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At least 559 records · Page 31

Effect of color coding and subtraction on the accuracy of contrast echocardiography

BACKGROUND: Contrast echocardiography may be used to assess myocardial perfusion. However, gray scale assessment of myocardial contrast echocardiography (MCE) is difficult because of variations in regional backscatter intensity, difficulties in distinguishing varying shades of gray, and artifacts or attenuation. We sought to determine whether the assessment of rest myocardial perfusion by MCE could be improved with subtraction and color coding. METHODS AND RESULTS: MCE was performed in 31 patients with previous myocardial infarction with a 2nd generation agent (NC100100, Nycomed AS), using harmonic triggered or continuous imaging and gain settings were kept constant throughout the study. Digitized images were post processed by subtraction of baseline from contrast data and colorized to reflect the intensity of myocardial contrast. Gray scale MCE alone, MCE images combined with baseline and subtracted colorized images were scored independently using a 16 segment model. The presence and severity of myocardial contrast abnormalities were compared with perfusion defined by rest MIBI-SPECT. Segments that were not visualized by continuous (17%) or triggered imaging (14%) after color processing were excluded from further analysis. The specificity of gray scale MCE alone (56%) or MCE combined with baseline 2D (47%) was significantly enhanced by subtraction and color coding (76%, p<0.001) of triggered images. The accuracy of the gray scale approaches (respectively 52% and 47%) was increased to 70% (p<0.001). Similarly, for continuous images, the specificity of gray scale MCE with and without baseline comparison was 23% and 42% respectively, compared with 60% after post processing (p<0.001). The accuracy of colorized images (59%) was also significantly greater than gray scale MCE (43% and 29%, p<0.001). The sensitivity of MCE for both acquisitions was not altered by subtraction. CONCLUSION: Post-processing with subtraction and color coding significantly improves the accuracy and specificity of MCE for detection of perfusion defects.

Multicenter Study↗

Assessing the Health and Performance Risks of Carbon Dioxide Exposures

Carbon dioxide (CO2) is an anthropogenic gas that accumulates in spacecraft to much higher levels than earth-normal levels. Controlling concentrations of this gas to acceptable levels to ensure crew health and optimal performance demands major commitment of resources. NASA has many decades of experience monitoring and controlling CO2, yet we are uncertain of the levels at which subtle performance decrements develop. There is limited evidence from ground-based studies that visual disturbances can occur during brief exposures and visual changes have been noted in spaceflight crews. These changes may be due to CO2 alone or in combination with other known spaceflight factors such as increased intracranial pressure due to fluid shifts. Discerning the comparative contribution of each to performance decrements is an urgent issue if we hope to optimize astronaut performance aboard the ISS. Long-term, we must know the appropriate control levels for exploration-class missions to ensure that crewmembers can remain cooperative and productive in a highly stressful environment. Furthermore, we must know the magnitude of interindividual variability in susceptibility to the adverse effects of CO2 so that the most tolerant crewmembers can be identified. Ground-based studies have been conducted for many years to set exposure limits for submariners; however, these studies are typically limited and incompletely reported. Nonetheless, NASA, in cooperation with the National Research Council, has set exposure limits for astronauts using this limited database. These studies do not consider the interactions of spaceflight-induced fluid shifts and CO2 exposures. In an attempt to discern whether CO2 levels affect the incidence of headache and visual disturbances in astronauts we performed a retrospective study comparing average CO2 levels and the prevalence of headache and visual disturbances. Our goal is to narrow gaps in the risk profile for in-flight CO2 exposures. Such studies can provide no more than partial answers to the questions of environmental interactions, interindividual variability, and optimal control levels. Future prospective studies should involve assessment of astronaut well being using sophisticated measures during exposures to levels of CO2 in the range from 2 to 8 mmHg.

James, John T.↗

Comparison of MSL RCS Jet Computations With Flow Visualization and Velocimetry

Numerical predictions of the Mars Science Laboratory (MSL) reaction control system (RCS) jets interacting with a Mach 10 hypersonic flow are compared to experimental nitric oxide (NO) planar laser-induced fluorescence (PLIF) data. The steady Reynolds Averaged Navier Stokes (RANS) equations using the Baldwin-Barth one-equation turbulence model were solved using the OVERFLOW code. The experimental PLIF data used for comparison consists of qualitative two-dimensional visualization images, qualitative reconstructed three-dimensional flow structures, and quantitative two-dimensional distributions of streamwise velocity. Through modeling of the PLIF signal equation, computational flow images (CFI) were produced and directly compared to the qualitative PLIF data. Post processing of the experimental and simulation data enabled the jet trajectory to be extracted for a more quantitative comparison. The two-dimensional velocity fields were reconstructed through interpolation of a series of single-component velocity profiles. Each distribution of single-component velocity was obtained using molecular tagging velocimetry (MTV). After validating the numerical model, the numerical solution was further examined to gain insight into hypersonic jet-in-crossflow interaction. Future NO-PLIF experiments are proposed based on this analysis.

Johansen, Craig T.↗

Vestibular plasticity following orbital spaceflight: recovery from postflight postural instability

Results of previous studies suggested that the vestibular mediated postural instability observed in astronauts upon return to earth from orbital spaceflight may be exacerbated by an increased weighting of visual inputs for spatial orientation and control of movement. This study was performed to better understand the roles of visual and somatosensory contributions to recovery of normal sensori-motor postural control in returning astronauts. Preflight and postflight, 23 astronaut volunteers were presented randomly with three trials of six sensory organization test (SOT) conditions in the EquiTest system test battery. Sagittal plane center-of-gravity (COG) excursions computed from ground reaction forces were significantly higher on landing day than preflight for those test conditions presenting sway-referenced visual and/or somatosensory orientation cues. The ratio of summed peak-to-peak COG sway amplitudes on the two sway-referenced vision tests (SOTs 3 + 6) compared to the two eyes closed tests (SOTs 2 + 5) was increased on landing day, indicating an increased reliance on visual orientation cues for postural control. The ratio of peak-to-peak COG excursions on sway-referenced surfaces (SOTs 4, 5 & 6) to an earth fixed support surfaces (SOTs 1, 2 & 3) increased even more after landing suggesting primary reliance on somatosensory orientation cues for recovery of postflight postural stability. Readaptation to sway-referenced support surfaces took longer than readaptation to sway-referenced vision. The increased reliance on visual and somatosensory inputs disappeared in all astronauts 4-8 days following return to earth.

NASA Program Space Physiology and Countermeasures↗

Decreased susceptibility to motion sickness during exposure to visual inversion in microgravity

Head and body movements made in microgravity tend to bring on symptoms of motion sickness. Such head movements, relative to comparable ones made on earth, are accompanied by unusual combinations of semicircular canal and otolith activity owing to the unloading of the otoliths in 0G. Head movements also bring on symptoms of motion sickness during exposure to visual inversion (or reversal) on earth because the vestibulo-ocular reflex is rendered anti-compensatory. Here, evidence is presented that susceptibility to motion sickness during exposure to visual inversion is decreased in a 0G relative to 1G force background. This difference in susceptibility appears related to the alteration in otolith function in 0G. Some implications of this finding for the etiology of space motion sickness are described.

Lackner, James R.↗

Game-like tasks for comparative research: leveling the playing field

Game-like computer tasks offer many benefits for psychological research. In this paper, the usefulness of such tasks to bridge population differences (e.g., age, intelligence, species) is discussed and illustrated. A task called ALVIN was used to assess humans' and monkeys' working memory for sequences of colors with or without tones. Humans repeated longer lists than did the monkeys, and only humans benefited when the visual stimuli were accompanied by auditory cues. However, the monkeys did recall sequences at levels comparable to those reported elsewhere for children. Comparison of similarities and differences between the species is possible because the two groups were tested with exactly the same game-like paradigm.

NASA Discipline Number 06-10↗

Degradation of learned skills. Static practice effectiveness for visual approach and landing skill retention

The effectivess of an improved static retraining method was evaluated for a simulated space vehicle approach and landing under instrument and visual flight conditions. Experienced pilots were trained and then tested after 4 months without flying to compare their performance using the improved method with three methods previously evaluated. Use of the improved static retraining method resulted in no practical or significant skill degradation and was found to be even more effective than methods using a dynamic presentation of visual cues. The results suggested that properly structured open loop methods of flight control task retraining are feasible.

Sitterley, T. E.↗

Comparison of Magnetic Resonance Imaging and Computed Tomography for Breast Target Volume Delineation in Prone and Supine Positions

Purpose: To determine whether T2-weighted MRI improves seroma cavity (SC) and whole breast (WB) interobserver conformity for radiation therapy purposes, compared with the gold standard of CT, both in the prone and supine positions. Methods and Materials: Eleven observers (2 radiologists and 9 radiation oncologists) delineated SC and WB clinical target volumes (CTVs) on T2-weighted MRI and CT supine and prone scans (4 scans per patient) for 33 patient datasets. Individual observer's volumes were compared using the Dice similarity coefficient, volume overlap index, center of mass shift, and Hausdorff distances. An average cavity visualization score was also determined. Results: Imaging modality did not affect interobserver variation for WB CTVs. Prone WB CTVs were larger in volume and more conformal than supine CTVs (on both MRI and CT). Seroma cavity volumes were larger on CT than on MRI. Seroma cavity volumes proved to be comparable in interobserver conformity in both modalities (volume overlap index of 0.57 (95% Confidence Interval (CI) 0.54-0.60) for CT supine and 0.52 (95% CI 0.48-0.56) for MRI supine, 0.56 (95% CI 0.53-0.59) for CT prone and 0.55 (95% CI 0.51-0.59) for MRI prone); however, after registering modalities together the intermodality variation (Dice similarity coefficient of 0.41 (95% CI 0.36-0.46) for supine and 0.38 (0.34-0.42) for prone) was larger than the interobserver variability for SC, despite the location typically remaining constant. Conclusions: Magnetic resonance imaging interobserver variation was comparable to CT for the WB CTV and SC delineation, in both prone and supine positions. Although the cavity visualization score and interobserver concordance was not significantly higher for MRI than for CT, the SCs were smaller on MRI, potentially owing to clearer SC definition, especially on T2-weighted MR images.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Evolution of tensile and shear cracking in crystalline rocks under compression

Here we performed laboratory-scale unconfined compression experiments on Barre granite specimen with a single pre-existing flaw to study the evolution of tensile and shear cracking that occurs during different stress levels. Moment tensor inversion of acoustic emission (AE) events in combination with the nonelastic strain component obtained through the 2D digital image correlation (DIC) technique are used to track the changes in the source mechanisms of the stress-induced cracks. The mode of deformation computed from the image based strain profiles, enables visual comparison of the nucleation, growth and interaction of the tensile and shear cracks with the microseismic source mechanism observed by moment tensor inversion of the AE events. Comparing the results obtained from the two techniques on the same dataset demonstrates a quantitative correlation between the acoustic and visual observations in terms of the cracking mechanisms obtained at different stages of cracking from crack initiation at the flaw tips to the failure of the rock specimen.

58 GEOSCIENCES↗

Lunar Node – 1: Initial Flight Results and the Role of Surface Psuedolites in Lunar Navigation

On February 22, 2024, the Intuitive Machines IM-1 NOVA-C lander, nick-named Odysseus, landed on the lunar surface, carrying with it a cadre of NASA scientific and technology demonstration payloads. These payloads and missions marked the first delivery of NASA instruments to operate from the lunar surface since the Apollo landings. One of these payloads is Lunar Node -1 (LN-1), a navigation beacon demonstration mission. The payload was designed and built by NASA’s Marshall Space Flight Center. The payload’s main goal was to demonstrate and provide insight into the use of lunar surface-based radio navigation aids. As part of the mission, LN-1 successfully conducted multiple one-way transmissions from the NOVA-C vehicle to Deep Space Network ground receivers using its onboard S-band transmitter, while being disciplined by an onboard Space Chip Scale Atomic Clock. LN-1 transmitted to DSN on an almost daily basis during transit to the moon, including two surface passes. The payload was originally plan to conduct 7-10 days of surface operation as an always-on beacon. These passes focused on evaluating two main navigation approaches: performance and stability of ranging using time-based transfer techniques on a cubesat size and grade platform, as well as one-way psuedonoise ranging approaches. To assess performance, the measurements were compared to independent navigation solutions using multiple approaches including: one-way Doppler tracking, two-way Doppler Tracking, and visual verification of the landing location provided by visual observations from orbital platforms. While the mission only conducted limited surface operations, the data provides some initial insight to performance form the lunar surface. These results are compared with initial ground-based testing as well as continued evaluation of the flight-space platform using multiple grades of oscillators for maintaining clock and frequency stability. These focus on the timing stability of platform in a deep-space environment as well variations in state determination. Given these insights, this paper provides additional description and evaluation of how this approach can be utilized as part of a broader lunar navigation architecture, such as being developed and deployed across multiple international space agencies. Analysis is provided to develop overall timing requirements and assessment of operational scenarios, such as orbit and surface location determination. In addition, the results support discussion as to how surface pseudolites could best be used within existing standard signal definitions, such as defined in the LunaNet Interoperability Specifications. This will consider concerns such as the near-/far- problem as well as operational considerations, including whether a beacon is better suited as two- or one-way ranging platform. The use cases are focused on how these psuedolites can provide additional coverage to augment and support planned operational coverage. For example, this analysis provides analysis of mid-latitude surface missions, where there may be limited geometry and availability of orbital relays. The results will show how these navigation psuedolites can fit within the developing architecture to provide additional robustness, capability, and support multiple use cases. Lastly, the paper will discuss challenges and next steps to be addressed in the implementation and testing of a follow-on payload and a continued path towards demonstration and integration of this capability into Lunar PNT architectures.

Evan Anzalone↗

Lunar Node – 1: Initial Flight Results and the Role of Surface Psuedolites in Lunar Navigation

On February 22, 2024, Intuitive Machines NOVA-C lander, nick-named Odysseus, landed on the lunar surface, carrying with it a cadre of NASA scientific and technology demonstration payloads. These payloads and missions marked the first delivery of NASA instruments to operate from the lunar surface since the Apollo landings. One of these payloads is Lunar Node -1 (LN-1), a navigation beacon demonstration mission. The payload was designed and built by NASA’s Marshall Space Flight Center. The payload’s main goal was to demonstrate and provide insight into the use of lunar surface-based radio navigation aids. As part of the mission, LN-1 successfully conducted multiple one-way transmissions from the NOVA-C vehicle to Deep Space Network ground receivers using its onboard S-band transmitter, while being disciplined by an onboard Space Chip Scale Atomic Clock. LN-1 transmitted to DSN on an almost daily basis during transit to the moon, including two surface passes. The payload was originally plan to conduct 7-10 days of surface operation as an always-on beacon. These passes focused on evaluating two main navigation approaches: performance and stability of ranging using time-based transfer techniques on a cubesat size and grade platform, as well as one-way psuedonoise ranging approaches. To assess performance, the measurements were compared to independent navigation solutions using multiple approaches including: one-way Doppler tracking, two-way Doppler Tracking, and visual verification of the landing location provided by visual observations from orbital platforms. While the mission only conducted limited surface operations, the data provides some initial insight to performance form the lunar surface. These results are compared with initial ground-based testing as well as continued evaluation of the flight-space platform using multiple grades of oscillators for maintaining clock and frequency stability. These focus on the timing stability of platform in a deep-space environment as well variations in state determination. Given these insights, this paper provides additional description and evaluation of how this approach can be utilized as part of a broader lunar navigation architecture, such as being developed and deployed across multiple international space agencies. Analysis is provided to develop overall timing requirements and assessment of operational scenarios, such as orbit and surface location determination. In addition, the results support discussion as to how surface pseudolites could best be used within existing standard signal definitions, such as defined in the LunaNet Interoperability Specifications. This will consider concerns such as the near-/far- problem as well as operational considerations, including whether a beacon is better suited as two- or one-way ranging platform. The use cases are focused on how these psuedolites can provide additional coverage to augment and support planned operational coverage. For example, this analysis provides analysis of mid-latitude surface missions, where there may be limited geometry and availability of orbital relays. The results will show how these navigation psuedolites can fit within the developing architecture to provide additional robustness, capability, and support multiple use cases. Lastly, the paper will discuss challenges and next steps to be addressed in the implementation and testing of a follow-on payload and a continued path towards demonstration and integration of this capability into Lunar PNT architectures.

Evan J Anzalone↗

SU-D-BRF-04: Digital Tomosynthesis for Improved Daily Setup in Treatment of Liver Lesions

Purpose: Daily localization of liver lesions with cone-beam CT (CBCT) is difficult due to poor image quality caused by scatter, respiratory motion, and the lack of radiographic contrast between the liver parenchyma and the lesion(s). Digital tomosynthesis (DTS) is investigated as a modality to improve liver visualization and lesion/parenchyma contrast for daily setup. Methods: An in-house tool was developed to generate DTS images using a point-by-point filtered back-projection method from on-board CBCT projection data. DTS image planes are generated in a user defined orientation to visualize the anatomy at various depths. Reference DTS images are obtained from forward projection of the planning CT dataset at each projection angle. The CBCT DTS image set can then be registered to the reference DTS image set as a means for localization. Contour data from the planning CT's associate RT Structure file and forward projected similarly to the planning CT data. DTS images are created for each contoured structure, which can then be overlaid onto the DTS images for organ volume visualization. Results: High resolution DTS images generated from CBCT projections show fine anatomical detail, including small blood vessels, within the patient. However, the reference DTS images generated from forward projection of the planning CT lacks this level of detail due to the low resolution of the CT voxels as compared to the pixel size in the projection images; typically 1mm-by-1mm-by-3mm (lat, vrt, lng) for the planning CT vs. 0.4mm-by-0.4mm for CBCT projections. Overlaying of the contours onto the DTS image allows for visualization of structures of interest. Conclusion: The ability to generate DTS images over a limited range of projection angles allows for reduction in the amount of respiratory motion within each acquisition. DTS may provide improved visualization of structures and lesions as compared to CBCT for highly mobile tumors.

60 APPLIED LIFE SCIENCES↗

Visualizing the non-equilibrium dynamics of photoinduced intramolecular electron transfer with femtosecond X-ray pulses

Ultrafast photoinduced electron transfer preceding energy equilibration still poses many experimental and conceptual challenges to the optimization of photoconversion since an atomic-scale description has so far been beyond reach. Here we combine femtosecond transient optical absorption spectroscopy with ultrafast X-ray emission spectroscopy and diffuse X-ray scattering at the SACLA facility to track the non-equilibrated electronic and structural dynamics within a bimetallic donor–acceptor complex that contains an optically dark centre. Exploiting the 100-fold increase in temporal resolution as compared with storage ring facilities, these measurements constitute the first X-ray-based visualization of a non-equilibrated intramolecular electron transfer process over large interatomic distances. Thus experimental and theoretical results establish that mediation through electronically excited molecular states is a key mechanistic feature. The present study demonstrates the extensive potential of femtosecond X-ray techniques as diagnostics of non-adiabatic electron transfer processes in synthetic and biological systems, and some directions for future studies, are outlined.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

A comparison of the morphological properties between local and z ∼ 1 infrared luminous galaxies: Are local and high-z (U)LIRGs different?

Ultraluminous and luminous infrared galaxies (ULIRGs and LIRGs) are the most extreme star-forming galaxies in the universe and dominate the total star formation rate density at z > 1. In the local universe (z < 0.3), the majority of ULIRGs and a significant portion of LIRGs are triggered by interactions between gas-rich spiral galaxies, yet it is unclear if this is still the case at high z. To investigate the relative importance of galaxy interactions in infrared luminous galaxies, we carry out a comparison of optical morphological properties between local (U)LIRGs and (U)LIRGs at z = 0.5-1.5 based on the same sample selection, morphology classification scheme, and optical morphology at similar rest-frame wavelengths. In addition, we quantify the systematics in comparing local and high-z data sets by constructing a redshifted data set from local (U)LIRGs, in which its data quality mimics the high-z data set. Based on the Gini-M{sub 20} classification scheme, we find that the fraction of interacting systems decreases by ∼8% from local to z ≲ 1, and it is consistent with the reduction between local and redshifted data sets (6{sub −6}{sup +14}%). Based on visual classifications, the merger fraction of local ULIRGs is found to be ∼20% lower compared to published results, and the reduction due to redshifting is 15{sub −8}{sup +10}%. Consequently, the differences of merger fractions between local and z ≲ 1 (U)LIRGs is only ∼17%. These results demonstrate that there is no strong evolution in the fraction of (U)LIRGs classified as mergers at least out to z ∼ 1. At z > 1, the morphology types of ∼30% of (U)LIRGs cannot be determined due to their faintness in the F814W band; thus, the merger fraction measured at z > 1 suffers from large uncertainties.

79 ASTRONOMY AND ASTROPHYSICS↗

SU-G-JeP3-05: Geometry Based Transperineal Ultrasound Probe Positioning for Image Guided Radiotherapy

Purpose: The use of ultrasound (US) imaging in radiotherapy is not widespread, primarily due to the need for skilled operators performing the scans. Automation of probe positioning has the potential to remove this need and minimize operator dependence. We introduce an algorithm for obtaining a US probe position that allows good anatomical structure visualization based on clinical requirements. The first application is on 4D transperineal US images of prostate cancer patients. Methods: The algorithm calculates the probe position and orientation using anatomical information provided by a reference CT scan, always available in radiotherapy workflows. As initial test, we apply the algorithm on a CIRS pelvic US phantom to obtain a set of possible probe positions. Subsequently, five of these positions are randomly chosen and used to acquire actual US volumes of the phantom. Visual inspection of these volumes reveal if the whole prostate, and adjacent edges of bladder and rectum are fully visualized, as clinically required. In addition, structure positions on the acquired US volumes are compared to predictions of the algorithm. Results: All acquired volumes fulfill the clinical requirements as specified in the previous section. Preliminary quantitative evaluation was performed on thirty consecutive slices of two volumes, on which the structures are easily recognizable. The mean absolute distances (MAD) between actual anatomical structure positions and positions predicted by the algorithm were calculated. This resulted in MAD of 2.4±0.4 mm for prostate, 3.2±0.9 mm for bladder and 3.3±1.3 mm for rectum. Conclusion: Visual inspection and quantitative evaluation show that the algorithm is able to propose probe positions that fulfill all clinical requirements. The obtained MAD is on average 2.9 mm. However, during evaluation we assumed no errors in structure segmentation and probe positioning. In future steps, accurate estimation of these errors will allow for better evaluation of the achieved accuracy.

60 APPLIED LIFE SCIENCES↗

Simulating Visual Attention Allocation of Pilots in an Advanced Cockpit Environment

This paper describes the results of experiments conducted with human line pilots and a cognitive pilot model during interaction with a new 40 Flight Management System (FMS). The aim of these experiments was to gather human pilot behavior data in order to calibrate the behavior of the model. Human behavior is mainly triggered by visual perception. Thus, the main aspect was to setup a profile of human pilots' visual attention allocation in a cockpit environment containing the new FMS. We first performed statistical analyses of eye tracker data and then compared our results to common results of familiar analyses in standard cockpit environments. The comparison has shown a significant influence of the new system on the visual performance of human pilots. Further on, analyses of the pilot models' visual performance have been performed. A comparison to human pilots' visual performance revealed important improvement potentials.

Frische, F.↗

How close are urban scale building simulations to measured data? Examining bias derived from building metadata in urban building energy modeling

Residential and commercial buildings in the United States accounted for 40% of total energy in 2020. Building energy modeling (BEM) is a useful tool that allows individuals, researchers, companies, or utilities to save energy by optimizing buildings through estimation of building technology savings and performance projection of building energy under various environmental conditions. Urban building energy modeling (UBEM) expands the scope beyond individual buildings to the buildings in a neighborhood, city, utility and more. Yet there is a knowledge gap in the literature as to how these models compare to measured data on an individual and aggregated basis. As UBEM data and methods continue to develop, it is important to consider the accuracy, bias, and limitations of the models. Here, nation-scale data and UBEM software suite named Automatic Building Energy Modeling (AutoBEM) was used to model 50,843 buildings in Chattanooga, Tennessee. The uncalibrated simulation results were compared to aggregated 15-minute electricity data for the year 2019 with visualizations highlighting sources of bias in building data and the AutoBEM framework while considering how they relate to other UBEM methods. Estimation of building type and year of constructions are found to be the major sources of bias. Accounting for the amount of conditioned area per building significantly improves the overall fit of the simulated energy use intensity. it was found that inherent variation in building energy use contributes to R 2 values between 0.008 and 0.095 across building types but slope values near 1 for the total number of buildings. This indicates the need for building aggregation for representative building energy modeling with data sources available at an urban scale while illustrating the need for additional individual building data and model improvement beyond the originally produced UBEM models for individual building analysis.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

SU-D-17A-04: The Impact of Audiovisual Biofeedback On Image Quality During 4D Functional and Anatomic Imaging: Results of a Prospective Clinical Trial

Purpose: The ability of audiovisual (AV) biofeedback to improve breathing regularity has not previously been investigated for functional imaging studies. The purpose of this study was to investigate the impact of AV biofeedback on 4D-PET and 4D-CT image quality in a prospective clinical trial. We hypothesized that motion blurring in 4D-PET images and the number of artifacts in 4D-CT images are reduced using AV biofeedback. Methods: AV biofeedback is a real-time, interactive and personalized system designed to help a patient self-regulate his/her breathing using a patient-specific representative waveform and musical guides. In an IRB-approved prospective clinical trial, 4D-PET and 4D-CT images of 10 lung cancer patients were acquired with AV biofeedback (AV) and free breathing (FB). The 4D-PET images in 6 respiratory bins were analyzed for motion blurring by: (1) decrease of GTVPET and (2) increase of SUVmax in 4-DPET compared to 3D-PET. The 4D-CT images were analyzed for artifacts by: (1) comparing normalized cross correlation-based scores (NCCS); and (2) quantifying a visual assessment score (VAS). A two-tailed paired t-test was used to test the hypotheses. Results: The impact of AV biofeedback on 4D-PET and 4D-CT images varied widely between patients, suggesting inconsistent patient comprehension and capability. Overall, the 4D-PET decrease of GTVPET was 2.0±3.0cm3 with AV and 2.3±3.9cm{sup 3} for FB (p=0.61). The 4D-PET increase of SUVmax was 1.6±1.0 with AV and 1.1±0.8 with FB (p=0.002). The 4D-CT NCCS were 0.65±0.27 with AV and 0.60±0.32 for FB (p=0.32). The 4D-CT VAS was 0.0±2.7 (p=ns). Conclusion: A 10-patient study demonstrated a statistically significant reduction of motion blurring of AV over FB for 1/2 functional 4D-PET imaging metrics. No difference between AV and FB was found for 2 anatomic 4D-CT imaging metrics. Future studies will focus on optimizing the human-computer interface and including patient training sessions for improved comprehension and capability. Supported by NIH/NCI R01 CA 093626, Stanford BioX Interdisciplinary Initiatives Program, NHMRC Australia Fellowship, and Kwanjeong Educational Foundation. GE Healthcare provided the Respiratory Gating Toolbox for 4D-PET image reconstruction. Stanford University owns US patent #E7955270 which is unlicensed to any commercial entity.

60 APPLIED LIFE SCIENCES↗