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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 109 records · Page 6
All sourcesNASA NTRSDOE OSTI
DOE OSTI2012

Deployment of Performance Management Methodology as part of Liquid Waste Program at Savannah River Site - 12178

In 2009, Savannah River Remediation LLC (SRR) assumed the management lead of the Liquid Waste (LW) Program at the Savannah River Site (SRS). The four SRR partners and AREVA, as an integrated subcontractor are performing the ongoing effort to safely and reliably: - Close High Level Waste (HLW) storage tanks; - Maximize waste throughput at the Defense Waste Processing Facility (DWPF); - Process salt waste into stable final waste form; - Manage the HLW liquid waste material stored at SRS. As part of these initiatives, SRR and AREVA deployed a performance management methodology based on Overall Equipment Effectiveness (OEE) at the DWPF in order to support the required production increase. This project took advantage of lessons learned by AREVA through the deployment of Total Productive Maintenance and Visual Management methodologies at the La Hague reprocessing facility in France. The project also took advantage of measurement data collected from different steps of the DWPF process by the SRR team (Melter Engineering, Chemical Process Engineering, Laboratory Operations, Plant Operations). Today the SRR team has a standard method for measuring processing time throughout the facility, a reliable source of objective data for use in decision-making at all levels, and a better balance between engineering department goals and operational goals. Preliminary results show that the deployment of this performance management methodology to the LW program at SRS has already significantly contributed to the DWPF throughput increases and is being deployed in the Saltstone facility. As part of the liquid waste program on Savannah River Site, SRR committed to enhance production throughput of DWPF. Beyond technical modifications implemented at different location of the facility, SRR deployed performance management methodology based on OEE metrics. The implementation benefited from the experience gained by AREVA in its own facilities in France. OEE proved to be a valuable tool in order to support the enhancement program in DWPF by providing unified metrics to measure plant performances, identify bottleneck location, and rank the most time consuming causes from objective data shared between the different groups belonging to the organization. Beyond OEE, the Visual Management tool adapted from the one used at La Hague were also provided in order to further enhance communication within the operating teams. As a result of all the initiatives implemented on DWPF, achieved production has been increased to record rates from FY10 to FY11. It is expected that thanks to the performance management tools now available within DWPF, these results will be sustained and even improved in the future to meet system plan targets. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2012

Development and Deployment of the Mobile Arm Retrieval System (MARS) - 12187

Washington River Protection Solutions (WRPS) is developing and deploying Mobile Arm Retrieval System (MARS) technologies solutions to support retrieval of radioactive and chemical waste from underground single shell storage tanks (SST) located at the Hanford Site, which is near Richland, Washington. WRPS has developed the MARS using a standardized platform that is capable of deploying multiple retrieval technologies. To date, WRPS, working with their mentor-protege company, Columbia Energy and Environmental Services (CEES), has developed two retrieval mechanisms, MARS-Sluicing (MARS-S) and MARS-Vacuum (MARS-V). MARS-S uses pressurized fluids routed through spray nozzles to mobilize waste materials to a centrally located slurry pump (deployed in 2011). MARS-V uses pressurized fluids routed through an eductor nozzle. The eductor nozzle allows a vacuum to be drawn on the waste materials. The vacuum allows the waste materials to be moved to an in-tank vessel, then extracted from the SST and subsequently pumped to newer and safer double shell tanks (DST) for storage until the waste is treated for disposal. The MARS-S system is targeted for sound SSTs (i.e., non leaking tanks). The MARS-V is targeted for assumed leaking tanks or those tanks that are of questionable integrity. Both versions of MARS are being/have been developed in compliance with WRPS's TFC-PLN-90, Technology Development Management Plan [1]. TFC-PLN-90 includes a phased approach to design, testing, and ultimate deployment of new technologies. The MARS-V is scheduled to be deployed in tank 241-C-105 in late 2012. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2023

Science Plan for the Deployment of the Third ARM Mobile Facility to the Southeastern United States at the Bankhead National Forest, Alabama (AMF3 BNF)

In 2018, the U.S. Department of Energy (DOE) held a workshop for the Atmospheric Radiation Measurement (ARM) (Mather and Voyles 2013) user facility to discuss critical climate challenges and locations where key ARM Mobile Facility (AMF) observational assets could impact Earth system modeling (ESM). As an outcome, the southeast United States (SE U.S.) was identified as a high-priority region to target climate-process studies that promote a deeper understanding of the climate system and bolster ARM interactions with the community to drive ESM advancement. The DOE ARM user facility is a globally recognized leader in deploying and operating strategically located observation sites around the world for studying the properties of aerosols and clouds and their interaction with radiation, precipitation, and the Earth’s surface. In partnering with the DOE Atmospheric System Research (ASR) program, ARM solicited a multi-agency Site Science Team approach to provide input and close interaction with ARM management towards a successful SE U.S. deployment of the ARM third Mobile Facility (AMF3) (Miller et al. 2016). These efforts included identifying key locations, science drivers and instruments, and measurement strategies to address the wider climate-process needs and ESM improvement. Community input served a vital role in establishing, refining, and informing the relevant drivers and decisions regarding this AMF3 deployment. The team has identified Northern Alabama (N. AL) as regionally representative to unlock the key opportunities that will improve our understanding and model representation of aerosol, cloud, and land surface processes and their couplings in the SE U.S. A defining aspect of the AMF3 deployment is its commitment to long-term (anticipated five-year) observations to mitigate potential seasonal-to-annual variability that often limits appropriate attribution of phenomena to local or larger-scale processes. The proposed location may leverage nearby surface networks and multi-agency and partner assets to enrich this multi-year deployment. One motivation is to understand the role of spatiotemporal variability (thermodynamic, land-surface) across aspects of the climate system, with our AMF3 team anticipating future demands on characterizing the relationships between local-to-regional cloud development and surface processes across a diverse patchwork of natural, managed, and urban landscapes as found throughout the N. AL regions. The main site targets an intact, representative, forested region – the Bankhead National Forest (BNF) – underscoring further team commitment to regionally important land atmosphere two-way interactive studies “from the canopy to the clouds”, with enhanced tower instrumentation augmenting traditional ARM capabilities adjacent to this site. Multiple supplemental sites will also be distributed across this region, prioritizing added needs for biodiversity. Anticipated high-priority cloud science themes will target N. AL as a regional SE U.S. hotbed for high-impact weather, convective cloud onset, and shallow to-deep cloud transitioning. Anticipated aerosol drivers will focus on chemical processes that control the evolution of organic aerosol, the seasonality and spatial distribution of water vapor and particle-phase water, and its role on aerosol optical properties. Anticipated land atmosphere drivers consider the two-way feedbacks between surface influence on aerosols, clouds, and precipitation properties and the associated radiative impacts on plant physiology and canopy-scale fluxes. Emphasis will include the study of the impact of surface processes on aerosols via precursor emission, and on clouds via moisture flux and thermal development.

Doppler lidar, aerosols, convection↗
DOE OSTI2022

A Framework to Assess Advanced Reactor Spent Fuel Management Facility Deployment

Previous planning and prioritization for LWR SNF management investigated the risks and uncertainties of deploying facilities such as consolidated interim storage [1, 2, 3, 4]. As part of that work, activities and milestones were collected into success precedence diagrams that charted a path to achieving facility deployment [1]. In that framework, activities are any research, development, design, or decision required to achieve an intermediate goal; milestones are activity endpoints and mark the completion of deliverables. Milestones can be thought of as achievements required to reach the final goal of facility deployment; activities are the means by which milestones are accomplished. In planning, activities and milestones are compiled into comprehensive flow charts that visualize the steps necessary for deployment. This framework has been used to quantify risks, timelines, and costs of deploying SNF management facilities.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗
DOE OSTI2020

FX Hg Fogging Fixative Deployment for Mercury Vapor Suppression - 20410

Idaho National Laboratory's (INL) FX Hg fixative solution was deployed at the Y-12 National Security Complex in Oak Ridge, Tennessee to support disposal of mercury-contaminated metal debris. The fixative was dispensed via fogging. Fogging infiltrates non-line-of-sight areas improving fixative coating on complex geometries such as debris piles. FX Hg is the mercury vapor controlling derivative of INL's FX2 fixative. FX2 was jointly developed with the National Nuclear Laboratory of the United Kingdom, and INL developed the FX Hg derivative to suppress mercury vapor generation. The Y-12 deployment was performed in concert with UCOR (URS CH2M Oak Ridge), the cleanup contractor for Y-12. A dumpster filled with debris was fogged with FX Hg. The debris was acceptable as municipal landfill waste, save for the mercury vapor levels measured. If the mercury vapor generation rate could be sufficiently reduced, disposal costs for this waste would be dramatically reduced. FX Hg had previously proven effective at significantly reducing mercury vapor generation rates in bench scale testing at INL. This deployment was the first field-scale deployment of the method. Efficacy results were underwhelming, but interpretation of the outcome is complicated by a paucity of hard data. Methods for improving data capture and analysis are analyzed. Operational difficulties associated with scaling up the process and process improvements for future deployments are discussed. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2024

Post-Deployment Characterization of Glass Fiber-Reinforced Thermoset and Thermoplastic Composite Tidal Turbine Blades

In 2021, the National Renewable Energy Laboratory (NREL) supported Verdant Power with the most successful tidal energy deployment in U.S. history. Three of their Gen5d 5 m turbines were deployed as part of the Roosevelt Island Tidal Energy project. Initially, the three deployed rotors were manufactured from glass fiber-reinforced epoxy composites. Midway through the deployment, one rotor was replaced with one manufactured at NREL. The new rotor utilized a novel infusible thermoplastic resin system (Elium from Arkema). Since the deployment, one epoxy rotor and one thermoplastic rotor were returned to NREL for continued materials and manufacturing research. The two rotors underwent full-scale structural testing before being sectioned and cut into specimens for a variety of manufacturing quality tests, thermomechanical characterization, and evaluation of material performance in marine environments to understand the key differences between the fiberglass-reinforced epoxy and Elium composites used for the respective rotors. Matrix burn-off tests showed that the Elium blades had a considerably higher fiber volume fraction compared to the epoxy blades (61% vs. 49%). Environmental aging of the specimens showed that the epoxy laminates absorbed more water over the conditioning period; however, it was determined that the Elium laminates had higher diffusion coefficients, so they initially absorbed water faster. Finally, one full epoxy blade and one full Elium blade were conditioned at ambient temperatures for up to 11 months, while periodic mass measurements were taken. The datasets were extrapolated to assume a full 20-year operational life span, and it was determined that the blades would not reach full saturation during that time span.

composite manufacturing↗
DOE OSTI2023

Summary Analysis of Different Offshore Wind Capacity Density Drivers in Proposed U.S. Projects and Impacts on Progress Towards State and Federal Deployment Targets

Understanding the density of offshore wind development - or the "capacity density" - is important for state and federal offshore wind planning efforts and to track progress towards policy goals. NREL has traditionally assumed a capacity density of 3 megawatts per square kilometer (MW/km2) when estimating the U.S. project pipeline (Musial et al. 2022), but capacity densities for existing European offshore wind farms ranged from 2-19 MW/km2 (Borrmann et al. 2018). We track the expected capacity densities of the proposed U.S. projects in the East Coast and make an analysis by state and by developer to identify what are the capacity density norms in the industry and whether the state in which the development efforts are taking place has some impact on capacity density. We also analyze the effects of the area occupied by station keeping systems on capacity density for lease areas dedicated to floating projects and provide a list of main capacity density drivers. This summary analysis sets a baseline to study how different capacity density drivers could impact the progress towards state and federal deployment targets. Given the currently delineated Renewable Energy Areas in the Outer Continental Shelf (OCS) and the basis from the summary analysis, we estimate the expected offshore wind deployment over time federally and by state and compare it to the state and federal deployment targets. The proposed analysis helps identify gaps and needs to meet state and federal targets, which provides sufficient information to propose strategic supply chain and policy planning with the objective of meeting deployment goals.

capacity density↗
DOE OSTI2021

Topological Assembly of a Deployable Hoberman Flight Ring from DNA

Deployable geometries are finite auxetic structures that preserve their overall shapes during expansion and contraction. The topological behaviors emerge from intricately arranged elements and their connections. Despite the considerable utility of such configurations in nature and in engineering, deployable nanostructures have never been demonstrated. In this paper, a deployable flight ring, a simplified planar structure of Hoberman sphere is shown, using DNA origami. The DNA flight ring consists of topologically assembled six triangles in two layers that can slide against each other, thereby switching between two distinct (open and closed) states. The origami topology is a trefoil knot, and its auxetic reconfiguration results in negative Poisson’s ratios. This work shows the feasibility of deployable nanostructures, providing a versatile platform for topological studies and opening new opportunities for bioengineering.

59 BASIC BIOLOGICAL SCIENCES↗
DOE OSTI2021

Optimality versus reality: Closing the gap between renewable energy decision models and government deployment in the United States

Energy decision models are widely used to evaluate the technical and economic feasibility of renewable energy, as well as to help inform the deployment of these technologies. However, a gap exists between the optimal model solutions and what is deployed. This paper explores why these gaps exist in the public sector using the results of interviews with 20 federal, state, and city government agencies that have used the Renewable Energy Integration and Optimization (REopt™) model to inform energy decisions. We then propose adaptations to technical modeling capabilities, and communication of results, which may help increase clean energy deployment. This research may be useful to both analytical modelers and the organizations using such decision tools to inform policy, regulation, planning, and deployment of clean energy systems.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2022

Policy-driven solar innovation and deployment remains critical for US grid decarbonization

Here, to date, in the absence of a technology-agnostic national decarbonization policy, technology-specific policies have driven US grid decarbonization, and solar deployment in particular. Many of these technology policies are now ending, leaving low prices and market forces to drive future solar deployment. However, low prices and market forces alone are not likely to achieve the pace and scale of solar deployment required to meet US decarbonization targets. Here, we draw fresh insights from the recently published US Department of Energy's Solar Futures Study - led by the authors of this commentary - to show that policy-supported solar innovation and deployment remain critical for grid decarbonization in the United States.

14 SOLAR ENERGY↗
DOE OSTI2026

Integrating Marine Hydrokinetic and Offshore Wind Energy: A Review of Technologies, Deployment, and Challenges

Together, offshore wind (OSW) and marine hydrokinetic (MHK) technologies have vast potential to expand the world’s access to abundant energy resource. With more than 60 GW of offshore wind energy capacity and 527 MW of ocean energy deployed globally by 2023, there is a significant amount of available resources; however, technical and non-technical challenges prevent the combined large-scale deployment of these technologies. There is still a lack of research that provides a parallel review of both MHK and OSW technologies in order to better understand their synergistic working principles. This paper aimed to address that research gap by presenting a comprehensive side-by-side review of the worldwide technological landscape, global deployment trends, integration strategies, and modeling approaches for MHK and OSW. A particular focus has been given on analyzing existing modeling and simulation techniques, assessing integration and control strategies, and comparing technologies based on water depth. Furthermore, this study provides important insights into the readiness levels of both technologies by highlighting ongoing international projects. By addressing these issues, this review will give researchers and industry stakeholders an outline for assessing the maturity of OSW and MHK systems and facilitating their transition to large-scale, sustainable deployment.

16 - TIDAL AND WAVE POWER↗
DOE OSTI2024

Status Quo and Gap Analysis of Heliostat Field Deployment Processes for Concentrating Solar Tower Plants

In this study, deployment of the solar field of a concentrating solar power plant is one of many factors that are integral to the success of a project. Knowledge transfer from outside the industry is limited due to the unique nature of heliostats, which redirect sunlight to a receiver with high precision while maintaining a high level of reflectivity. Moreover, learning from project to project can be limited due to the site-specific nature of projects, as the market includes several developers, each with their own unique design. In this paper, we discuss the state of the art in heliostat field deployment. We cover all the key aspects of deployment from project assessment to a fully functioning system, which include site selection, layout development, supply chain, assembly, site preparation and construction, calibration, and operations and maintenance. We then perform a gap analysis on field deployment and recommend priorities for future research.

14 SOLAR ENERGY↗
DOE OSTI2015

Testing Novel CR-39 Detector Deployment System for Identification of Subsurface Fractures, Soda Springs, ID

The Environmental Protection Agency (EPA) has teamed with Battelle Energy Alliance, LLC (BEA) at Idaho National Laboratory (INL) to facilitate further testing of geologic-fracture-identification methodology at a field site near the Monsanto Superfund Site located in Soda Springs, Idaho. INL has the necessary testing and technological expertise to perform this work. Battelle Memorial Institute (BMI) has engaged INL to perform this work through a Work for Others (WFO) Agreement. This study continues a multi-year collaborative effort between INL and EPA to test the efficacy of using field deployed Cr-39 radon in soil portals. This research enables identification of active fractures capable of transporting contaminants at sites where fractures are suspected pathways into the subsurface. Current state of the art methods for mapping fracture networks are exceedingly expensive and notoriously inaccurate. The proposed WFO will evaluate the applicability of using cheap, readily available, passive radon detectors to identify conductive geologic structures (i.e. fractures, and fracture networks) in the subsurface that control the transport of contaminants at fracture-dominated sites. The proposed WFO utilizes proven off-the-shelf technology in the form of CR-39 radon detectors, which have been widely deployed to detect radon levels in homes and businesses. In an existing collaborative EPA/INL study outside of this workscope, CR-39 detectors are being utilized to determine the location of active transport fractures in a fractured granitic upland adjacent to a landfill site at the Fort Devens, MA that EPA-designated as National Priorities List (NPL) site. The innovative concept of using an easily deployed port that allows the CR-39 to measure the Rn-222 in the soil or alluvium above the fractured rock, while restricting atmospheric Rn-222 and soil sourced Ra from contaminating the detector is unique to INL and EPA approach previously developed. By deploying a series of these inexpensive detector-casing combinations statistical samples of the Rn-222 flux can be measured, elucidating the most communicative fractures (i.e. fractures that are actively transporting water and gasses). The Rn-222 measurements can then be used as an input to create a more accurate conceptual model to be used for transport modeling and related cleanup activities. If the team’s approach is demonstrated to be applicable to a wide variety of rock types and soil conditions it might potentially offer significant cost saving without a reduction in data quality at Monsanto Superfund and other sites underlain by fracture-dominated bedrock.

58 GEOSCIENCES↗
DOE OSTI2016

Using Power Purchase Agreements for Solar Deployment at Universities

More than 60 universities have used solar power purchase agreements (PPAs) to deploy more than 100 megawatts of solar PV on campuses around the country. This webinar is intended for university financial planners and other stakeholders who are assessing the financial aspects of deploying solar. The speakers will provide an overview of how universities are using PPAs and key PPA components. In addition, they will discuss the process of using PPAs, why PPAs make sense for campus solar deployment, and the benefits and challenges for universities. Tools and other resources will be shared to help universities interested in using PPAs for campus solar deployment.

14 SOLAR ENERGY↗
DOE OSTI2022

Accelerated Materials Deployment in Advanced Nuclear Power Plants

The purpose of this report is to begin the development of a maximally efficient process for licensing and deploying new materials in Advanced Non-Light-Water Reactors (ANLWRs). Some new materials that are to be used in some new plants are seen as possibly introducing risks, because our understanding of those new materials’ behavior in the conditions generated by some novel plant designs is less complete than our understanding of the behavior of materials with long use histories in existing designs. In these cases, an approved code/standard or a code case to support the use of these materials in the novel design’s safety case may not exist for the regulator to utilize as part of the licensing determination. This circumstance creates the potential for an extremely long licensing process for new designs using new materials. The present strategy is to show how to manage these risks proactively, in such a way as to permit licensing decisions to be made in a timely manner, based on this risk management process. The present report outlines the gaps in the current codes to support deployment and use of novel materials and begins the development of the necessary risk management framework that is focused on the subject materials issues; it is based on risk-informed in-service surveillance practices, carried out in such a way as to compensate for current limitations in our state of knowledge. This development will enable licensing and deployment of the subject materials, conditional on the proactive surveillance process to be established. While this report is occasioned by limitations in our knowledge of certain materials issues that may arise in advanced designs, in-service surveillance is always done in order to compensate for a lack of knowledge: if we knew that components were not already failed and not trending toward failure, we would not perform surveillance, even in current-generation plants (except that prescriptive requirements would force us to do so). What is different about the surveillance program discussed here is that the issues are newer and the relevant experience base is less complete, so the surveillance presently contemplated may need to measure new things and/or measure them more often than has been traditional for surveillance coupons. The present report is devoted to the risk management framework and applies American Society of Mechanical Engineers Boiler and Pressure Vessel Code Section XI, Division [1] to establish the structure of a protocol for carrying out the necessary surveillance. These documents are generic: they do not tell us how often to surveille, or what to surveille, or what to measure, but rather how to determine those things, given certain technical inputs. The Regulatory Development R&D Program [2] is currently developing the companion supporting technical basis for the materials surveillance technology that, when completed and validated, can be used by owner/operator and NRC to implement a materials degradation management program for ANLWRs. This report also outlines salient points of discussion, positive potential outcomes, and potential concerns from industry and the USNRC. These aspects of the report intend to inform future work to develop a proposed technical process for adoption by the industry and endorsement by the USNRC to allow developers to propose a risk informed and conservative approach for the use of materials where operating experience/data and codes and standards may not exist for use of a novel material in an operating reactor environment. Additionally, such a technology could be leveraged to potentially reduce part of the upfront materials data requirements from ongoing long-term materials testing so that early action on license application could be undertaken by NRC, in parallel with the continuation of long-term data collection. This could accelerate the schedule for a first-of-a-kind ANLWR deployment or a nth-of-a-kind new materials insertion for established ANLWR designs.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗
DOE OSTI2023

AI-ENABLED MONITORING OPTIONS TOWARDS SECURE MICROREACTOR DEPLOYMENT AND OPERATIONS

Global nuclear energy deployment scenarios suggest favorable economics for smaller, more versatile, and self-contained reactor technologies. Recognizing their key features as integrated, autonomous and either semi-remotely operated or fully remotely operated systems, microreactors are expected to be deployed in large numbers servicing off/micro-grids, many in geographically remote locations. Integrated nature of these systems as well as ease of their transportation as complete units, simplified installation and relocation/decommissioning challenge traditional continuity-of-knowledge practices used for conventional light water reactors where refueling is done onsite at designated times only replacing portions of their cores and only after their full commissioning for operations including completion of their containment building with security and safeguards measures in place. This effort is exploring AI (artificial intelligence)-enabled monitoring options that would be design agnostic and would assure secure unit deployment and operations. The principle is to maintain situational awareness via real-time evaluations of simultaneous and remotely transmitted monitoring data capturing key safeguards attributes including such characteristics as temperature, radiation, vibrational signals (inter alia), and others. The key principle is to provide reliable and resilient security options while maintaining simplified and economical deployment. The paper will review feasible options for AI-enabled solutions for such evaluations.

22 GENERAL STUDIES OF NUCLEAR REACTORS↗
DOE OSTI2026

Key Drivers for Offshore Wind Deployment in the Western United States

The western coast of the United States has abundant natural resources, including wind, sun, and water. Despite strong ocean winds, offshore wind energy (OSW) in the Western United States is in the early stages of technology development due largely to the deep water off the coast, which requires floating platforms rather than fixed‐bottom turbines. Floating OSW increases the technical difficulty of installation and thus the cost relative to both fixed‐bottom OSW and land‐based turbines. OSW is a potential generation option to help meet increasing demand on the west coast of the United States because it likely has fewer land‐use conflicts than other technologies and complements sources in the existing electricity supply by providing energy during times of high system stress. This paper examines the possible drivers and barriers to OSW deployment on the West Coast using the National Laboratory of the Rockies' state‐of‐the‐art capacity expansion model and the Regional Energy Deployment System (ReEDS) model. We use ReEDS to explore a multitude of future scenarios looking at key drivers for OSW deployment, including variations on the cost of OSW, electricity demand growth, and the availability of competing technologies to examine the factors that may play a role in OSW growth. Assuming coastal state policies such as renewable portfolio and clean energy standards remain in place, we find that OSW can play a role in meeting electricity demand and provide energy during stressful grid conditions and find that deployment from the least‐cost investment model ranges from 7.6 to 38 GW by 2045.

17 WIND ENERGY↗
DOE OSTI2019

Stenting the Upper/Cervical Oesophagus with a Proximal Deployment Cervical Oesophageal Stent: Technique and Outcomes

Introduction: Proximal oesophageal stent deployment continues to provide challenges due to the proximity of the upper oesophageal sphincter and the associated subsequent complications such as globus sensation and stent migration. Patients with cervical oesophageal cancer have previously had limited stenting options available to them with a paucity of the literature describing the radiological technique for successfully placing these high-risk stents. In this paper, we present our experience using the Taewoong Niti-S CERVICAL Oesophageal Stent. Materials and Methods: We describe our method for stent deployment highlighting the importance of pre-procedural planning in ensuring an adequate proximal landing zone for the short proximal flare of the stent. Furthermore, we outline how we have adapted our placement technique to incorporate a routine pre-dilatation stage which has optimised retrieval of the proximal to distal deployment system. Results: We have placed eight cervical oesophageal stents within our institution. Contrast swallows in all the patients following stent deployment have demonstrated free flow of contrast to the stomach with all patients reporting symptomatic relief and no foreign body/globus sensation. There has been one episode of stent migration but no incidence of oesophageal perforation or haemorrhage. Discussion: Evolution of stenting technique and the properties of the stents themselves are improving accuracy of stent placement in relation to the important landmark of the upper oesophageal sphincter. Conclusion: Stenting of cervical oesophageal malignancy has proved successful in our institution and provided symptom relief for a subset of palliative patients who were previously unable to benefit from oesophageal stenting.

62 RADIOLOGY AND NUCLEAR MEDICINE↗