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Local structure and structural rigidity of the green phosphor β-SiAlON:Eu{sup 2+}

Eu{sup 2+} inserted in β-Si{sub 3−x}Al{sub x}O{sub x}N{sub 4−x} is a material that shows exceptional promise as a green-emitting phosphor. Synchrotron X-ray and neutron scattering, in conjunction with first-principles calculations and Eu L{sub 3} X-ray absorption measurements, yield a consistent picture of the composition, and the favorable position for Eu{sup 2+} substitution in the crystal structure. The Debye temperature Θ{sub D}, which is a proxy for structural rigidity relating to effectiveness as a phosphor, is very high for the starting β-Si{sub 3}N{sub 4} framework and is determined to decrease only slightly for the small amounts of Al{sup 3+} and O{sup 2−} co-substitution that are required for charge balance associated with Eu{sup 2+} insertion.

36 MATERIALS SCIENCE↗

Large enhancement of Blocking temperature by control of interfacial structures in Pt/NiFe/IrMn/MgO/Pt multilayers

The Blocking temperature (T{sub B}) of Pt/NiFe/IrMn/MgO/Pt multilayers was greatly enhanced from far below room temperature (RT) to above RT by inserting 1 nm thick Mg layer at IrMn/MgO interface. Furthermore, the exchange bias field (H{sub eb}) was increased as well by the control of interfacial structures. The evidence for a significant fraction of Mn-O bonding at IrMn/MgO interface without Mg insertion layer was provided by X-ray photoelectron spectroscopy. The bonding between Mn and O can decrease the antiferromagnetism of IrMn film, leading to lower value of T{sub B} in Pt/NiFe/IrMn/MgO/Pt multilayers. Ultrathin Mg film inserted at IrMn/MgO interface acting as an oxygen sinking layer can suppress the oxidation reactions between Mn and O and reduce the formation of Mn-O bonding greatly. The oxidation suppression results in the recovery of the antiferromagnetism of IrMn film, which can enhance T{sub B} and H{sub eb}. Furthermore, the high resolution transmission electron microscopy demonstrates that the Mg insertion layer can efficiently promote a high-quality MgO (200) texture. This study will enhance the understanding of physics in antiferromagnet-based spintronic devices.

36 MATERIALS SCIENCE↗

In-plane current-driven spin-orbit torque switching in perpendicularly magnetized films with enhanced thermal tolerance

Here, we study spin-orbit-torque (SOT)-driven magnetization switching in perpendicularly magnetized Ta/Mo/Co 40 Fe 40 B 20 (CoFeB)/MgO films. The thermal tolerance of the perpendicular magnetic anisotropy (PMA) is enhanced, and the films sustain the PMA at annealing temperatures of up to 430 C, due to the ultra-thin Mo layer inserted between the Ta and CoFeB layers. More importantly, the Mo insertion layer also allows for the transmission of the spin current generated in the Ta layer due to spin Hall effect, which generates a damping-like SOT and is able to switch the perpendicular magnetization. When the Ta layer is replaced by a Pt layer, i.e., in a Pt/Mo/CoFeB/MgO multilayer, the direction of the SOT-induced damping-like effective field becomes opposite because of the opposite sign of spin Hall angle in Pt, which indicates that the SOT-driven switching is dominated by the spin current generated in the Ta or Pt layer rather than the Mo layer. Quantitative characterization through harmonic measurements reveals that the large SOT effective field is preserved for high annealing temperatures. This work provides a route to applying SOT in devices requiring high temperature processing steps during the back-end-of-line processes.

42 ENGINEERING↗

Conceptual design of front ends for the advanced photon source multi-bend achromats upgrade

The proposed Advanced Photon Source (APS) upgrade from a double-bend achromats (DBA) to multi-bend achromats (MBA) lattice with ring energy change from 7 GeV to 6 GeV and beam current from 100 mA to 200 mA poses new challenges for front ends. All front ends must be upgraded to fulfill the following requirements: 1) handle the high heat load from two insertion devices in either inline or canted configuration, 2) include a clearing magnet in the front end to deflect and dump any electrons in case the electrons escape from the storage ring during swap-out injection with the safety shutters open, 3) incorporate the next generation x-ray beam position monitors (XBPMs) into the front end to meet the new stringent beam stability requirements. This paper presents the evaluation of the existing APS front ends and standardizes the insertion device (ID) front ends into two types: one for the single beam and one for the canted beams. The conceptual design of high heat load front end (HHLFE) and canted undulator front end (CUFE) for APS MBA upgrade is presented.

43 PARTICLE ACCELERATORS↗

Potential energy surfaces of the electronic states of Li{sub 2}F and Li{sub 2}F{sup −}

The potential energy surfaces of the ground and low-lying excited states for the insertion reaction of atomic fluorine (F) and fluoride (F{sup −}) into the dilithium (Li{sub 2}) molecule have been investigated. We have carried out explicitly correlated multi-reference configuration interaction (MRCI-F12) calculations using Dunning’s augmented correlation-consistent basis sets. For the neutral system, the insertion of F into Li{sub 2} proceeds via a harpoon-type mechanism on the ground state surface, involving a covalent state and an ionic state which avoid each other at long distance. A detailed analysis of the changes in the dipole moment along the reaction coordinate reveals multiple avoided crossings among the excited states and shows that the charge-transfer processes play a pivotal role for the stabilization of the low-lying electronic states of Li{sub 2}F. For the anionic system, which is studied for the first time, the insertion of F{sup −} is barrierless for many states and there is a gradual charge transfer from F{sup −} to Li{sub 2} along the reaction path. We also report the optimized parameters and the spectroscopic properties of the five lowest states of the neutral and seven lowest states of the anionic systems, which are strongly stabilized with respect to their respective Li{sub 2} + F/F{sup −} asymptotes. The observed barrierless insertion mechanisms for both systems make them good candidates for investigation under the ultracold regime.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Structural and Kinetic Analysis of Miscoding Opposite the DNA Adduct 1, N 6 -Ethenodeoxyadenosine by Human Translesion DNA Polymerase $η$

1, N 6 -Ethenodeoxyadenosine (1, N 6 -ϵdA) is the major etheno lesion formed in the reaction of DNA with epoxides substituted with good leaving groups ( e.g. vinyl chloride epoxide). This lesion is also formed endogenously in DNA from lipid oxidation. Recombinant human DNA polymerase η (hpol η) can replicate oligonucleotide templates containing 1, N 6 -ϵdA. In steady-state kinetic analysis, hpol η preferred to incorporate dATP and dGTP, compared with dTTP. Mass spectral analysis of incorporation products also showed preferred purine (A, G) incorporation and extensive –1 frameshifts, suggesting pairing of the inserted purine and slippage before further replication. Five x-ray crystal structures of hpol η ternary complexes were determined, three at the insertion and two at the extension stage. We report two insertion complexes revealed incoming non-hydrolyzable dATP or dGTP analogs not pairing with but instead in a staggered configuration relative to 1, N 6 -ϵdA in the anti conformation, thus opposite the 5'-T in the template, explaining the proclivity for frameshift misincorporation. In another insertion complex, dTTP was positioned opposite 1, N 6 -ϵdA, and the adduct base was in the syn conformation, with formation of two hydrogen bonds. At the extension stage, with either an incorporated dA or dT opposite 1, N 6 -ϵdA and 2'-deoxythymidine-5'-[(α,β)-imido]triphosphate opposite the 5'-A, the 3'-terminal nucleoside of the primer was disordered, consistent with the tendency not to incorporate dTTP opposite 1, N 6 -ϵdA. Collectively, the results show a preference for purine pairing opposite 1, N 6 -ϵdA and for –1 frameshifts.

59 BASIC BIOLOGICAL SCIENCES↗

Reducing Uncertainty in Hydrodynamic Modeling of ATR Experiments Via Flow Testing, Validation, and Optimization

The development, characterization, and qualification testing of nuclear fuel at Idaho National Laboratory’s Advanced Test Reactor (ATR) requires extensive design and analysis activities prior to the insertion of an irradiation experiment in-pile. Significant effort is made in the design and development phase of all in-pile experiments to ensure that the maximum feasible impacts of all necessary experimental requirements are satisfied. The advancement of fuel, cladding, and in-reactor materials technology in recent years has introduced complexities associated with the design and construct of in-pile experiments necessitating deeper understanding of boundary conditions and increasingly comprehensive observations resulting from the experiment. Each unique experiment must be assessed for neutronics response, thermal/hydraulic/hydrodynamic performance, and structural integrity. This is accomplished either analytically, computationally, or experimentally, or some combination thereof, prior to insertion into the ATR. The various effects are interrelated to various degrees, such as the case with the experiment temperature affecting the thermal cross section of the fuel or the increased temperature of the experiment’s materials reducing the mechanical strength of the assemblies. Additionally, the feedback between the experiment’s response to a reactor transient could alter the neutron flux profile of the reactor during the transient. Each experiment must therefore undergo a barrage of analyses to assure the ATR operational safety review committee that the insertion and irradiation of the experiment will not detrimentally affect the safe operational envelope of the reactor. In many cases, the nuclear fuel being tested can be double-encapsulated to ensure safety margins are adequately addressed, whereas failed fuel would be encased in a protective capsule. In other cases, the experiments can be inserted in a self-contained loop that passes through the reactor core, remaining isolated from the primary coolant. In the case of research reactor fuel, however, the fuel plates must be tested in direct contact with the reactor coolant, and being fuel designed for high neutron fluxes, they are inherently power-dense plates. The combination of plate geometry, high-power density, and direct contact with primary coolant creates a scenario where the neutronic/thermomechanic/hydrodynamic characteristics of the fuel plates are tightly coupled, necessitating as complete characterization as possible to support the safety and programmatic assessments, thus enabling a successful experiment. This paper explores the efforts of the U.S. High-Performance Research Reactor program to thermomechanically/hydromechanically characterize the program’s wide variety of experiments, which range from stacks of miniplate capsules to full-sized, geometrically representative curved plates. Special attention is given to instances where the combination of experimental characterization and analytical assessment has reduced uncertainties of the safety margins, allowing experiments to be irradiated that would otherwise not have passed the rigorous qualification process for irradiation in the ATR. In some cases, the combined processes have exposed flow and heat transfer characteristics that would have been missed using historical methods, which allows for more accurate and representative postirradiation assessments.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗

An Indexed, Mapped Mutant Library Enables Reverse Genetics Studies of Biological Processes in Chlamydomonas reinhardtii

The green alga Chlamydomonas reinhardtii is a leading unicellular model for dissecting biological processes in photosynthetic eukaryotes. However, its usefulness has been limited by difficulties in obtaining mutants in specific genes of interest. To allow generation of large numbers of mapped mutants, we developed high-throughput methods that (1) enable easy maintenance of tens of thousands of Chlamydomonas strains by propagation on agar media and by cryogenic storage, (2) identify mutagenic insertion sites and physical coordinates in these collections, and (3) validate the insertion sites in pools of mutants by obtaining >500 bp of flanking genomic sequences. We used these approaches to construct a stably maintained library of 1935 mapped mutants, representing disruptions in 1562 genes. We further characterized randomly selected mutants and found that 33 out of 44 insertion sites (75%) could be confirmed by PCR, and 17 out of 23 mutants (74%) contained a single insertion. To demonstrate the power of this library for elucidating biological processes, we analyzed the lipid content of mutants disrupted in genes encoding proteins of the algal lipid droplet proteome. This study revealed a central role of the long-chain acyl-CoA synthetase LCS2 in the production of triacylglycerol from de novo-synthesized fatty acids.

59 BASIC BIOLOGICAL SCIENCES↗

Split green fluorescent protein as a modular binding partner for protein crystallization

A strategy using a new split green fluorescent protein (GFP) as a modular binding partner to form stable protein complexes with a target protein is presented. The modular split GFP may open the way to rapidly creating crystallization variants. A modular strategy for protein crystallization using split green fluorescent protein (GFP) as a crystallization partner is demonstrated. Insertion of a hairpin containing GFP β-strands 10 and 11 into a surface loop of a target protein provides two chain crossings between the target and the reconstituted GFP compared with the single connection afforded by terminal GFP fusions. This strategy was tested by inserting this hairpin into a loop of another fluorescent protein, sfCherry. The crystal structure of the sfCherry-GFP(10–11) hairpin in complex with GFP(1–9) was determined at a resolution of 2.6 Å. Analysis of the complex shows that the reconstituted GFP is attached to the target protein (sfCherry) in a structurally ordered way. This work opens the way to rapidly creating crystallization variants by reconstituting a target protein bearing the GFP(10–11) hairpin with a variety of GFP(1–9) mutants engineered for favorable crystallization.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

A Novel Anatomic Reconstruction for Posterior Tibialis Tendon in Treatment of Flexible Adult‐Acquired Flatfoot Deformity

Objective To present a novel approach for the anatomic reconstruction of the posterior tibialis tendon (PTT) in restoring plantar insertions and evaluate its efficiency in treating flexible adult‐acquired flatfoot deformity (AAFD) caused by PTT dysfunction. Methods For AAFD treatment, a novel PTT reconstruction method was presented. The current study involved 16 patients, including three men, and 13 women, from August 2017 to July 2019. The mean age was 43.2 ± 15.1 years (21–64 years). The innovative PTT repair method was used on all patients. The treatment involved performing a traditional Flexor Digitorum Longus (FDL) transfer in the navicular tuberosity and suturing the plantar insertions to FDL as tension was applied to tighten the plantar structures of the foot. The results were retrospectively analyzed. The clinical outcome was assessed using the pain visual analogue scale (VAS), the satisfaction VAS, and the American Orthopedic Foot and Ankle Society ankle–hindfoot scale (AOFAS‐AH). Isokinetic testing was performed using a dynamometer at 60°/s and 120°/s for inversion/eversion and plantarflexion/dorsiflexion, respectively, to determine the mean peak torque. Radiographic measurements were employed to assess the outcomes. Results Bone surgeries combined with the modified anatomic PTT reconstruction were performed on patients with medializing calcaneal osteotomy in 12 (75%) patients and subtalar joint fusion in four (25%) patients. The branch linking to the plantar insertions was detected in every case, with an average width of 3.5 ± 0.8 mm (3.1–4.3 mm). All patients were followed up for the mean of 16.8 ± 1.8 months (range, 15–20 months). The average postoperative functional scores, including pain VAS, satisfaction VAS, total AOFAS‐AH, and all AOFAS‐AH sub‐scales, steadily improved during the follow‐up. In the last follow‐up, isokinetic testing revealed no loss of plantarflexion strength ( p = 0.350 and 0.098) and significant improvement in the inversion strength ( p = 0.007 and 0.008) in the operated ankles at 60°/s and 120°/s. Radiographic outcomes, particularly the talar head uncovering, improved significantly after more than a year ( p < 0.001 for all). Conclusions The novel technique for PTT reconstruction in restoring the plantar insertions serves as an effective procedure in treating AAFD caused by PTT dysfunction in terms of delivering a consistent improvement in ankle inversion strength, medial longitudinal arch restoring, and satisfactory clinical outcomes.

Hu, Yong↗

Cooled Spray Technology for Particulate Reduction in a Heavy-Duty Engine

Cooled spray (CS) technology passively reduces particulate matter (PM) emissions from diesel engines compared to non-CS-equipped diesel engines. CS inserts are mounted near the injector nozzle and control mixing so that the fuel and air can premix while limiting combustion near fuel-rich zones, thereby reducing the formation of particulate matter. CS components contain no moving parts and could be installed as a retrofit or built into new engines. However, CS technology is early in its development, and further investigations are needed to understand the overall performance implications and practicality of the technology. In this paper, we investigate several important aspects of CS, providing a clearer picture of some challenges and potential benefits of CS. Two alignment techniques are used to characterize measurement ease and bias, namely, an optical alignment and spray-plug impact alignment. While the optical technique facilitates alignment more easily, a bias was measured between the optical and spray-plug techniques, suggesting the optical technique may have insufficient accuracy without additional corrections. We also evaluate the engine performance of a well-aligned and poorly aligned CS insert, compared to the baseline configuration. The poorly aligned insert shows slower combustion than the baseline and mixed overall performance. However, the well-aligned insert shows faster combustion than the baseline and PM emission reduction at most operating conditions, with some conditions showing PM reduction up to 80%. Furthermore, the results of this paper highlight the alignment challenges of CS technology as well as the potential PM reduction benefit of the technology.

33 ADVANCED PROPULSION SYSTEMS↗

IGRT/ART phantom with programmable independent rib cage and tumor motion

Purpose: This paper describes the design and experimental evaluation of the Methods and Advanced Equipment for Simulation and Treatment in Radiation Oncology (MAESTRO) thorax phantom, a new anthropomorphic moving ribcage combined with a 3D tumor positioning system to move target inserts within static lungs. Methods: The new rib cage design is described and its motion is evaluated using Vicon Nexus, a commercial 3D motion tracking system. CT studies at inhale and exhale position are used to study the effect of rib motion and tissue equivalence. Results: The 3D target positioning system and the rib cage have millimetre accuracy. Each axis of motion can reproduce given trajectories from files or individually programmed sinusoidal motion in terms of amplitude, period, and phase shift. The maximum rib motion ranges from 7 to 20 mm SI and from 0.3 to 3.7 mm AP with LR motion less than 1 mm. The repeatability between cycles is within 0.16 mm root mean square error. The agreement between CT electron and mass density for skin, ribcage, spine hard and inner bone as well as cartilage is within 3%. Conclusions: The MAESTRO phantom is a useful research tool that produces programmable 3D rib motions which can be synchronized with 3D internal target motion. The easily accessible static lungs enable the use of a wide range of inserts or can be filled with lung tissue equivalent and deformed using the target motion system.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Monte Carlo dosimetry for {sup 103}Pd, {sup 125}I, and {sup 131}Cs ocular brachytherapy with various plaque models using an eye phantom

Purpose: To investigate dosimetry for ocular brachytherapy for a range of eye plaque models containing{sup 103}Pd, {sup 125}I, or {sup 131}Cs seeds with model-based dose calculations. Methods: Five representative plaque models are developed based on a literature review and are compared to the standardized COMS plaque, including plaques consisting of a stainless steel backing and acrylic insert, and gold alloy backings with: short collimating lips and acrylic insert, no lips and silicone polymer insert, no lips and a thin acrylic layer, and individual collimating slots for each seed within the backing and no insert. Monte Carlo simulations are performed using the EGSnrc user-code BrachyDose for single and multiple seed configurations for the plaques in water and within an eye model (including nonwater media). Simulations under TG-43 assumptions are also performed, i.e., with the same seed configurations in water, neglecting interseed and plaque effects. Maximum and average doses to ocular structures as well as isodose contours are compared for simulations of each radionuclide within the plaque models. Results: The presence of the plaque affects the dose distribution substantially along the plaque axis for both single seed and multiseed simulations of each plaque design in water. Of all the plaque models, the COMS plaque generally has the largest effect on the dose distribution in water along the plaque axis. Differences between doses for single and multiple seed configurations vary between plaque models and radionuclides. Collimation is most substantial for the plaque with individual collimating slots. For plaques in the full eye model, average dose in the tumor region differs from those for the TG-43 simulations by up to 10% for{sup 125}I and {sup 131}Cs, and up to 17% for {sup 103}Pd, and in the lens region by up to 29% for {sup 125}I, 34% for {sup 103}Pd, and 28% for {sup 131}Cs. For the same prescription dose to the tumor apex, the lowest doses to critical ocular structures are generally delivered with plaques containing {sup 103}Pd seeds. Conclusions: The combined effects of ocular and plaque media on dose are significant and vary with plaque model and radionuclide, suggesting the importance of model-based dose calculations employing accurate ocular and plaque media and geometries for eye plaque brachytherapy.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

SU-E-I-94: Automated Image Quality Assessment of Radiographic Systems Using An Anthropomorphic Phantom

Purpose: In a large, academic medical center, consistent radiographic imaging performance is difficult to routinely monitor and maintain, especially for a fleet consisting of multiple vendors, models, software versions, and numerous imaging protocols. Thus, an automated image quality control methodology has been implemented using routine image quality assessment with a physical, stylized anthropomorphic chest phantom. Methods: The “Duke” Phantom (Digital Phantom 07-646, Supertech, Elkhart, IN) was imaged twice on each of 13 radiographic units from a variety of vendors at 13 primary care clinics. The first acquisition used the clinical PA chest protocol to acquire the post-processed “FOR PRESENTATION” image. The second image was acquired without an antiscatter grid followed by collection of the “FOR PROCESSING” image. Manual CNR measurements were made from the largest and thickest contrast-detail inserts in the lung, heart, and abdominal regions of the phantom in each image. An automated image registration algorithm was used to estimate the CNR of the same insert using similar ROIs. Automated measurements were then compared to the manual measurements. Results: Automatic and manual CNR measurements obtained from “FOR PRESENTATION” images had average percent differences of 0.42%±5.18%, −3.44%±4.85%, and 1.04%±3.15% in the lung, heart, and abdominal regions, respectively; measurements obtained from “FOR PROCESSING” images had average percent differences of -0.63%±6.66%, −0.97%±3.92%, and −0.53%±4.18%, respectively. The maximum absolute difference in CNR was 15.78%, 10.89%, and 8.73% in the respective regions. In addition to CNR assessment of the largest and thickest contrast-detail inserts, the automated method also provided CNR estimates for all 75 contrast-detail inserts in each phantom image. Conclusion: Automated analysis of a radiographic phantom has been shown to be a fast, robust, and objective means for assessing radiographic image quality. The method reduces the burden of manual measurements and provides a means by which to monitor and compare radiographic system performance.

60 APPLIED LIFE SCIENCES↗

SU-E-J-113: The Influence of Optimizing Pediatric CT Simulator Protocols On the Treatment Dose Calculation in Radiotherapy

Purpose: To investigate the possibility of applying optimized scanning protocols for pediatric CT simulation by quantifying the dosimetric inaccuracy introduced by using a fixed HU to density conversion. Methods: The images of a CIRS electron density reference phantom (Model 062) were acquired by a Siemens CT simulator (Sensation Open) using the following settings of tube voltage and beam current: 120 kV/190mA (the reference protocol used to calibrate CT for our treatment planning system (TPS)); Fixed 190mA combined with all available kV: 80, 100, and 140; fixed 120 kV and various current from 37 to 444 mA (scanner extremes) with interval of 30 mA. To avoid the HU uncertainty of point sampling in the various inserts of known electron densities, the mean CT numbers of the central cylindrical volume were calculated using DICOMan software. The doses per 100 MU to the reference point (SAD=100cm, Depth=10cm, Field=10X10cm, 6MV photon beam) in a virtual cubic phantom (30X30X30cm) were calculated using Eclipse TPS (calculation model: AcurosXB-11031) by assigning the CT numbers to HU of typical materials acquired by various protocols. Results: For the inserts of densities less than muscle, CT number fluctuations of all protocols were within the tolerance of 10 HU as accepted by AAPM-TG66. For more condensed materials, fixed kV yielded stable HU with any mA combination where largest disparities were found in 1750mg/cc insert: HU{sub reference}=1801(106.6cGy), HU{sub minimum}=1799 (106.6cGy, error{sub dose}=0.00%), HU{sub maximum}=1815 (106.8cGy, error{sub dose}=0.19%). Yet greater disagreements were observed with increasing density when kV was modified: HU{sub minimum}=1646 (104.5cGy, error{sub dose}=- 1.97%), HU{sub maximum}=2487 (116.4cGy, error{sub dose}=9.19%) in 1750mg/cc insert. Conclusion: Without affecting treatment dose calculation, personalized mA optimization of CT simulator can be conducted by fixing kV for a better cost-effectiveness of imaging dose and quality especially for children. Unless recalibrated, kV should be constant for all anatomical sites if diagnostic CT scanner is used as a simulator. This work was partially supported by Capital Medical Development Scientific Research Fund of China.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

SU-E-T-268: Proton Radiosurgery End-To-End Testing Using Lucy 3D QA Phantom

Purpose: To check the overall accuracy of proton radiosurgery treatment delivery using ready-made circular collimator inserts and fixed thickness compensating boluses. Methods: Lucy 3D QA phantom (Standard Imaging Inc. WI, USA) inserted with GaFchromicTM film was irradiated with laterally scattered and longitudinally spread-out 126.8 MeV proton beams. The tests followed every step in the proton radiosurgery treatment delivery process: CT scan (GE Lightspeed VCT), target contouring, treatment planning (Odyssey 5.0, Optivus, CA), portal calibration, target localization using robotic couch with image guidance and dose delivery at planned gantry angles. A 2 cm diameter collimator insert in a 4 cm diameter radiosurgery cone and a 1.2 cm thick compensating flat bolus were used for all beams. Film dosimetry (RIT114 v5.0, Radiological Imaging Technology, CO, USA) was used to evaluate the accuracy of target localization and relative dose distributions compared to those calculated by the treatment planning system. Results: The localization accuracy was estimated by analyzing the GaFchromic films irradiated at gantry 0, 90 and 270 degrees. We observed 0.5 mm shift in lateral direction (patient left), ±0.9 mm shift in AP direction and ±1.0 mm shift in vertical direction (gantry dependent). The isodose overlays showed good agreement (<2mm, 50% isodose lines) between measured and calculated doses. Conclusion: Localization accuracy depends on gantry sag, CT resolution and distortion, DRRs from treatment planning computer, localization accuracy of image guidance system, fabrication of ready-made aperture and cone housing. The total deviation from the isocenter was 1.4 mm. Dose distribution uncertainty comes from distal end error due to bolus and CT density, in addition to localization error. The planned dose distribution was well matched (>90%) to the measured values 2%/2mm criteria. Our test showed the robustness of our proton radiosurgery treatment delivery system using ready-made collimator inserts and fixed thickness compensating boluses.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

SU-E-T-396: Dosimetric Accuracy of Proton Therapy for Patients with Metal Implants in CT Scans Using Metal Deletion Technique (MDT) Artifacts Reduction

Purpose: To evaluate the dosimetric accuracy for proton therapy patients with metal implants in CT using metal deletion technique (MDT) artifacts reduction. Methods: Proton dose accuracies under CT metal artifacts were first evaluated using a water phantom with cylindrical inserts of different materials (titanium and steel). Ranges and dose profiles along different beam angles were calculated using treatment planning system (Eclipse version 8.9) on uncorrected CT, MDT CT, and manually-corrected CT, where true Hounsfield units (water) were assigned to the streak artifacts. In patient studies, the treatment plans were developed on manually-corrected CTs, then recalculated on MDT and uncorrected CTs. DVH indices were compared between the dose distributions on all the CTs. Results: For water phantom study with 1/2 inch titanium insert, the proton range differences estimated by MDT CT were with 1% for all beam angles, while the range error can be up to 2.6% for uncorrected CT. For the study with 1 inch stainless steel insert, the maximum range error calculated by MDT CT was 1.09% among all the beam angles compared with maximum range error with 4.7% for uncorrected CT. The dose profiles calculated on MDT CTs for both titanium and steel inserts showed very good agreements with the ones calculated on manually-corrected CTs, while large dose discrepancies calculated using uncorrected CTs were observed in the distal end region of the proton beam. The patient study showed similar dose distribution and DVHs for organs near the metal artifacts recalculated on MDT CT compared with the ones calculated on manually-corrected CT, while the differences between uncorrected and corrected CTs were much pronounced. Conclusion: In proton therapy, large dose error could occur due to metal artifact. The MDT CT can be used for proton dose calculation to achieve similar dose accuracy as the current clinical practice using manual correction.

60 APPLIED LIFE SCIENCES↗

SU-E-T-550: Range Effects in Proton Therapy Caused by Systematic Errors in the Stoichiometric Calibration

Purpose: The procedure for proton treatment planning involves the conversion of the patient's X-ray CT from Hounsfield units into relative stopping powers (RSP), using a stoichiometric calibration curve (Schneider 1996). In clinical practice a 3.5% margin is added to account for the range uncertainty introduced by this process and other errors. RSPs for real tissues are calculated using composition data and the Bethe-Bloch formula (ICRU 1993). The purpose of this work is to investigate the impact that systematic errors in the stoichiometric calibration have on the proton range. Methods: Seven tissue inserts of the Gammex 467 phantom were imaged using our CT scanner. Their known chemical compositions (Watanabe 1999) were then used to calculate the theoretical RSPs, using the same formula as would be used for human tissues in the stoichiometric procedure. The actual RSPs of these inserts were measured using a Bragg peak shift measurement in the proton beam at our institution. Results: The theoretical calculation of the RSP was lower than the measured RSP values, by a mean/max error of - 1.5/-3.6%. For all seven inserts the theoretical approach underestimated the RSP, with errors variable across the range of Hounsfield units. Systematic errors for lung (average of two inserts), adipose and cortical bone were - 3.0/-2.1/-0.5%, respectively. Conclusion: There is a systematic underestimation caused by the theoretical calculation of RSP; a crucial step in the stoichiometric calibration procedure. As such, we propose that proton calibration curves should be based on measured RSPs. Investigations will be made to see if the same systematic errors exist for biological tissues. The impact of these differences on the range of proton beams, for phantoms and patient scenarios, will be investigated. This project was funded equally by the Engineering and Physical Sciences Research Council (UK) and Ion Beam Applications (Louvain-La-Neuve, Belgium)

60 APPLIED LIFE SCIENCES↗