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TU-B-210-02: MRg HIFU - Advanced Approaches for Ablation and Hyperthermia

MR guided focused ultrasound (MRgFUS), or alternatively high-intensity focused ultrasound (MRgHIFU), is approved for thermal ablative treatment of uterine fibroids and pain palliation in bone metastases. Ablation of malignant tumors is under active investigation in sites such as breast, prostate, brain, liver, kidney, pancreas, and soft tissue. Hyperthermia therapy with MRgFUS is also feasible, and may be used in conjunction with radiotherapy and for local targeted drug delivery. MRI allows in situ target definition and provides continuous temperature monitoring and subsequent thermal dose mapping during HIFU. Although MRgHIFU can be very precise, treatment of mobile organs is challenging and advanced techniques are required because of artifacts in MR temperature mapping, the need for intercostal firing, and need for gated HIFU or tracking of the lesion in real time. The first invited talk, “MR guided Focused Ultrasound Treatment of Tumors in Bone and Soft Tissue”, will summarize the treatment protocol and review results from treatment of bone tumors. In addition, efforts to extend this technology to treat both benign and malignant soft tissue tumors of the extremities will be presented. The second invited talk, “MRI guided High Intensity Focused Ultrasound – Advanced Approaches for Ablation and Hyperthermia”, will provide an overview of techniques that are in or near clinical trials for thermal ablation and hyperthermia, with an emphasis of applications in abdominal organs and breast, including methods for MRTI and tracking targets in moving organs. Learning Objectives: Learn background on devices and techniques for MR guided HIFU for cancer therapy Understand issues and current status of clinical MRg HIFU Understand strategies for compensating for organ movement during MRgHIFU Understand strategies for strategies for delivering hyperthermia with MRgHIFU CM - research collaboration with Philips.

60 APPLIED LIFE SCIENCES↗

Characterizing spatiotemporal information loss in sparse-sampling-based dynamic MRI for monitoring respiration-induced tumor motion in radiotherapy

Purpose: Sparse-sampling and reconstruction techniques represent an attractive strategy to achieve faster image acquisition speeds, while maintaining adequate spatial resolution and signal-to-noise ratio in rapid magnetic resonance imaging (MRI). The authors investigate the use of one such sequence, broad-use linear acquisition speed-up technique (k-t BLAST) in monitoring tumor motion for thoracic and abdominal radiotherapy and examine the potential trade-off between increased sparsification (to increase imaging speed) and the potential loss of “true” information due to greater reliance on a priori information. Methods: Lung tumor motion trajectories in the superior–inferior direction, previously recorded from ten lung cancer patients, were replayed using a motion phantom module driven by an MRI-compatible motion platform. Eppendorf test tubes filled with water which serve as fiducial markers were placed in the phantom. The modeled rigid and deformable motions were collected in a coronal image slice using balanced fast field echo in conjunction with k-t BLAST. Root mean square (RMS) error was used as a metric of spatial accuracy as measured trajectories were compared to input data. The loss of spatial information was characterized for progressively increasing acceleration factor from 1 to 16; the resultant sampling frequency was increased approximately from 2.5 to 19 Hz when the principal direction of the motion was set along frequency encoding direction. In addition to the phantom study, respiration-induced tumor motions were captured from two patients (kidney tumor and lung tumor) at 13 Hz over 49 s to demonstrate the impact of high speed motion monitoring over multiple breathing cycles. For each subject, the authors compared the tumor centroid trajectory as well as the deformable motion during free breathing. Results: In the rigid and deformable phantom studies, the RMS error of target tracking at the acquisition speed of 19 Hz was approximately 0.3–0.4 mm, which was smaller than the reconstructed pixel resolution of 0.67 mm. In the patient study, the dynamic 2D MRI enabled the monitoring of cycle-to-cycle respiratory variability present in the tumor position. It was seen that the range of centroid motion as well as the area covered due to target motion during each individual respiratory cycle was underestimated compared to the entire motion range observed over multiple breathing cycles. Conclusions: The authors’ initial results demonstrate that sparse-sampling- and reconstruction-based dynamic MRI can be used to achieve adequate image acquisition speeds without significant information loss for the task of radiotherapy guidance. Such monitoring can yield spatial and temporal information superior to conventional offline and online motion capture methods used in thoracic and abdominal radiotherapy.

60 APPLIED LIFE SCIENCES↗

Understanding Reproducibility of Sputter‐Deposited Metastable Ferroelectric Wurtzite Al 0.6 Sc 0.4 N Films Using In Situ Optical Emission Spectrometry

High‐Sc Al 1– x Sc x N thin films are of tremendous interest because of their attractive piezoelectric and ferroelectric properties, but overall film quality and reproducibility are widely reported to suffer as x increases. In this study, structural and electrical properties of metastable Al 0.6 Sc 0.4 N films are connected with plasma changes during film growth, identified via glow discharge optical emission spectroscopy (GD‐OES), and linked to the target mode changes. This in situ GD‐OES technique uses changes in the N 2 (I) intensity, correlated with DC bias hysteresis behavior of a Al 0.6 Sc 0.4 target in metallic and poisoned modes, to identify films that subsequently exhibit unacceptable structural and electrical performance. Two representative samples deposited under identical conditions but possessing distinct properties related to phases present in the films are focused on. Films sputtered under a poisoned target mode produce pure wurtzite ferroelectric Al 0.6 Sc 0.4 N with a reversible 80 μC cm −1 polarization and 3.1 MV cm −1 coercive field. When identical chamber settings are used but the process starts in metallic mode, a mixed wurtzite/rocksalt film is deposited which exhibits nanometer‐scale changes to the film microstructure and a nonferroelectric response. These results illustrate the utility of optical emission spectroscopy for tracking target mode fluctuations when fabricating metastable materials such as high‐Sc Al 1– x Sc x N films.

36 MATERIALS SCIENCE↗

South Carolina Solar Development - Tracking the Effects of Act 236 (2014-2017)

Since 2014, the installed solar capacity in South Carolina (SC) has mushroomed from 5.5 megawatts to more than 354 megawatts today. Concurrently, the number of customer-sited, load-centered solar generation was expected to grow from less than 600 statewide to as many over 10,000 today. This growth was the direct result of a landmark state policy initiative, Act 236, passed by the SC General Assembly and signed into law by the Governor in June of 2014. Local policy makers in SC were ill-equipped to handle the onslaught of solar permitting and zoning requests expected by 2021. Similarly, the state’s building inspectors, first responders, and tax assessors know little about photovoltaic (PV) technology and best practices. Finally, SC’s workforce and workforce trainers were underprepared to benefit from the tremendous opportunity created by the passage of Act 236. Each of these deficits in knowledge of and preparedness for solar PV translated into higher “soft costs” of installed solar PV in SC. The Savannah River National Laboratory (SRNL), together with almost a dozen electricity stakeholders in the Southeast, has studied the ability of Act 236 to serve as replicable model for solar PV cost reduction. In 2015, this study began with a focus on the effects of Act 236 to offer a unique perspective and understanding of the actual impact of rapidly integrating solar energy into the electric grid. This study would analyze the impact of starting at a solar PV penetration of 0.1% and increasing to over 2%, while expanding access, developing regional specific training and educational materials, and developing datasets to support expanding solar markets. Through targeted tracking and analysis, the team developed a baseline of the current market, identified the major obstacles in soft cost reduction, and cooperatively developed stakeholder-centric strategies. This work has enabled us to directly track and report on the growth and effects of recently enacted solar legislation on the industry. This report marks the final in a series of reports examining the effects of Act 236 on the solar economy in SC since 2014.

14 SOLAR ENERGY↗

TU-AB-BRA-09: A Novel Method of Generating Ultrafast Volumetric Cine MRI (VC-MRI) Using Prior 4D-MRI and On-Board Phase-Skipped Encoding Acquisition for Radiotherapy Target Localization

Purpose: To develop a technique generating ultrafast on-board VC-MRI using prior 4D-MRI and on-board phase-skipped encoding k-space acquisition for real-time 3D target tracking of liver and lung radiotherapy. Methods: The end-of-expiration (EOE) volume in 4D-MRI acquired during the simulation was selected as the prior volume. 3 major respiratory deformation patterns were extracted through the principal component analysis of the deformation field maps (DFMs) generated between EOE and all other phases. The on-board VC-MRI at each instant was considered as a deformation of the prior volume, and the deformation was modeled as a linear combination of the extracted 3 major deformation patterns. To solve the weighting coefficients of the 3 major patterns, a 2D slice was extracted from VC-MRI volume to match with the 2D on-board sampling data, which was generated by 8-fold phase skipped-encoding k-space acquisition (i.e., sample 1 phase-encoding line out of every 8 lines) to achieve an ultrafast 16–24 volumes/s frame rate. The method was evaluated using XCAT digital phantom to simulate lung cancer patients. The 3D volume of end-ofinhalation (EOI) phase at the treatment day was used as ground-truth onboard VC-MRI with simulated changes in 1) breathing amplitude and 2) breathing amplitude/phase change from the simulation day. A liver cancer patient case was evaluated for in-vivo feasibility demonstration. Results: The comparison between ground truth and estimated on-board VC-MRI shows good agreements. In XCAT study with changed breathing amplitude, the volume-percent-difference(VPD) between ground-truth and estimated tumor volumes at EOI was 6.28% and the Center-of-Mass-Shift(COMS) was 0.82mm; with changed breathing amplitude and phase, the VPD was 8.50% and the COMS was 0.54mm. The study of liver patient case also demonstrated a promising in vivo feasibility of the proposed method Conclusion: Preliminary results suggest the feasibility to estimate ultrafast VC-MRI for on-board target localization with phase skipped-encoding k-space acquisition. Research grant from NIH R01-184173.

60 APPLIED LIFE SCIENCES↗

Nonlinear control of the minimum safety factor in tokamaks by optimal allocation of spatially moving electron cyclotron current drive

The minimum value of the safety factor profile is related to the magnetohydrodynamic (MHD) stability of the plasma confined in a tokamak. Therefore, active control of the minimum safety factor may mitigate MHD instabilities that can degrade or even terminate plasma confinement. Typically, in most tokamak scenarios, the minimum safety factor evolves spatially with time, i.e., the location at which the safety factor achieves the minimum value changes with time. In addition to the inherent nonlinearities in the minimum safety factor evolution, its spatial variation makes the control design challenging. In particular, complexity in control design may arise from the need for time-dependent nonlinear models that account for spatial variation of the minimum safety factor. Furthermore, the minimum safety factor may drift to locations where the actuator authority is low. The problem of minimum safety factor control with target location tracking and moving electron cyclotron current drive (ECCD) is addressed in this work. A nonlinear time-dependent model that incorporates the spatial variation of the minimum safety factor is presented. A nonlinear controller based on optimal feedback linearization is developed to track a target minimum safety factor. The proposed controller treats the ECCD position as a controllable variable. In other words, the controller prescribes the ECCD position (in addition to the non-inductive powers) in real time based on an optimal criterion that is defined a priori. This work also presents the steps necessary to integrate the minimum safety factor controller with a total energy controller to achieve multiple control objectives simultaneously. In conclusion, the proposed integrated control algorithm is tested using nonlinear simulations in the Control Oriented Transport SIMulator (COTSIM) for a DIII-D tokamak scenario.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Feedback control design for non-inductively sustained scenarios in NSTX-U using TRANSP

This paper examines a method for real-time control of non-inductively sustained scenarios in NSTX-U by using TRANSP, a time-dependent integrated modeling code for prediction and interpretive analysis of tokamak experimental data, as a simulator. The actuators considered for control in this work are the six neutral beam sources and the plasma boundary shape. To understand the response of the plasma current, stored energy, and central safety factor to these actuators and to enable systematic design of control algorithms, simulations were run in which the actuators were modulated and a linearized dynamic response model was generated. A multi-variable model-based control scheme that accounts for the coupling and slow dynamics of the system while mitigating the effect of actuator limitations was designed and simulated. Simulations show that modest changes in the outer gap and heating power can improve the response time of the system, reject perturbations, and track target values of the controlled values.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Duty-Cycle Predictive Control of Quasi-Z-Source Modular Cascaded Converter Based Photovoltaic Power System

A duty-cycle predictive control is proposed for dc grid integration of front-end isolated quasi-Z-source modular cascaded converter (qZS-MCC) photovoltaic (PV) power system. The post-stage qZS half-bridge dc-dc converter deals with PV maximum power point tracking, dc grid integration, and dc-link voltage balance; whereas, the front-end isolation converters operate at a constant duty cycle of 50%. Thus, it saves control hardware resources while overcoming challenges from PV-panel voltage variations and dc-bus voltage limit. The proposed control uses the derived circuit model to predict the global active-state duty cycle for grid-connected current control and predict the shoot-through duty cycles for dc-link voltage balance, achieving a fast and accurate tracking target. The proposed control method has advantages of: i) eliminating weighting factors that exist in conventional model predictive control (MPC), ii) no sophisticated loop parameters design that exists in proportional-integral (PI) control, iii) operating at constant switching frequency that is different from the conventional MPC with variable switching frequency. Simulation and experimental tests are carried out to verify the effectiveness of the proposed control method and compare with the PI-based control system.

42 ENGINEERING↗

Multiagent-Based Dynamic Voltage Support of Power Converters During Fault Ride-Through

Reference point of applicability (RPA) is a predefined point in a distribution network that performance requirements shall apply. As RPA is not directly controlled by a dedicated distributed energy resource (DER), it requires an aggregate response of multiple DERs over a complex meshed network. Here, this article presents a multiagent-based distributed dynamic voltage support (DDVS) method for coordinated aggregate response of multiple DER units to support RPA voltage profile during and after fault ride-through. DDVS implements a multiagent-based leader target tracking scheme with velocity matching and flock centering features to avoid uncoordinated current injections of cooperative DERs. The DDVS is an event-based approach based on RPA requirements. Two-dimensional voltage support objective is handled: 1) coordinated positive sequence current injection for voltage magnitude boosting and 2) coordinated negative sequence current injection for unbalance voltage mitigation. The results demonstrate that the proposed DDVS algorithm addresses emerging coordinated DVS requirement of DERs.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Optimal Power Flow Pursuit

This paper considers distribution networks featuring inverter-interfaced distributed energy resources, and develops distributed feedback controllers that continuously drive the inverter output powers to solutions of AC optimal power flow (OPF) problems. Particularly, the controllers update the power setpoints based on voltage measurements as well as given (time-varying) OPF targets, and entail elementary operations implementable onto low-cost microcontrollers that accompany power-electronics interfaces of gateways and inverters. The design of the control framework is based on suitable linear approximations of the AC power-flow equations as well as Lagrangian regularization methods. Convergence and OPF-target tracking capabilities of the controllers are analytically established. Overall, the proposed method allows to bypass traditional hierarchical setups where feedback control and optimization operate at distinct time scales, and to enable real-time optimization of distribution systems.

24 POWER TRANSMISSION AND DISTRIBUTION↗

WE-DE-BRA-07: Megavoltage Spectral Imaging with a Layered Detector

Purpose: The aim of the current work is to investigate the feasibility of megavoltage spectral imaging using a multiple layered detector for enhancement of low contrast detectability through material segmentation and discrimination (such as bone, markers and metal implants). Potentially the technique can be applied to improve detection and reduce dose in Megavoltage Cone Beam Computed Tomography (MV-CBCT). Methods: Experiments were performed with a prototype multi-layer imager (MLI) which has higher detective efficiency and lower noise characteristics than conventional Electronic Portal Imaging Devices (EPIDs). Images of a solid water phantom were acquired at 2.5 MV, 6MV and 6MV without flattening filter (FFF). The following materials were placed within a stack of solid water: aluminum, copper and gold. Material separation was assessed based on Contrast-to-Noise Ratio (CNR) of the weighted image, formed by a weighted subtraction of the images from two layers of the MLI. A range of weighting factors were investigated for material separation. Results: CNR can be minimized for each material by appropriate selection of the subtraction weighting factor. This is equivalent to a selective subtraction of specific materials from the image. Using multiple layers simultaneously also decreases the dose requirement and removes any registration errors. The minimum CNR for aluminum, copper and gold at the weighted image formed with 2.5MV was obtained at weighting factors equal to 0.92, 0.76 and 0.64 respectively. The corresponding values at 6MVFFF were 0.99, 0.92 and 0.78 respectively. Conclusion: In the current work, an MV spectral imaging feasibility study was attempted using a novel multi-layer prototype EPID imager. Initial results suggest that material separation based on spectral differences between different layers is possible. This spectral imaging technique has potential advantages in MV-CBCT for real-time target tracking, patient set-up imaging and adaptive radiotherapy. The project was supported, partially, by a grant from Varian Medical Systems, Inc., and Award No. R01CA188446-01 from the National Cancer Institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health.

60 APPLIED LIFE SCIENCES↗

TH-AB-BRA-02: Automated Triplet Beam Orientation Optimization for MRI-Guided Co-60 Radiotherapy

Purpose: MRI guided Co-60 provides daily and intrafractional MRI soft tissue imaging for improved target tracking and adaptive radiotherapy. To remedy the low output limitation, the system uses three Co-60 sources at 120° apart, but using all three sources in planning is considerably unintuitive. We automate the beam orientation optimization using column generation, and then solve a novel fluence map optimization (FMO) problem while regularizing the number of MLC segments. Methods: Three patients—1 prostate (PRT), 1 lung (LNG), and 1 head-and-neck boost plan (H&NBoost)—were evaluated. The beamlet dose for 180 equally spaced coplanar beams under 0.35 T magnetic field was calculated using Monte Carlo. The 60 triplets were selected utilizing the column generation algorithm. The FMO problem was formulated using an L2-norm minimization with anisotropic total variation (TV) regularization term, which allows for control over the number of MLC segments. Our Fluence Regularized and Optimized Selection of Triplets (FROST) plans were compared against the clinical treatment plans (CLN) produced by an experienced dosimetrist. Results: The mean PTV D95, D98, and D99 differ by −0.02%, +0.12%, and +0.44% of the prescription dose between planning methods, showing same PTV dose coverage. The mean PTV homogeneity (D95/D5) was at 0.9360 (FROST) and 0.9356 (CLN). R50 decreased by 0.07 with FROST. On average, FROST reduced Dmax and Dmean of OARs by 6.56% and 5.86% of the prescription dose. The manual CLN planning required iterative trial and error runs which is very time consuming, while FROST required minimal human intervention. Conclusions: MRI guided Co-60 therapy needs the output of all sources yet suffers from unintuitive and laborious manual beam selection processes. Automated triplet orientation optimization is shown essential to overcome the difficulty and improves the dosimetry. A novel FMO with regularization provides additional controls over the number of MLC segments and treatment time. Varian Medical Systems; NIH grant R01CA188300; NIH grant R43CA183390.

60 APPLIED LIFE SCIENCES↗

Feedback control design for non-inductively sustained scenarios in NSTX-U using TRANSP

This paper examines a method for real-time control of non-inductively sustained scenarios in NSTX-U by using TRANSP,a time-dependent integrated modeling code for prediction and interpretive analysis of tokamak experimental data, as asimulator. The actuators considered for control in this work are the six neutral beam sources and the plasma boundaryshape. To understand the response of the plasma current, stored energy, and central safety factor to these actuatorsand to enable systematic design of control algorithms, simulations were run in which the actuators were modulated anda linearized dynamic response model was generated. A multi-variable model-based control scheme that accounts for thecoupling and slow dynamics of the system while mitigating the effect of actuator limitations was designed andsimulated. Simulations show that modest changes in the outer gap and heating power can improve the response time ofthe system, reject perturbations, and track target values of the controlled values.

Predictive simulations↗

The Satellite Image Simulation Toolkit

The Satellite Image Simulation Toolkit (SatIST) is a python software package designed to generate diverse and realistic satellite imaging scenarios. It serves as a toolkit for simulating data that supports the development and testing of algorithms used in satellite detection, calibration, and characterization. SIST provides a suite of simulation tools that allow users to replicate various satellite observation conditions, including sidereal and target tracking. By enabling the creation of scenarios that mimic real-world satellite operations, SIST facilitates advancements in satellite image data processing and the study of satellite behavior under different observational parameters.

Perloff, AlexxS [Lawrence Livermore National Labor↗

Batch Measurement Extremum Seeking Control of Distributed Energy Resources to Account for Communication Delays and Information Loss

Distributed Energy Resources (DER) have great potential to enhance the operation of electric power distribution systems. Previously, we explored the use of 2 Dimensional Extremum Seeking (2D-ES) control algorithms to enable model-free optimal control of DER to provide grid services to both the distribution and transmissions systems. Motivated by preliminary deployments of DER managed by 2D-ES algorithms in hardware-in-the-loop tests and in operational distribution grids, in this work, we extend the control scheme to accommodate communication delays and information loss. We propose a modification to the 2D-ES scheme to allow for the processing of batches of possibly noncontiguous objective function measurements at unknown and possibly uneven intervals. We provide a proof of the convergence of the batch 2D-ES (2D-BES) scheme when optimizing a generic convex objective function, as well as simulation results that demonstrate the suitability of the approach for substation active and reactive power target tracking.

Sankur, Michael↗

Final Report: Non-Visible, Automated Target Acquisition and Tracking

The Roadside Tracker (RST) represents a new approach to radiation portal monitors. It uses a combination of gamma-ray and visible-light imaging to localize gamma-ray radiation sources to individual vehicles in free-flowing, multi-lane traffic. Deployed as two trailers that are parked on either side of the roadway (Fig. 1); the RST scans passing traffic with two large gamma-ray imagers, one mounted in each trailer. The system compensates for vehicle motion through the imager’s fields of view by using automated target acquisition and tracking (TAT) software applied to a stream of video images. Once a vehicle has left the field of view, the radiation image of that vehicle is analyzed for the presence of a source, and if one is found, an alarm is sounded. The gamma-ray image is presented to the operator together with the video image of the traffic stream when the vehicle was approximately closest to the system (Fig. 2). The offending vehicle is identified with a bounding box to distinguish it from other vehicles that might be present at the same time. The system was developed under a previous grant from the Department of Homeland Security’s (DHS’s) Domestic Nuclear Detection Office (DNDO). This report documents work performed with follow-on funding from DNDO to further advance the development of the RST. Specifically, the primary thrust was to extend the performance envelope of the system by replacing the visible-light video cameras used by the TAT software with sensors that would allow operation at night and during inclement weather. In particular, it was desired to allow operation after dark without requiring external lighting. As part of this work, the system software was also upgraded to allow the use of 64-bit computers, the current generation operating system (OS), software development environment (Windows 7 vs. Windows XP, and current Visual Studio.Net), and improved software version controls (GIT vs. Source Safe.) With the upgraded performance allowed by new computers, and the additional memory available in a 64-bit OS, the system was able to handle greater traffic densities, and this also allowed addition of the ability to handle stop-and-go traffic.

98 NUCLEAR DISARMAMENT, SAFEGUARDS, AND PHYSICAL P↗

Minimum Cost Multi-way Data Association for Optimizing Multitarget Tracking of Interacting Objects

This paper presents a general formulation for a minimum cost data association problem which associates data features via one-to-one, m-to-one and one-to-n links with minimum total cost of the links. A motivating example is a problem of tracking multiple interacting nanoparticles imaged on video frames, where particles can aggregate into one particle or a particle can be split into multiple particles. Many existing multitarget tracking methods are capable of tracking non-interacting targets or tracking interacting targets of restricted degrees of interactions. The proposed formulation solves a multitarget tracking problem for general degrees of inter-object interactions. The formulation is in the form of a binary integer programming problem. We propose a polynomial time solution approach that can obtain a good relaxation solution of the binary integer programming, so the approach can be applied for multitarget tracking problems of a moderate size (for hundreds of targets over tens of time frames). The resulting solution is always integral and obtains a better duality gap than the simple linear relaxation solution of the corresponding problem. The proposed method was validated through applications to simulated multitarget tracking problems and a real multitarget tracking problem.

Binary Integer Programming↗

MO-FG-BRD-01: Real-Time Imaging and Tracking Techniques for Intrafractional Motion Management: Introduction and KV Tracking

Intrafraction target motion is a prominent complicating factor in the accurate targeting of radiation within the body. Methods compensating for target motion during treatment, such as gating and dynamic tumor tracking, depend on the delineation of target location as a function of time during delivery. A variety of techniques for target localization have been explored and are under active development; these include beam-level imaging of radio-opaque fiducials, fiducial-less tracking of anatomical landmarks, tracking of electromagnetic transponders, optical imaging of correlated surrogates, and volumetric imaging within treatment delivery. The Joint Imaging and Therapy Symposium will provide an overview of the techniques for real-time imaging and tracking, with special focus on emerging modes of implementation across different modalities. In particular, the symposium will explore developments in 1) Beam-level kilovoltage X-ray imaging techniques, 2) EPID-based megavoltage X-ray tracking, 3) Dynamic tracking using electromagnetic transponders, and 4) MRI-based soft-tissue tracking during radiation delivery. Learning Objectives: Understand the fundamentals of real-time imaging and tracking techniques Learn about emerging techniques in the field of real-time tracking Distinguish between the advantages and disadvantages of different tracking modalities Understand the role of real-time tracking techniques within the clinical delivery work-flow.

60 APPLIED LIFE SCIENCES↗