\theta}_{\mathrm{v}}}\left({k}_x\right)$ instead of ${E}_{ww}\left({k}_x\right)$. A near ${k}_x^{-7/3}$scaling in ${F}_{u{\theta}_{\mathrm{v}}}\left({k}_x\right)$ robust to large variations in thermal stratification is found, whereas the Kolmogorov ISR scaling for ${E}_{ww}\left({k}_x\right)\sim {k}_x^{-5/3}$ is not found. The scale‐dependent decorrelation time between u' and w' is dominated by ${\epsilon}^{-1/3}{k}_x^{-2/3}$ in the ISR, but is nearly constant for eddies larger than the vertical velocity integral scale, regardless of stability. Implications of these findings for generalized stability correction functions that are based on the turbulent stress budget instead of the turbulent kinetic energy budget are discussed.

canopy turbulence↗
DOE OSTI2024

Effects of stratification on overshooting and waves atop the convective core of M ⊙ main-sequence stars

As a massive star evolves along the main sequence, its core contracts, leaving behind a stable stratification in helium. We simulate two-dimensional convection in the core at three different stages of evolution of a $5\,\mathrm{ M}_{\odot }$ star, with three different stratifications in helium atop the core. We study the propagation of internal gravity waves in the stably stratified envelope, along with the overshooting length of convective plumes above the convective boundary. We find that the stratification in helium in evolved stars hinders radial motions and effectively shields the radiative envelope against plume penetration. This prevents convective overshooting from being an efficient mixing process in the radiative envelope. In addition, internal gravity waves are less excited in evolved models compared to the zero-age-main-sequence model, and are also more damped in the stratified region above the core. As a result, the wave power is several orders of magnitude lower in mid- and terminal-main-sequence models compared to zero-age-main-sequence stars.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2020

Gasoline Compression Ignition (GCI) on a Light-Duty Multi-Cylinder Engine Using a Wide Range of Fuel Reactivities and Heavy Fuel Stratification

Many research studies have focused on utilizing gasoline in modern compression ignition engines to reduce emissions and improve efficiency. Collectively, this combustion mode has become known as gasoline compression ignition (GCI). One of the biggest challenges with GCI operation is maintaining control over the combustion process through the fuel injection strategy, such that the engine can be controlled on a cycle-by-cycle basis. Research studies have investigated a wide variety of GCI injection strategies (i.e., fuel stratification levels) to maintain control over the heat release rate while achieving low temperature combustion (LTC). This work shows that at loads relevant to light-duty engines, partial fuel stratification (PFS) with gasoline provides very little controllability over the timing of combustion. On the contrary, heavy fuel stratification (HFS) provides very linear and pronounced control over the timing of combustion. However, the HFS strategy has challenges achieving LTC operation due to the air handling burdens associated with the high EGR rates that are required to reduce NOx emissions to near zero levels. In this work, a wide variety of gasoline fuel reactivities (octane numbers ranging from < 40 to 87) were investigated to understand the engine performance and emissions of HFS-GCI operation on a multi-cylinder light-duty engine. The results indicate that over an EGR sweep at 4 bar BMEP, the gasoline fuels can achieve LTC operation with ultra-low NOx and soot emissions, while conventional diesel combustion (CDC) is unable to simultaneously achieve low NOx and soot. At 10 bar BMEP, all the gasoline fuels were compared to diesel, but using mixing controlled combustion and not LTC.

Dempsey, Adam↗
DOE OSTI2024

Evolution of oxygen and stratification and their relationship in the North Pacific Ocean in CMIP6 Earth system models

Abstract. This study examines the linkages between the upper-ocean (0–200 m) oxygen (O2) content and stratification in the North Pacific Ocean using four Earth system models (ESMs), an ocean hindcast simulation, and an ocean reanalysis. The trends and variability in oceanic O2 content are driven by the imbalance between physical supply and biological demand. Physical supply is primarily controlled by ocean ventilation, which is responsible for the transport of O2-rich surface waters to the subsurface. Isopycnic potential vorticity (IPV), a quasi-conservative tracer proportional to density stratification that can be evaluated from temperature and salinity measurements, is used herein as a dynamical proxy for ocean ventilation. The predictability potential of the IPV field is evaluated through its information entropy. The results highlight a strong O2–IPV connection and somewhat higher (as compared to the rest of the basin) predictability potential for IPV across the tropical Pacific, where the El Niño–Southern Oscillation occurs. This pattern of higher predictability and strong anticorrelation between O2 and stratification is robust across multiple models and datasets. In contrast, IPV at mid-latitudes has low predictability potential and its center of action differs from that of O2. In addition, the locations of extreme events or hotspots may or may not differ between the two fields, with a strong model dependency, which persists in future projections. On the one hand, these results suggest that it may be possible to monitor ocean O2 in the tropical Pacific based on a few observational sites co-located with the more abundant IPV measurements; on the other, they lead us to question the robustness of the IPV–O2 relationship in the extratropics. The proposed framework helps to characterize and interpret O2 variability in relation to physical variability and may be especially useful in the analysis of new observation-based data products derived from the BGC-Argo float array in combination with the traditional but far more abundant Argo data.

Novi, Lyuba↗
DOE OSTI2022

Numerical investigation of the influence of shear and thermal stratification on the wind turbine tip‐vortex stability

Summary The interaction between wind turbine wakes and atmospheric turbulence is characterised by complex dynamics. In this study, two major components of the atmospheric boundary layer dynamics have been isolated, namely, the mean velocity profile shear and the thermal stratification, to examine their impact on the near‐wake development by undertaking a series of highly resolved large‐eddy simulations. Subsequently, instantaneous flow fields are extracted from the simulations and used to conduct Fourier analysis and proper orthogonal decomposition (POD) and compute the mean kinetic energy fluxes by different POD modes to better understand the tip‐vortex instability mechanisms. Our findings indicate that shear can significantly affect the breakup of the wind turbine tip‐vortices and the shape and stable length of the wake, whereas thermal stratification seems to only have limited contribution to the spatial development of the near‐wake field. Finally, our analysis shows that the applied perturbation frequency determines the tip‐vortex breakup location as it controls the onset of the mutual inductance instability.

17 WIND ENERGY↗
DOE OSTI2022

Impacts of climate change on estuarine stratification and implications for hypoxia within a shallow subtropical system

Vertical density stratification often plays an important role in the formation and expansion of coastal hypoxic zones through its effect on near-bed circulation and vertical oxygen flux. However, the impact of future climate change on estuarine circulation is widely unknown. Here, we developed and calibrated a three-dimensional hydrodynamic model for Pensacola Bay, a shallow subtropical estuary in the northeastern Gulf of Mexico. Model simulations based on years 2013–2017 were applied to examine changes in salinity, temperature, and density under future climate scenarios, including increased radiative forcing (IR) and temperature (T), increased freshwater discharge (D), sea level rise (SLR), and wind intensification (W). Simulations showed that the impacts of climate change on modeled state variables varied over time with external forcing conditions. The model demonstrated the potential for sea level rise and increased freshwater discharge to episodically increase vertical density gradients in the Bay. However, increased wind forcing destabilized vertical gradients, at times reducing the spatial extent and duration of stable stratification. For time periods with low freshwater discharge, moderate increases in wind speed (10%) can destabilize density gradients strengthened by increased discharge (10%) and sea level rise (0.48 m). In contrast, destruction of strong density gradients that form near the mid-Bay channel following flood events requires stronger wind forcing. Furthermore, these results highlight the importance of considering natural variability in freshwater and wind forcing, as well as local phenomena that are generally unresolved by global climate models.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2020

Stratification of polymer mixtures in drying droplets: Hydrodynamics and diffusion

In this work, we study the evaporation-induced stratification of a mixture of short and long polymer chains in a drying droplet using molecular simulations. We systematically investigate the effects of hydrodynamic interactions (HI) on this process by comparing hybrid simulations accounting for HI between polymers through the multiparticle collision dynamics technique with free-draining Langevin dynamics simulations neglecting the same. We find that the dried supraparticle morphologies are homogeneous when HI are included but are stratified in core–shell structures (with the short polymers forming the shell) when HI are neglected. The simulation methodology unambiguously attributes this difference to the treatment of the solvent in the two models. We rationalize the presence (or absence) of stratification by measuring phenomenological multicomponent diffusion coefficients for the polymer mixtures. The diffusion coefficients show the importance of not only solvent backflow but also HI between polymers in controlling the dried supraparticle morphology.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗
DOE OSTI2025

Effect of particle shape on stratification in drying films of binary colloidal mixtures

The role of particle shape in evaporation-induced auto-stratification in polydisperse colloidal suspensions is explored with molecular dynamics simulations of mixtures of spheres and aspherical particles. A unified framework based on the competition between diffusion and diffusiophoresis is proposed to understand the effects of shape and size dispersity. In general, particles diffusing more slowly (e.g., larger particles) tend to accumulate more strongly at the evaporation front. However, larger particles have larger surface areas and therefore greater diffusiophoretic mobility. Hence, they are more likely to be driven away from the evaporation front via diffusiophoresis. For a rapidly dried bidisperse suspension containing small and large spheres, the competition leads to “small-on-top” stratification. Here, we employ a computational model in which the diffusion coefficient is inversely proportional to particle mass. For a mixture of spheres and aspherical particles with similar mass, the diffusion contrast is reduced, and the spheres are always enriched at the evaporation front as they have the smallest surface area for a given mass and, therefore, the lowest diffusiophoretic mobility. Furthermore, for a mixture of solid and hollow spheres that have the same outer radius and thus the same surface area, the diffusiophoretic contrast is suppressed, and the system is dominated by diffusion. Consequently, the solid spheres, which have a larger mass and diffuse more slowly, accumulate on top of the hollow spheres. Finally, for a mixture of thin disks and long rods that differ significantly in shape but have similar mass and surface area, both diffusion and diffusiophoresis contrasts are suppressed, and the mixture does not stratify.

Classical molecular dynamic simulations↗
DOE OSTI2022

Do ambient shear and thermal stratification impact wind turbine tip-vortex breakdown?

Modern wind turbines experience uneven inflow conditions across the rotor, due to the ambient flow’s shear and thermal stratification. Such conditions alter the shape and length of turbine wakes and thus impact the loads and power generation of downstream turbines. To this end, understanding the spatial evolution of the individual wakes under different atmospheric conditions is key to controlling and optimising turbine arrays. With this numerical study we aim to obtain a better understanding of the fundamental physics governing the near-wake dynamics of wind turbines under shear and thermal stability, by examining their tip-vortex breakup mechanisms. Our approach considers scale-resolving simulations of a single turbine wake under a linear shear profile as well as the application of harmonic tip perturbations to trigger flow instabilities. For the subsequent analysis we use the proper orthogonal decomposition (POD) method to extract coherent structures from the flow, and we also calculate mean kinetic energy fluxes to quantify each coherent structure’s contribution to wake recovery. The wake’s helical spiral is found to hinder wake recovery for all studied ambient flow conditions, whereas the mutual inductance instability has positive MKE flux leading to an enhanced wake recovery. Finally, the ambient shear has the largest impact on the local MKE flux with respect to downstream location by changing the shape of the curve and location of extrema, whereas thermal stratification has only a minimal impact on the magnitude of the near-wake local MKE flux distribution.

17 WIND ENERGY↗
DOE OSTI2023

Artificial intelligence-empowered cellular morphometric risk score improves prognostic stratification of cutaneous squamous cell carcinoma

Abstract Background Risk stratification of cutaneous squamous cell carcinoma (cSCC) is essential for managing patients. Objectives To determine if artificial intelligence and machine learning might help to stratify patients with cSCC by risk using more than solely clinical and histopathological factors. Methods We retrieved a retrospective cohort of 104 patients whose cSCCs had been excised with clear margins. Clinical and histopathological risk factors were evaluated. Haematoxylin and eosin-stained slides were scanned and analysed by an algorithm based on the stacked predictive sparse decomposition technique. Cellular morphometric biomarkers (CMBs) were identified via machine learning and used to derive a cellular morphometric risk score (CMRS) that classified cSCCs into clusters of differential prognoses. Concordance analysis, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy were calculated and compared with results obtained with the Brigham and Women’s Hospital (BWH) staging system. The performance of the combination of the BWH staging system and the CMBs was also analysed. Results There were no differences among the CMRS groups in terms of clinical and histopathological risk factors and T-stage assignment, but there were significant differences in prognosis. Combining the CMRS with BWH staging systems increased distinctiveness and improved prognostic performance. C-indices were 0.91 local recurrence and 0.91 for nodal metastasis when combining the two approaches. The NPV was 94.41% and 96.00%, the PPV was 36.36% and 41.67%, and accuracy reached 86.75% and 89.16%, respectively, with the combined approach. Conclusions CMRS is helpful for cSCC risk stratification beyond classic clinical and histopathological risk features. Combining the information from the CMRS and the BWH staging system offers outstanding prognostic performance for patients with high-risk cSCC.

Pérez-Baena, Manuel J.↗