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At least 379 records · Page 21

Towards nanometer period gratings for hard x-ray phase-contrast imaging

Transmission grating-based x-ray interferometers have been developed into wide-field imaging devices that are sensitive to x-ray refraction and diffraction in the sample. While current grating designs rely on UV and x-ray lithography processes to produce periodic vertical structures, it becomes prohibitively difficult to make the grating periods below 1 - 2 microns due to the high aspect ratios of the structures. Since the phase-contrast sensitivity is inversely related to the grating period, we describe a new grating design for sub-micron to nanometer grating periods. In this design, multiple bi-layers of two alternating materials are deposited on a stair like substrate, and mostly on the floor surfaces of the steps only. The incident x-ray beam is parallel to the planes of the layers (side illumination). Thus, the multilayer structure on each step serves as a micro grating whose grating period is the thickness of a bi-layer. The array of micro gratings over the whole length of the stair can act as a single continuous grating, when certain continuity conditions between neighboring steps are met. Since the layer thickness can be as small as tens of nanometers, as has been demonstrated in multilayer x-ray zone plates, this design allows nanometer grating periods over large grating areas. Here we describe a prototype intensity grating of 440 nm period. We show x-ray projection images of the grating which were obtained by contact lithography.

36 MATERIALS SCIENCE↗

Classification procedure in limited angle tomography system

In this work we propose the use of limited angle reconstruction algorithms combined with a procedure for defect detection and feature evaluation in three dimensions. The procedure consists of the following steps: acquisition of the X-ray projections, approximated limited angle 3D image reconstruction, and image preprocessing and classification.

07 ISOTOPE AND RADIATION SOURCES↗

Space Processing Applications Rocket (SPAR) project: SPAR 10

The Space Processing Applications Rocket Project (SPAR) X Final Report contains the compilation of the post-flight reports from each of the Principal Investigators (PIs) on the four selected science payloads, in addition to the engineering report as documented by the Marshall Space Flight Center (MSFC). This combined effort also describes pertinent portions of ground-based research leading to the ultimate selection of the flight sample composition, including design, fabrication and testing, all of which are expected to contribute to an improved comprehension of materials processing in space. The SPAR project was coordinated and managed by MSFC as part of the Microgravity Science and Applications (MSA) program of the Office of Space Science and Applications (OSSA) of NASA Headquarters. This technical memorandum is directed entirely to the payload manifest flown in the tenth of a series of SPAR flights conducted at the White Sands Missile Range (WSMR) and includes the experiments entitled, Containerless Processing Technology, SPAR Experiment 76-20/3; Directional Solidification of Magnetic Composites, SPAR Experiment 76-22/3; Comparative Alloy Solidification, SPAR Experiment 76-36/3; and Foam Copper, SPAR Experiment 77-9/1R.

Poorman, R.↗

Automated Patient Identification and Localization Error Detection Using 2-Dimensional to 3-Dimensional Registration of Kilovoltage X-Ray Setup Images

Purpose: To determine whether kilovoltage x-ray projection radiation therapy setup images could be used to perform patient identification and detect gross errors in patient setup using a computer algorithm. Methods and Materials: Three patient cohorts treated using a commercially available image guided radiation therapy (IGRT) system that uses 2-dimensional to 3-dimensional (2D-3D) image registration were retrospectively analyzed: a group of 100 cranial radiation therapy patients, a group of 100 prostate cancer patients, and a group of 83 patients treated for spinal lesions. The setup images were acquired using fixed in-room kilovoltage imaging systems. In the prostate and cranial patient groups, localizations using image registration were performed between computed tomography (CT) simulation images from radiation therapy planning and setup x-ray images corresponding both to the same patient and to different patients. For the spinal patients, localizations were performed to the correct vertebral body, and to an adjacent vertebral body, using planning CTs and setup x-ray images from the same patient. An image similarity measure used by the IGRT system image registration algorithm was extracted from the IGRT system log files and evaluated as a discriminant for error detection. Results: A threshold value of the similarity measure could be chosen to separate correct and incorrect patient matches and correct and incorrect vertebral body localizations with excellent accuracy for these patient cohorts. A 10-fold cross-validation using linear discriminant analysis yielded misclassification probabilities of 0.000, 0.0045, and 0.014 for the cranial, prostate, and spinal cases, respectively. Conclusions: An automated measure of the image similarity between x-ray setup images and corresponding planning CT images could be used to perform automated patient identification and detection of localization errors in radiation therapy treatments.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Testing Models of Resonant Compton Scattering in X-Ray Pulsars

Over the performance period covered by the grant, the principal investigator modified a Monte Carlo Compton scattering code to model the propagation of x-rays through the magnetosphere of accreting neutron stars. These modifications were made to enable the author to compare the observations of x-ray pulsars to theoretical models of the system. The original code was designed to study relativistic plasmas with one of two geometries: a plane parallel plasma with a differential relativistic bulk velocity, and a static spherically symmetric plasma.- This code did not treat gravitational bending or bulk motion in the magnetosphere of a neutron star. Under the grant, the author incorporated code to trace light paths in a Schwarzschild metric. The code was modified to keep track of the photon polarization during propagati on. The investigator also modified the code so that bulk motion in an axisymmetric system is treated properly. An approximate treatment for resonant Compton scattering was added to the code. Finally, code was added that creates model observables that can be compared to observations, such as projected x-ray emission maps and energy-dependent light curves. Comparison to observations is now commencing.

Brainerd, Jerome J.↗

Electron Tomography: Seeing Atoms in Three Dimensions

Our eyes - a parallel lens system - have the phenomenal ability to observe and "reconstruct" the three-dimensional world, relaying a 3-D image to our brains. Imaging of the nanoworld is best done with electrons rather than photons because of their lower wavelengths and higher resolution. The advent of aberration-correction has led to transmission electron microscopes with sub-Angstrom resolution that can resolve single atoms. Yet, no matter what detector is used, the resulting images are only two-dimensional projections of three-dimensional objects. Electron tomography is a technique that allows reconstruction of the three-dimensional structure and morphology of nanomaterials from such projections. X-ray tomography has been used in many branches of science for nearly half a century, and in the biological sciences electron tomography has been a powerful tool for understanding ultrastructure. However, for many years crystalline materials posed a challenge to electron tomography because diffraction contrast (a change in intensity in the image at particular crystal orientations) creates artifacts in the 3-D reconstruction. In 2003, with advances in scanning transmission electron microscopy, Midgley and colleagues obtained the first electron tomograms of crystalline materials. Shortly thereafter, Arslan et al. showed that the spatial resolution could be improved to 1 nm in all three spatial dimensions and visualized the formation of faceted 3.5-nm quantum dots embedded in a Si matrix. However, with that work existing reconstruction algorithms appeared to have reached their limit. To attain a resolution of 1 nm, a total of 140 images over ±78 degrees of tilt were needed. Writing in Nature Materials, Goris et al. now report a novel algorithm for 3-D reconstruction of the atomic structure of free-standing Au nanorods, using only four projection images. I.A. acknowledges collaboration with J.D. Roehling, K.J. Batenburg, B.C. Gates and A. Katz for Figure 1, supported in part by the DOE BES DE-SC0005822, and in part by the LDRD program at PNNL. The Pacific Northwest National Laboratory is operated by Battelle under contract DE-AC05-76RL01830.

Arslan, Ilke↗

SU-G-BRA-12: Development of An Intra-Fractional Motion Tracking and Dose Reconstruction System for Adaptive Stereotactic Body Radiation Therapy in High-Risk Prostate Cancer

Purpose: A clinical trial on stereotactic body radiation therapy (SBRT) for high-risk prostate cancer is undergoing at our institution. In addition to escalating dose to the prostate, we have increased dose to intra-prostatic lesions. Intra-fractional prostate motion deteriorates well planned radiation dose, especially for the small intra-prostatic lesions. To solve this problem, we have developed a motion tracking and 4D dose-reconstruction system to facilitate adaptive re-planning. Methods: Patients in the clinical trial were treated with VMAT using four arcs and 10 FFF beam. KV triggered x-ray projections were taken every 3 sec during delivery to acquire 2D projections of 3D anatomy at the direction orthogonal to the therapeutic beam. Each patient had three implanted prostate markers. Our developed system first determined 2D projection locations of these markers and then 3D prostate translation and rotation via 2D/3D registration of the markers. Using delivery log files, our GPU-based Monte Carlo tool (goMC) reconstructed dose corresponding to each triggered image. The calculated 4D dose distributions were further aggregated to yield the delivered dose. Results: We first tested each module in our system. MC dose engine were commissioned to our treatment planning system with dose difference of <0.5%. For motion tracking, 1789 kV projections from 7 patients were acquired. The 2D marker location error was <1 mm. For 3D motion tracking, root mean square (RMS) errors along LR, AP, and CC directions were 0.26mm, 0.36mm, and 0.01mm respectively in simulation studies and 1.99mm, 1.37mm, and 0.22mm in phantom studies. We also tested the entire system workflow. Our system was able to reconstruct delivered dose. Conclusion: We have developed a functional intra-fractional motion tracking and 4D dose re-construction system to support our clinical trial on adaptive high-risk prostate cancer SBRT. Comprehensive evaluations have shown the capability and accuracy of our system.

60 APPLIED LIFE SCIENCES↗

Conformal image-guided microbeam radiation therapy at the ESRF biomedical beamline ID17

Purpose: Upcoming veterinary trials in microbeam radiation therapy (MRT) demand for more advanced irradiation techniques than in preclinical research with small animals. The treatment of deep-seated tumors in cats and dogs with MRT requires sophisticated irradiation geometries from multiple ports, which impose further efforts to spare the normal tissue surrounding the target. Methods: This work presents the development and benchmarking of a precise patient alignment protocol for MRT at the biomedical beamline ID17 of the European Synchrotron Radiation Facility (ESRF). The positioning of the patient prior to irradiation is verified by taking x-ray projection images from different angles. Results: Using four external fiducial markers of 1.7 mm diameter and computed tomography-based treatment planning, a target alignment error of less than 2 mm can be achieved with an angular deviation of less than 2{sup ∘}. Minor improvements on the protocol and the use of smaller markers indicate that even a precision better than 1 mm is technically feasible. Detailed investigations concerning the imaging dose lead to the conclusion that doses for skull radiographs lie in the same range as dose reference levels for human head radiographs. A currently used online dose monitor for MRT has been proven to give reliable results for the imaging beam. Conclusions: The ESRF biomedical beamline ID17 is technically ready to apply conformal image-guided MRT from multiple ports to large animals during future veterinary trials.

60 APPLIED LIFE SCIENCES↗

Robust methods for automatic image-to-world registration in cone-beam CT interventional guidance

Purpose: Real-time surgical navigation relies on accurate image-to-world registration to align the coordinate systems of the image and patient. Conventional manual registration can present a workflow bottleneck and is prone to manual error and intraoperator variability. This work reports alternative means of automatic image-to-world registration, each method involving an automatic registration marker (ARM) used in conjunction with C-arm cone-beam CT (CBCT). The first involves a Known-Model registration method in which the ARM is a predefined tool, and the second is a Free-Form method in which the ARM is freely configurable. Methods: Studies were performed using a prototype C-arm for CBCT and a surgical tracking system. A simple ARM was designed with markers comprising a tungsten sphere within infrared reflectors to permit detection of markers in both x-ray projections and by an infrared tracker. The Known-Model method exercised a predefined specification of the ARM in combination with 3D-2D registration to estimate the transformation that yields the optimal match between forward projection of the ARM and the measured projection images. The Free-Form method localizes markers individually in projection data by a robust Hough transform approach extended from previous work, backprojected to 3D image coordinates based on C-arm geometric calibration. Image-domain point sets were transformed to world coordinates by rigid-body point-based registration. The robustness and registration accuracy of each method was tested in comparison to manual registration across a range of body sites (head, thorax, and abdomen) of interest in CBCT-guided surgery, including cases with interventional tools in the radiographic scene. Results: The automatic methods exhibited similar target registration error (TRE) and were comparable or superior to manual registration for placement of the ARM within {approx}200 mm of C-arm isocenter. Marker localization in projection data was robust across all anatomical sites, including challenging scenarios involving the presence of interventional tools. The reprojection error of marker localization was independent of the distance of the ARM from isocenter, and the overall TRE was dominated by the configuration of individual fiducials and distance from the target as predicted by theory. The median TRE increased with greater ARM-to-isocenter distance (e.g., for the Free-Form method, TRE increasing from 0.78 mm to 2.04 mm at distances of {approx}75 mm and 370 mm, respectively). The median TRE within {approx}200 mm distance was consistently lower than that of the manual method (TRE = 0.82 mm). Registration performance was independent of anatomical site (head, thorax, and abdomen). The Free-Form method demonstrated a statistically significant improvement (p= 0.0044) in reproducibility compared to manual registration (0.22 mm versus 0.30 mm, respectively). Conclusions: Automatic image-to-world registration methods demonstrate the potential for improved accuracy, reproducibility, and workflow in CBCT-guided procedures. A Free-Form method was shown to exhibit robustness against anatomical site, with comparable or improved TRE compared to manual registration. It was also comparable or superior in performance to a Known-Model method in which the ARM configuration is specified as a predefined tool, thereby allowing configuration of fiducials on the fly or attachment to the patient.

60 APPLIED LIFE SCIENCES↗

First Clinical Release of an Online, Adaptive, Aperture-Based Image-Guided Radiotherapy Strategy in Intensity-Modulated Radiotherapy to Correct for Inter- and Intrafractional Rotations of the Prostate

Purpose: We developed and evaluated a correction strategy for prostate rotations using direct adaptation of segments in intensity-modulated radiotherapy (IMRT). Method and Materials: Implanted fiducials (four gold markers) were used to determine interfractional translations, rotations, and dilations of the prostate. We used hybrid imaging: The markers were automatically detected in two pretreatment planar X-ray projections; their actual position in three-dimensional space was reconstructed from these images at first. The structure set comprising prostate, seminal vesicles, and adjacent rectum wall was transformed accordingly in 6 degrees of freedom. Shapes of IMRT segments were geometrically adapted in a class solution forward-planning approach, derived within seconds on-site and treated immediately. Intrafractional movements were followed in MV electronic portal images captured on the fly. Results: In 31 of 39 patients, for 833 of 1013 fractions (supine, flat couch, knee support, comfortably full bladder, empty rectum, no intraprostatic marker migrations >2 mm of more than one marker), the online aperture adaptation allowed safe reduction of margins clinical target volume-planning target volume (prostate) down to 5 mm when only interfractional corrections were applied: Dominant L-R rotations were found to be 5.3 Degree-Sign (mean of means), standard deviation of means {+-}4.9 Degree-Sign , maximum at 30.7 Degree-Sign . Three-dimensional vector translations relative to skin markings were 9.3 {+-} 4.4 mm (maximum, 23.6 mm). Intrafractional movements in 7.7 {+-} 1.5 min (maximum, 15.1 min) between kV imaging and last beam's electronic portal images showed further L-R rotations of 2.5 Degree-Sign {+-} 2.3 Degree-Sign (maximum, 26.9 Degree-Sign ), and three-dimensional vector translations of 3.0 {+-}3.7 mm (maximum, 10.2 mm). Addressing intrafractional errors could further reduce margins to 3 mm. Conclusion: We demonstrated the clinical feasibility of an online adaptive image-guided, intensity-modulated prostate protocol on a standard linear accelerator to correct 6 degrees of freedom of internal organ motion, allowing safe and straightforward implementation of margin reduction and dose escalation.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

A temperature profile diagnostic for radiation waves on OMEGA-60

Predicting and matching radiation wave propagation with computational models has proven difficult. Information provided by experiments studying radiation flow has been limited when only radiation breakout is measured. We have developed the COAX (co-axial) diagnostic platform to provide spatial temperature profiles of a radiation wave through low density foams as a more detailed constraint for simulations. COAX uses a standard, laser-driven OMEGA-60 halfraum to drive radiation down a titanium-laden silicon oxide foam. Point-projection X-ray absorption spectroscopy perpendicular to the radiation flow measures the spatial profile of titanium ionization. The spectroscopic measurement utilizes a broadband capsule backlighter. Imaging and streak spectroscopy are used to characterize the size and spectrum of this source. Radiography provides an additional constraint by capturing the developing shock as the radiation flow becomes subsonic. The DANTE diagnostic is used to measure the halfraum temperature. Here, we provide a spectroscopic analysis of COAX data to determine temperature, and we describe experimental sources of uncertainty. The temperature is obtained by comparison to multi-temperature synthetic spectra post-processed from radiation-hydrodynamics simulations. Quantitative comparison between data and synthetic spectra generated from temperature profiles at relevant simulation times enable determination of a peak temperature of 114 ± 8 eV at 265 ± 22.4 μm from the halfraum. This represents an improvement over the temperature uncertainties of previous radiation flow experiments. Further refinements to the spectroscopic analysis could achieve ±4 eV. The combination between space-resolved spectroscopy and radiography enables us to determine the distance from the halfraum of both the radiation front and the shock front at the time of measurement. For the example shown in this paper the radiation front position is 600–630 μm at 3.43 ± 0.16 ns and the shock front position is 633 μm at 3.3 ± 0.24 ns.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Evaluation of pebble scanning strategies for fuel qualification by simple simulated radiography

Reactor designs using tristructural-isotropic (TRISO) particles in pebble fuel forms have been developed in multiple programs and are now being designed and deployed by several companies around the world. Fuel pebbles for these designs commonly contain an inner fueled zone packed with TRISO particles and a fuel-free zone on the surface of the pebble to protect the particles within. Therefore, qualification of pebbles for use in a reactor commonly requires determination that there are no TRISO particles within a given minimum distance to the pebble surface. This determination may be made non-destructively by pebble radiography, in which a series of x-ray projections of the pebble are acquired. In this work, a method to create and image representative digital pebbles was developed to allow for rapid testing of various pebble radiography strategies to evaluate their effectiveness in detecting escapee particles. Using this method, imaging strategies in two and three dimensions were tested with fixed and adaptive angular distributions. Here it was found that an adaptive two-dimensional pebble scanning strategy was the most effective for fuel pebble qualification.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

EUV Lithography

The year 2019 will mark the entry of extreme ultraviolet lithography (EUVL) into high-volume production of advanced semiconductor chips after 35 years of development. Although synchrotron sources are not being used for the commercial deployment of EUVL, synchrotron facilities have played and continue to play a vital role in the development and commercialization of EUVL. Modern EUVL, previously referred to as soft-X-ray projection lithography, was first demonstrated by H. Kinoshita of NTT in 1986 using synchrotron radiation and achieving 4 μm resolution. Parallel development efforts were also in place at AT&T, which in 1990 demonstrated patterning down to 50 nm, again using synchrotron radiation. Spurred by these promising results, worldwide research and development in EUVL greatly accelerated, and today we have commercial tools powered by 250 W laser-produced plasma sources capable of pattering 145 300-mm wafers per hour at resolutions supporting the 7 nm node. Despite EUVL entering high-volume production this year with 0.33 numerical aperture tools, many challenges remain to ensure the long-term extension of the technology to even higher resolution with numerical apertures of 0.55 and possibly wavelengths shorter than 13.5 nm. Synchrotron facilities will continue to play an essential research and development role as the community seeks to address these challenges. In this special issue, we provide highlights from three synchrotron facilities currently most active in EUVL research: the Advanced Light Source at Lawrence Berkeley National Laboratory, NewSUBARU at the University of Hyogo, and the Swiss Light Source at the Paul Scherrer Institut. Certainly, there are many other crucial development efforts in place around the world, but in this special issue we specifically focus on synchrotron facility efforts. A broad description of the technology and the global efforts can be conveniently found in a variety of textbooks and EUVL conference proceedings.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Counterpropagating Radiative Shock Experiments on the Orion Laser

We present new experiments to study the formation of radiative shocks and the interaction between two counterpropagating radiative shocks. The experiments are performed at the Orion laser facility, which is used to drive shocks in xenon inside large aspect ratio gas cells. The collision between the two shocks and their respective radiative precursors, combined with the formation of inherently three-dimensional shocks, provides a novel platform particularly suited for the benchmarking of numerical codes. The dynamics of the shocks before and after the collision are investigated using point-projection x-ray backlighting while, simultaneously, the electron density in the radiative precursor was measured via optical laser interferometry. Modeling of the experiments using the 2D radiation hydrodynamic codes nym and petra shows very good agreement with the experimental results.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Sparse measurement medical CT reconstruction using multi-fused block matching denoising priors

A major challenge for medical X-ray CT imaging is reducing the number of X-ray projections to lower radiation dosage and reduce scan times without compromising image quality. However these under-determined inverse imaging problems rely on the formulation of an expressive prior model to constrain the solution space while remaining computationally tractable. Traditional analytical reconstruction methods like Filtered Back Projection (FBP) often fail with sparse measurements, producing artifacts due to their reliance on the Shannon-Nyquist Sampling Theorem. Consensus Equilibrium, which is a generalization of Plug and Play, is a recent advancement in Model-Based Iterative Reconstruction (MBIR), has facilitated the use of multiple denoisers are prior models in an optimization free framework to capture complex, non-linear prior information. However, 3D prior modelling in a Plug and Play approach for volumetric image reconstruction requires long processing time due to high computing requirement. Instead of directly using a 3D prior, this work proposes a BM3D Multi Slice Fusion (BM3D-MSF) prior that uses multiple 2D image denoisers fused to act as a fully 3D prior model in Plug and Play reconstruction approach. Our approach does not require training and are thus able to circumvent ethical issues related with patient training data and are readily deployable in varying noise and measurement sparsity levels. In addition, reconstruction with the BM3D-MSF prior achieves similar reconstruction image quality as fully 3D image priors, but with significantly reduced computational complexity. We test our method on clinical CT data and demonstrate that our approach improves reconstructed image quality.

Hossain, Maliha [ORNL]↗

WE-G-16A-01: Evolution of Radiation Treatment Planning

Welcome and Introduction - Lawrence N. Rothenberg This symposium is one a continuing series of presentations at AAPM Annual Meetings on the historical aspects of medical physics, radiology, and radiation oncology that have been organized by the AAPM History Committee. Information on previous presentations including “Early Developments in Teletherapy” (Indianapolis 2013), “Historical Aspects of Cross-Sectional Imaging” (Charlotte 2012), “Historical Aspects of Brachytherapy” (Vancouver 2011), “50 Years of Women in Medical Physics” (Houston 2008), and “Roentgen's Early Investigations” (Minneapolis 2007) can be found in the Education Section of the AAPM Website. The Austin 2014 History Symposium will be on “Evolution of Radiation Treatment Planning.” Overview - Radhe Mohan Treatment planning is one of the most critical components in the chain of radiation therapy of cancers. Treatment plans of today contain a wide variety of sophisticated information conveying the potential clinical effectiveness of the designed treatment to practitioners. Examples of such information include dose distributions superimposed on three- or even four-dimensional anatomic images; dose volume histograms, dose, dose-volume and dose-response indices for anatomic structures of interest; etc. These data are used for evaluating treatment plans and for making treatment decisions. The current state-of-the-art has evolved from the 1940s era when the dose to the tumor and normal tissues was estimated approximately by manual means. However, the symposium will cover the history of the field from the late-1950's, when computers were first introduced for treatment planning, to the present state involving the use of high performance computing and advanced multi-dimensional anatomic, functional and biological imaging, focusing only on external beam treatment planning. The symposium will start with a general overview of the treatment planning process including imaging, structure delineation, assignment of dose requirements, consideration of uncertainties, selection of beam configurations and shaping of beams, and calculations, optimization and evaluation of dose distributions. This will be followed by three presentations covering the evolution of treatment planning, which parallels the evolution of computers, availability of advanced volumetric imaging and the development of novel technologies such as dynamic multi-leaf collimators and online image guidance. This evolution will be divided over three distinct periods - prior to 1970's, the 2D era; from 1980 to the mid-1990's, the 3D era; and from the mid 1990's to today, the IMRT era. When the World was Flat: The Two-Dimensional Radiation Therapy Era” - Jacob Van Dyk In the 2D era, anatomy was defined with the aid of solder wires, special contouring devices and projection x-rays. Dose distributions were calculated manually from single field, flat surface isodoses on transparencies. Precalculated atlases of generic dose distributions were produced by the International Atomic Energy Agency. Massive time-shared main frames and mini-computers were used to compute doses at individual points or dose distributions in a single plane. Beam shapes were generally rectangular, with wedges, missing tissue compensators and occasional blocks to shield critical structures. Dose calculations were measurement-based or they used primary and scatter calculations based on scatter-air ratio methodologies. Dose distributions were displayed on line printers as alpha-numeric character maps or isodose patterns made with pen plotters. More than Pretty Pictures: 3D Treatment Planning and Conformal Therapy - Benedick A. Fraass The introduction of computed tomography allowed the delineation of anatomy three-dimensionally and, supported partly by contracts from the National Cancer Institute, made possible the introduction and clinical use of 3D treatment planning, leading to development and use of 3D conformal therapy in the 1980's. 3D computer graphics and 3D anatomical structure definitions made possible Beam's Eye View (BEV) displays, making conformal beam shaping and much more sophisticated beam arrangements possible. These conformal plans significantly improved target dose coverage as well as normal tissue sparing. The use of dose volume histograms, gross/clinical/planning target volumes, MRI and PET imaging, multileaf collimators, and computer-controlled treatment delivery made sophisticated planning approaches practical. The significant improvements in dose distributions and analysis achievable with 3D conformal therapy made possible formal dose escalation and normal tissue tolerance clinical studies that set new and improved expectations for improved local control and decreasing complications in many clinical sites. From the Art to the State of the Art: Inverse Planning and IMRT - Thomas R. Bortfeld While the potential of intensity modulation was recognized in the mid- 1980's, intensity-modulated radiotherapy (IMRT) did not become a reality until the mid-1990's. Broad beams of photons could be sub-divided into narrow beamlets whose intensities could be determined using sophisticated optimization algorithms to appropriately balance tumor dose with normal tissue sparing. The development of dynamic multi-leaf collimators (on conventional linear accelerators as well as in helical delivery devices) enabled the efficient delivery of IMRT. The evolution of IMRT planning is continuing in the form of Volumetric Modulated Arc Therapy (VMAT) and through advanced optimization tools, such as multi-criteria optimization, automated IMRT planning, and robust optimization to protect dose distributions against uncertainties. IMRT also facilitates “dose painting” in which different sub-volumes of the target are prescribed different doses. Clearly, these advancements are being made possible by the increasing power and lower cost of computers and developments in other fields such as imaging and operations research. Summary - Radhe Mohan The history does not end here. The advancement of treatment planning is expected to continue, leading to further automation and improvements in conformality and robustness of dose distributions, particularly in the area of particle therapy. Radiobiological modeling will gain emphasis as part of the planning process. Learning Objectives: The scope of changes in technology and the capabilities of radiation treatment planning The impact of these changes in the quality of treatment plans and optimality of dose distributions The impact of development in other fields (imaging, computers, operations research, etc.) on the evolution of radiation treatment planning.

60 APPLIED LIFE SCIENCES↗

Technical Note: Characterization of custom 3D printed multimodality imaging phantoms

Purpose: Imaging phantoms are important tools for researchers and technicians, but they can be costly and difficult to customize. Three dimensional (3D) printing is a widely available rapid prototyping technique that enables the fabrication of objects with 3D computer generated geometries. It is ideal for quickly producing customized, low cost, multimodal, reusable imaging phantoms. This work validates the use of 3D printed phantoms by comparing CT and PET scans of a 3D printed phantom and a commercial “Micro Deluxe” phantom. This report also presents results from a customized 3D printed PET/MRI phantom, and a customized high resolution imaging phantom with sub-mm features. Methods: CT and PET scans of a 3D printed phantom and a commercial Micro Deluxe (Data Spectrum Corporation, USA) phantom with 1.2, 1.6, 2.4, 3.2, 4.0, and 4.8 mm diameter hot rods were acquired. The measured PET and CT rod sizes, activities, and attenuation coefficients were compared. A PET/MRI scan of a custom 3D printed phantom with hot and cold rods was performed, with photon attenuation and normalization measurements performed with a separate 3D printed normalization phantom. X-ray transmission scans of a customized two level high resolution 3D printed phantom with sub-mm features were also performed. Results: Results show very good agreement between commercial and 3D printed micro deluxe phantoms with less than 3% difference in CT measured rod diameter, less than 5% difference in PET measured rod diameter, and a maximum of 6.2% difference in average rod activity from a 10 min, 333 kBq/ml (9 μCi/ml) Siemens Inveon (Siemens Healthcare, Germany) PET scan. In all cases, these differences were within the measurement uncertainties of our setups. PET/MRI scans successfully identified 3D printed hot and cold rods on PET and MRI modalities. X-ray projection images of a 3D printed high resolution phantom identified features as small as 350 μm wide. Conclusions: This work shows that 3D printed phantoms can be functionally equivalent to commercially available phantoms. They are a viable option for quickly distributing and fabricating low cost, customized phantoms.

60 APPLIED LIFE SCIENCES↗

Assessment of Embrittlement of VHTR Structural Alloys in Impure Helium Environments

The helium coolant in high-temperature reactors inevitably contains low levels of impurities during steady-state operation, primarily consisting of small amounts of H 2 , H 2 O, CH 4 , CO, CO 2 , and N 2 from a variety of sources in the reactor circuit. These impurities are problematic because they can cause significant long-term corrosion in the structural alloys used in the heat exchangers at elevated temperatures. Currently, the primary candidate materials for intermediate heat exchangers are Alloy 617, Haynes 230, Alloy 800H, and Hastelloy X. This project will evaluate the role of impurities in helium coolant on the stress-assisted grain boundary oxidation and creep crack growth in candidate alloys at elevated temperatures.

36 MATERIALS SCIENCE↗