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NASA NTRS2001

Animal models for osteoporosis

Animal models will continue to be important tools in the quest to understand the contribution of specific genes to establishment of peak bone mass and optimal bone architecture, as well as the genetic basis for a predisposition toward accelerated bone loss in the presence of co-morbidity factors such as estrogen deficiency. Existing animal models will continue to be useful for modeling changes in bone metabolism and architecture induced by well-defined local and systemic factors. However, there is a critical unfulfilled need to develop and validate better animal models to allow fruitful investigation of the interaction of the multitude of factors which precipitate senile osteoporosis. Well characterized and validated animal models that can be recommended for investigation of the etiology, prevention and treatment of several forms of osteoporosis have been listed in Table 1. Also listed are models which are provisionally recommended. These latter models have potential but are inadequately characterized, deviate significantly from the human response, require careful choice of strain or age, or are not practical for most investigators to adopt. It cannot be stressed strongly enough that the enormous potential of laboratory animals as models for osteoporosis can only be realized if great care is taken in the choice of an appropriate species, age, experimental design, and measurements. Poor choices will results in misinterpretation of results which ultimately can bring harm to patients who suffer from osteoporosis by delaying advancement of knowledge.

NASA Discipline Regulatory Physiology↗

NASA NTRS2004

Improved Estimate of Phobos Secular Acceleration from MOLA Observations

We report on new observations of the orbital position of Phobos, and use them to obtain a new and improved estimate of the rate of secular acceleration in longitude due to tidal dissipation within Mars. Phobos is the inner-most natural satellite of Mars, and one of the few natural satellites in the solar system with orbital period shorter than the rotation period of its primary. As a result, any departure from a perfect elastic response by Mars in the tides raised on it by Phobos will cause a transfer of angular momentum from the orbit of Phobos to the spin of Mars. Since its discovery in 1877, Phobos has completed over 145,500 orbits, and has one of the best studied orbits in the solar system, with over 6000 earth-based astrometric observations, and over 300 spacecraft observations. As early as 1945, Sharpless noted that there is a secular acceleration in mean longitude, with rate (1.88 + 0.25) 10(exp -3) degrees per square year. In preparation for the 1989 Russian spacecraft mission to Phobos, considerable work was done compiling past observations, and refining the orbital model. All of the published estimates from that era are in good agreement. A typical solution (Jacobson et al., 1989) yields (1.249 + 0.018) 10(exp -3) degrees per square year. The MOLA instrument on MGS is a laser altimeter, and was designed to measure the topography of Mars. However, it has also been used to make observations of the position of Phobos. In 1998, a direct range measurement was made, which indicated that Phobos was slightly ahead of the predicted position. The MOLA detector views the surface of Mars in a narrow field of view, at 1064 nanometer wavelength, and can detect shadows cast by Phobos on the surface of Mars. We have found 15 such serendipitous shadow transit events over the interval from xx to xx, and all of them show Phobos to be ahead of schedule, and getting progressively farther ahead of the predicted position. In contrast, the cross-track positions are quite close to the predicted values. Assuming that the along-track discrepancy is small enough that we can linearize the corrections, we model the mean orbital longitude as a quadratic function of time, and solve for corrections to the constant, linear, and quadratic terms. The time span of the recent observations is insufficient to properly resolve this issue alone, but when the 127 years of prior observations are added, we find a solution which reduces misfit to the new observations considerably, and makes no significant change to the fit to earlier observations. Our estimate for the secular acceleration term is (1.367 + 0.006) degrees per square year. The corresponding rate of energy dissipation is 3.34 MW. From a geophysical perspective, a more interesting parameter than the secular acceleration itself is the tidal lag angle, or tidal quality factor Q, for Mars. Unfortunately, the limiting error source in that determination is remaining uncertainty in the tidal Love numbers at harmonic degrees 2,3, and even 4. Until those parameters are better constrained, improvement in the orbital model of Phobos will not provide corresponding benefits for understanding the interior of Mars.

Bills, Bruce↗

NASA NTRS2015

Force Limited Random Vibration Test of TESS Camera Mass Model

The Transiting Exoplanet Survey Satellite (TESS) is a spaceborne instrument consisting of four wide field-of-view-CCD cameras dedicated to the discovery of exoplanets around the brightest stars. As part of the environmental testing campaign, force limiting was used to simulate a realistic random vibration launch environment. While the force limit vibration test method is a standard approach used at multiple institutions including Jet Propulsion Laboratory (JPL), NASA Goddard Space Flight Center (GSFC), European Space Research and Technology Center (ESTEC), and Japan Aerospace Exploration Agency (JAXA), it is still difficult to find an actual implementation process in the literature. This paper describes the step-by-step process on how the force limit method was developed and applied on the TESS camera mass model. The process description includes the design of special fixtures to mount the test article for properly installing force transducers, development of the force spectral density using the semi-empirical method, estimation of the fuzzy factor (C2) based on the mass ratio between the supporting structure and the test article, subsequent validating of the C2 factor during the vibration test, and calculation of the C.G. accelerations using the Root Mean Square (RMS) reaction force in the spectral domain and the peak reaction force in the time domain.

Karlicek, Alexandra↗

NASA NTRS2014

Gamma-Ray Emission in Dissipative Pulsar Magnetospheres: from Theory to Fermi Observations

We compute the patterns of gamma-ray emission due to curvature radiation in dissipative pulsar magnetospheres. Our ultimate goal is to construct macrophysical models that are able to reproduce the observed gamma-ray light curve phenomenology recently published in the Second Fermi Pulsar Catalog. We apply specific forms of Ohm's law on the open field lines using a broad range for the macroscopic conductivity values that result in solutions ranging, from near-vacuum to near-force-free. Using these solutions, we generate model gamma-ray light curves by calculating realistic trajectories and Lorentz factors of radiating particles under the influence of both the accelerating electric fields and curvature radiation reaction. We further constrain our models using the observed dependence of the phase lags between the radio and gamma-ray emission on the gamma-ray peak separation. We perform a statistical comparison of our model radio-lag versus peak-separation diagram and the one obtained for the Fermi standard pulsars. We find that for models of uniform conductivity over the entire open magnetic field line region, agreement with observations favors higher values of this parameter. We find, however, significant improvement in fitting the data with models that employ a hybrid form of conductivity, specifically, infinite conductivity interior to the light cylinder and high but finite conductivity on the outside. In these models the gamma-ray emission is produced in regions near the equatorial current sheet but modulated by the local physical properties. These models have radio lags near the observed values and statistically best reproduce the observed light curve phenomenology. Additionally, they also produce GeV photon cut-off energies.

stars↗

DOE OSTI2015

LCLS-II SRF Cavity Processing Protocol Development and Baseline Cavity Performance Demonstration

The ”Linac Coherent Light Source-II” Project will construct a 4 GeV CW superconducting RF linac in the first kilometer of the existing SLAC linac tunnel. The baseline design calls for 280 1.3 GHz nine-cell cavities with an average intrinsic quality factor Q0 of 2.7·1010 at 2K and 16 MV/m accelerating gradient. The LCLS-II high Q0 cavity treatment protocol utilizes the reduction in BCS surface resistance by nitrogen doping of the RF surface layer, which was discovered originally at FNAL. Cornell University, FNAL, and TJNAF conducted a joint high Q0 R&D program with the goal of (a) exploring the robustness of the N-doping technique and establishing the LCLS-II cavity high Q0 processing protocol suitable for production use, and (b) demonstrating that this process can reliably achieve LCLS-II cavity specification in a production acceptance testing setting. In this paper we describe the LCLS-II cavity protocol and analyze combined cavity performance data from both vertical and horizontal testing at the three partner labs, which clearly shows that LCLS-II specifications were met, and thus demonstrates readiness for LCLS-II cavity production.

Liepe, M.↗

DOE OSTI2022

Plasma Processing for In-Situ Field Emission Mitigation of Superconducting Radiofrequency (SRF) Cryomodules

Field emission (FE) is one of the main limiting factors of superconducting radio-frequency (SRF) cavities operating in accelerators and it occurs whenever contaminants, like dust, metal flakes or even absorbates, are present on the surface of the cavity high electric field region. Field emission reduces the maximum achievable accelerating field and generates free electrons that may interact with the beam, damage or activate the beamline. One practical method that can be used to mitigate this problem is in-situ plasma cleaning, or plasma processing. The development of a processing that can be applied in-situ is extremely advantageous, since it enables the recovery of the cryomodule performance without the need of disassembling the whole cryomodule, which is an extremely expensive and time-consuming process. On the other hand, plasma processing only requires the cryomodule warm-up to room-temperature and the subsequent processing of the contaminated cavities. The entire process is reasonably quick and involves a limited number of personnel. For these reasons we would like to advocate for continuing to invest in the R&D of plasma processing to optimize its applicability in cryomodules and for extending the technique to other frequency ranges and cavities geometries.

43 PARTICLE ACCELERATORS↗

DOE OSTI2023

Residual loss due to magnetic flux trapping in niobium superconducting microwave cavities

One of the significant source of radio frequency loss in superconducting microwave cavities is the trapped residual magnetic field during the cooldown due to the incomplete Messier effect. The sensitivity of flux trapping depends on the distribution of impurities, network of dislocations and defects which pin vortices. Recent advancement in cavity processing techniques resulted in very high quality factors with impurity doping, however the rf loss related to the flux trapping increases. High quality factor in SRF cavities is not only limited to particle accelerators but also emerging as an application to quantum computing and quantum information science. In this presentation, we present the results of measurements of flux trapping sensitivity on several 1.3 GHz elliptical accelerating cavities with different grain size, impurity content and surface preparations.

Dhakal, P.↗

DOE OSTI2016

Flattening filter free beams from TrueBeam and Versa HD units: Evaluation of the parameters for quality assurance

Purpose: Flattening filter free (FFF) beams generated by medical linear accelerators are today clinically used for stereotactical and non-stereotactical radiotherapy treatments. Such beams differ from the standard flattened beams (FF) in the high dose rate and the profile shape peaked on the beam central axis. Definition of new parameters as unflatness and slope for FFF beams has been proposed based on a renormalization factor for FFF profiles. The present study aims to assess the dosimetric differences between FFF beams generated by linear accelerators from different vendors, and to provide renormalization and parameter data of the two kinds of units. Methods: Dosimetric data from two Varian TrueBeam and two Elekta Versa HD linear accelerators, all with 6 and 10 MV nominal accelerating potentials, FF and FFF modes have been collected. Renormalization factors and related fit parameters according to Fogliata et al. [“Definition of parameters for quality assurance of flattening filter free (FFF) photon beams in radiation therapy,” Med. Phys. 39, 6455–6464 (2012)] have been evaluated for FFF beams of both units and energies. Unflatness and slope parameters from profile curves were evaluated. Dosimetric differences in terms of beam penetration and near-the-surface dose were also assessed. Results: FFF profile parameters have been updated; renormalization factors and unflatness from the Varian units are consistent with the published data. Elekta FFF beam qualities, different from the Varian generated beams, tend to express similar behaviour as the FF beam of the corresponding nominal energy. TPR{sub 20,10} for 6 and 10 MV FF and FFF TrueBeam beams are 0.665, 0.629 (6 MV) and 0.738, 0.703 (10 MV). The same figures for Versa HD units are 0.684, 0.678 (6 MV) and 0.734, 0.721 (10 MV). Conclusions: Renormalization factor and unflatness parameters evaluated from Varian and Elekta FFF beams are provided, in particular renormalization factors table and fit parameters.

61 RADIATION PROTECTION AND DOSIMETRY↗

NASA NTRS1977

Does electromagnetic radiation accelerate galactic cosmic rays

The 'reactor' theories of Tsytovich and collaborators (1973) of cosmic-ray acceleration by electromagnetic radiation are examined in the context of galactic cosmic rays. It is shown that any isotropic synchrotron or Compton reactors with reasonable astrophysical parameters can yield particles with a maximum relativistic factor of only about 10,000. If they are to produce particles with higher relativistic factors, the losses due to inverse Compton scattering of the electromagnetic radiation in them outweigh the acceleration, and this violates the assumptions of the theory. This is a critical restriction in the context of galactic cosmic rays, which have a power-law spectrum extending up to a relativistic factor of 1 million.

Eichler, D.↗

NASA NTRS2015

Aerodynamic Shape Optimization Benchmarks with Error Control and Automatic Parameterization

Results are presented for four optimization benchmark problems posed by the AIAA Aerodynamic Design Optimization Discussion Group. The benchmarks are intended to exercise optimization frameworks on representative airfoil and wing design problems. All problems involve drag minimization subject to geometric and aerodynamic constraints. Our design approach involves two forms of adaptation. First, the shape parameterization is gradually and automatically enriched from an initially coarse search space. Second, adjoint solutions are used to drive adaptive mesh refinement to control discretization error. The error threshold is tailored so that the nest meshes, with the greatest accuracy, are used only when nearing the optimum. On the inviscid airfoil design problem, while reducing the drag by a factor of 10, we show how the combination of progressive parameterization and tiered discretization error control can dramatically accelerate the optimization. On the viscous airfoil design problem, we use inviscid analysis-driven optimization to reduce the total drag by a factor of two. Next, we improve the span efficiency factor of a wing by performing twist optimization. Finally, we optimize the Common Research Model wing, managing to hold drag roughly fixed, while targeting an initially-violated pitching moment constraint. Our approach aims to introduce greater complexity and accuracy only when necessary to improve the design, and also support a greater degree of automation.

Anderson, George R.↗

DOE OSTI2016

ACCELERATION OF COMPACT RADIO JETS ON SUB-PARSEC SCALES

Jets of compact radio sources are highly relativistic and Doppler boosted, making studies of their intrinsic properties difficult. Observed brightness temperatures can be used to study the intrinsic physical properties of relativistic jets, and constrain models of jet formation in the inner jet region. We aim to observationally test such inner jet models. The very long baseline interferometry (VLBI) cores of compact radio sources are optically thick at a given frequency. The distance of the core from the central engine is inversely proportional to the frequency. Under the equipartition condition between the magnetic field energy and particle energy densities, the absolute distance of the VLBI core can be predicted. We compiled the brightness temperatures of VLBI cores at various radio frequencies of 2, 8, 15, and 86 GHz. We derive the brightness temperature on sub-parsec scales in the rest frame of the compact radio sources. We find that the brightness temperature increases with increasing distance from the central engine, indicating that the intrinsic jet speed (the Lorentz factor) increases along the jet. This implies that the jets are accelerated in the (sub-)parsec regions from the central engine.

79 ASTRONOMY AND ASTROPHYSICS↗

DOE OSTI2021

Data-driven acceleration of thermal radiation transfer calculations with the dynamic mode decomposition and a sequential singular value decomposition

In this work, we present a method for accelerating discrete ordinates radiative transfer calculations for radiative transfer. Our method works with nonlinear positivity fixes, in contrast to most acceleration schemes. The method is based on the dynamic mode decomposition (DMD) and using a sequence of rank-one updates to compute the singular value decomposition needed for DMD. Using a sequential method allows us to automatically determine the number of solution vectors to include in the DMD acceleration. We present results for slab geometry discrete ordinates calculations with the standard temperature linearization. Compared with positive source iteration, our results demonstrate that our acceleration method reduces the number of transport sweeps required to solve the problem by a factor of about 3 on a standard diffusive Marshak wave problem, a factor of several thousand on a cooling problem where the effective scattering ratio approaches unity, and a factor of 20 improvement in a realistic, multimaterial radiating shock problem.

97 MATHEMATICS AND COMPUTING↗

DOE OSTI2013

PHOTOSPHERIC EMISSION FROM STRATIFIED JETS

We explore photospheric emissions from stratified two-component jets, wherein a highly relativistic spine outflow is surrounded by a wider and less relativistic sheath outflow. Thermal photons are injected in regions of high optical depth and propagated until the photons escape at the photosphere. Because of the presence of shear in velocity (Lorentz factor) at the boundary of the spine and sheath region, a fraction of the injected photons are accelerated using a Fermi-like acceleration mechanism such that a high-energy power-law tail is formed in the resultant spectrum. We show, in particular, that if a velocity shear with a considerable variance in the bulk Lorentz factor is present, the high-energy part of observed gamma-ray bursts (GRBs) photon spectrum can be explained by this photon acceleration mechanism. We also show that the accelerated photons might also account for the origin of the extra-hard power-law component above the bump of the thermal-like peak seen in some peculiar bursts (e.g., GRB 090510, 090902B, 090926A). We demonstrate that time-integrated spectra can also reproduce the low-energy spectrum of GRBs consistently using a multi-temperature effect when time evolution of the outflow is considered. Last, we show that the empirical E{sub p}-L{sub p} relation can be explained by differences in the outflow properties of individual sources.

79 ASTRONOMY AND ASTROPHYSICS↗

DOE OSTI2021

Landau Damping with Electron Lenses in Space-Charge Dominated Beams

Further progress of fundamental physics requires accelerated beams of high intensity. The intensities, however, are limited by many factors, including coherent beam instabilities. Usual methods to control the instabilities, such as octupole magnets, beam feedback dampers and employment of chromatic effects, may be ineffective or insufficient. In this study, electron lenses were proposed as a means to provide stabilizing spread in the beam betatron frequencies. It was shown that electron lenses are uniquely effective for Landau damping of transverse beam instabilities in high energy particle accelerators, and that their employment does not compromise incoherent (single particle) stability, dynamic aperture and the beam lifetime. Here we consider effectiveness of the Landau damping with electron lenses when the space charge tune shift cannot be neglected. We demonstrate that the desired stability can be assured with proper choice of the electron beam parameters and current distributions.

43 PARTICLE ACCELERATORS↗

NASA NTRS2022

Rapid Radiolytic Degradation of Amino Acids in the Martian Shallow Subsurface: Implications for the Search for Extinct Life

Amino acids are fundamental to life as we know them as the monomers of proteins and enzymes. They are also readily synthesized under a variety of plausible prebiotic conditions and are common in carbon-rich meteorites. Thus, they represent a reasonable class of organics to target in the search for prebiotic chemistry or chemical evidence of life on Mars. However, regardless of their origin, amino acids and other organic molecules present in near-surface regolith and rocks on Mars can be degraded by exposure to cosmic rays that can penetrate to a depth of a few meters. We exposed several pure amino acids in dry and hydrated silicate mixtures and in mixtures of silicates with perchlorate salts to gamma radiation at various temperatures and radiation doses representative of the martian near-subsurface. We found that irradiation of amino acids mixed with dry silica powder increased the rate of amino acid radiolysis, with the radiolysis constants of amino acids in silicate mixtures at least a factor of 10 larger compared with the radiolysis constants of amino acids alone. The addition of perchlorate salts to the silicate samples or hydration of silicate samples further accelerated the rate of amino acid destruction during irradiation and increased the radiolysis constants by a factor of *1.5. Our results suggest that even low-molecular-weight amino acids could degrade in just *20 million years in the top 10 cm of the martian surface regolith and rock, and even faster if the material contains elevated abundances of hydrated silicate minerals or perchlorates. We did not detect evidence of amino acid racemization after gamma radiation exposure of the samples, which indicates that the chirality of some surviving amino acids may still be preserved. Our experimental results suggest serious challenges for the search of ancient amino acids and other potential organic biosignatures in the top 2 m of the martian surface.

Alexander A. Pavlov↗

DOE OSTI2014

A high-resolution X-ray and optical study of SN 1006: asymmetric expansion and small-scale structure in a type IA supernova remnant

We introduce a deep (670 ks) X-ray survey of the entire SN 1006 remnant from the Chandra X-Ray Observatory, together with a deep Hα image of SN 1006 from the 4 m Blanco telescope at CTIO. Comparison with Chandra images from 2003 gives the first measurement of the X-ray proper motions around the entire periphery, carried out over a 9 yr baseline. We find that the expansion velocity varies significantly with azimuth. The highest velocity of ∼7400 km s{sup –1} (almost 2.5 times that in the northwest (NW)) is found along the southeast (SE) periphery, where both the kinematics and the spectra indicate that most of the X-ray emission stems from ejecta that have been decelerated little, if at all. Asymmetries in the distribution of ejecta are seen on a variety of spatial scales. Si-rich ejecta are especially prominent in the SE quadrant, while O and Mg are more uniformly distributed, indicating large-scale asymmetries arising from the explosion itself. Neon emission is strongest in a sharp filament just behind the primary shock along the NW rim, where the pre-shock density is highest. Here the Ne is likely interstellar, while Ne within the shell may include a contribution from ejecta. Within the interior of the projected shell we find a few isolated 'bullets' of what appear to be supernova ejecta that are immediately preceded by bowshocks seen in Hα, features that we interpret as ejecta knots that have reached relatively dense regions of the surrounding interstellar medium, but that appear in the interior in projection. Recent three-dimensional hydrodynamic models for Type Ia supernovae display small-scale features that strongly resemble the ones seen in X-rays in SN 1006; an origin in the explosion itself or from subsequent hydrodynamic instabilities both remain viable options. We have expanded the search for precursor X-ray emission ahead of a synchrotron-dominated shock front, as expected from diffusive shock acceleration theory, to numerous regions along both the northeast and southwest rims of the shell. Our data require that a precursor be thinner than about 3'', and fainter than about 5% of the post-shock peak. These limits suggest that the magnetic field is amplified by a factor of seven or more in a narrow precursor region, promoting diffusive particle acceleration.

79 ASTRONOMY AND ASTROPHYSICS↗

NASA NTRS2014

A High-Resolution X-Ray and Optical Study of SN1006: Asymmetric Expansion and Small-Scale Structure in a Type Ia Supernova Remnant

We introduce a deep (670 ks) X-ray survey of the entire SN 1006 remnant from the Chandra X-Ray Observatory, together with a deep Hα image of SN 1006 from the 4 m Blanco telescope at CTIO. Comparison with Chandra images from 2003 gives the first measurement of the X-ray proper motions around the entire periphery, carried out over a 9 yr baseline. We find that the expansion velocity varies significantly with azimuth. The highest velocity of approx.7400 km/s (almost 2.5 times that in the northwest (NW)) is found along the southeast (SE) periphery, where both the kinematics and the spectra indicate that most of the X-ray emission stems from ejecta that have been decelerated little, if at all. Asymmetries in the distribution of ejecta are seen on a variety of spatial scales. Si-rich ejecta are especially prominent in the SE quadrant, while O and Mg are more uniformly distributed, indicating large-scale asymmetries arising from the explosion itself. Neon emission is strongest in a sharp filament just behind the primary shock along the NWrim, where the pre-shock density is highest. Here the Ne is likely interstellar, while Ne within the shell may include a contribution from ejecta. Within the interior of the projected shell we find a few isolated "bullets" of what appear to be supernova ejecta that are immediately preceded by bowshocks seen in Hα, features that we interpret as ejecta knots that have reached relatively dense regions of the surrounding interstellar medium, but that appear in the interior in projection. Recent three-dimensional hydrodynamic models for Type Ia supernovae display small-scale features that strongly resemble the ones seen in X-rays in SN 1006; an origin in the explosion itself or from subsequent hydrodynamic instabilities both remain viable options. We have expanded the search for precursor X-ray emission ahead of a synchrotron-dominated shock front, as expected from diffusive shock acceleration theory, to numerous regions along both the northeast and southwest rims of the shell. Our data require that a precursor be thinner than about 3, and fainter than about 5% of the post-shock peak. These limits suggest that the magnetic field is amplified by a factor of seven or more in a narrow precursor region, promoting diffusive particle acceleration.

galaxies: active↗

DOE OSTI2015

Predictors of Adverse Cosmetic Outcome in the RAPID Trial: An Exploratory Analysis

Purpose: To evaluate factors associated with adverse cosmesis outcome in breast cancer patients randomized to accelerated partial breast irradiation (APBI) using 3-dimensional conformal radiation therapy or whole-breast irradiation in the RAPID (Randomized Trial of Accelerated Partial Breast Irradiation) trial. Methods and Materials: Subjects were trial participants with nurse-assessed global cosmetic scores at baseline and at 3 years. Adverse cosmesis was defined as a score of fair or poor. Cosmetic deterioration was defined as any adverse change in score from baseline to 3 years. The analysis is based on data from the previously reported interim analysis. Logistic regression models were used to assess the association of risk factors for these outcomes among all patients and those treated with APBI only. Results: Clinicopathologic characteristics were similar between subjects randomized to APBI (n=569) or whole-breast irradiation (n=539). For all subjects, factors associated with adverse cosmesis at 3 years were older age, central/inner tumor location, breast infection, smoking, seroma volume, breast volume, and use of APBI; factors associated with cosmetic deterioration were smoking, seroma volume, and use of APBI (P<.05). For APBI subjects, tumor location, smoking, age, and seroma volume were associated with adverse cosmesis (P<.05), and smoking was associated with cosmetic deterioration (P=.02). An independent association between the V95/whole-breast volume ratio and adverse cosmesis (P=.28) or cosmetic deterioration (P=.07) was not detected. On further exploration a V95/whole-breast volume ratio <0.15 was associated with a lower risk of cosmetic deterioration (p=.04), but this accounted for only 11% of patients. Conclusion: In the RAPID trial, a number of patient tumor and treatment-related factors, including the use of APBI, were associated with adverse cosmesis and cosmetic deterioration. For patients treated with APBI alone, the high-dose treatment volume was not independently associated with an adverse cosmetic outcome, and a useful clinical threshold could not be identified.

62 RADIOLOGY AND NUCLEAR MEDICINE↗