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At least 865 records · Page 48

SARS-CoV-2 wastewater variant surveillance: pandemic response leveraging FDA’s GenomeTrakr network

ABSTRACT Wastewater surveillance has emerged as a crucial public health tool for population-level pathogen surveillance. Supported by funding from the American Rescue Plan Act of 2021, the FDA‘s genomic epidemiology program, GenomeTrakr, was leveraged to sequence SARS-CoV-2 from wastewater sites across the United States. This initiative required the evaluation, optimization, development, and publication of new methods and analytical tools spanning sample collection through variant analyses. Version-controlled protocols for each step of the process were developed and published on protocols.io. A custom data analysis tool and a publicly accessible dashboard were built to facilitate real-time visualization of the collected data, focusing on the relative abundance of SARS-CoV-2 variants and sub-lineages across different samples and sites throughout the project. From September 2021 through June 2023, a total of 3,389 wastewater samples were collected, with 2,517 undergoing sequencing and submission to NCBI under the umbrella BioProject,PRJNA757291. Sequence data were released with explicit quality control (QC) tags on all sequence records, communicating our confidence in the quality of data. Variant analysis revealed wide circulation of Delta in the fall of 2021 and captured the sweep of Omicron and subsequent diversification of this lineage through the end of the sampling period. This project successfully achieved two important goals for the FDA’s GenomeTrakr program: first, contributing timely genomic data for the SARS-CoV-2 pandemic response, and second, establishing both capacity and best practices for culture-independent, population-level environmental surveillance for other pathogens of interest to the FDA. IMPORTANCE This paper serves two primary objectives. First, it summarizes the genomic and contextual data collected during a Covid-19 pandemic response project, which utilized the FDA’s laboratory network, traditionally employed for sequencing foodborne pathogens, for sequencing SARS-CoV-2 from wastewater samples. Second, it outlines best practices for gathering and organizing population-level next generation sequencing (NGS) data collected for culture-free, surveillance of pathogens sourced from environmental samples.

Microbiology↗

Membrane Accelerated Stress Test Development for Polymer Electrolyte Fuel Cell Durability Validated Using Field and Drive Cycle Testing

A combined chemical/mechanical accelerated stress test (AST) was developed for proton exchange membrane (PEM) fuel cells based on relative humidity cycling (RHC) between dry and saturated gases at open circuit voltage (OCV). Membrane degradation and failure were investigated using scanning electron microscopy and small- and wide-angle X-ray scattering. Changes to membrane thickness, hydrophilic domain spacing, and crystallinity were observed to be most similar between field-operated cells and OCV RHC ASTs, where local thinning and divot-type defects are the primary failure modes. While RHC in air also reproduces these failure modes, it is not aggressive enough to differentiate between different membrane types in >1,333 hours (55 days) of testing. Conversely, steady-state OCV tests result in significant ionomer morphology changes and global thinning, which do not replicate field degradation and failure modes. It is inferred that during the OCV RHC AST, the decay of the membrane's mechanical properties is accelerated such that materials can be evaluated in hundreds, instead of thousands, of hours, while replicating the degradation and failure modes of field operation; associated AST protocols are recommended as OCV RHC at 90°C for 500 hours with wet/dry cycle durations of 30s/45s and 2m/2m for automotive and bus operation, respectively.

25 ENERGY STORAGE↗

Quantifying Microbe-Mineral Interactions Leading to Remotely Detectable Induced Polarization Signals (Final Project Report)

The objective of this project was to investigate controls on induced polarization responses in porous media. The approach taken in the project was to compare electrical measurements made on mineral surfaces with atomic force microscopy (AFM) techniques to observations made at the column-scale using traditional spectral induced polarization measurements. In the project we evaluated a number of techniques for investigating the surface properties of materials, including the development of a new AFM measurement protocol that utilizes an external electric field to induce grain-scale polarizations that can be probed using a charged AFM tip. The experiments we performed focused on idealized systems (i.e., glass beads and silica gel) where we could obtain the high degree of control needed to understand how changes in the pore environment, which are determined by biogeochemical controls in the subsurface, affect mechanisms contributing to complex electrical conductivity, i.e., conduction and polarization, responses. The studies we performed can be classified into those affecting the chemical versus physical properties of the grain surface and pore space.

54 ENVIRONMENTAL SCIENCES↗

Quantifying Microbe-Mineral Interactions Leading to Remotely Detectable Induced Polarization Signals

The objective of this project was to investigate controls on induced polarization responses in porous media. The approach taken in the project was to compare electrical measurements made on mineral surfaces with atomic force microscopy (AFM) techniques to observations made at the column-scale using traditional spectral induced polarization measurements. In the project we evaluated a number of techniques for investigating the surface properties of materials, including the development of a new AFM measurement protocol that utilizes an external electric field to induce grain-scale polarizations that can be probed using a charged AFM tip.

54 ENVIRONMENTAL SCIENCES↗

Public Housing: A Tailored Approach to Energy Retrofits - Raleigh

More than 1 million U.S. Department of Housing and Urban Development-supported public housing units provide rental housing for eligible low-income families across the country. These units range from scattered single-family houses to high-rise apartments. In this project, the Advanced Residential Integrated Energy Solutions Collaborative (ARIES) worked with two public housing authorities (PHAs) to develop packages of energy efficiency retrofit measures the PHAs can cost-effectively implement with their own staffs in the normal course of housing operations at the time when units are refurbished between occupancies. ARIES conducted a survey of PHAs to assess their receptiveness to this concept and the applicability of the concept to PHA units. The results of the survey, to which more than 100 PHAs responded, support the proposed approach. The project consisted of a field evaluation in which energy audits were performed on a sample of PHA units at two housing authorities. Energy efficiency turnover protocols were developed for typical units, the protocol was implemented by PHA staff, and the effectiveness of the protocol was quantified through field testing and modeling. The energy efficiency turnover protocols emphasized air infiltration reduction, duct sealing, and measures that improve equipment efficiency. In the 10 housing units in which ARIES documented implementation, reductions in average air leakage of 16%-20% and duct leakage of 38% were obtained. Total source energy consumption savings was estimated at 6%-10% based on Building Energy Optimization modeling with a simple payback of 1.7-2.2 years. Implementation challenges were encountered, mainly related to required operational changes and budgetary constraints. Lack of complete training and inadequate quality control can prevent PHAs from effectively retrofitting units to their full potential. Nevertheless, despite these hurdles, simple improvements, such as caulking and sealing penetrations, windows, and doors; sealing duct boots; and adding pipe insulation into a standardized turnover protocol can feasibly be accomplished by PHA staff at low or no cost. At typical housing unit turnover rates, these measures could impact hundreds of thousands of units per year nationally. Islip Housing Authority - Single Story Typical home - Raleigh, NC Raleigh Housing Authority - 2 story typical home in Raleigh housing authority - Terrace Park

air filtration↗

Gender Differences in Bed Rest: Preliminary Analysis of Vascular Function

Orthostatic intolerance is a recognized consequence of spaceflight. Numerous studies have shown that women are more susceptible to orthostatic intolerance following spaceflight as well as bed rest, the most commonly used ground-based analog for spaceflight. One of the possible mechanisms proposed to account for this is a difference in vascular responsiveness between genders. We hypothesized that women and men would have differing vascular responses to 90 days of 6-degree head down tilt bed rest. Additionally, we hypothesized that vessels in the upper and lower body would respond differently, as has been shown in the animal literature. Thirteen subjects were placed in bedrest for 90 days (8 men, 5 women) at the Flight Analogs Unit, UTMB. Direct arterial and venous measurements were made with ultrasound to evaluate changes in vascular structure and function. Arterial function was assessed, in the arm and leg, during a reactive hyperemia protocol and during sublingual nitroglycerin administration to gauge the contributions of endothelial dependent and independent dilator function respectively. Venous function was assessed in dorsal hand and foot veins during the administration of pharmaceuticals to assess constrictor and dilator function. Both gender and day effects are seen in arterial dilator function to reactive hyperemia, but none are seen with nitroglycerin. There are also differences in the wall thickness in the arm vs the leg during bed rest, which return toward pre-bed rest levels by day 90. More subjects are required, especially females as there is not sufficient power to properly analyze venous function. Day 90 data are most underpowered.

Platts, Steven H.↗

The Stratospheric Aerosol and Gas Experiment IV

Atmospheric composition continues to be a key Earth science focus for international space agencies and research organizations. The target constituent varies depending upon the topic area of interest such as monitoring the ozone layer and the efficacy of the Montreal Protocol, assessing the influence of volcanic eruptions and large wildfires on the atmosphere, improving our knowledge of transport processes, or evaluating the impacts of greenhouse gases on climate. Additionally, there is a growing need for measurement continuity of many trace gases both from an inability to properly assess long-term trends without it as well as the reliance of reanalyses and chemistry climate models on observational input. To this end, proper continuity requires continuous and overlapping multi-instrument data records of which spaceborne measurements are a critical component. However, most current satellite systems are well beyond their expected lifetimes, and so we look toward the future to develop the Stratospheric Aerosol and Gas Experiment (SAGE) IV as a future mission concept. Enabled by the NASA Earth Science Technology Office’s (ESTO) Instrument Incubator Program, the SAGE IV Pathfinder project has developed and validated a prototype demonstration that paves the way for a future SAGE IV spaceflight mission. Utilizing solar occultation imaging, SAGE IV will be capable of measuring key species in the stratosphere and upper troposphere with the same quality as previous SAGE instruments but with greatly improved pointing knowledge and extensibility to new science targets. Furthermore, current technological advancements allow SAGE IV to fit within a CubeSat framework and make use of commercial hardware, significantly reducing the size and cost when compared with traditional missions and enabling sustainability of future measurements.

Robert Damadeo↗

The Stratospheric Aerosol and Gas Experiment (SAGE) IV

Atmospheric composition continues to be a key Earth science focus for international space agencies and research organizations. The target constituent varies depending upon the topic area of interest such as monitoring the ozone layer and the efficacy of the Montreal Protocol, assessing the influence of volcanic eruptions and large wildfires on the atmosphere, improving our knowledge of transport processes, or evaluating the impacts of greenhouse gases on climate. Additionally, there is a growing need for measurement continuity of many trace gases both from an inability to properly assess long-term trends without it as well as the reliance of reanalyses and chemistry climate models on observational input. To this end, proper continuity requires continuous and overlapping multi-instrument data records of which spaceborne measurements are a critical component. However, most current satellite systems are well beyond their expected lifetimes, and so we look toward the future to develop the Stratospheric Aerosol and Gas Experiment (SAGE) IV as a future mission concept. Enabled by the NASA Earth Science Technology Office’s (ESTO) Instrument Incubator Program, the SAGE IV Pathfinder project developed and validated a prototype demonstration that paves the way for a future SAGE IV spaceflight mission. Utilizing solar occultation imaging, SAGE IV will be capable of measuring key species in the stratosphere and upper troposphere with the same quality as previous SAGE instruments but with greatly improved pointing knowledge and extensibility to new science targets. The precision and stability of a well-designed occultation instrument can act as a calibration reference standard for other spaceborne instruments, ensuring proper continuity of the desired science targets. Furthermore, current technological advancements allow SAGE IV to fit within a CubeSat framework and make use of commercial hardware, significantly reducing the size and cost when compared with traditional missions and enabling sustainability of future measurements.

Robert Damadeo↗

Implications of CT noise and artifacts for quantitative {sup 99m}Tc SPECT/CT imaging

Purpose: This paper evaluates the effects of computed tomography (CT) image noise and artifacts on quantitative single-photon emission computed-tomography (SPECT) imaging, with the aim of establishing an appropriate range of CT acquisition parameters for low-dose protocols with respect to accurate SPECT attenuation correction (AC). Methods: SPECT images of two geometric and one anthropomorphic phantom were reconstructed iteratively using CT scans acquired at a range of dose levels (CTDI{sub vol} = 0.4 to 46 mGy). Resultant SPECT image quality was evaluated by comparing mean signal, background noise, and artifacts to SPECT images reconstructed using the highest dose CT for AC. Noise injection was performed on linear-attenuation (μ) maps to determine the CT noise threshold for accurate AC. Results: High levels of CT noise (σ ∼ 200–400 HU) resulted in low μ-maps noise (σ ∼ 1%–3%). Noise levels greater than ∼10% in 140 keV μ-maps were required to produce visibly perceptible increases of ∼15% in {sup 99m}Tc SPECT images. These noise levels would be achieved at low CT dose levels (CTDI{sub vol} = 4 μGy) that are over 2 orders of magnitude lower than the minimum dose for diagnostic CT scanners. CT noise could also lower (bias) the expected μ values. The relative error in reconstructed SPECT signal trended linearly with the relative shift in μ. SPECT signal was, on average, underestimated in regions corresponding with beam-hardening artifacts in CT images. Any process that has the potential to change the CT number of a region by ∼100 HU (e.g., misregistration between CT images and SPECT images due to motion, the presence of contrast in CT images) could introduce errors in μ{sub 140} {sub keV} on the order of 10%, that in turn, could introduce errors on the order of ∼10% into the reconstructed {sup 99m}Tc SPECT image. Conclusions: The impact of CT noise on SPECT noise was demonstrated to be negligible for clinically achievable CT parameters. Because CT dose levels that affect SPECT quantification is low (CTDI{sub vol} ∼ 4 μGy), the low dose limit for the CT exam as part of SPECT/CT will be guided by CT image quality requirements for anatomical localization and artifact reduction. A CT technique with higher kVp in combination with lower mAs is recommended when low-dose CT images are used for AC to minimize beam-hardening artifacts.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Long- and Short-Range Constraints for the Structure Determination of Layered Silicates with Stacking Disorder

Layered silicates have important applications as host materials, supports for catalysis, and zeolite precursors. However, their local structures are often challenging to establish due to disorder of the sheet assemblies. We present a new protocol that combines long- and short-range structural constraints from diffraction and solid-state NMR techniques, respectively, to determine the molecular structure of layered silicates in the presence of various extents of stacking disorder. Solid-state 29Si NMR data are largely insensitive to the incomplete extent of three-dimensional (3D) crystallinity that limits the interpretation of diffraction data alone to the identification of possible unit cells and space groups. State-of-the-art NMR crystallography techniques consequently provide a simplified view of materials from which candidate framework structures can be built and evaluated based on local structural constraints, including interatomic distances, Si site numbers and multiplicities, and Si–O–Si connectivities, and refined using density functional theory. This protocol was applied to a new layered silicate material named CLS-1, of composition [Si5O11H][C9N2H15]·1.9(H2O), synthesized by using a fluoride-based protocol and cationic alkylaminopyridinium as a structure-directing agent (SDA). Despite the intrinsic complexity and partial ordering of the intersheet arrangements and organic–inorganic interactions, this led to the identification of a single space group that is compatible with both NMR and diffraction data, from which the silicate framework structure could be established,. The remarkable similarities between the layered framework structures of CLS-1, HUS-2 (Tsunoji et al. J. Mater. Chem.2012, 22, 13682), and another layered silicate material with a radically different morphology and extent of stacking order and interlayer dynamics, established by using a similar approach (Brouwer et al. J. Am. Chem. Soc.2013, 135, 5641), point to the remarkable robustness of this previously unknown silicate framework type.

Cadars, Sylvian↗

SU-F-T-231: Improving the Efficiency of a Radiotherapy Peer-Review System for Quality Assurance

Purpose: To improve the efficiency of a radiotherapy peer-review system using a commercially available software application for plan quality evaluation and documentation. Methods: A commercial application, FullAccess (Radialogica LLC, Version 1.4.4), was implemented in a Citrix platform for peer-review process and patient documentation. This application can display images, isodose lines, and dose-volume histograms and create plan reports for peer-review process. Dose metrics in the report can also be benchmarked for plan quality evaluation. Site-specific templates were generated based on departmental treatment planning policies and procedures for each disease site, which generally follow RTOG protocols as well as published prospective clinical trial data, including both conventional fractionation and hypo-fractionation schema. Once a plan is ready for review, the planner exports the plan to FullAccess, applies the site-specific template, and presents the report for plan review. The plan is still reviewed in the treatment planning system, as that is the legal record. Upon physician’s approval of a plan, the plan is packaged for peer review with the plan report and dose metrics are saved to the database. Results: The reports show dose metrics of PTVs and critical organs for the plans and also indicate whether or not the metrics are within tolerance. Graphical results with green, yellow, and red lights are displayed of whether planning objectives have been met. In addition, benchmarking statistics are collected to see where the current plan falls compared to all historical plans on each metric. All physicians in peer review can easily verify constraints by these reports. Conclusion: We have demonstrated the improvement in a radiotherapy peer-review system, which allows physicians to easily verify planning constraints for different disease sites and fractionation schema, allows for standardization in the clinic to ensure that departmental policies are maintained, and builds a comprehensive database for potential clinical outcome evaluation.

60 APPLIED LIFE SCIENCES↗

Contribution of the conferences of the parties and the renewable energy role for the fight against climate change

The Kyoto Protocol, which entered into force on 16 February 2005, commits developed countries to reduce their emissions of greenhouse gases by 5% in 2012 compared to 1990. Due to the abstention of the United States and the absence of constraint on Southern countries, the protocol establishes obligations only to countries that represent only 33% of global CO{sub 2} emissions. All the diplomatic effort is therefore to seek the commitment of discussion for the period after 2012. The participation of the United States and emerging countries is imperative. The essential point of this second negotiation process is to search in the effort to integrate the United States and the developing countries and, more particularly, emerging economies such as China, India or Brazil, whose current emissions and / or projected should exceed those of developed countries during the first half of the twenty-first century. Real progress has been made in recent years. Indeed, a first universal historic agreement and legally binding was adopted after two weeks of intense negotiations by the Parties from 30 November to 12 December 2015, which aims to limit global warming by the end of this century well below 2 ° C while continuing efforts to not exceed 1.5 ° C. Moreover, the European Union, China and the United States have expressed their willingness to reduce their greenhouse gas. Because, one of the great hopes of the fight against the emission of greenhouse gases is the development of renewable energy, the IPCC (Intergovernmental Panel on Climate Change) report highlights the need to move towards renewable energy sources. The European Union, China and United States also expressed their willingness to increase the share of renewable energy. It is therefore necessary to develop the only inexhaustible energy, renewable energy, to fight against climate change.

54 ENVIRONMENTAL SCIENCES↗

Impact of Cyber Threat Awareness on Driver Response to an Unexpected Vehicle Cyberattack

Here, the integration of advanced cyber-physical systems in heavy vehicles introduces new vulnerabilities by expanding the possibility of cyberattacks. The objective of this study is to evaluate (1) how threat awareness influences driver response to an unexpected cyberattack, (2) how the provision of a basic cyberattack response protocol influences driver performance, and (3) how professionally trained versus standard drivers compare in their responses to a cyberattack. An on-road driving study (N = 50) was conducted using a medium heavy-duty vehicle. Participants were divided into three groups: Control, which remained unaware of any potential cyberattack; Aware, which was informed about the potential cyberattack; and Aware + Protocol, which received the same warning as the Aware group with the addition of a basic cyberattack response protocol. An instrument cluster cyberattack was executed at the same location for all participants. The findings highlight the essential role of awareness and response protocol in enhancing driver response to an unexpected vehicle cyberattack. The Aware + Protocol group had the highest stop rate (100%) and the shortest stopping distances (224 m for standard drivers and 254 m for professionals), compared to the Control group (828 and 520 m, respectively). Aware + Protocol also had the fastest reaction time, averaging 7.53 s, versus 16.12 s (Aware) and 30.29 s (Control). These results emphasize that awareness alone is insufficient. Providing drivers with clear, actionable protocols significantly improves their ability to react quickly and safely to cyberattacks, enhancing overall road safety.

Cybersecurity↗

Radiation Enhances Regulatory T Cell Representation

Purpose: Immunotherapy could be a useful adjunct to standard cytotoxic therapies such as radiation in patients with micrometastatic disease, although successful integration of immunotherapy into treatment protocols will require further understanding of how standard therapies affect the generation of antitumor immune responses. This study was undertaken to evaluate the impact of radiation therapy (RT) on immunosuppressive T regulatory (Treg) cells. Methods and Materials: Treg cells were identified as a CD4{sup +}CD25{sup hi}Foxp3{sup +} lymphocyte subset, and their fate was followed in a murine TRAMP C1 model of prostate cancer in mice with and without RT. Results: CD4{sup +}CD25{sup hi}Foxp3{sup +} Treg cells increased in immune organs after local leg or whole-body radiation. A large part, but not all, of this increase after leg-only irradiation could be ascribed to radiation scatter and Treg cells being intrinsically more radiation resistant than other lymphocyte subpopulations, resulting in their selection. Their functional activity on a per-cell basis was not affected by radiation exposure. Similar findings were made with mice receiving local RT to murine prostate tumors growing in the leg. The importance of the Treg cell population in the response to RT was shown by systemic elimination of Treg cells, which greatly enhanced radiation-induced tumor regression. Conclusions: We conclude that Treg cells are more resistant to radiation than other lymphocytes, resulting in their preferential increase. Treg cells may form an important homeostatic mechanism for tissues injured by radiation, and in a tumor context, they may assist in immune evasion during therapy. Targeting this population may allow enhancement of radiotherapeutic benefit through immune modulation.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Considerations for realistic atmospheric environments: An application to corrosion testing

Measured salt compositions in dust collected over roughly the last decade from surfaces of in-service stainless-steel alloys at four locations around the United States are presented, along with the predicted brine compositions that would result from deliquescence of these salts. The salt compositions vary greatly from ASTM seawater and from laboratory salts (i.e., NaCl or MgCl 2 ) commonly used on corrosion testing. The salts contained relatively high amounts of sulfates and nitrates, evolved to basic pH values, and exhibited deliquescence relative humidity values (RH) higher than seawater. Additionally, inert dust in components were quantified and considerations for laboratory testing are presented. The observed dust compositions are discussed in terms of the potential corrosion behavior and are compared to commonly used accelerated testing protocols. Finally, ambient weather conditions and their influence on diurnal fluctuations in temperature (T) and RH on heated metal surfaces are evaluated and a relevant diurnal cycle for laboratory testing a heated surface has been developed. Suggestions for future accelerated tests are proposed that include exploration of the effects of inert dust particles on atmospheric corrosion, chemistry considerations, and realistic diurnal fluctuations in T and RH. Understanding mechanisms in both realistic and accelerated environments will allow development of a corrosion factor (i.e., scaling factor) for the extrapolation of laboratory-scale test results to real world applications.

54 ENVIRONMENTAL SCIENCES↗

Long-distance quantum key distribution with imperfect devices

Quantum key distribution over probabilistic quantum repeaters is addressed. We compare, under practical assumptions, two such schemes in terms of their secure key generation rate per memory, R{sub QKD}. The two schemes under investigation are the one proposed by Duan et al. in [Nat. 414, 413 (2001)] and that of Sangouard et al. proposed in [Phys. Rev. A 76, 050301 (2007)]. We consider various sources of imperfections in the latter protocol, such as a nonzero double-photon probability for the source, dark count per pulse, channel loss and inefficiencies in photodetectors and memories, to find the rate for different nesting levels. We determine the maximum value of the double-photon probability beyond which it is not possible to share a secret key anymore. We find the crossover distance for up to three nesting levels. We finally compare the two protocols.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Ranking Coal Ash Materials for Their Potential to Leach Arsenic and Selenium: Relative Importance of Ash Chemistry and Site Biogeochemistry

The chemical composition of coal ash is highly heterogeneous and dependent on the origin of the source coal, combustion parameters, and type and configuration of air pollution control devices. This heterogeneity results in uncertainty in the evaluation of leaching potential of contaminants from coal ash. The goal of this work was to identify whether a single leaching protocol could roughly group high-leaching potential coal ash from low-leaching potential coal ash, with respect to arsenic (As) and selenium (Se). We used four different leaching tests, including the Toxicity Characteristic Leaching Protocol (TCLP), natural pH, aerobic sediment microcosms, and anaerobic sediment microcosms on 10 different coal ash materials, including fly ash, lime-treated ash, and flue gas desulfurization materials. Leaching tests showed promise in categorizing high and low-leaching potential ash materials, indicating that a single point test could act as a first screening measure to identify high-risk ash materials. However, the amount of contaminant leached varied widely across tests, reflecting the importance of ambient conditions (pH, redox state) on leaching. These results demonstrate that on-site geochemical conditions play a critical role in As and Se mobilization from coal ash, underscoring the need to develop a situation-based risk assessment framework for contamination by coal ash pollutants.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Localization accuracy from automatic and semi-automatic rigid registration of locally-advanced lung cancer targets during image-guided radiation therapy

Purpose: To evaluate localization accuracy resulting from rigid registration of locally-advanced lung cancer targets using fully automatic and semi-automatic protocols for image-guided radiation therapy. Methods: Seventeen lung cancer patients, fourteen also presenting with involved lymph nodes, received computed tomography (CT) scans once per week throughout treatment under active breathing control. A physician contoured both lung and lymph node targets for all weekly scans. Various automatic and semi-automatic rigid registration techniques were then performed for both individual and simultaneous alignments of the primary gross tumor volume (GTV{sub P}) and involved lymph nodes (GTV{sub LN}) to simulate the localization process in image-guided radiation therapy. Techniques included ''standard'' (direct registration of weekly images to a planning CT), ''seeded'' (manual prealignment of targets to guide standard registration), ''transitive-based'' (alignment of pretreatment and planning CTs through one or more intermediate images), and ''rereferenced'' (designation of a new reference image for registration). Localization error (LE) was assessed as the residual centroid and border distances between targets from planning and weekly CTs after registration. Results: Initial bony alignment resulted in centroid LE of 7.3 {+-} 5.4 mm and 5.4 {+-} 3.4 mm for the GTV{sub P} and GTV{sub LN}, respectively. Compared to bony alignment, transitive-based and seeded registrations significantly reduced GTV{sub P} centroid LE to 4.7 {+-} 3.7 mm (p = 0.011) and 4.3 {+-} 2.5 mm (p < 1 x 10{sup -3}), respectively, but the smallest GTV{sub P} LE of 2.4 {+-} 2.1 mm was provided by rereferenced registration (p < 1 x 10{sup -6}). Standard registration significantly reduced GTV{sub LN} centroid LE to 3.2 {+-} 2.5 mm (p < 1 x 10{sup -3}) compared to bony alignment, with little additional gain offered by the other registration techniques. For simultaneous target alignment, centroid LE as low as 3.9 {+-} 2.7 mm and 3.8 {+-} 2.3 mm were achieved for the GTV{sub P} and GTV{sub LN}, respectively, using rereferenced registration. Conclusions: Target shape, volume, and configuration changes during radiation therapy limited the accuracy of standard rigid registration for image-guided localization in locally-advanced lung cancer. Significant error reductions were possible using other rigid registration techniques, with LE approaching the lower limit imposed by interfraction target variability throughout treatment.

62 RADIOLOGY AND NUCLEAR MEDICINE↗