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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 91 records · Page 5
All sourcesNASA NTRSDOE OSTI
DOE OSTI2015

Comparison of Oncentra® Brachy IPSA and graphical optimisation techniques: a case study of HDR brachytherapy head and neck and prostate plans

There are a number of different dwell positions and time optimisation options available in the Oncentra® Brachy (Elekta Brachytherapy Solutions, Veenendaal, The Netherlands) brachytherapy treatment planning system. The purpose of this case study was to compare graphical (GRO) and inverse planning by simulated annealing (IPSA) optimisation techniques for interstitial head and neck (HN) and prostate plans considering dosimetry, modelled radiobiology outcome and planning time. Four retrospective brachytherapy patients were chosen for this study, two recurrent HN and two prostatic boosts. Manual GRO and IPSA plans were generated for each patient. Plans were compared using dose–volume histograms (DVH) and dose coverage metrics including; conformity index (CI), homogeneity index (HI) and conformity number (CN). Logit and relative seriality models were used to calculate tumour control probability (TCP) and normal tissue complication probability (NTCP). Approximate planning time was also recorded. There was no significant difference between GRO and IPSA in terms of dose metrics with mean CI of 1.30 and 1.57 (P > 0.05) respectively. IPSA achieved an average HN TCP of 0.32 versus 0.12 for GRO while for prostate there was no significant difference. Mean GRO planning times were greater than 75 min while average IPSA planning times were less than 10 min. Planning times for IPSA were greatly reduced compared to GRO and plans were dosimetrically similar. For this reason, IPSA makes for a useful planning tool in HN and prostate brachytherapy.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2016

Differences in Patient Characteristics and Midterm Outcome Between Asian and European Patients Treated with Radiofrequency Ablation for Hepatocellular Carcinoma

PurposeThe aim of this study was to compare patient characteristics and midterm outcomes after RFA for unresectable Hepatocellular carcinoma (HCC) in Asian and European cohorts.Materials and MethodsThe study was based on retrospective analysis of 279 patients (mean 64.8 ± 12.1 years; 208 males) treated with RFA for de novo HCC in tertiary referral centers in Singapore and the Netherlands, with median follow-up of 28.2 months (quartiles: 13.1–40.5 months). Cumulative incidence of recurrence and death were analyzed using a competing risk model.ResultsAge was higher in the Asian group: 66.5 versus 60.1 years (p < 0.0001). The most common etiology was hepatitis B in the Asian group (48.0 %) and alcohol-induced cirrhosis in Europeans (54.4 %); p < 0.001. Asian patients had less advanced disease: 35.5, 55.0, and 3.0 %, respectively, had BCLC 0, A, and B versus 21.5, 58.2, and 15.2 % in the European group (p = 0.01). The cumulative incidences of recurrence in the Asian group at 1, 2, 3, and 5 years were 37.0, 56.4, 62.3, and 67.7 %, respectively, compared to 32.6, 47.2, 49.7, and 53.4 % in the European group (p = 0.474). At 1, 2, 3, and 5 years, the cumulative incidence rates of death in the Asian group were 2.0, 3.9, 4.9, and 4.9 %, respectively, corresponding to 7.7, 9.2, 14.1, and 21.0 % in the European group (p = 0.155).ConclusionSimilar short-term treatment outcomes are achieved with RFA in HCC patients in the South-East Asian and Northern-European populations. Midterm recurrence and death rates differ between the groups as a result of differences in baseline patient characteristics and patient selection. Our study provides insight relevant to the design of future international studies.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

Local Ultrasound-Facilitated Thrombolysis in High-Risk Pulmonary Embolism: First Dutch Experience

Purpose: To provide insight into the current use and results of ultrasound-facilitated catheter-directed thrombolysis (USAT) in patients with high-risk pulmonary embolism (PE). Introduction: Systemic thrombolysis is an effective treatment for hemodynamically unstable, high-risk PE, but is associated with bleeding complications. USAT is thought to reduce bleeding and is therefore advocated in patients with high-risk PE and contraindications for systemic thrombolysis. Methods: We conducted a retrospective cohort study of all patients who underwent USAT for high-risk PE in the Netherlands from 2010 to 2017. Characteristics and outcomes were analyzed. Primary outcomes were major (including intracranial and fatal) bleeding and all-cause mortality after 1 month. Secondary outcomes were all-cause mortality and recurrent venous thromboembolism within 3 months. Results: 33 patients underwent USAT for high-risk PE. Major bleeding occurred in 12 patients (36%, 95% CI 22–53), including 1 intracranial and 3 fatal bleeding. All-cause mortality after 1 month was 48% (16/33, 95% CI 31–66). All-cause mortality after 3 months was 50% (16/32, 95% CI 34–66), recurrent venous thromboembolism occurred in 1 patient (1/32, 3%, 95% CI 1–16). Conclusions: This study was the first to describe characteristics and outcomes after USAT in a study population of patients with high-risk PE only, an understudied population. Although USAT is considered a relatively safe treatment option, our results illustrate that at least caution is needed in critically ill patients with high-risk PE. Further research in patients with high-risk PE is warranted to guide patient selection.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2018

Annotated translation of “Nota in verband met de voorgenomen putboring nabij Amsterdam [Note concerning the intended well drilling near Amsterdam]” by J. Drabbe and W. Badon Ghijben (1889)

The famous report by engineers Drabbe and Badon Ghijben (1889), on an intended well drilling near Amsterdam (the Netherlands), was one of the key documents that contributed to the Ghijben-Herzberg formula, which links water-table elevation to the depth of the freshwater–saltwater interface in coastal aquifers. The report has been often cited but no English translation has appeared in the literature to date. The aim of this annotated translation of the report is to provide the international scientific community with easier access than was hitherto the case, plus electronic access to the original in Dutch. A brief introduction to the report is provided, followed by a translation that follows the original text as closely as possible.

58 GEOSCIENCES↗
DOE OSTI2019

Evaluation of left ventricular mass on cadmium-zinc-telluride imaging: Validation against cardiac magnetic resonance

Background: Single-photon emission computed tomography has shown relevant limitations in the quantification of left ventricular (LV) mass. We sought to compare the estimates of LV mass on Cadmium-Zinc-Telluride (CZT) myocardial perfusion imaging (MPI) as compared to cardiac magnetic resonance (CMR). Methods and results: Twenty-five patients underwent MPI on a CZT camera and CMR on a 1.5 T scanner within 12 ± 3 weeks. LV mass was quantified on CZT images using two softwares: 4D-MSPECT (4DM) and Emory Cardiac Toolbox (ECTb). LV mass by CMR was quantified using MASS software (Medis, Leiden, The Netherlands). LV mass values obtained with 4DM and ECTb were highly reproducible [intraclass correlation coefficients .98 (95% CI .97-.99), and .98 (95% CI 0.97-.99), respectively]. The mean LVM mass values were 151 ± 44 g on CMR, 151 ± 43 g with 4DM (P = NS vs CMR), and 157 ± 42 g with ECTb (P < .001 vs CMR; P = .007 vs 4DM) CZT images. There was an excellent correlation between LV mass values between CMR and both 4DM (R{sup 2} = .95; P < .001) and ECTb (R{sup 2} = .98; P < .001) with narrow limits of agreement (− 13.6% to + 13.4% for 4DM, and − 5.6% to + 14.1% for ECTb). Conclusions: The evaluation of LV mass is feasible on CZT images, showing excellent agreement with CMR.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2015

Framing effectiveness in impact assessment: Discourse accommodation in controversial infrastructure development

There is ongoing debate about the effectiveness of impact assessment tools, which matters both because of the threat to future practice of the tools which are frequently perceived to be ineffective, and because of the disillusionment that can ensue, and controversy generated, amongst stakeholders in a decision context where opportunities for meaningful debate have not been provided. In this article we regard debate about the meaning of effectiveness in impact assessment as an inevitable consequence of increased participation in environmental decision-making, and therefore frame effectiveness based on an inclusive democracy role to mean the extent to which impact assessment can accommodate civil society discourse. Our aim is to investigate effectiveness based on this framing by looking at one type of impact assessment – environmental impact assessment (EIA) – in two controversial project proposals: the HS2 rail network in England; and the A4DS motorway in the Netherlands. Documentary analysis and interviews held with key civil society stakeholders have been deployed to identify discourses that were mobilised in the cases. EIA was found to be able to accommodate only one out of four discourses that were identified; for the other three it did not provide the space for the arguments that characterised opposition. The conclusion in relation to debate on framings of effectiveness is that EIA will not be considered effective by the majority of stakeholders. EIA was established to support decision-making through a better understanding of impacts, so its ineffectiveness is unsurprising when its role is perceived to be broader. However, there remains a need to map discourses in different decision contexts and to analyse the extent to which the range of discourses are accommodated throughout the decision process, and the role of impact assessment in those processes, before recommendations can be made to either improve impact assessment effectiveness, or whether it is simply perceptions of effectiveness that need to be improved. - Highlights: • Effectiveness of EIA is defined in terms of its ability to accommodate discourses. • Four separate discourses were identified across two controversial cases. • EIA is considered to mobilize one out of four discourses only. • Discourse mapping is recommended to improve EIA effectiveness.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗
DOE OSTI2017

Many roads may lead to Rome: Selected features of quality control within environmental assessment systems in the US, NL, CA, and UK

As there is no one-and-only concept on how to precisely define and establish quality control (QC) or quality assurance (QA) in the making of environmental assessments (EA), this paper presents selected features of international approaches that address quality in EA systems in the USA, the Netherlands, Canada, and the United Kingdom. Based on explanative case studies, we highlight the embedding of specific quality control features within the EA systems, the objectives and processes, and relevant transparency challenges. Such features of QC/QA approaches can be considered in cases where substantial quality control and assurance efforts are still missing. Yet further research needs to be conducted on the efficacy of these approaches, which remains beyond the scope of this study. - Highlights: • We present four tools for quality control and assurance from different EA systems. • Approaches vary in institutional setting, objectives, procedures, and transparency. • Highlighted features might provide guidance in cases where QC/QA is still lacking.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2013

Enhancing e-waste estimates: Improving data quality by multivariate Input–Output Analysis

Highlights: • A multivariate Input–Output Analysis method for e-waste estimates is proposed. • Applying multivariate analysis to consolidate data can enhance e-waste estimates. • We examine the influence of model selection and data quality on e-waste estimates. • Datasets of all e-waste related variables in a Dutch case study have been provided. • Accurate modeling of time-variant lifespan distributions is critical for estimate. - Abstract: Waste electrical and electronic equipment (or e-waste) is one of the fastest growing waste streams, which encompasses a wide and increasing spectrum of products. Accurate estimation of e-waste generation is difficult, mainly due to lack of high quality data referred to market and socio-economic dynamics. This paper addresses how to enhance e-waste estimates by providing techniques to increase data quality. An advanced, flexible and multivariate Input–Output Analysis (IOA) method is proposed. It links all three pillars in IOA (product sales, stock and lifespan profiles) to construct mathematical relationships between various data points. By applying this method, the data consolidation steps can generate more accurate time-series datasets from available data pool. This can consequently increase the reliability of e-waste estimates compared to the approach without data processing. A case study in the Netherlands is used to apply the advanced IOA model. As a result, for the first time ever, complete datasets of all three variables for estimating all types of e-waste have been obtained. The result of this study also demonstrates significant disparity between various estimation models, arising from the use of data under different conditions. It shows the importance of applying multivariate approach and multiple sources to improve data quality for modelling, specifically using appropriate time-varying lifespan parameters. Following the case study, a roadmap with a procedural guideline is provided to enhance e-waste estimation studies.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2014

Environmental burdens in the management of end-of-life cathode ray tubes

Highlights: • The paper deals with different management options for end-of-life CRTs. • The environmental burdens for disposal and recycling are presented. • Recycling treatments allows to gain benefits for the environment. • Further treatments for fluorescent powders determine CO{sub 2} credits. • More efforts should be directed towards recycling. - Abstract: We compared the environmental burdens in the management of end-of life cathode ray tubes (CRTs) within two frameworks according to the different technologies of the production of televisions/monitors. In the first case, CRT recycling is addressed to the recovery of the panel and funnel glass for the manufacturing of new CRT screens. In the second case, where flat screen technology has replaced that of CRT, the recycling is addressed to the recovery of the glass cullet and lead for other applications. The impacts were evaluated according to the problem-oriented methodology of the Institute of Environmental Sciences, Leiden University, Leiden, The Netherlands. Our data confirm that in both cases, the recycling treatment allows benefits to be gained for the environment through the recovery of the secondary raw materials. These benefits are higher for the “CRT technology” framework (1 kg CO{sub 2} saved per CRT) than for the “flat screen technology” (0.9 kg CO{sub 2} saved, per CRT, as the highest possible), mainly due to the high energy consumption for lead separation from the funnel glass. Furthermore, the recovery of yttrium from the fluorescent powders that are a residue of the recycling treatment would further improve the CO{sub 2} credit for both the frameworks considered, which would provide a further saving of about 0.75 kg CO{sub 2} per CRT, net of the energy and raw materials needed for the recovery. Overall, this study confirms that, even with a change in the destination of the recovered materials, the recycling processes provide a benefit for the environment: indeed the higher loads for the environment are balanced by avoiding the primary production of the recovered materials.

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2025

Conference Report on the 8th International Symposium on Liquid Metals Applications for Fusion (ISLA-8)

The International Symposium on Liquid Metals Applications for Fusion (ISLA) aims to assemble scientists and engineers engaged in research on lithium and liquid metal applications for fusion devices, facilitating discussions on recent advancements and challenges in an open forum to support the development of viable fusion reactors. The 8th International Symposium on Liquid Metals Applications for Fusion (ISLA-8) was organized by the Institute of Plasma Physics, Chinese Academy of Sciences, from 8 to 12 September 2024, in Hefei, China. The symposium was attended by over 70 participants, marking one of the highest attendance figures in the series. A total of 68 presentations were delivered, including 59 presented on-site, while the remainder were conducted online. The participants represented 10 countries, namely China, Japan, the Netherlands, Russia, the USA, the Czech Republic, Italy, Thailand, Spain, and Germany. The symposium covered 10 topics, structured into 13 sessions. Additionally, an opening session provided an overview of the current symposium, while a closing session summarized reports from each session chair.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗
DOE OSTI2019

Regional Recurrence Risk Following a Negative Sentinel Node Procedure Does Not Approximate the False-Negative Rate of the Sentinel Node Procedure in Breast Cancer Patients Not Receiving Radiotherapy or Systemic Treatment

Background: Although the false-negative rate of the sentinel lymph node biopsy (SLNB) in breast cancer patients is 5–7%, reported regional recurrence (RR) rates after negative SLNB are much lower. Adjuvant treatment modalities probably contribute to this discrepancy. This study assessed the 5-year RR risk after a negative SLNB in the subset of patients who underwent breast amputation without radiotherapy or any adjuvant treatment. Methods: All patients operated for primary unilateral invasive breast cancer between 2005 and 2008 were identified in the Netherlands Cancer Registry. Patients with a negative SLNB who underwent breast amputation and who were not treated with axillary lymph node dissection, radiotherapy, or any adjuvant systemic treatment were selected. The cumulative 5-year RR rate was estimated by Kaplan–Meier analysis. Results: A total of 13,452 patients were surgically treated for primary breast cancer and had a negative SLNB, and 2012 patients fulfilled the selection criteria. Thirty-eight RRs occurred during follow-up. Multifocal disease was associated with a higher risk of developing RR (P = 0.04). The median time to RR was 27 months and was significantly shorter in patients with estrogen receptor-negative (ER−) breast cancer (9.5 months; P = 0.003). The 5-year RR rate was 2.4% in the study population compared with 1.1% in the remainder of 11,440 SLNB-negative patients (P = 0.0002). Conclusions: Excluding the effect of radiotherapy and systemic treatment resulted in a twofold 5-year RR risk in breast cancer patients with a tumor-free SLNB. This 5-year RR rate was still much lower than the reported false-negative rate of the SLNB procedure.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
NASA NTRS1982

A symbiotic approach to SETI observations: use of maps from the Westerbork Synthesis Radio Telescope

High spatial resolution continuum radio maps produced by the Westerbork Synthesis Radio Telescope (WSRT) of The Netherlands at frequencies near the 21 cm HI line have been examined for anomalous sources of emmission coincident with the locations of nearby bright stars. From a total of 542 stellar positions investigated, no candidates for radio stars or ETI signals were discovered to formal limits on the minimum detectable signal ranging from 7.7 x 10(-22) W/m2 to 6.4 x 10(-24) W/m2. This preliminary study has verified that data collected by radio astronomers at large synthesis arrays can profitably be analysed for SETI signals (in a non-interfering manner) provided only that the data are available in the form of a more or less standard two dimensional map format.

Exobiology/methods↗
DOE OSTI2015

Radioactive waste management in France: taking-up present and future challenges - 15120

The reduction of the volume and radiotoxicity of radioactive waste has been one of the key drivers for the implementation of the French nuclear program. Interactions between the nuclear industry, the administration, the competent authorities and other stakeholders including the civil society has led to a continuous evolution of the industrial facilities, practices, solutions and products to move towards waste minimization. Bringing a solution to the management of ultimate radioactive waste is clearly a requirement for the sustainable development of nuclear energy whose crucial role in the world's future energy mix has been confirmed in the past few months by several international organizations. The first question to be answered concerns the definition of radioactive waste. This notion may be seen as self-evident. It is not. For example, used fuel is considered a High Level Waste in Finland or Sweden, but a recyclable material in countries including China, France, India, Japan, Russia, and the Netherlands. In France, a definition is provided by law to clarify this notion. Indeed, the 2006 French law concerning the Sustainable Management of Radioactive Materials and Waste stipulates that 'ultimate radioactive waste shall include any radioactive waste for which no further processing is possible under current technical and economic conditions, notably by extracting their recoverable fraction or by reducing their polluting or hazardous character'. Used fuel is thus reprocessed in order to reduce the final waste volume and long term radiotoxicity, while extracting value from the recovered materials. Even if the general approach and the processes may be common for waste management, it is important to clearly make the distinction between the wastes stemming from used fuel processing or conditioning (when considered as waste), the wastes generated through the operation of nuclear power plants and fuel cycle facilities, and the waste arising from the dismantling of nuclear installations. After a brief overview of the different types of waste stemming from nuclear power generation, this paper will review solutions and processes already implemented for their safe and efficient management. It will also practically illustrate the evolution of these processes and related facilities to further gain in efficiency, notably in terms of volume reduction; the related R and D outcomes will be addressed. It will also describe the upcoming challenges in this field and the envisioned solutions to respond to them; the efficiency, the completeness and consistency of these solutions with the currently considered global framework, based on a stepwise and long term approach from waste generation to disposal, will also be analyzed. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2019

Radiochemical Characterization of PWR Control Rods - 19030

NRG has, in cooperation with the German partner Hoefer and Bechtel, performed a radiochemical characterization of the control rods from a German Pressurized Water Reactor. To perform the cutting and sampling of the spent control rods at the reactor site NRG has developed a dedicated, remotely operated tool. This tool enabled the sampling of both the stainless steel tube and the absorber material from the upper, middle and lower parts of selected rods. The samples were transported from the reactor site to NRG's laboratories at Petten, the Netherlands, were they were analysed chemically and radiologically. Due to the different chemical constitution of the control rod tubes and the absorber, the procedures for the chemical separation of the different compounds, prior to the radiological characterization, varied. The route for the stainless steel tube samples turned out more complex than that for the absorber samples: there are more nuclides to be determined, and therefore more treatment steps and component separations were necessary. Subsequently to the component separations, the radiochemical characterization was performed using alpha and gamma spectrometry and the Liquid Scintillation Counting (LSC) technique. The results of the measurements in combination with simulations performed with a reactor physics code provided for a better understanding about the distribution of radionuclides in absorber rods, both in the rod tubes and the absorber core. In addition, the results of the measurements can be used to validate reactor physics codes. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2019

Destructive and Non-Destructive Characterization of various LLW/ILW at NRG - 19078

The Nuclear Research and consultancy Group is located at Petten, the Netherlands, and operates the High Flux Reactor (HFR). The HFR is used for isotope production for medical purposes and material research. During its exploitation several types of radioactive waste are produced, which partly have accumulated at the reactor site. In addition, NRG operated the Low Flux Reactor (LFR), a small 30 kWmax Argonaut type reactor which was used for research and education purposes. Over the past decade several projects on waste management and decommissioning were carried out requiring various approaches, including the radiochemical characterisation of the different emerging waste streams as required by the Dutch regulator. This paper focuses on the practices and technical aspects of the destructive and non-destructive characterization of various types of low- and intermediate-level waste arising from a number of nuclear activities performed at the premises of NRG, i.e. the Dutch legacy waste management program, the treatment of ion exchange resins, and the decommission of the Low-Flux Reactor. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2017

The extraordinary windstorm of 7 December 1868 in the Czech Lands and its central European context

An extreme windstorm that took place on 7 December 1868 in the Czech Lands is analysed by means of rich documentary evidence from narrative sources, damage records, forestry journals and newspapers. Early meteorological measurements and a numerical atmospheric reanalysis support the documentary reconstruction. The windstorm reached hurricane-force over the Czech Lands between 0900 and 1600 of local mean time and was related to the passage of a cold front. The high winds, achieving hurricane-force, led to loss of human lives and many other casualties, as well as to severe damage to buildings and other structures. In particular, the documentary sources facilitate a quantitative reconstruction of the massive windthrow that occurred in forested areas across the Czech Lands, where the windstorm damaged at least 8 million m 3 of timber, which is arguably more than has been lost to any single similar event since. Reasons for the extreme windthrow, apart from wind forces and destabilization arising from wet and thawed soils, were found in increased vulnerability arising out of old, dense and mono-species conifer stands and inadequate clear-cutting and thinning measures. For the Czech Lands, this event was the most damaging windstorm in the 19th century. Moreover, damage reports are found from the British Isles, the Netherlands, Belgium and Germany to Austria, the Czech Lands and Poland, documenting its disastrous effects on a (sub-)continental scale.

Meteorology & Atmospheric Sciences↗
DOE OSTI2018

Coupling between radiative flux divergence and turbulence near the surface

Near‐surface turbulent flux and radiation divergence field observations are analysed over a grass‐covered surface located at the Wageningen observatory, the Netherlands. Net radiative flux divergence appears to be a large component of the energy budget near the surface, accounting for a cooling rate of several tens of degrees per day. Long‐wave radiation divergence dominates this radiation divergence flux. We show here that long‐wave flux divergence near the surface is strongly coupled to sensible heat flux, except in high relative humidity (>90%) and foggy conditions. The net long‐wave radiative flux divergence exhibits a sharp gradient within the first 20 m above the surface. This flux divergence is itself strongly coupled to sensible heat flux through adjustments in surface‐layer profiles. Nonetheless, no systematic effect of radiation is witnessed on the turbulent temperature spectrum so that the main effect of near‐surface radiation is on the mean heat budget. As typical flux‐gradient relationships are derived based on observations taken in the near‐surface boundary‐layer region where sharp long‐wave divergence is present, we suspect that those relationships implicitly represent some of the long‐wave divergence term. A modification of Monin–Obukhov Similarity Theory to include the effect of radiative divergence is proposed and discussed. This calls for independent measurements of turbulent fluxes and radiative flux divergence near the surface to re‐derive turbulent flux‐gradient relationships independently of radiative effects.

Gentine, Pierre↗
DOE OSTI2018

The Interventional Radiology (IR) Gender Gap: A Prospective Online Survey by the Cardiovascular and Interventional Radiological Society of Europe (CIRSE)

AimA prospective online survey was conducted by the Cardiovascular Interventional Radiological Society of Europe (CIRSE) to evaluate the gender gap within interventional radiology (IR) and the barriers facing women in IR.Materials and MethodsA questionnaire (“Appendix”) was devised by the authors and the CIRSE communication and publication team and sent electronically to 750 identifiable female members of CIRSE. Responses were collected from 7 August to 24 August 2017.ResultsThe response rate was 19.9% (n = 149) with highest responses from UK (18%), Italy (11%), Germany (11%), Spain (7%), Netherlands (5%), France (5%), Sweden (4%), USA (4%). 91% of the respondents were between 31 and 46 years, 83% work full time, 62% spend > 50% of their working time in IR, and 67% practice in a university or tertiary referral institution. 85% were in the minority in their department. 52% had no leadership role in their department, but 67% expressed willingness to consider a leadership position. Their main concerns were work/family life balance, the risks of radiation exposure, the effect of pregnancy on training and practice and the male-dominated work environment.ConclusionThis survey highlights issues experienced by women in IR. Clear guidance on concerns regarding radiation exposure particularly during pregnancy is needed. Structured and supportive training is required for female IRs who may wish to train or work flexibly. The male-dominated environment is discouraging, and a scheme to promote female IRs would encourage women to take on senior leadership positions and attract more women into the specialty.

62 RADIOLOGY AND NUCLEAR MEDICINE↗