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At least 145 records · Page 8

Evaluating the Effects of Aluminum-Containing and Non-Aluminum Containing Deodorants on Axillary Skin Toxicity During Radiation Therapy for Breast Cancer: A 3-Armed Randomized Controlled Trial

Purpose: Deodorant use during radiation therapy for breast cancer has been controversial as there are concerns deodorant use may exacerbate axillary skin toxicity. The present study prospectively determined the use of both aluminum-containing and non aluminum containing deodorants on axillary skin toxicity during conventionally fractionated postoperative radiation therapy for breast cancer. Methods and Materials: This 3-arm randomized controlled study was conducted at a single center, tertiary cancer hospital between March 2011 and April 2013. Participants were randomized to 1 of 2 experimental groups (aluminum-containing deodorant and soap or non–aluminum containing deodorant and soap) or a control group (soap). A total of 333 participants were randomized. Generalized estimating equations were used to estimate and compare the odds of experiencing high levels of sweating and skin toxicity in each of the deodorant groups to the odds in the control group. The study evaluated a range of endpoints including objective measurements of axilla sweating, skin toxicity, pain, itch and burning. Quality of life was assessed with a validated questionnaire. Results: Radiation characteristics were similar across all groups. Patients in the deodorant groups did not report significantly different ratings for axillary pain, itch, or burning compared with the control group. Patients in the aluminum-containing deodorant group experienced significantly less sweating than the control; the odds of their sweating being barely tolerable and frequently or always interfering with their daily activities was decreased by 85% (odds ratio, 0.15; 95% confidence interval, 0.03-0.91). Conclusions: We found no evidence that the use of either aluminum-containing or non–aluminum containing deodorant adversely effects axillary skin reaction during conventionally fractionated radiation therapy for breast cancer. Our analysis also suggests patients in the aluminum-containing deodorant arm had significantly less sweating without increased symptoms of axillary radiation skin toxicity. These results add to the evidence that the prescription of deodorants during radiation therapy for breast cancer is now questionable.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Treatment of Head and Neck Paragangliomas With External Beam Radiation Therapy

Purpose: To retrospectively assess the outcomes of radiation therapy in patients with head and neck paragangliomas. Methods and Materials: From 1990 to 2009, 66 patients with 81 head and neck paragangliomas were treated by conventional external beam radiation therapy in 25 fractions at a median dose of 45 Gy (range, 41.4-68 Gy). One case was malignant. The median gross target volume and planning target volume were 30 cm{sup 3} (range, 0.9-243 cm{sup 3}) and 116 cm{sup 3} (range, 24-731 cm{sup 3}), respectively. Median age was 57.4 years (range, 15-84 years). Eleven patients had multicentric lesions, and 8 had family histories of paraganglioma. Paragangliomas were located in the temporal bone, the carotid body, and the glomus vagal in 51, 18, and 10 patients, respectively. Forty-six patients had exclusive radiation therapy, and 20 had salvage radiation therapy. The median follow-up was 4.1 years (range, 0.1-21.2 years). Results: One patient had a recurrence of temporal bone paraganglioma 8 years after treatment. The actuarial local control rates were 100% at 5 years and 98.7% at 10 years. Patients with multifocal tumors and family histories were significantly younger (42 years vs 58 years [P=.002] and 37 years vs 58 years [P=.0003], respectively). The association between family predisposition and multifocality was significant (P<.001). Two patients had cause-specific death within the 6 months after irradiation. During radiation therapy, 9 patients required hospitalization for weight loss, nausea, mucositis, or ophthalmic zoster. Two late vascular complications occurred (middle cerebral artery and carotid stenosis), and 2 late radiation-related meningiomas appeared 15 and 18 years after treatment. Conclusion: Conventional external beam radiation therapy is an effective and safe treatment option that achieves excellent local control; it should be considered as a first-line treatment of choice for head and neck paragangliomas.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Experimental test of liquid droplet radiator performance

The liquid droplet radiator (LDR) is a heat rejection system for space power systems wherein an array of heated liquid droplets radiates energy directly to space. The use of submillimeter droplets provides large radiating area-to-mass ratio, resulting in radiator systems which are several times lighter than conventional solid surface radiators. An experiment is described in which the power radiated by an array of 2300 streams of silicone oil droplets is measured to test a previously developed theory of the LDR radiation process. This system would be capable of rejecting several kW of heat in space. Furthermore, it would be suitable as a modular unit of an LDR designed for 100-kW power levels. The experiment provided confirmation of the theoretical dependence of droplet array emissivity on optical depth. It also demonstrated the ability to create an array of more than 1000 droplet streams having a divergence less than 1 degree.

Mattick, A. T.↗

TH-AB-201-05: Determining the Direction Distribution of the Primary Radiation for a Cyberknife-M6

Purpose: Radiation protection regulatory differentiates between primary and scatter radiation. Whereas for conventional clinical linear accelerators the solid angle for primary radiation is planar, the Cyberknife (Accuray Inc., Sunnyvale, CA) may point its beam in all spatial directions. In order to be able to judge on radiation protection calculations for a Cyberknife-M6 vault, the direction distribution for delivered plans was evaluated based on clinical experiences. Methods: The log-files of 121 delivered patient treatment plans were exported, divided into cranial and extra-cranial treatments and the delivered monitor units (MU) together with the corresponding beam directions were analyzed. This MU-weighted spatial distribution was then projected to a 9.5 × 5.9 × 3.9 m{sup 3} vault, generating an “intensity map” using a binning of 50 × 50 cm{sup 2}. The factor of direction (FOD) is reported as a fraction of the total applied MUs to the walls, ceiling and floor in the perspective of a patient lying in head-first-supine position on the couch. In this study, the term intFOD refers to the integral FOD and maxFOD refers to the maximal FOD for a single bin. Results: For all kind of treatments and collimators, intFOD and maxFOD for the wall behind the patient’s head is 0.0. The intFOD for the floor varies between 0.65 and 0.74. For the ceiling, maxFOD is 0.002 and 0.0 for cranial and extra-cranial cases, respectively. The intFOD for the wall at the patient’s feet, is 0.094 for cranial and 0.005 for extra-cranial cases. There is nearly no difference between the maxFOD of the right and left wall for cranial cases, whereas for extra-cranial cases these numbers differ by a factor of 1.75. Conclusion: The varying FODs for the Cyberknife were quantified based on delivered treatment plans. These findings are helpful regarding the design of Cyberknife vaults.

60 APPLIED LIFE SCIENCES↗

Lightweight moving radiators for heat rejection in space

Low temperature droplet stream radiators, using nonmetallic fluids, can be used to radiate large amounts of waste heat from large space facilities. Moving belt radiators are suitable for use on a smaller scale, radiating as few as 10 kW from shuttle related operations. If appropriate seal technology can be developed, moving belt radiators may prove to be important for high temperature systems as well. Droplet stream radiators suitable for operation at peak temperatures near 300 K and 1000 K were studied using both freezing and nonfreezing droplets. Moving belt radiators were also investigated for operation in both temperature ranges. The potential mass and performance characteristics of both concepts were estimated on the basis of parametric variations of analytical point designs. These analyses included all consideration of the equipment required to operate the moving radiator system and take into account the mass of fluid lost by evaporation during mission lifetimes. Preliminary results indicate that low temperature droplet stream radiator appears to offer the greatest potential for improvement over conventional flat plate radiators.

Knapp, K.↗

Measurement of Noise Produced by a Plasma Contactor Operating in Ground Based Facilities

Methods to measure electric field fluctuations accurately in a plasma with an active monopole antenna are described. It is shown that the conductive surfaces of the antenna must be adequately isolated from the ambient plasma and that the monopole must be sufficiently short to avoid antenna amplifier saturation. Experimental results illustrate that the noise produced by plasma contactor operation and sensed by the antenna is due to plasma phenomena and is not induced by laboratory power supplies. A good correlation is shown between the current fluctuations in the contactor electrical circuit and the noise detected by the antenna. A large body of experimental data support the conclusion that the majority of noise sensed by the antenna at frequencies less than 1 MHz is due to current fluctuations (electrostatic waves) in the plasma adjacent to the antenna and not to electromagnetic wave radiation. Caution is suggested when comparing antenna noise measurements to conventional specifications for radiated emissions.

Snyder, Steve↗

Alterations in dose and lineal energy spectra under different shieldings in the Los Alamos high-energy neutron field

Nuclear interactions of space radiation with shielding materials result in alterations in dose and lineal energy spectra that depend on the specific elemental composition, density and thickness of the material. The shielding characteristics of materials have been studied using charged-particle beams and radiation transport models by examining the risk reduction using the conventional dose-equivalent approach. Secondary neutrons contribute a significant fraction of the total radiation exposure in space. An experiment to study the changes in dose and lineal energy spectra by shielding materials was carried out at the Los Alamos Nuclear Science Center neutron facility. In the energy range of about 2 to 200 MeV, this neutron spectrum is similar in shape within a factor of about 2 to the spectrum expected in the International Space Station habitable modules. It is shown that with a shielding thickness of about 5 g cm(-2), the conventional radiation risk increases, in some cases by as much as a factor of 2, but decreases with thicknesses of about of 20 g cm(-2). This suggests that care must be taken in evaluating the shielding effectiveness of a given material by including both the charged-particle and neutron components of space radiation.

NASA Discipline Radiation Health↗

Symptomatic Outcomes in Relation to Tumor Expansion After Fractionated Stereotactic Radiation Therapy for Vestibular Schwannomas: Single-Institutional Long-Term Experience

Purpose: The effect of transient tumor expansion after conventionally fractionated stereotactic radiation therapy (SRT) on the symptomatic outcomes is not well-known. Methods and Materials: This study enrolled 201 consecutive patients who received SRT for vestibular schwannoma. A conventional fractionation schedule was applied in 194 patients (97%), and 142 (71%) received a total dose of 50 Gy. The median follow-up time was 72 months. Results: The maximum diameter was 9 mm or less in 13 patients, 10-19 mm in 79 patients, 20-29 mm in 87 patients, and 30 mm or greater in 22 patients. At presentation, tumor size of 20 mm or greater was significantly associated with loss of serviceable hearing and trigeminal neuropathy. After SRT, tumor expansion was observed in 42 patients (21%). By tumor size, tumor expansion was observed in 0%, 11.4%, 25.6%, and 50% of patients with tumors of 9 mm or less, 10-19 mm, 20-29 mm, and 30 mm or greater, respectively, in diameter. The tumor expansion was significantly associated with an increased risk of hydrocephalus requiring shunt placement (P=.004), loss of serviceable hearing (P=.0064), and worsening of facial (P<.0001) and trigeminal nerve (P<.0001) functions. Spontaneous tumor shrinkage was observed in 29 of those 42 patients, mostly within 2 years after the expansion, and the majority of the worsened symptoms except for hearing resolved once the tumor had shrunk. As a result, salvage surgical resection for symptomatic relief was required in only 5% of patients. Conclusions: Fractionated SRT could be safely applied even for medium- to large-sized ({>=}20 mm) tumors. However, greater knowledge of the risks and consequences, including transient symptomatic worsening, and the time span of expansion will be required for the follow-up of patients after SRT to avoid unnecessary surgical intervention.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Use of non-subjective analysis of lens transparency in experimental radiation cataract research

Historically the major impediment to radiation cataract follow-up has been the necessarily subjective nature of assessing the degree of lens transparency. This has spurred the development of instruments which produce video images amenable to digital analysis. One such system, the Zeiss Scheimpflug slit lamp measuring system (SLC), was incorporated into our ongoing studies of radiation cataractogenesis. It was found that the Zeiss SLC measuring system has high resolution and permits the acquisition of reproducible images of the anterior segment of the eye. Our results, based on about 650 images of lenses followed over a period of 91 weeks of radiation cataract development, showed that the changes in the light scatter of the lens correlated well with conventional assessment of radiation cataracts with the added advantages of objectivity, permanent and transportable records and linearity as cataracts become more severe. This continuous data acquisition, commencing with cataract onset, can proceed through more advanced stages. The SLC exhibits much greater sensitivity reflected in a continuously progressive severity thereby avoiding the artifactual plateaus in staging which occur using conventional scoring methods.

NASA Discipline Number 04-10↗

Transformative Technology for FLASH Radiation Therapy: A Snowmass 2021 White Paper

Conventional cancer therapies include surgery, radiation therapy, chemotherapy, and, more recently, immunotherapy. These modalities are often combined to improve the therapeutic index. The general concept of radiation therapy is to increase the therapeutic index by creating a physical dose differential between tumors and normal tissues through precision dose targeting, image guidance, and high radiation beams that deliver radiation dose with high conformality, e.g., protons and ions. However, treatment and cure are still limited by normal tissue radiation toxicity, with many patients experiencing acute and long-term side effects. Recently, however, a fundamentally different paradigm for increasing the therapeutic index of radiation therapy has emerged, supported by preclinical research, and based on the FLASH radiation effect. FLASH radiation therapy (FLASH-RT) is an ultra-high dose-rate delivery of a therapeutic radiation dose within a fraction of a second. Experimental studies have shown that normal tissues seem to be universally spared at these high dose rates, whereas tumors are not. The dose delivery conditions are not yet fully characterized. Still, it is currently estimated that large doses of 10 Gy or more delivered in 200 ms or less produce normal tissue sparing effects yet effectively kill tumor cells. There is a great opportunity, but also many technical challenges, for the accelerator community to create the required dose rates with novel and compact accelerators to ensure the safe delivery of FLASH radiation beams.

43 PARTICLE ACCELERATORS↗

Spatiotemporal control of two-color terahertz generation

A laser pulse composed of a fundamental and properly phased second harmonic exhibits an asymmetric electric field that can drive a time-dependent current of photoionized electrons. The current produces an ultrashort burst of terahertz (THz) radiation. When driven by a conventional laser pulse, the THz radiation is emitted into a cone with an angle determined by the dispersion of the medium. Here we demonstrate that the programmable-velocity intensity peak of a spatiotemporally structured, two-color laser pulse can be used to control the emission angle, focal spot, and spectrum of the THz radiation. Of particular interest for applications, a structured pulse with a subluminal intensity peak can drive highly focusable, on-axis THz radiation. Published by the American Physical Society 2024

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

Risk of Late Toxicity in Men Receiving Dose-Escalated Hypofractionated Intensity Modulated Prostate Radiation Therapy: Results From a Randomized Trial

Objective: To report late toxicity outcomes from a randomized trial comparing conventional and hypofractionated prostate radiation therapy and to identify dosimetric and clinical parameters associated with late toxicity after hypofractionated treatment. Methods and Materials: Men with localized prostate cancer were enrolled in a trial that randomized men to either conventionally fractionated intensity modulated radiation therapy (CIMRT, 75.6 Gy in 1.8-Gy fractions) or to dose-escalated hypofractionated IMRT (HIMRT, 72 Gy in 2.4-Gy fractions). Late (≥90 days after completion of radiation therapy) genitourinary (GU) and gastrointestinal (GI) toxicity were prospectively evaluated and scored according to modified Radiation Therapy Oncology Group criteria. Results: 101 men received CIMRT and 102 men received HIMRT. The median age was 68, and the median follow-up time was 6.0 years. Twenty-eight percent had low-risk, 71% had intermediate-risk, and 1% had high-risk disease. There was no difference in late GU toxicity in men treated with CIMRT and HIMRT. The actuarial 5-year grade ≥2 GU toxicity was 16.5% after CIMRT and 15.8% after HIMRT (P=.97). There was a nonsignificant numeric increase in late GI toxicity in men treated with HIMRT compared with men treated with CIMRT. The actuarial 5-year grade ≥2 GI toxicity was 5.1% after CIMRT and 10.0% after HIMRT (P=.11). In men receiving HIMRT, the proportion of rectum receiving 36.9 Gy, 46.2 Gy, 64.6 Gy, and 73.9 Gy was associated with the development of late GI toxicity (P<.05). The 5-year actuarial grade ≥2 GI toxicity was 27.3% in men with R64.6Gy ≥ 20% but only 6.0% in men with R64.6Gy < 20% (P=.016). Conclusions: Dose-escalated IMRT using a moderate hypofractionation regimen (72 Gy in 2.4-Gy fractions) can be delivered safely with limited grade 2 or 3 late toxicity. Minimizing the proportion of rectum that receives moderate and high dose decreases the risk of late rectal toxicity after this hypofractionation regimen.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Radiation Effects in Innovative Structural Materials

The extreme radiation environments and demanding structural conditions of next-generation fission and proposed fusion reactors will require high performance materials with very high radiation resistance. Although conventional structural materials such as ferritic/ martensitic steels offer several attractive features, there is value in exploring alternative materials systems that may offer unprecedented radiation stability while also offering good thermomechanical properties. As noted elsewhere, options for designing radiation resistance include (a) the traditional approach of introducing a very high sink strength for recombination of radiation-induced vacancies and interstitials (e.g., Ti-modified stainless steels or 'nano-cluster-strengthened ferritic alloys', (b) utilizing materials with immobile vacancies at the operating temperature (e.g., silicon carbide), and (c) utilizing certain classes of materials that inherently exhibit superior resistance to radiation defect retention and accumulation (e.g., ferritic steels). Three relatively new but promising structural materials systems were selected for investigation, based on their favorable unirradiated mechanical properties and potential for good stability under irradiation: High entropy alloys (HEAs), bulk metallic glass (BMG), and MAX phase ceramics. The high configurational entropy in HEAs might alter point defect (solute and radiation defects) diffusion processes, thus potentially enhancing the recombination of radiation-produced damage. Therefore, HEAs offer the potential of a new class of materials for radiation resistance category (c) mentioned previously. A variety of BMGs such as Zr{sub 52.5}Cu{sub 17.9}Ni{sub 14.6}Al{sub 10}Ti{sub 5} offer good mechanical properties including fracture toughness values that may exceed 100 MPa-m{sup 1/2} and near net shape fabrication potential. The lack of crystallinity in BMGs prohibits the formation of conventional Frenkel pair defects under irradiation and therefore offer the possibility of another new material system for radiation resistance category (c). MAX phase ceramics (e.g., Ti{sub 3}SiC{sub 2}, Ti{sub 3}AlC{sub 2}, Ti{sub 2}AlC) have good mechanical properties and contain a nano-laminate structure that could provide a very high point defect sink strength. Due to their refractory nature, many of the MAX phase ceramics may exhibit negligible vacancy mobility up to high temperatures. Therefore, MAX phase ceramics offer the potential to provide radiation resistance in either categories (a) and (b), depending on the operating temperature. For this study, a novel 27%Fe-27%Mn-28%Ni-18%Cr single phase face centered cubic high entropy alloy was synthesized that exhibited good strength and ductility over a wide temperature range. Zr{sub 52.5}Cu{sub 17.9}Ni{sub 14.6}Al{sub 10}Ti{sub 5} (BAM-11) was selected as a prototypic advanced BMG. Several MAX phase ceramics (e.g., Ti{sub 3}SiC{sub 2}, Ti{sub 3}AlC{sub 2}, Ti{sub 2}AlC) that have good unirradiated thermal and mechanical properties were also investigated. The irradiation damage behaviors of these three novel materials systems have been studied after fission neutron at ∼75 deg. C up to 1 dpa and Ni ion irradiation at 25- 700 deg. C up to 30 dpa (lower temperatures and doses for the BMGs). All three sets of materials generally exhibited good radiation stability within certain temperature regimes. For example, the BMG exhibited only minor (<10%) change in strength that appeared to saturate after a dose of ∼1 dpa. A key shortcoming of current BMGs are that they can not be used at temperatures >>300 deg. C due to glass to crystalline transition at elevated temperature. The MAX phase ceramics irradiated at 400-700 deg. C appeared to be in the 'low temperature' regime where vacancies are immobile and therefore the radiation hardening saturated at relatively low doses. The Ti{sub 3}SiC{sub 2} MAX phase exhibited the best overall radiation stability over a wide temperature range. The HEA exhibited fine scale dislocation loop formation, no observable cavity swelling and reduced amounts of Cr depletion compared to traditional austenitic Fe-Cr-Ni alloys after ion irradiation, which suggests suppressed point defect and solute diffusion behavior. (authors)

36 MATERIALS SCIENCE↗

Radiation-resilient InAs quantum dot lasers

Displacement damage from particle radiation increases the threshold current of semiconductor lasers, impeding the deployment of photonic systems in harsh radiation environments. Replacing conventional quantum well (QW) gain regions with quantum dots (QDs) has been shown to suppress the radiation-induced increase in threshold current owing to three-dimensional carrier confinement, which effectively segregates charge carriers away from radiation-induced defects. However, radiation-induced change in threshold current is also affected by extrinsic design elements of a laser, such as photon lifetime, and therefore provides only a partial assessment of the radiation hardness. In this work, we advance the understanding of the radiation resiliency of InAs QD lasers by extracting the change in the nonradiative recombination rate after radiation exposure, which provides a more fundamental assessment of the intrinsic radiation hardness of InAs QD gain regions. We find that carriers that populate InAs QD states have a nonradiative recombination rate that is over an order-of-magnitude less sensitive to neutron radiation relative to carriers in InGaAsP QWs. InAs QD lasers must be designed such that carriers primarily occupy QD states, preventing carrier spillover into surrounding barrier layers to obtain the maximum benefit. Furthermore, we show that enhanced radiation hardness is observed in InAs QD lasers grown on both highly lattice-mismatched silicon substrates and native GaAs substrates, further broadening the appeal of InAs QD lasers as reliable light sources for photonic systems operating in harsh radiation environments.

47 OTHER INSTRUMENTATION↗

Small-Scale Drop Size Variability: Impact on Estimation of Cloud Optical Properties

Most cloud radiation models and conventional data processing techniques assume that the mean number of drops of a given radius is proportional to volume. The analysis of microphysical data on liquid water drop sizes shows that, for sufficiently small volumes, this proportionality breaks down; the number of cloud drops of a given radius is instead proportional to the volume raised to a drop size-dependent nonunit power. The coefficient of proportionality, a generalized drop concentration, is a function of the drop size. For abundant small drops the power is unity as assumed in the conventional approach. However, for rarer large drops, it falls increasingly below unity. This empirical fact leads to drop clustering, with the larger drops exhibiting a greater degree of clustering. The generalized drop concentration shows the mean number of drops per cluster, while the power characterizes the occurrence frequency of clusters. With a fixed total number of drops in a cloud, a decrease in frequency of clusters is accompanied by a corresponding increase in the generalized concentration. This initiates a competing process missed in the conventional models: an increase in the number of drops per cluster enhances the impact of rarer large drops on cloud radiation while a decrease in the frequency suppresses it. Because of the nonlinear relationship between the number of clustered drops and the volume, these two opposite tendencies do not necessarily compensate each other. The data analysis suggests that clustered drops likely have a stronger radiative impact compared to their unclustered counterpart; ignoring it results in underestimation of the contribution from large drops to cloud horizontal optical path.

Knyazikhin, Y.↗

WE-FG-BRA-05: Potential Clinical Benefit of LINAC Flattening-Filter-Free (FFF) Mode - Improvement of Treatment Therapeutic Ratio

Purpose: Ultrahigh dose-rate radiation at >40Gy/s has demonstrated astonishing normal-tissue sparing and tumor control in recent preclinical naive and tumor-bearing rodent studies when compared to the same radiation dose at a conventional dose-rate. The working mechanism of this fascinating dose-rate effect is currently under investigation. The aims of this work include investigating 1) whether LINAC FFF mode radiation at approximately 1Gy/s also has an improved therapeutic ratio compared to the same radiation dose at the conventional dose-rate of 0.05Gy/s, and 2) the dose-rate effect’s potential working mechanism by studying the expression of the P53 gene, linked to tumor suppression and cell regulation after radiation damage. Methods: We used mouse model C57BL/6J, the same as that used in the ultrahigh dose-rate studies, and exposed them to total body irradiation (TBI) using the Elekta Versa accelerator 10MV photons. Mice (N=20) were given a total dose of 12Gy in both the high dose-rate group (n=10) using the FFF-mode and the conventional dose-rate group (n=10) using the conventional does rate mode. The FFF-mode treatment setup consisted of a 15cm×15cm field size setting at 53.2cm SSD while the conventional-mode set-up consisted of a 10cm×10cm field size at 100SSD. Post-radiation, animals were monitored daily for survival analysis and signs of moribundity requiring euthanasia. In addition, mouse spleens were harvested for P53 analysis at different time points. Results: For 12Gy TBI, the 1.3Gy/s FFF-mode high dose-rate produced a statistically significant (p=0.02) improvement in mouse survival compared to the 0.05Gy/s conventional dose-rate. An initial P53 study at the time of death time-point indicates that high dose-rate radiation induced a stronger expression of P53 than conventional dose-rate radiation. Conclusion: Our pilot study indicates that the FFF-mode high dose-rate radiation, which has been used largely to improve clinical throughput, may provide the added clinical benefit of improving treatment therapeutic ratio. Animal Studies were performed within the LCCC Animal Studies Core Facility at the University of North Carolina at Chapel Hill. The LCCC Animal Studies Core is supported in part by an NCI Center Core Support Grant (CA16086) to the UNC Lineberger Comprehensive Cancer Center.

60 APPLIED LIFE SCIENCES↗

Radiological health risks for exploratory class missions in space

The radiation risks to crewmembers on missions to the moon and Mars are studied. A graph is presented of the cross section as a function of linear energy transfer (LET) for cell inactivation and neoplastic cell transformation. Alternatives to conventional approaches to radiation protection using dose and Q are presented with attention given to a hybrid of the conventional system for particles with LET less than 100 keV/micron.

Nachtwey, D. Stuart↗