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The difference of scoring dose to water or tissues in Monte Carlo dose calculations for low energy brachytherapy photon sources

Purpose: The goal of this work is to compare D{sub m,m} (radiation transported in medium; dose scored in medium) and D{sub w,m} (radiation transported in medium; dose scored in water) obtained from Monte Carlo (MC) simulations for a subset of human tissues of interest in low energy photon brachytherapy. Using low dose rate seeds and an electronic brachytherapy source (EBS), the authors quantify the large cavity theory conversion factors required. The authors also assess whether applying large cavity theory utilizing the sources' initial photon spectra and average photon energy induces errors related to spatial spectral variations. First, ideal spherical geometries were investigated, followed by clinical brachytherapy LDR seed implants for breast and prostate cancer patients. Methods: Two types of dose calculations are performed with the GEANT4 MC code. (1) For several human tissues, dose profiles are obtained in spherical geometries centered on four types of low energy brachytherapy sources: {sup 125}I, {sup 103}Pd, and {sup 131}Cs seeds, as well as an EBS operating at 50 kV. Ratios of D{sub w,m} over D{sub m,m} are evaluated in the 0-6 cm range. In addition to mean tissue composition, compositions corresponding to one standard deviation from the mean are also studied. (2) Four clinical breast (using {sup 103}Pd) and prostate (using {sup 125}I) brachytherapy seed implants are considered. MC dose calculations are performed based on postimplant CT scans using prostate and breast tissue compositions. PTV D{sub 90} values are compared for D{sub w,m} and D{sub m,m}. Results: (1) Differences (D{sub w,m}/D{sub m,m}-1) of -3% to 70% are observed for the investigated tissues. For a given tissue, D{sub w,m}/D{sub m,m} is similar for all sources within 4% and does not vary more than 2% with distance due to very moderate spectral shifts. Variations of tissue composition about the assumed mean composition influence the conversion factors up to 38%. (2) The ratio of D{sub 90(w,m)} over D{sub 90(m,m)} for clinical implants matches D{sub w,m}/D{sub m,m} at 1 cm from the single point sources. Conclusions: Given the small variation with distance, using conversion factors based on the emitted photon spectrum (or its mean energy) of a given source introduces minimal error. The large differences observed between scoring schemes underline the need for guidelines on choice of media for dose reporting. Providing such guidelines is beyond the scope of this work.

60 APPLIED LIFE SCIENCES↗

Combined iterative reconstruction and image-domain decomposition for dual energy CT using total-variation regularization

Purpose: Dual-energy CT (DECT) is being increasingly used for its capability of material decomposition and energy-selective imaging. A generic problem of DECT, however, is that the decomposition process is unstable in the sense that the relative magnitude of decomposed signals is reduced due to signal cancellation while the image noise is accumulating from the two CT images of independent scans. Direct image decomposition, therefore, leads to severe degradation of signal-to-noise ratio on the resultant images. Existing noise suppression techniques are typically implemented in DECT with the procedures of reconstruction and decomposition performed independently, which do not explore the statistical properties of decomposed images during the reconstruction for noise reduction. In this work, the authors propose an iterative approach that combines the reconstruction and the signal decomposition procedures to minimize the DECT image noise without noticeable loss of resolution. Methods: The proposed algorithm is formulated as an optimization problem, which balances the data fidelity and total variation of decomposed images in one framework, and the decomposition step is carried out iteratively together with reconstruction. The noise in the CT images from the proposed algorithm becomes well correlated even though the noise of the raw projections is independent on the two CT scans. Due to this feature, the proposed algorithm avoids noise accumulation during the decomposition process. The authors evaluate the method performance on noise suppression and spatial resolution using phantom studies and compare the algorithm with conventional denoising approaches as well as combined iterative reconstruction methods with different forms of regularization. Results: On the Catphan©600 phantom, the proposed method outperforms the existing denoising methods on preserving spatial resolution at the same level of noise suppression, i.e., a reduction of noise standard deviation by one order of magnitude. This improvement is mainly attributed to the high noise correlation in the CT images reconstructed by the proposed algorithm. Iterative reconstruction using different regularization, including quadratic orq-generalized Gaussian Markov random field regularization, achieves similar noise suppression from high noise correlation. However, the proposed TV regularization obtains a better edge preserving performance. Studies of electron density measurement also show that our method reduces the average estimation error from 9.5% to 7.1%. On the anthropomorphic head phantom, the proposed method suppresses the noise standard deviation of the decomposed images by a factor of ∼14 without blurring the fine structures in the sinus area. Conclusions: The authors propose a practical method for DECT imaging reconstruction, which combines the image reconstruction and material decomposition into one optimization framework. Compared to the existing approaches, our method achieves a superior performance on DECT imaging with respect to decomposition accuracy, noise reduction, and spatial resolution.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Numerical study and test of the APS linac transverse deflecting cavity

The transverse deflecting cavity can be used to transform particle distributions in the 6D phase space, which makes it a promising component in phase space beam diagnostics and beam manipulations. In the Advanced Photon Source (APS) Linac, a LOLA-type traveling wave deflecting cavity was installed for the diagnostics of beam characteristics, such as the bunch length, bunch temporal profile, time-dependent energy spread and slice (time-correlated) transverse emittance. In this paper, this deflecting cavity is modeled and analyzed with the numerical method. The effects of the center cell and coupler cell dimensions on the performance of the whole structure are studied, which shows the coupler cell radius has a dominant effect over the coupler cell length and slot width on the global reflection coefficient and field flatness. Important RF parameters, such as S-11, field flatness and phase advance etc., of the LOLA-II cavity in tuning are calculated and discussed. After optimization, the field flatness of the cavity is 2.1%, the phase advance is 119.66 degrees degrees with a standard deviation smaller than 0.5 degrees and the bandwidth is 15.738 MHz when VSWR < 1.1 (i.e. the S-11, < -26 dB). Bead-pull measurements and RF conditioning have been also performed and discussed. Finally, the initial cavity commissioning with electron beam of 375 MeV is reported, and compared with simulation.

coupler↗

Measurement of CP Violation in B Anti-B Mixing on the Recoil of Partially Reconstructed Anti-B0 to D* L- Anti-Nu/L Using Kaon Tags

After its formulation in 1960's the Standard Model of Fundamental Interactions has gone through an impressive series of successes, begun with the discovery of neutral weak currents [1] and the experimental observations of the massive carriers of weak interactions, the W ± and Z 0 bosons [2], [3]. High precision measurements performed at LEP and SLAC test the validity of the theory to an unprecedented level of accuracy and do not show any significant deviations with respect to the Standard Model predictions. One of the attractive features of the Standard Model is the description of the phenomena which violate the matter-antimatter symmetry (CP), and this violation uniquely depends (in the quark sector) on a weak phase in the matrix describing the couplings among different quark flavors. CP-violation was discovered in 1964 as a tiny effect in the mixing of the K 0 - $\bar{K}$ 0 system [12] but, after a few decades of study of the physics of K mesons, no strong confirmation of the Standard Model can be obtained on the mechanism which generates CP-violation. On the other hand the physics of B mesons is suitable for a pretty large number of measurements which can confirm or disprove this aspect of the theory. The main goal of the BABAR and Belle experiments physics program is to test the description of CP-violation and flavor physics mainly from the decays of B u and B d mesons. Soon after the beginning of data-taking in 1999, CP-violation was discovered in the interference between mixing and decay in the golden channel B 0 → J/Ψ}K 0 [17] [18], while in 2004 a large direct charge asymmetry was observed in the B 0 → K + π - channel [16]. There is a third kind of CP-violation which can be exhibited by the B d - $\bar{B}$ d system, the so called CP-violation in mixing. The Standard Model predicts this asymmetry to be small, possibly out of reach of current experiments, but several New Physics models contain new particles and couplings which can enhance it up to detectable levels. In this thesis we search for CP-violation in B d - $\bar{B}$ d mixing at the BABAR experiment. We reconstruct one of the two B mesons produced at the PEP-II electromagnetic collider using the partial reconstruction technique, while the flavor of the other B is inferred by the charge of a kaon identified among its decay products. Given the smallness of the physical asymmetry we want to measure, a crucial aspect of this analysis is the control of spurious charge asymmetries arising from the interaction of particles with the detector material. We accomplish this by using a control sample of charged kaons on the same data we use in our analysis. After a brief introduction of the theoretical framework and the phenomenology of the decays of B mesons at a B-factory (chapters 1 and 2), we will review in chapter 3 the current experimental results on this topic. We will then describe the characteristics of the collider and the experimental apparatus (chapter 4) used to perform our measurement. The available dataset and the event pre-selection techniques are treated in chapter 5, while the analysis method is discussed in detail in the following one. In chapters 7 and 8 the definitions of the probability density functions used to model each component of our sample are given and then they are tested in samples of simulated data. Toy and reweighted Monte Carlo data are used in chapter 9 to test the sensitivity of our fitting procedure to the physical parameters related to CP violation; chapter 10 discusses the possibility of modeling some of the components of our sample directly on the data. Finally the fit on the real data sample is described in chapter 11 and the treatment of systematic uncertainties is done in chapter 12, while the final result is given in chapter 13.

43 PARTICLE ACCELERATORS↗

Role of a 3D Structure in Energy Transfer in Mixed-Ligand Metal–Organic Frameworks

We present a detailed investigation of the photophysical properties of mixed-ligand pyrene- and porphyrin-based metal–organic frameworks (MOFs) as a function of their 3D structure. Solvothermal reactions between metal salts (InCl 3 , Zr(acac) 4 , and ZrCl 4 ) and suitable ratios of 1,3,6,8-tetrakis(p-benzoic acid)pyrene (TBAPy) and meso-tetrakis- (4-carboxyphenyl)porphyrin (TCPP) were performed to prepare a series of mixed-ligand ROD-7, NU-901, and NU-1000 MOFs. Time-resolved and steady-state fluorescence measurements were conducted on the mixed-ligand MOFs to study their photophysics. Based on the results, we concluded that upon excitation of TBAPy linkers in the MOFs, singlet excitation energy migrates across TBAPy linkers until it finds a TCPP unit. TCPP acts as an energy trap and quenches the excitation. The efficiency of TBAPy-to-TBAPy energy transfer was found to be sensitive to the structural parameters of MOFs. Analysis of steady-state and time-resolved fluorescence data revealed that excitation energy transfer (EET) is most efficient in ROD-7, followed by NU-901 and NU-1000. We propose that topology that invokes the shorter interchromophoric distances between TBAPy linkers in ROD-7 is responsible for its higher EET efficiency. The distance dependence of the EET rate constant (kEET) was investigated to gain insight into the mechanistic aspects of energy transfer in MOFs. This study revealed that (a) energy transfer in MOFs deviates from the classical Förster model and (b) the geometrical arrangement of linkers influences the mechanism of EET in MOFs. A theoretical investigation was also performed to determine energy-transfer rate constants along different directions and assess the directionality of energy transfer in these MOFs. The magnitude of rate constants indicated that energy transfer in ROD-7 should be highly anisotropic along the stacking direction. Furthermore, these findings suggest that ROD-7 is a promising candidate to play the role of the light-harvesting and energy-transfer component in solar energy conversion devices, where directional energy transfer is required.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Search for new phenomena in multi-body invariant masses in events with at least one isolated lepton and two jets using $\sqrt{s}$ = 13 TeV proton–proton collision data collected by the ATLAS detector

A search for resonances in events with at least one isolated lepton (e or μ ) and two jets is performed using 139 fb -1 of $\sqrt{s}$ = 13 TeV proton–proton collision data recorded by the ATLAS detector at the LHC. Deviations from a smoothly falling background hypothesis are tested in three- and four-body invariant mass distributions constructed from leptons and jets, including jets identified as originating from bottom quarks. Model-independent limits on generic resonances characterised by cascade decays of particles leading to multiple jets and leptons in the final state are presented. The limits are calculated using Gaussian shapes with different widths for the invariant masses. The multi-body invariant masses are also used to set 95% confidence level upper limits on the cross-section times branching ratios for the production and subsequent decay of resonances predicted by several new physics scenarios.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Out-of-Distribution Detection and Radiological Data Monitoring Using Statistical Process Control

Abstract Machine learning (ML) models often fail with data that deviates from their training distribution. This is a significant concern for ML-enabled devices as data drift may lead to unexpected performance. This work introduces a new framework for out of distribution (OOD) detection and data drift monitoring that combines ML and geometric methods with statistical process control (SPC). We investigated different design choices, including methods for extracting feature representations and drift quantification for OOD detection in individual images and as an approach for input data monitoring. We evaluated the framework for both identifying OOD images and demonstrating the ability to detect shifts in data streams over time. We demonstrated a proof-of-concept via the following tasks: 1) differentiating axial vs. non-axial CT images, 2) differentiating CXR vs. other radiographic imaging modalities, and 3) differentiating adult CXR vs. pediatric CXR. For the identification of individual OOD images, our framework achieved high sensitivity in detecting OOD inputs: 0.980 in CT, 0.984 in CXR, and 0.854 in pediatric CXR. Our framework is also adept at monitoring data streams and identifying the time a drift occurred. In our simulations tracking drift over time, it effectively detected a shift from CXR to non-CXR instantly, a transition from axial to non-axial CT within few days, and a drift from adult to pediatric CXRs within a day—all while maintaining a low false positive rate. Through additional experiments, we demonstrate the framework is modality-agnostic and independent from the underlying model structure, making it highly customizable for specific applications and broadly applicable across different imaging modalities and deployed ML models.

Zamzmi, Ghada↗

Techno-economic analysis of advanced small modular nuclear reactors

Here, small modular nuclear reactors (SMRs) represent a robust opportunity to develop low-carbon and reliable power with the potential to meet cost parity with conventional power systems. This study presents a detailed, bottom-up economic evaluation of a 12 × 77 MW e (924 MW e total) light-water SMR (LW-SMR) plant, a 4 × 262 MW e (1,048 MW e ) gas-cooled SMR (GC-SMR) plant, and a 5 × 200 MW e (1,000 MW e total) molten salt SMR (MS-SMR) plant. Cost estimates are derived from equipment costs, labor hours, material inputs, and process-engineering models. The advanced SMRs are compared to natural gas combined cycle plants with and without post-combustion carbon capture and a conventional large nuclear reactor. Overnight capital cost (OCC) and levelized cost of energy (LCOE) estimates are developed. The OCC of the LW-SMR, GC-SMR, and MS-SMR are found to be $\$4,844$/kW, $\$4,355$/kW, and $\$3,985$/kW respectively. The LCOE of the LW-SMR, GC-SMR, and MS-SMR are found to be $\$89.6$/MWh, $\$81.5$/MWh, and $\$80.6$/MWh respectively. A Monte Carlo analysis is performed, for which the OCC and construction time of the LW-SMR is found to have a lower mean and standard deviation than a conventional large reactor. The LW-SMR OCC is found to have a mean of $\$5,233$/kW with a standard deviation of $\$658$/kW and a 90 % probability of remaining between $\$4,254$/kW and $\$6,399$/kW, while the construction duration is found to have a mean of 4.5 years with a standard deviation of 0.8 years and a 90 % probability of remaining between 3.4 and 6.0 years. The economic impact of economies of scale, simplification, modularization, and construction time for SMRs are discussed. Additionally, policy implications for direct SMR capital subsidies and the impact of a carbon tax on natural gas emissions are explored.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

Theoretical Modeling of 99 Tc NMR Chemical Shifts

Technetium (Tc) displays a rich chemistry due to the wide range of oxidation states (from -I to +VII) and ability to form coordination compounds. Determination of Tc speciation in complex mixtures is a major challenge, and 99Tc NMR spec-troscopy is widely used to probe chemical environments of Tc in odd oxidation states. However interpretation of the 99Tc NMR data is hindered by the lack of reference compounds. DFT computations can help fill this gap, but to date few com-putational studies have focused on 99Tc NMR of compounds and complexes. This work systematically evaluates the inclu-sion small percentages of Hartree-Fock exchange correlation and relativistic effects in DFT computations to support in-terpretation of the 99Tc NMR spectra. Hybrid functionals are found to perform better than their pure GGA counterparts, and non-relativistic calculations have been found to generally show a lower mean absolute deviation from experiment. Overall non-relativistic PBE0 and B3PW91 calculations are found to most accurately predict 99Tc NMR chemical shifts.

Environmental Molecular Sciences Laboratory↗

Acidity of the amidoxime functional group in aqueous solution. A combined experimental and computational study

Poly(acrylamidoxime) adsorbents are often invoked in discussions of mining uranium from seawater. It has been demonstrated repeatedly in the literature that the success of these materials is due to the amidoxime functional group. While the amidoxime-uranyl chelation mode has been established, a number of essential binding constants remain unclear. This is largely due to the wide range of conflicting pK a values that have been reported for the amidoxime functional group in the literature. To resolve this existing controversy we investigated the pK a values of the amidoxime functional group using a combination of experimental and computational methods. Experimentally, we used spectroscopic titrations to measure the pK a values of representative amidoximes, acetamidoxime and benzamidoxime. Computationally, we report on the performance of several protocols for predicting the pK a values of aqueous oxoacids. Calculations carried out at the MP2 or M06-2X levels of theory combined with solvent effects calculated using the SMD model provide the best overall performance with a mean absolute error of 0.33 pK a units and 0.35 pK a units, respectively, and a root mean square deviation of 0.46 pK a units and 0.45 pK a units, respectively. Finally, we employ our two best methods to predict the pK a values of promising, uncharacterized amidoxime ligands. Hence, our study provides a convenient means for screening suitable amidoxime monomers for future generations of poly(acrylamidoxime) adsorbents used to mine uranium from seawater.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Direct observation of time reversal violation

A direct evidence for Time Reversal Violation (TRV) means an experiment that, considered by itself, clearly shows TRV independent of, and unconnected to, the results for CP Violation. No existing result before the recent BABAR experiment with entangled neutral B mesons had demonstrated TRV in this sense. There is a unique opportunity for a search of TRV with unstable particles thanks to the Einstein-Podolsky-Rosen (EPR) Entanglement between the two neutral mesons in B, and PHI, Factories. The two quantum effects of the first decay as a filtering measurement and the transfer of information to the still living partner allow performing a genuine TRV asymmetry with the exchange of 'in' and 'out' states. With four independent TRV asymmetries, BABAR observes a large deviation of T-invariance with a statistical significance of 14 standard deviations, far more than needed to declare the result as a discovery. This is the first direct observation of TRV in the time evolution of any system.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Adaptive resolution simulation of an atomistic protein in MARTINI water

We present an adaptive resolution simulation of protein G in multiscale water. We couple atomistic water around the protein with mesoscopic water, where four water molecules are represented with one coarse-grained bead, farther away. We circumvent the difficulties that arise from coupling to the coarse-grained model via a 4-to-1 molecule coarse-grain mapping by using bundled water models, i.e., we restrict the relative movement of water molecules that are mapped to the same coarse-grained bead employing harmonic springs. The water molecules change their resolution from four molecules to one coarse-grained particle and vice versa adaptively on-the-fly. Having performed 15 ns long molecular dynamics simulations, we observe within our error bars no differences between structural (e.g., root-mean-squared deviation and fluctuations of backbone atoms, radius of gyration, the stability of native contacts and secondary structure, and the solvent accessible surface area) and dynamical properties of the protein in the adaptive resolution approach compared to the fully atomistically solvated model. Our multiscale model is compatible with the widely used MARTINI force field and will therefore significantly enhance the scope of biomolecular simulations.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Metrics for long wavelength asymmetries in inertial confinement fusion implosions on the National Ignition Facility

We investigate yield degradation due to applied low mode P2 and P4 asymmetries in layered inertial confinement fusion implosions. This study has been performed with a large database of >600 2D simulations. We show that low mode radiation induced drive asymmetries can result in significant deviation between the core hot spot shape and the fuel ρR shape at peak compression. In addition, we show that significant residual kinetic energy at peak compression can be induced by these low mode asymmetries. We have developed a metric, which is a function of the hot spot shape, fuel ρR shape, and residual kinetic energy at peak compression, that is well correlated to yield degradation due to low mode shape perturbations. It is shown that the ρR shape and residual kinetic energy cannot, in general, be recovered by inducing counter asymmetries to make the hot core emission symmetric. In addition, we show that the yield degradation due to low mode asymmetries is well correlated to measurements of time dependent shape throughout the entire implosion, including early time shock symmetry and inflight fuel symmetry.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Time reversal violation for entangled neutral mesons

A direct evidence for Time Reversal Violation (TRV) means an experiment that, considered by itself, clearly shows TRV independent of, and unconnected to, the results for CP Violation. No existing result before the recent BABAR experiment with entangled neutral B mesons had demonstrated TRV in this sense. There is a unique solution for the test of TRV with unstable particles thanks to the Einstein-Podolsky-Rosen (EPR) Entanglement between the two neutral mesons in B, and φ, Factories. The two quantum effects of the decays as filtering measurements of the meson states and the transfer of information of the first decay to the still living partner allow performing a genuine TRV asymmetry with the exchange of “in” and “out” states. With four independent TRV asymmetries, BABAR observes a large deviation of T-invariance with a statistical significance of 14 standard deviations, far more than needed to declare the result as a discovery. This is the first direct observation of TRV in the time evolution of any system. The perspectives for future additional studies of TRV are discussed.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Investigation of turbulent inflow specification in Euler–Lagrange simulations of mid-field spray

The process of atomization of a liquid jet by a parallel high-speed gas stream results in a spray, whose downstream development is of considerable interest to several applications. The round jet spray can be spatially divided into (i) a near-field (near-nozzle) region of liquid atomization and (ii) a downstream mid-field region of fully-dispersed droplets. In order to accurately model mid-field droplet dispersion, this work aims at developing a rigorous and robust injection model for Euler–Lagrange spray simulations. Results from experiments are used to obtain the relevant droplet number density, size distribution, and mean and standard deviation velocity distributions of the injection model, systematically in a step-by-step process. Two-phase large eddy simulations are performed by stochastically generating the Lagrangian droplets at the inlet of the mid-field region. Number flux, diameter distribution, mean velocity, and other time-averaged statistics at several downstream locations are shown to agree well with the corresponding experimental data.

42 ENGINEERING↗

Mathematical solutions in internal dose assessment: A comparison of Python-based differential equation solvers in biokinetic modeling

Abstract In biokinetic modeling systems employed for radiation protection, biological retention and excretion have been modeled as a series of discretized compartments representing the organs and tissues of the human body. Fractional retention and excretion in these organ and tissue systems have been mathematically governed by a series of coupled first-order ordinary differential equations (ODEs). The coupled ODE systems comprising the biokinetic models are usually stiff due to the severe difference between rapid and slow transfers between compartments. In this study, the capabilities of solving a complex coupled system of ODEs for biokinetic modeling were evaluated by comparing different Python programming language solvers and solving methods with the motivation of establishing a framework that enables multi-level analysis. The stability of the solvers was analyzed to select the best performers for solving the biokinetic problems. A Python-based linear algebraic method was also explored to examine how the numerical methods deviated from an analytical or semi-analytical method. Results demonstrated that customized implicit methods resulted in an enhanced stable solution for the inhaled 60 Co (Type M) and 131 I (Type F) exposure scenarios for the inhalation pathway of the International Commission on Radiological Protection (ICRP) Publication 130 Human Respiratory Tract Model (HRTM). The customized implementation of the Python-based implicit solvers resulted in approximately consistent solutions with the Python-based matrix exponential method ( expm ). The differences generally observed between the implicit solvers and expm are attributable to numerical precision and the order of numerical approximation of the numerical solvers. This study provides the first analysis of a list of Python ODE solvers and methods by comparing their usage for solving biokinetic models using the ICRP Publication 130 HRTM and provides a framework for the selection of the most appropriate ODE solvers and methods in Python language to implement for modeling the distribution of internal radioactivity.

61 RADIATION PROTECTION AND DOSIMETRY↗

SU-E-J-83: CBCT Based Rectum and Bladder Dose Tracking in the Prostate Radiotherapy

Purpose: The aim of this study is to monitor the volume changes of bladder and rectum and evaluate the dosimetric changes of bladder and rectum using daily cone-beam CT for prostate radiotherapy. Methods: The data of this study were obtained from 12 patients, totally 222 CBCTs. All the volume of the bladder and the rectum on the CBCT were normalized to the bladder and the rectum on their own original CT to monitory the volume changes. To evaluate dose delivered to the OARs, volumes that receive 70Gy (V70Gy), 60Gy, 50Gy, 40Gy and 30Gy are calculated for the bladder and the rectum, V20Gy and V10Gy for rectum additionally. And the deviation of the mean dose to the bladder and the rectum are also chosen as the evaluation parameter. Linear regression analysis was performed to identify the mean dose change of the volume change using SPSS 19. Results: The results show that the variances of the normalize volume of the bladder and the rectum are 0.15–0.58 and 0.13–0.50. The variances of V70Gy, V60Gy, V50Gy, V40Gy and V30Gy of bladder are bigger than rectum for 11 patients. The linear regression analysis indicated a negative correlation between the volume and the mean dose of the bladder (p < 0.05). A 10% increase in bladder volume will cause 5.1% (±4.3%) reduction in mean dose. Conclusion: The bladder volume change is more significant than that for rectum for the prostate cancer patient. The volume changes of rectum are not significant except air gap in the rectum. Bladder volume varies will cause significant dose change. The bladder volume monitoring before fractional treatment delivery would be crucial for accuracy dose delivery.

60 APPLIED LIFE SCIENCES↗

SU-G-TeP2-04: Comprehensive Machine Isocenter Evaluation with Separation of Gantry, Collimator, and Table Variables

Purpose: To develop and demonstrate application of a method that characterizes deviation of linac x-ray beams from the centroid of the volumetric radiation isocenter as a function of gantry, collimator, and table variables. Methods: A set of Winston-Lutz ball-bearing images was used to determine the gantry radiation isocenter as the midrange of deviation values resulting from gantry and collimator rotation. Also determined were displacement of table axis from gantry isocenter and recommended table axis adjustment. The method, previously reported, has been extended to include the effect of collimator walkout by obtaining measurements with 0 and 180 degree collimator rotation for each gantry angle. Twelve images were used to characterize the volumetric isocenter for the full range of available gantry, collimator, and table rotations. Results: Three Varian True Beam, two Elekta Infinity and four Versa HD linacs at five institutions were tested using identical methodology. Varian linacs exhibited substantially less deviation due to head sag than Elekta linacs (0.4 mm vs. 1.2 mm on average). One linac from each manufacturer had additional isocenter deviation of 0.3 to 0.4 mm due to jaw instability with gantry and collimator rotation. For all linacs, the achievable isocenter tolerance was dependent on adjustment of collimator position offset, transverse position steering, and alignment of the table axis with gantry isocenter, facilitated by these test results. The pattern and magnitude of table axis wobble vs. table angle was reproducible and unique to each machine. Conclusion: This new method provides a comprehensive set of isocenter deviation values including all variables. It effectively facilitates minimization of deviation between beam center and target (ball-bearing) position. This method was used to quantify the effect of jaw instability on isocenter deviation and to identify the offending jaw. The test is suitable for incorporation into a routine machine QA program. Software development was performed by Radiological Imaging Technology, Inc.

60 APPLIED LIFE SCIENCES↗