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SU-C-202-03: A Tool for Automatic Calculation of Delivered Dose Variation for Off-Line Adaptive Therapy Using Cone Beam CT

Purpose: Monitoring the delivered dose is an important task for the adaptive radiotherapy (ART) and for determining time to re-plan. A software tool which enables automatic delivered dose calculation using cone-beam CT (CBCT) has been developed and tested. Methods: The tool consists of four components: a CBCT Colleting Module (CCM), a Plan Registration Moduel (PRM), a Dose Calculation Module (DCM), and an Evaluation and Action Module (EAM). The CCM is triggered periodically (e.g. every 1:00 AM) to search for newly acquired CBCTs of patients of interest and then export the DICOM files of the images and related registrations defined in ARIA followed by triggering the PRM. The PRM imports the DICOM images and registrations, links the CBCTs to the related treatment plan of the patient in the planning system (RayStation V4.5, RaySearch, Stockholm, Sweden). A pre-determined CT-to-density table is automatically generated for dose calculation. Current version of the DCM uses a rigid registration which regards the treatment isocenter of the CBCT to be the isocenter of the treatment plan. Then it starts the dose calculation automatically. The AEM evaluates the plan using pre-determined plan evaluation parameters: PTV dose-volume metrics and critical organ doses. The tool has been tested for 10 patients. Results: Automatic plans are generated and saved in the order of the treatment dates of the Adaptive Planning module of the RayStation planning system, without any manual intervention. Once the CTV dose deviates more than 3%, both email and page alerts are sent to the physician and the physicist of the patient so that one can look the case closely. Conclusion: The tool is capable to perform automatic dose tracking and to alert clinicians when an action is needed. It is clinically useful for off-line adaptive therapy to catch any gross error. Practical way of determining alarming level for OAR is under development.

60 APPLIED LIFE SCIENCES↗

Approaches to reducing photon dose calculation errors near metal implants

Purpose: Dose calculation errors near metal implants are caused by limitations of the dose calculation algorithm in modeling tissue/metal interface effects as well as density assignment errors caused by imaging artifacts. The purpose of this study was to investigate two strategies for reducing dose calculation errors near metal implants: implementation of metal-based energy deposition kernels in the convolution/superposition (C/S) dose calculation method and use of metal artifact reduction methods for computed tomography (CT) imaging. Methods: Both error reduction strategies were investigated using a simple geometric slab phantom with a rectangular metal insert (composed of titanium or Cerrobend), as well as two anthropomorphic phantoms (one with spinal hardware and one with dental fillings), designed to mimic relevant clinical scenarios. To assess the dosimetric impact of metal kernels, the authors implemented titanium and silver kernels in a commercial collapsed cone C/S algorithm. To assess the impact of CT metal artifact reduction methods, the authors performed dose calculations using baseline imaging techniques (uncorrected 120 kVp imaging) and three commercial metal artifact reduction methods: Philips Healthcare’s O-MAR, GE Healthcare’s monochromatic gemstone spectral imaging (GSI) using dual-energy CT, and GSI with metal artifact reduction software (MARS) applied. For the simple geometric phantom, radiochromic film was used to measure dose upstream and downstream of metal inserts. For the anthropomorphic phantoms, ion chambers and radiochromic film were used to quantify the benefit of the error reduction strategies. Results: Metal kernels did not universally improve accuracy but rather resulted in better accuracy upstream of metal implants and decreased accuracy directly downstream. For the clinical cases (spinal hardware and dental fillings), metal kernels had very little impact on the dose calculation accuracy (<1.0%). Of the commercial CT artifact reduction methods investigated, the authors found that O-MAR was the most consistent method, resulting in either improved dose calculation accuracy (dental case) or little impact on calculation accuracy (spine case). GSI was unsuccessful at reducing the severe artifacts caused by dental fillings and had very little impact on calculation accuracy. GSI with MARS on the other hand gave mixed results, sometimes introducing metal distortion and increasing calculation errors (titanium rectangular implant and titanium spinal hardware) but other times very successfully reducing artifacts (Cerrobend rectangular implant and dental fillings). Conclusions: Though successful at improving dose calculation accuracy upstream of metal implants, metal kernels were not found to substantially improve accuracy for clinical cases. Of the commercial artifact reduction methods investigated, O-MAR was found to be the most consistent candidate for all-purpose CT simulation imaging. The MARS algorithm for GSI should be used with caution for titanium implants, larger implants, and implants located near heterogeneities as it can distort the size and shape of implants and increase calculation errors.

60 APPLIED LIFE SCIENCES↗

SU-E-J-30: Benchmark Image-Based TCP Calculation for Evaluation of PTV Margins for Lung SBRT Patients

Purpose: Tumor control probability (TCP) calculated with accumulated radiation doses may help design appropriate treatment margins. Image registration errors, however, may compromise the calculated TCP. The purpose of this study is to develop benchmark CT images to quantify registration-induced errors in the accumulated doses and their corresponding TCP. Methods: 4DCT images were registered from end-inhale (EI) to end-exhale (EE) using a “demons” algorithm. The demons DVFs were corrected by an FEM model to get realistic deformation fields. The FEM DVFs were used to warp the EI images to create the FEM-simulated images. The two images combined with the FEM DVF formed a benchmark model. Maximum intensity projection (MIP) images, created from the EI and simulated images, were used to develop IMRT plans. Two plans with 3 and 5 mm margins were developed for each patient. With these plans, radiation doses were recalculated on the simulated images and warped back to the EI images using the FEM DVFs to get the accumulated doses. The Elastix software was used to register the FEM-simulated images to the EI images. TCPs calculated with the Elastix-accumulated doses were compared with those generated by the FEM to get the TCP error of the Elastix registrations. Results: For six lung patients, the mean Elastix registration error ranged from 0.93 to 1.98 mm. Their relative dose errors in PTV were between 0.28% and 6.8% for 3mm margin plans, and between 0.29% and 6.3% for 5mm-margin plans. As the PTV margin reduced from 5 to 3 mm, the mean TCP error of the Elastix-reconstructed doses increased from 2.0% to 2.9%, and the mean NTCP errors decreased from 1.2% to 1.1%. Conclusion: Patient-specific benchmark images can be used to evaluate the impact of registration errors on the computed TCPs, and may help select appropriate PTV margins for lung SBRT patients.

60 APPLIED LIFE SCIENCES↗

Analysis of Mass Averaged Tissue Doses in CAM, CAF, MAX, and FAX

To estimate astronaut health risk due to space radiation, one must have the ability to calculate exposure-related quantities averaged over specific organs and tissue types. In this study, we first examine the anatomical properties of the Computerized Anatomical Man (CAM), Computerized Anatomical Female (CAF), Male Adult voXel (MAX), and Female Adult voXel (FAX) models by comparing the masses of various tissues to the reference values specified by the International Commission on Radiological Protection (ICRP). Major discrepancies are found between the CAM and CAF tissue masses and the ICRP reference data for almost all of the tissues. We next examine the distribution of target points used with the deterministic transport code HZETRN to compute mass averaged exposure quantities. A numerical algorithm is used to generate multiple point distributions for many of the effective dose tissues identified in CAM, CAF, MAX, and FAX. It is concluded that the previously published CAM and CAF point distributions were under-sampled and that the set of point distributions presented here should be adequate for future studies involving CAM, CAF, MAX, or FAX. It is concluded that MAX and FAX are more accurate than CAM and CAF for space radiation analyses.

Slaba, Tony C.↗

Modified COMS Plaques for {sup 125}I and {sup 103}Pd Iris Melanoma Brachytherapy

Purpose: Novel plaques are used to treat iris melanoma at the Mayo Clinic Rochester. The plaques are a modification of the Collaborative Ocular Melanoma Study (COMS) 22 mm plaque design with a gold alloy backing, outer lip, and silicone polymer insert. An inner lip surrounds a 10 mm diameter cutout region at the plaque center. Plaques span 360{sup o}, 270{sup o}, and 180{sup o} arcs. This article describes dosimetry for these plaques and others used in the treatment of anterior eye melanomas. Methods and Materials: The EGSnrc user-code BrachyDose is used to perform Monte Carlo simulations. Plaques and seeds are fully modeled. Three-dimensional dose distributions for different plaque models, TG-43 calculations, and {sup 125}I (model 6711) and {sup 103}Pd (model 200) seeds are compared via depth-dose curves, tabulation of doses at points of interest, and isodose contours. Results: Doses at points of interest differ by up to 70% from TG-43 calculations. The inner lip reduces corneal doses. Matching plaque arc length to tumor extent reduces doses to eye regions outside the treatment area. Maintaining the same prescription dose, {sup 103}Pd offers lower doses to critical structures than {sup 125}I, with the exception of the sclera adjacent to the plaque. Conclusion: The Mayo Clinic plaques offer several advantages for anterior eye tumor treatments. Doses to regions outside the treatment area are significantly reduced. Doses differ considerably from TG-43 predictions, illustrating the importance of complete Monte Carlo simulations. Calculations take a few minutes on a single CPU, making BrachyDose sufficiently fast for routine clinical treatment planning.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Lung dosimetry in a linac-MRI radiotherapy unit with a longitudinal magnetic field

Purpose: There is interest in developing linac-MR systems for MRI-guided radiation therapy. To date, the designs for such linac-MR devices have been restricted to a transverse geometry where the static magnetic field is oriented perpendicular to the direction of the incident photon beam. This work extends possibilities in this field by proposing and examining by Monte Carlo simulations, a probable longitudinal configuration where the magnetic field is oriented in the same direction as the photon beam. Methods: The EGSnrc Monte Carlo (MC) radiation transport codes with algorithms implemented to account for the magnetic field deflection of charged particles were used to compare dose distributions for linac-MR systems in transverse and longitudinal geometries. Specifically, the responses to a 6 MV pencil photon beam incident on water and lung slabs were investigated for 1.5 and 3.0 T magnetic fields. Further a five field lung plan was simulated in the longitudinal and transverse geometries across a range of magnetic field strengths from 0.2 through 3.0 T. Results: In a longitudinal geometry, the magnetic field is shown to restrict the radial spread of secondary electrons to a small degree in water, but significantly in low density tissues such as lung in contrast to the lateral shift in dose distribution seen in the transverse geometry. These effects extend to the patient case, where the longitudinal configuration demonstrated dose distributions more tightly confined to the primary photon fields, which increased dose to the planning target volume (PTV), bettered dose homogeneity within a heterogeneous (in density) PTV, and reduced the tissue interface effects associated with the transverse geometry. Conclusions: Dosimetry issues observed in a transverse linac-MR geometry such as changes to the depth dose distribution and tissue interface effects were significantly reduced or eliminated in a longitudinal geometry on a representative lung plan. Further, an increase in dose to the PTV, resulting from the magnetic field confining electrons to the forward direction, shows potential for a reduction in dose to the surrounding tissues.

61 RADIATION PROTECTION AND DOSIMETRY↗

The influence of neutron contamination on dosimetry in external photon beam radiotherapy

Purpose: Photon fields with energies above ∼7 MeV are contaminated by neutrons due to photonuclear reactions. Their influence on dosimetry—although considered to be very low—is widely unexplored. Methods: In this work, Monte Carlo based investigations into this issue performed with FLUKA and EGSNRC are presented. A typical Linac head in 18 MV-X mode was modeled equivalently within both codes. EGSNRC was used for the photon and FLUKA for the neutron production and transport simulation. Water depth dose profiles and the response of different detectors (Farmer chamber, TLD-100, TLD-600H, and TLD-700H chip) in five representative depths were simulated and the neutrons’ impact (neutron absorbed dose relative to photon absorbed dose) was calculated. To take account of the neutrons’ influence, a theoretically required correction factor was defined and calculated for five representative water depths. Results: The neutrons’ impact on the absorbed dose to water was found to be below 0.1% for all depths and their impact on the response of the Farmer chamber and the TLD-700H chip was found to be even less. For the TLD-100 and the TLD-600H chip it was found to be up to 0.3% and 0.7%, respectively. The theoretical correction factors to be applied to absorbed dose to water values measured with these four detectors in a depth different from the reference/calibration depth were calculated and found to be below 0.05% for the Farmer chamber and the TLD-700H chip, but up to 0.15% and 0.35% for the TLD-100 and TLD-600H chips, respectively. In thermoluminescence dosimetry the neutrons’ influence (and therefore the additional inaccuracy in measurement) was found to be higher for TLD materials whose {sup 6}Li fraction is high, such as TLD-100 and TLD-600H, resulting from the thermal neutron capture reaction on {sup 6}Li. Conclusions: The impact of photoneutrons on the absorbed dose to water and on the response of a typical ionization chamber as well as three different types of TLD chips was quantified and was as expected found to be very low relative to that of the primary photons. For most practical reasons the neutrons’ influence on dosimetry might be neglected while for absolute precise thermoluminescence dosimetry in high energy photon fields, the use of TLD-700H (<0.03% {sup 6}Li) instead of the commonly used TLD-100 (7.4% {sup 6}Li) or even the extra neutron sensitive TLD-600H is recommended (95.6% {sup 6}Li) due to the additional inaccuracy in measurement for TLD materials with a high {sup 6}Li fraction.

07 ISOTOPE AND RADIATION SOURCES↗

SU-G-TeP1-06: Fast GPU Framework for Four-Dimensional Monte Carlo in Adaptive Intensity Modulated Proton Therapy (IMPT) for Mobile Tumors

Purpose: To demonstrate the feasibility of fast Monte Carlo (MC) treatment planning and verification using four-dimensional CT (4DCT) for adaptive IMPT for lung cancer patients. Methods: A validated GPU MC code, gPMC, has been linked to the patient database at our institution and employed to compute the dose-influence matrices (Dij) on the planning CT (pCT). The pCT is an average of the respiratory motion of the patient. The Dijs and patient structures were fed to the optimizer to calculate a treatment plan. To validate the plan against motion, a 4D dose distribution averaged over the possible starting phases is calculated using the 4DCT and a model of the time structure of the delivered spot map. The dose is accumulated using vector maps created by a GPU-accelerated deformable image registration program (DIR) from each phase of the 4DCT to the reference phase using the B-spline method. Calculation of the Dij matrices and the DIR are performed on a cluster, with each field and vector map calculated in parallel. Results: The Dij production takes ∼3.5s per beamlet for 10e6 protons, depending on the energy and the CT size. Generating a plan with 4D simulation of 1000 spots in 4 fields takes approximately 1h. To test the framework, IMPT plans for 10 lung cancer patients were generated for validation. Differences between the planned and the delivered dose of 19% in dose to some organs at risk and 1.4/21.1% in target mean dose/homogeneity with respect to the plan were observed, suggesting potential for improvement if adaptation is considered. Conclusion: A fast MC treatment planning framework has been developed that allows reliable plan design and verification for mobile targets and adaptation of treatment plans. This will significantly impact treatments for lung tumors, as 4D-MC dose calculations can now become part of planning strategies.

60 APPLIED LIFE SCIENCES↗

Radioactive Semivolatiles in Nuclear Fuel Reprocessing

In nuclear fuel reprocessing, various radioactive elements enter the gas phase from the unit operations found in the reprocessing facility. In previous reports, the pathways and required removal were discussed for four radionuclides known to be volatile, 14 C, 3 H, 129 I, and 85 Kr. Other, less volatile isotopes can also report to the off-gas streams in a reprocessing facility. These were reported to be isotopes of Cs, Cd, Ru, Sb, Tc, and Te. In this report, an effort is made to determine which, if any, of 24 semivolatile radionuclides could be released from a reprocessing plant and, if so, what would be the likely quantities released. As part of this study of semivolatile elements, the amount of each generated during fission is included as part of the assessment for the need to control their emission. Also included in this study is the assessment of the cooling time (time out of reactor) before the fuel is processed. This aspect is important for the short-lived isotopes shown in the list, especially for cooling times approaching 10 y. The approach taken in this study was to determine if semivolatile radionuclides need to be included in a list of gas-phase radionuclides that might need to be removed to meet Environmental Protection Agency (EPA) and Nuclear Regulatory Commission (NRC) regulations. A list of possible elements was developed through a literature search and through knowledge and literature on the chemical processes in typical aqueous processing of nuclear fuels. A long list of possible radionuclides present in irradiated fuel was generated and then trimmed by considering isotope half-life and calculating the dose from each to a maximum exposed individual with the US EPA airborne radiological dispersion and risk assessment code CAP88 (Rosnick 1992) to yield a short list of elements that actually need to be considered for control because they require high decontamination factors to meet a reasonable fraction of the regulated release. Each of these elements is then discussed with respect to what is known in the literature about their behavior in a reprocessing facility. The context for the evaluation in this document is a UO2-based fuel processed through an aqueous-based reprocessing system with a TBP-based solvent extraction chemistry. None of these elements form sufficiently volatile compounds in the context of the reprocessing facility to be of regulatory concern.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

Verification and Validation Tests of the Gamma Library of the ARC Software Package (Rev.1)

As part of the verification and validation (V&V) efforts of the Argonne Reactor Code (ARC) software system to support the Versatile Test Reactor (VTR) project of the U.S. Department of Energy (DOE), work has been performed to verify and validate the gamma (or photon) library of the multigroup cross section generation code MC 2 -3 of the ARC system, which is the essential part of the coupled neutron and gamma heating calculations to determine the heat generation rate or power distribution in the core. This V&V study was carried out in three steps: 1) review of the procedures and utility programs for generating the MC 2 -3 gamma library, 2) verification tests of cross sections and KERMA factors by comparing the total heat generation rate of coupled neutron and gamma calculation with that obtained with reaction Q values under the assumption of local gamma energy deposition and by comparing the prompt heat generation rate with that calculated with the MCNP6.2 code, and 3) validation tests of cross sections and KERMA factors by analyzing the ZPPR-15D gamma dose data measured with thermoluminescent dosimeters (TLD).

22 GENERAL STUDIES OF NUCLEAR REACTORS↗

Application of MORSE to radiation analysis of nuclear flight propulsion modules

Several modifications and additions were made to the multigroup Monte Carlo code (MORSE) to implement its use in a computational procedure for performing radiation analyses of NERVA nuclear flight propulsion modules. These changes include the incorporation of a new general geometry module; the inclusion of an expectation tracklength estimator; and the option to obtain source information from two-dimensional discrete ordinates calculations. Computations comparing MORSE and a point cross section Monte Carlo code, COHORT, were made in which a coupled discrete ordinates/Monte Carlo procedure was used to calculate the gamma dose rate at tank top locations of a typical propulsion module. The dose rates obtained from the MORSE computation agreed with the dose rates obtained from the COHORT computation to within the limits of the statistical accuracy of the calculations.

Woolson, W. A.↗

Development of an Automated Reader for Analysis and Storage of Personnel Dosimeter Badge Data

The collection and archiving of data from personnel dosimeters has become increasingly important in light of the lowered Threshold Limit Values (TLV) for HydraZine (HZ), MonoMethylHydrazine (MMH), and Unsymmetrical DiMethylHydrazine (UDMH). The American Conference of Government Industrial Hygienists (ACGIH) lowered the TLV from 100 parts per billion (ppb) to IO ppb and has caused increased concern over long term exposures of personnel to trace levels of these hypergols and other potentially harmful chemicals. An automated system of reading the exposure levels of personnel dosimeters and storing exposure data for subsequent evaluation has been developed. The reading of personnel dosimeter badges for exposure to potentially harmful vapor concentrations of hydrazines or other chemicals is performed visually by comparing the color developed by the badge with a calibrated color comparator. The result obtained using visual comparisons of the developed badge color with the comparator may vary widely from user to user. The automated badge reader takes the variability out of the dosimeter reading by accurately comparing the reflectance obtained from a colored spot on the badge with a reading on the same spot prior to any exposure to chemical vapors. The observed difference between the reflectance values is used as part of a calculation of the dose value for the badge based on a stored calibration curve. The badge reader also stores bar-code data unique to each badge, as well as bar-code information on the user, as part of the permanent badge record. The start and stop exposure times for each badge are recorded and can be used as part of the calculated concentration, in ppm, for each badge logged during a recording period. The badge reader is equipped with a number of badge holders, each of which is unique to a specific type of personnel dosimeter badge. This gives the reader maximum flexibility to allow for the reading of several different types of badges. Test results of the badge reader for several different types of personnel dosimeter badges are presented within the body of this paper.

Meneghelli, B. J.↗

Development of an Automated Reader for Analysis and Storage of Personnel Dosimeter Badge Data

The collection and archiving of data from personnel dosimeters has become increasingly important in light of the lowered threshold limit values (TLV) for hydrazine (HZ), monomethylhydrazine (MMH), and unsymmetrical dimethylhydrazine (UDMH). The American Conference of Government Industrial Hygienists (ACGIH) lowered the TLV from 100 parts per billion (ppb) to 10 ppb and has caused increased concern over long term exposures of personnel to trace levels of these hypergols and other potentially harmful chemicals. An automated system of reading the exposure levels of personnel dosimeters and storing exposure data for subsequent evaluation has been developed. The reading of personnel dosimeter badges for exposure lo potentially harmful vapor concentrations of hydrazines or other chemicals is performed visually by comparing the color developed by the badge with a calibrated color comparator. The result obtained using visual comparisons of the developed badge color with the comparator may vary widely from user to user. The automated badge reader takes the variability out of the dosimeter reading by accurately comparing the reflectance obtained from a colored spot on the badge with a reading on the same spot prior to any exposure to chemical vapors. The observed difference between the reflectance values is used as part of a calculation of the dose value for the badge based on a stored calibration curve. The badge reader also stores bar-code data unique to each badge, as well as bar-code information on the user, as part of the permanent badge record. The start and stop exposure times for each badge are recorded and can be used as part of the calculated concentration, in ppm, for each badge logged during a recording period. The badge reader is equipped with a number of badge holders, each of which is unique to a specific type of personnel dosimeter badge. This gives the reader maximum flexibility to allow for the reading of several different types of badges. Test results of the badge reader for several different types of personnel dosimeter badges are presented within the body of this paper.

Meneghelli, B. J.↗

Investigation of HZETRN 2010 as a Tool for Single Event Effect Qualification of Avionics Systems

NASA's future missions are focused on long-duration deep space missions for human exploration which offers no options for a quick emergency return to Earth. The combination of long mission duration with no quick emergency return option leads to unprecedented spacecraft system safety and reliability requirements. It is important that spacecraft avionics systems for human deep space missions are not susceptible to Single Event Effect (SEE) failures caused by space radiation (primarily the continuous galactic cosmic ray background and the occasional solar particle event) interactions with electronic components and systems. SEE effects are typically managed during the design, development, and test (DD&T) phase of spacecraft development by using heritage hardware (if possible) and through extensive component level testing, followed by system level failure analysis tasks that are both time consuming and costly. The ultimate product of the SEE DD&T program is a prediction of spacecraft avionics reliability in the flight environment produced using various nuclear reaction and transport codes in combination with the component and subsystem level radiation test data. Previous work by Koontz, et al.1 utilized FLUKA, a Monte Carlo nuclear reaction and transport code, to calculate SEE and single event upset (SEU) rates. This code was then validated against in-flight data for a variety of spacecraft and space flight environments. However, FLUKA has a long run-time (on the order of days). CREME962, an easy to use deterministic code offering short run times, was also compared with FLUKA predictions and in-flight data. CREME96, though fast and easy to use, has not been updated in several years and underestimates secondary particle shower effects in spacecraft structural shielding mass. Thus, this paper will investigate the use of HZETRN 20103, a fast and easy to use deterministic transport code, similar to CREME96, that was developed at NASA Langley Research Center primarily for flight crew ionizing radiation dose assessments. HZETRN 2010 includes updates to address secondary particle shower effects more accurately, and might be used as another tool to verify spacecraft avionics system reliability in space flight SEE environments.

Rojdev, Kristina↗

Texas authorizes disposal of large quantities of depleted uranium at wcs - 15626

The U.S. Nuclear Regulatory Commission (NRC) has been actively engaged in a rulemaking process that would revise Title 10 of the Code of Federal Regulations (CFR), Part 61, Licensing Requirements for Land Disposal of Radioactive Waste, to govern the disposal of large quantities of Depleted Uranium (DU) and Blended Waste (referred to as Unique Waste Streams). While the NRC plans to propose a Site Specific Analysis (SSA) rulemaking in early 2015, they have already issued guidance to Agreement States which identified general disposal criteria that could be used should a licensee propose to dispose of Unique Waste Streams before their rulemaking was completed. On August 5, 2013, Waste Control Specialists LLC (WCS) submitted a major license amendment application for review and approval to the Texas Commission on Environmental Quality (TCEQ). This major license amendment request proposed, among other things, authorization to dispose of large quantities of DU at its Federal Facility Waste Disposal Facility (FWF). Pursuant to Title 30 of the Texas Administrative Code (TAC), Rule 336.709, Technical and Environmental Analyses, disposal of waste must be sufficient to meet the radiological dose criteria for a minimum period of performance of 1,000 years after closure or the period where peak dose occurs, whichever is longer. These regulations are more stringent than those of any other state that hosts a facility authorized to dispose of Low-Level Radioactive Waste (LLW) in the U.S. On August 28, 2014, the TCEQ approved the major amendment request authorizing disposal of large quantities of DU. During the licensing review process, significant technical issues were successfully resolved ensuring that large quantities of DU could be safely isolated from the biosphere for long time periods after site closure. Many important lessons were learned during the licensing proceedings that have potential significant impacts to the licensed community. Namely that a modern, well designed disposal facility that is properly sited geologically and in an arid environment is ideal for ensuring that long-lived alpha emitting radionuclides are sufficiently isolated to protect public health for long into the future. The DOE is currently finalizing plans to complete a Supplemental Environmental Analysis (EA) to support shipments of DU for disposal at WCS' FWF as required under the National Environmental Policy Act of 1970. The DOE may begin shipments of DU for disposal to WCS FWF that was licensed and constructed to support disposal of waste that is the responsibility of the federal government as stipulated in the Low-Level Radioactive Waste Policy Amendments Act of 1985. This paper will present the regulatory history of events that initiated the NRC's rulemaking for Unique Waste Streams and the technical analysis that were conducted in support of WCS' major amendment that has been approved by the TCEQ. A description of the geological characteristics and engineering designs used to support the Performance Assessment will be included. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

Evaluation of Potential Dose to Off-site Receptors from On-site Removable Contamination - 18521

Calculations used in making corrective action decisions estimate the maximum potential dose to on-site receptors exposed to contamination from nuclear testing activities at U.S. Department of Energy, Environmental Management Nevada Program Soils Activity release sites. At many of these release sites, removable contamination is present at levels that require controls to be in place under Title 10 Code of Federal Regulations Part 835, 'Occupational Radiation Protection.' When significant levels of removable contamination are present at a release site, it may be necessary to evaluate the potential dose to off-site receptors from removable contamination that has the potential to be transported off the contaminated site. The protocols described herein could be used to evaluate the potential dose to off-site receptors to ensure that corrective action decisions consider both on-site and off-site potential receptors. The calculation of estimated dose to a receptor can be accomplished by establishing a scenario that describes the exposure (e.g., time and pathway) of the individual to the radiological contamination and by using the properties of the contaminants (e.g., dose conversion factors). Radiological contamination transported from the site has the potential to expose off-site receptors under a potentially large number of exposure scenarios that cannot be comprehensively defined. However, a scenario was developed to represent a maximally exposed off-site receptor. Because the estimated dose to the maximally exposed off-site receptor based on maximum post-closure release site activity levels is less than the on-site dose decision level, corrective action decisions at the Nevada National Security Site Soils Activity release sites are also protective of potential off-site receptors when significant levels of removable contamination are present. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

SU-E-P-05: Is Routine Treatment Planning System Quality Assurance Necessary?

Purpose: To evaluate the variation of dose calculations using a treatment planning system (TPS) over a two year period and assessment of the need for TPS QA on regular intervals. Methods: Two phantoms containing solid water and lung- and bone-equivalent heterogeneities were constructed in two different institutions for the same brand treatment planning system. Multiple plans, consisting of photons and electron beams, including IMRT and VMAT ones, were created and calculated on the phantoms. The accuracy of dose computation in the phantoms was evaluated at the onset by dose measurements within the phantoms. The dose values at up to 24 points of interest (POI) within the solid water, lung, and bone slabs, as well as mean doses to several regions of interest (ROI), were re-calculated over a two-year period which included two software upgrades. The variations in POI and ROI dose values were analyzed and evaluated. Results: The computed doses vary slightly month-over-month. There are noticeable variations at the times of software upgrade, if the upgrade involves remodeling and/or re-commissioning of the beams. The variations are larger in certain points within the phantom, usually in the buildup region or near interfaces, and are almost non-existent for electron beams. Conclusion: Routine TPS QA is recommended by AAPM and other professional societies, and is often required by accreditation organizations. The frequency and type of QA, though, is subject to debate. The results presented here demonstrate that the frequency of these tests could be at longer intervals than monthly. However, it is essential to perform TPS QA at the time of commissioning and after each software upgrade.

60 APPLIED LIFE SCIENCES↗

Dosimetric commissioning and quality assurance of scanned ion beams at the Italian National Center for Oncological Hadrontherapy

Purpose: To describe the dosimetric commissioning and quality assurance (QA) of the actively scanned proton and carbon ion beams at the Italian National Center for Oncological Hadrontherapy. Methods: The laterally integrated depth-dose-distributions (IDDs) were acquired with the PTW Peakfinder, a variable depth water column, equipped with two Bragg peak ionization chambers. FLUKA Monte Carlo code was used to generate the energy libraries, the IDDs in water, and the fragment spectra for carbon beams. EBT3 films were used for spot size measurements, beam position over the scan field, and homogeneity in 2D-fields. Beam monitor calibration was performed in terms of number of particles per monitor unit using both a Farmer-type and an Advanced Markus ionization chamber. The beam position at the isocenter, beam monitor calibration curve, dose constancy in the center of the spread-out-Bragg-peak, dose homogeneity in 2D-fields, beam energy, spot size, and spot position over the scan field are all checked on a daily basis for both protons and carbon ions and on all beam lines. Results: The simulated IDDs showed an excellent agreement with the measured experimental curves. The measured full width at half maximum (FWHM) of the pencil beam in air at the isocenter was energy-dependent for both particle species: in particular, for protons, the spot size ranged from 0.7 to 2.2 cm. For carbon ions, two sets of spot size are available: FWHM ranged from 0.4 to 0.8 cm (for the smaller spot size) and from 0.8 to 1.1 cm (for the larger one). The spot position was accurate to within ±1 mm over the whole 20 × 20 cm{sup 2} scan field; homogeneity in a uniform squared field was within ±5% for both particle types at any energy. QA results exceeding tolerance levels were rarely found. In the reporting period, the machine downtime was around 6%, of which 4.5% was due to planned maintenance shutdowns. Conclusions: After successful dosimetric beam commissioning, quality assurance measurements performed during a 24-month period show very stable beam characteristics, which are therefore suitable for performing safe and accurate patient treatments.

60 APPLIED LIFE SCIENCES↗