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At least 109 records · Page 6

Intraoperative Radiation Therapy in Early Breast Cancer Using a Linear Accelerator Outside of the Operative Suite: An “Image-Guided” Approach

Purpose: To present local control, complications, and cosmetic outcomes of intraoperative radiation therapy (IORT) for early breast cancer, as well as technical aspects related to the use of a nondedicated linear accelerator. Methods and Materials: This prospective trial began in May of 2004. Eligibility criteria were biopsy-proven breast-infiltrating ductal carcinoma, age >40 years, tumor <3 cm, and cN0. Exclusion criteria were in situ or lobular types, multicentricity, skin invasion, any contraindication for surgery and/or radiation therapy, sentinel lymph node involvement, metastasis, or another malignancy. Patients underwent classic quadrantectomy with intraoperative sentinel lymph node and margins evaluation. If both free, the patient was transferred from operative suite to linear accelerator room, and IORT was delivered (21 Gy). Primary endpoint: local recurrence (LR); secondary endpoints: toxicities and aesthetics. Quality assurance involved using a customized shield for chest wall protection, applying procedures to minimize infection caused by patient transportation, and using portal films to check collimator-shield alignment. Results: A total of 152 patients were included, with at least 1 year follow-up. Median age (range) was 58.3 (40-85.4) years, and median follow-up time was 50.7 (12-110.5) months. The likelihood of 5-year local recurrence was 3.7%. There were 3 deaths, 2 of which were cancer related. The Kaplan-Meier 5-year actuarial estimates of overall, disease-free, and local recurrence-free survivals were 97.8%, 92.5%, and 96.3%, respectively. The overall incidences of acute and late toxicities were 12.5% and 29.6%, respectively. Excellent, good, fair, and bad cosmetic results were observed in 76.9%, 15.8%, 4.3%, and 2.8% of patients, respectively. Most treatments were performed with a 5-cm collimator, and in 39.8% of the patients the electron-beam energy used was ≥12 MeV. All patients underwent portal film evaluation, and the shielding was repositioned in 39.9% of cases. No infection or anesthesia complications were observed. Conclusions: Local control with IORT was adequate, with low complication rates and good cosmetic outcomes. More than one-third of patients benefited from the “image-guidance” approach, and almost 40% benefited from the option of higher electron beam energies.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Isotope separation using tuned laser and electron beam

The apparatus comprises means for producing an atomic beam containing the isotope of interest and other isotopes. Means are provided for producing a magnetic field traversing the path of the atomic beam of an intensity sufficient to broaden the energy domain of the various individual magnetic sublevels of the isotope of interest and having the atomic beam passing therethrough. A laser beam is produced of a frequency and polarization selected to maximize the activation of only individual magnetic sublevels of the isotope of interest with the portion of its broadened energy domain most removed from other isotopes with the stream. The laser beam is directed so as to strike the atomic beam within the magnetic field and traverse the path of the atomic beam whereby only the isotope of interest is activated by the laser beam. The apparatus further includes means for producing a collimated and high intensity beam of electrons of narrow energy distribution within the magnetic field which is aimed so as to strike the atomic beam while the atomic beam is simultaneously struck by the laser beam and at an energy level selected to ionize the activated isotope of interest but not ground state species included therewith. Deflection means are disposed in the usual manner to collect the ions.

Trajmar, Sandor↗

SU-F-T-657: In-Room Neutron Dose From High Energy Photon Beams

Purpose: To estimate neutron dose inside the treatment room from photodisintegration events in high energy photon beams using Monte Carlo simulations and experimental measurements. Methods: The Monte Carlo code MCNP6 was used for the simulations. An Eberline ESP-1 Smart Portable Neutron Detector was used to measure neutron dose. A water phantom was centered at isocenter on the treatment couch, and the detector was placed near the phantom. A Varian 2100EX linear accelerator delivered an 18MV open field photon beam to the phantom at 400MU/min, and a camera captured the detector readings. The experimental setup was modeled in the Monte Carlo simulation. The source was modeled for two extreme cases: a) hemispherical photon source emitting from the target and b) cone source with an angle of the primary collimator cone. The model includes the target, primary collimator, flattening filter, secondary collimators, water phantom, detector and concrete walls. Energy deposition tallies were measured for neutrons in the detector and for photons at the center of the phantom. Results: For an 18MV beam with an open 10cm by 10cm field and the gantry at 180°, the Monte Carlo simulations predict the neutron dose in the detector to be 0.11% of the photon dose in the water phantom for case a) and 0.01% for case b). The measured neutron dose is 0.04% of the photon dose. Considering the range of neutron dose predicted by Monte Carlo simulations, the calculated results are in good agreement with measurements. Conclusion: We calculated in-room neutron dose by using Monte Carlo techniques, and the predicted neutron dose is confirmed by experimental measurements. If we remodel the source as an electron beam hitting the target for a more accurate representation of the bremsstrahlung fluence, it is feasible that the Monte Carlo simulations can be used to help in shielding designs.

60 APPLIED LIFE SCIENCES↗

3D printing of gas jet nozzles for laser-plasma accelerators

Recent results on laser wakefield acceleration in tailored plasma channels have underlined the importance of controlling the density profile of the gas target. In particular, it was reported that the appropriate density tailoring can result in improved injection, acceleration, and collimation of laser-accelerated electron beams. To achieve such profiles, innovative target designs are required. For this purpose, we have reviewed the usage of additive layer manufacturing, commonly known as 3D printing, in order to produce gas jet nozzles. Notably we have compared the performance of two industry standard techniques, namely, selective laser sintering (SLS) and stereolithography (SLA). Furthermore we have used the common fused deposition modeling to reproduce basic gas jet designs and used SLA and SLS for more sophisticated nozzle designs. The nozzles are characterized interferometrically and used for electron acceleration experiments with the SALLE JAUNE terawatt laser at Laboratoire d’Optique Appliquée.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

A New Electron Source for Laboratory Simulation of the Space Environment

We have developed a new collimated electron source called the Photoelectron Beam Generator (PEBG) for laboratory and spaceflight applications. This technology is needed to replace traditional cathodes because of serious fundamental weaknesses with the present state of the art. Filament cathodes suffer from numerous practical problems, even if expertly designed, including the dependence of electron emission on filament temperature, short lifetimes (approx 100 hours), and relatively high power (approx 10s of W). Other types of cathodes have solved some of these problems, but they are plagued with other difficult problems, such as the Spindt cathode's extreme sensitivity to molecular oxygen. None to date have been able to meet the demand of long lifetime, robust packaging, and precision energy and flux control. This new cathode design avoids many common pitfalls of traditional cathodes. Specifically, there are no fragile parts, no sensitivity to oxygen, no intrinsic emission dependencies on device temperature, and no vacuum requirements for protecting the source from contamination or damage. Recent advances in high-brightness Light Emitting Diodes (LEDs) have provided the key enabling technology for this new electron source. The LEDs are used to photoeject electrons off a target material of a low work-function, and these photoelectrons are subsequently focused into a laminar beam using electrostatic lenses. The PEBG works by illuminating a target material and steering photoelectrons into a laminar beam using electrostatic lenses

Krause, Linda Habash↗

SU-E-T-95: Delivery Time Estimator

Purpose: The development and testing of a tool for the inclusion of delivery time as a parameter in plan optimization. Methods: We developed an algorithm that estimates the time required for the machine and personnel movements required to deliver a treatment plan on a linear accelerator. We included dose rate, leaf motion, collimator motion, gantry motion, and couch motions (including time to enter the room to rotate the couch safely). Vault-specific parameters to account for time to enter and perform couch angle adjustments were also included. This algorithm works for static, step and shoot IMRT, and VMAT beams photon beams and for fixed electron beams. This was implemented as a script in our treatment planning system. We validated the estimator against actual recorded delivery time from our R and V system as well as recorded times from our IMRT QA delivery. Results: Data was collected (Figure 1) for 12 treatment plans by examining the R and V beam start times, and by manually timing the QA treatment for a reference, but the QA measurements were only significant to the nearest minute. The average difference between the estimated and R and V times was 15%, and 11% when excluding the major outliers. Outliers arose due to respiratory aides and gating techniques which could not be accounted for in the estimator. Conclusion: Non-mechanical factors such as the time a therapist needs to walk in and out of the room to adjust the couch needed to be fine-tuned and cycled back into the algorithm to improve the estimate. The algorithm has been demonstrated to provide reasonable and useful estimates for delivery time. This estimate has provided a useful additional input for clinical decision-making when comparing several potential radiation treatment options.

07 ISOTOPE AND RADIATION SOURCES↗

Pin diode calibration - beam overlap monitoring for low energy cooling

We were trying to address the question whether or not the Pin Diodes, currently installed approximately 1 meter downstream of the RHIC primary collimators, are suitable to monitor a recombination signal from the future RHIC low energy cooling section. A maximized recombination signal, with the Au+78 ions being lost on the collimator, will indicate optimal Au-electron beam overlap as well as velocity matching of the electron beam in the cooling section.

43 PARTICLE ACCELERATORS↗

Radiological Consequences of Beam Loss at Front End by FLUKA during Top-off Injection into the Storage Ring for PROJECT Beamlines

NSLS-II plans to run the top-off mode operation in the near future. Particle tracking simulations proved that an errant injected electron beam can be confined to the beam-line frontend inside the storage ring tunnel by use of appropriate apertures and interlocks. Photon shutter collimator 2 (C2) was selected as the safe point (i.e. electron beam can’t travel beyond the safe point). FLUKA simulations have been carried out with the current beamline front ends and ratchet wall configurations to independently verify the previous calculations performed [1].

36 MATERIALS SCIENCE↗

Fast electron propagation in Ti foils irradiated with sub-picosecond laser pulses at Iλ{sup 2}>10{sup 18} Wcm{sup −2}μm{sup 2}

We have studied the propagation of fast electrons through laser irradiated Ti foils by monitoring the emission of hard X-rays and K-α radiation from bare foils and foils backed by a thick epoxy layer. Key observations include strong refluxing of electrons and divergence of the electron beam in the foil with evidence of magnetic field collimation. Our diagnostics have allowed us to estimate the fast electron temperature and fraction of laser energy converted to fast electrons. We have observed clear differences between the fast electron temperatures observed with bare and epoxy backed targets which may be due to the effects of refluxing.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

New results from sub-3 MeV Compton spectrometer experiments

We report that our team at Los Alamos National Laboratory has successfully employed Compton spectrometers to measure the X-ray spectra of both continuous and flash radiographic sources. In this method, a collimated beam of X-rays incident on a converter foil ejects Compton electrons. A collimator may be inserted into the entrance of the spectrometer to narrow the angular acceptance of the forward-scattered electrons, which then enter the magnetic field region of the spectrometer. The position of the electrons at the magnet’s focal plane is proportional to the square root of their momentum, allowing the X-ray spectrum to be reconstructed. A new samarium-cobalt spectrometer with an energy range of 50 keV to 4 MeV has been fielded at two facilities. Finally, the X-ray generating machines produced intense photon beams (> 4 rad at 1 m) with spectral endpoints below 3 MeV. Recent experimental results will be presented.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Magnetic collimation of relativistic positrons and electrons from high intensity laser–matter interactions

Collimation of positrons produced by laser-solid interactions has been observed using an externally applied axial magnetic field. The collimation leads to a narrow divergence positron beam, with an equivalent full width at half maximum beam divergence angle of 4° vs the un-collimated divergence of about 20°. A fraction of the laser-produced relativistic electrons with energies close to those of the positrons is collimated, so the charge imbalance ratio (n{sub e−}/n{sub e+}) in the co-propagating collimated electron-positron jet is reduced from ∼100 (no collimation) to ∼2.5 (with collimation). The positron density in the collimated beam increased from 5 × 10{sup 7} cm{sup −3} to 1.9 × 10{sup 9} cm{sup −3}, measured at the 0.6 m from the source. This is a significant step towards the grand challenge of making a charge neutral electron-positron pair plasma jet in the laboratory.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Theory of electron-positron showers in double radio sources

A black hole of mass of about 300 million solar masses is assumed to be present in the nucleus of an active galaxy or quasar. With an axial magnetic field near 1000 gauss, a potential drop 10 to the 19th volts is generated by the unipolar induction of a rotating accretion disk surrounding the black hole. The possibility that the acceleration of electrons or positrons in the unipolar fields initiates an electromagnetic cascade shower at distances at least 10 to the 16th cm from the black hole is investigated. The scattering medium for the shower is considered to be the spectrum of low energy photons originating from the inner region of the disk. It is found that at completion of the cascade, power-law energy spectra of relativistic electrons and positrons and of gamma-rays emerge under appropriate conditions. If the cascade-initiating particles are collimated, the electrons and positrons emerge in a collimated beam. Such beams may power extragalactic double radio sources.

Burns, M. L.↗

Effect of electron beam pulse width on time-of-flight spectra

A simple but useful formula describing the effect of electron gun pulse width on the time of flight (TOF) spectra measured in translational spectroscopy experiments is developed. An approximately monoenergetic pulsed electrostatically focused electron beam traverses a scattering cell filled with a Maxwellian gas. Inelastic electron collisions with the gas produce metastable particles, ions, scattered electrons, and photons which then pass through a collimating slit system at right angles to the electron beam. TOF techniques are used to separate the photon signal from the metastable particle signal and to measure the TOF distribution of the metastable species.

Misakian, M.↗

Electron beam parallel X-ray generator

Broad X ray source produces a highly collimated beam of low energy X rays - a beam with 2 to 5 arc minutes of divergence at energies between 1 and 6 keV in less than 5 feet. The X ray beam is generated by electron bombardment of a target from a large area electron gun.

Payne, P.↗

Discharge Chamber Plasma Structure of a 30-cm NSTAR-Type Ion Engine

Single Langmuir probe measurements are presented over a two-dimensional array of locations in the near Discharge Cathode Assembly (DCA) region of a 30-cm diameter ring cusp ion thruster over a range of thruster operating conditions encompassing the high-power half of the NASA throttling table. The Langmuir probe data were analyzed with two separate methods. All data were analyzed initially assuming an electron population consisting of Maxwellian electrons only. The on-axis data were then analyzed assuming both Maxwellian and primary electrons. Discharge plasma data taken with beam extraction exhibit a broadening of the higher electron temperature plume boundary compared to similar discharge conditions without beam extraction. The opposite effect is evident with the electron/ion number density as the data without began, extraction appears to be more collimated than the corresponding data with beam extraction. Primary electron energy and number densities are presented for one operating condition giving an order of magnitude of their value and the error associated with this calculation.

Herman, Daniel A.↗

Short Haul Civil Tiltrotor Contingency Power System Preliminary Design

Single Langmuir probe measurements are presented over a two-dimensional array of locations in the near Discharge Cathode Assembly (DCA) region of a 30-cm diameter ring cusp ion thruster over a range of thruster operating conditions encompassing the high-power half of the NASA throttling table. The Langmuir probe data were analyzed with two separate methods. All data were analyzed initially assuming an electron population consisting of Maxwellian electrons only. The on-axis data were then analyzed assuming both Maxwellian and primary electrons. Discharge plasma data taken with beam extraction exhibit a broadening of the higher electron temperature plume boundary compared to similar discharge conditions without beam extraction. The opposite effect is evident with the electron/ion number density as the data without began, extraction appears to be more collimated than the corresponding data with beam extraction. Primary electron energy and number densities are presented for one operating condition giving an order of magnitude of their value and the error associated with this calculation.

Eames, David J. H.↗