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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

Hyperfractionated Accelerated Radiation Therapy (HART) of 70.6 Gy With Concurrent 5-FU/Mitomycin C Is Superior to HART of 77.6 Gy Alone in Locally Advanced Head and Neck Cancer: Long-term Results of the ARO 95-06 Randomized Phase III Trial

Purpose: To report the long-term results of the ARO 95-06 randomized trial comparing hyperfractionated accelerated chemoradiation with mitomycin C/5-fluorouracil (C-HART) with hyperfractionated accelerated radiation therapy (HART) alone in locally advanced head and neck cancer. Patients and Methods: The primary endpoint was locoregional control (LRC). Three hundred eighty-four patients with stage III (6%) and IV (94%) oropharyngeal (59.4%), hypopharyngeal (32.3%), and oral cavity (8.3%) cancer were randomly assigned to 30 Gy/2 Gy daily followed by twice-daily 1.4 Gy to a total of 70.6 Gy concurrently with mitomycin C/5-FU (C-HART) or 16 Gy/2 Gy daily followed by twice-daily 1.4 Gy to a total dose of 77.6 Gy alone (HART). Statistical analyses were done with the log-rank test and univariate and multivariate Cox regression analyses. Results: The median follow-up time was 8.7 years (95% confidence interval [CI]: 7.8-9.7 years). At 10 years, the LRC rates were 38.0% (C-HART) versus 26.0% (HART, P=.002). The cancer-specific survival and overall survival rates were 39% and 10% (C-HART) versus 30.0% and 9% (HART, P=.042 and P=.049), respectively. According to multivariate Cox regression analysis, the combined treatment was associated with improved LRC (hazard ratio [HR]: 0.6 [95% CI: 0.5-0.8; P=.002]). The association between combined treatment arm and increased LRC appeared to be limited to oropharyngeal cancer (P=.003) as compared with hypopharyngeal or oral cavity cancer (P=.264). Conclusions: C-HART remains superior to HART in terms of LRC. However, this effect may be limited to oropharyngeal cancer patients.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Role of Surgical Versus Clinical Staging in Chemoradiated FIGO Stage IIB-IVA Cervical Cancer Patients—Acute Toxicity and Treatment Quality of the Uterus-11 Multicenter Phase III Intergroup Trial of the German Radiation Oncology Group and the Gynecologic Cancer Group

Purpose: The Uterus-11 trial was designed to evaluate the role of surgical staging in patients with cervical cancer before primary chemoradiation therapy (CRT). The present report provides the toxicity data stratified by the treatment arm and technique. Methods and Materials: A total of 255 patients with carcinoma of the uterine cervix (International Federation of Gynecology and Obstetrics stage IIB-IVA) were randomized to either surgical staging followed by CRT (arm A) or clinical staging followed by CRT (arm B). Patients with para-aortic metastases underwent extended field radiation therapy (RT). Brachytherapy was mandatory. The present report presents the acute therapy-related toxicities stratified by treatment arm and radiation technique. Results: A total of 240 patients were eligible (n=121 in arm A; n=119 in arm B). Of the 240 patients, 236 (98.3%) underwent external beam RT with a median total dose of 50.4 Gy. The mean treatment duration was 53 days. Of the patients, 60% underwent intensity modulated RT (IMRT). A total of 234 patients (97.5%) underwent chemotherapy, and 231 (96.3%) underwent brachytherapy, with a median single dose of 6 Gy covering the tumor to a median nominal total dose of 28 Gy. Treatment was well tolerated, with 0% grade ≥3 genitourinary and gastrointestinal toxicity, 6% grade 3 nausea, 3% grade 3 vomiting, and <2% grade 3 diarrhea. More patients after surgical staging experienced grade 2 anemia (54.3% in arm A vs 45.3% in arm B; P=.074) and grade 2 leukocytopenia (41.4% vs 31.6%; P=.56). Of the patients who received IMRT versus a 3-dimensional technique, 65.3% versus 33.7% presented with grade 2 anemia. Grade 3 gastrointestinal and grade 2 bladder toxicity were significantly reduced with the use of IMRT. Conclusions: The incidence and severity of acute therapy-related toxicity compared favorably with those from other randomized trials. Excellent adherence to treatment and treatment quality was achieved compared with patterns of care analyses. Surgical staging led to a doubled number of patients treated with extended field RT. The question of whether surgical staging is beneficial in the context of primary CRT requires further study.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Intensity Modulated Radiation Therapy (IMRT) With Simultaneously Integrated Boost Shortens Treatment Time and Is Noninferior to Conventional Radiation Therapy Followed by Sequential Boost in Adjuvant Breast Cancer Treatment: Results of a Large Randomized Phase III Trial (IMRT-MC2 Trial)

In the modern era, improvements in radiation therapy techniques have paved the way for simultaneous integrated boost irradiation in adjuvant breast radiation therapy after breast conservation surgery. Nevertheless, randomized trials supporting the noninferiority of this treatment to historical standards of care approach are lacking.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Genomic Encyclopedia of Bacterial and Archaeal Type Strains, Phase III: the genomes of soil and plant-associated and newly described type strains

The Genomic Encyclopedia of Bacteria and Archaea (GEBA) project was launched by the JGI in 2007 as a pilot project to sequence about 250 bacterial and archaeal genomes of elevated phylogenetic diversity. Here in this paper, we propose to extend this approach to type strains of prokaryotes associated with soil or plants and their close relatives as well as type strains from newly described species. Understanding the microbiology of soil and plants is critical to many DOE mission areas, such as biofuel production from biomass, biogeochemistry, and carbon cycling. We are also targeting type strains of novel species while they are being described. Since 2006, about 630 new species have been described per year, many of which are closely aligned to DOE areas of interest in soil, agriculture, degradation of pollutants, biofuel production, biogeochemical transformation, and biodiversity

59 BASIC BIOLOGICAL SCIENCES↗

Illinois State Geological Survey (ISGS), Illinois Basin - Decatur Project (IBDP) Geological Models, July 7, 2021. Midwest Geological Sequestration Consortium (MGSC) Phase III Data Sets. DOE Cooperative Agreement No. DE-FC26-05NT42588.

Three geological models in Petrel (Mark of Schlumberger) and data output from shallow groundwater modeling using TOUGH Codes from Lawrence Berkeley National Laboratory, included under folders: Static_Geologic_Model, Dynamic_Reservoir_Model, Geomechanical_Model, and Groundwater_Model.

3D Geological Model↗

Illinois State Geological Survey (ISGS), Illinois Basin - Decatur Project (IBDP) Seismic Data, July 7, 2021. Midwest Geological Sequestration Consortium (MGSC) Phase III Data Sets. DOE Cooperative Agreement No. DE-FC26-05NT42588.

Seismic data from the IBDP, included primarily under folders: Active_Seismic_Data and Passive_Seismic_Events_Monitoring. The data included under IBDP_Located_Microseismic_Event_Data are a subset of microseismic (Passive Seismic Events Monitoring) data acquired throughout the project from pre-injection to shut-in. These data represent the “located” microseismic events and the two datasets, located in folders Downhole_Geophone_Data and Surface_Seismometer_Data, are correlated.

3D Seismic,Carbon Sequestration,Decatur,Illinois B↗

An Assessment of Geologic Carbon Sequestration Options in the Illinois Basin: Phase III

The Illinois Basin – Decatur Project (IBDP) successfully demonstrated the safe geologic storage of carbon dioxide (CO 2 ) at the near commercial-scale. Such demonstration projects are essential to gain understanding of the workflows and monitoring equipment needed to be able to geologically sequester CO 2 at a commercial scale, and to gain public confidence in the technology. The IBDP was carried out by the Midwest Geological Sequestration Consortium (MGSC), one of seven USDOE NETL RCSPs that were formed to evaluate the safety and effectiveness of geological storage of CO 2 as a mitigation tool to address global climate change. The MGSC was formed and led by the Illinois, Indiana, and Kentucky geological surveys of the Illinois Basin. The Illinois State Geological Survey (ISGS) at the University of Illinois was the principal investigator for and managed the IBDP, with the Indiana Geological Survey (IGS) (now Indiana Geological and Water Survey) and the Kentucky Geological Survey (KGS) as key partners.

54 ENVIRONMENTAL SCIENCES↗

Capacity Report on Knox Group (SECARB Phase III Work Product 1.6.b)

This report assesses the carbon dioxide (CO 2 ) storage capacity for the Knox Group and the Stones River Group in the Mississippi Black Warrior Basin. The results of this evaluation are complimentary to the Geologic Survey of Alabama (GSA) evaluation of potential CO 2 storage reservoirs in the Alabama Black Warrior Basin. The Stones River Group directly overlies the Knox Group and it contains documented porous zones that may be promising for CO 2 sequestration. The Cambrian-Ordovician interval is a thick sequence of carbonates that occurs in multiple geologic settings in the Southeast Regional Carbon Sequestration Partnership (SECARB). The Knox and Stones River Groups could likely only serve as a CO 2 storage reservoir in the southern region of its occurrence, within the Black Warrior Basin. Recorded high porosity zones in the Stones River Group, are likely discontinuous and inconsistent horizons; making it difficult to determine the potential CO 2 storage capacity. Increased data coverage of the Knox and Stones River Groups and a detailed study on injectable zones in these formations would provide a clearer picture on their potential for CO 2 storage.

54 ENVIRONMENTAL SCIENCES↗