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PHASE: Personalized Head-based Automatic Simulation for Electromagnetic properties in 7T MRI

Accurate and individualized human head models are becoming increasingly important for electromagnetic (EM) simulations. These simulations depend on precise anatomical representations to realistically model electric and magnetic field distributions, particularly when evaluating Specific Absorption Rate (SAR) within safety guidelines. State of the art simulations use the Virtual Population due to limited public resources and the impracticality of manually annotating patient data at scale. Here, this paper introduces Personalized Head-based Automatic Simulation for EM properties (PHASE), an automated open-source toolbox that generates high-resolution, patient-specific head models for EM simulations using paired T1-weighted (T1w) magnetic resonance imaging (MRI) and computed tomography (CT) scans with 14 tissue labels. To evaluate the performance of PHASE models, we conduct semi-automated segmentation and EM simulations on 15 real human patients, serving as the gold standard reference. The PHASE model achieved comparable global SAR and localized SAR averaged over 10 grams of tissue (SAR-10g), demonstrating its potential as a promising tool for generating large-scale human model datasets in the future. The code and models of PHASE toolbox have been made publicly available: https://github.com/hrlblab/PHASE.

Deep learning↗

Shielded radiography with a laser-driven MeV-energy X-ray source

We report the results of experimental and numerical-simulation studies of shielded radiography using narrowband MeV-energy X-rays from a compact all-laser-driven inverse-Compton-scattering X-ray light source. This recently developed X-ray light source is based on a laser-wakefield accelerator with ultra-high-field gradient (GeV/cm). We demonstrate experimentally high-quality radiographic imaging (image contrast of 0.4 and signal-to-noise ratio of 2:1) of a target composed of 8-mm thick depleted uranium shielded by 80-mm thick steel, using a 6-MeV X-ray beam with a spread of 45% (FWHM) and 10 7 photons in a single shot. The corresponding dose of the X-ray pulse measured in front of the target is ~100 nGy/pulse. Simulations performed using the Monte-Carlo code MCNPX accurately reproduce the experimental results. These simulations also demonstrate that the narrow bandwidth of the Compton X-ray source operating at 6 and 9 MeV leads to a reduction of deposited dose as compared to broadband bremsstrahlung sources with the same end-point energy. The X-ray beam’s inherently low-divergence angle (~mrad) is advantageous and effective for interrogation at standoff distance. Furthermore, these results demonstrate significant benefits of all-laser driven Compton X-rays for shielded radiography.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Yield degradation mechanisms for two-shock capsules evaluated through simulations

An investigation of twenty two-shock campaign indirectly driven capsules on the National Ignition Facility was conducted using the xRAGE computer code. The two-shock platform was developed to look at the sensitivity of fuel–ablator mix with shock timing, asymmetry, surface roughness, and convergence on roughly ignition size scale capsules. This platform used CH/CD (plastic/deuterated plastic) shell capsules that were about 685-μm outer radius and filled with D2 or hydrogen-tritium (HT) gas. The experimental radius and velocity vs time, neutron yield, burn averaged ion temperature (Tion), burn width, and self-emission image size were compared to one-dimensional (1D) and two-dimensional (2D) simulations. Our 2D simulations suggest that the mixing of glass from the fill tube was the dominant source of impurity in the gas region of the capsule during burn, along with fuel–ablator mix. The mass of glass mixed in is about 5–10 ng. Our 2D simulations capture most of the yield trends from different degradation mechanisms, and they match the observed burn width and Tion measurements. Our 2D models match all the available data to within 2.5 times the normalized experimental error for 19 of 20 capsules.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Efficient Algorithms for Convolutional Sparse Representations

When applying sparse representation techniques to images, the standard approach is to independently compute the representations for a set of overlapping image patches. This method performs very well in a variety of applications, but results in a representation that is multi-valued and not optimized with respect to the entire image. Additionally, an alternative representation structure is provided by a convolutional sparse representation, in which a sparse representation of an entire image is computed by replacing the linear combination of a set of dictionary vectors by the sum of a set of convolutions with dictionary filters. The resulting representation is both single-valued and jointly optimized over the entire image. While this form of a sparse representation has been applied to a variety of problems in signal and image processing and computer vision, the computational expense of the corresponding optimization problems has restricted application to relatively small signals and images. Here, this paper presents new, efficient algorithms that substantially improve on the performance of other recent methods, contributing to the development of this type of representation as a practical tool for a wider range of problems.

97 MATHEMATICS AND COMPUTING↗

Interaction of 0.53 {mu}m laser pulse with millimeter-scale plasmas generated by gasbag target

Detailed research on the interaction of a 0.53 {mu}m laser pulse with millimeter-scale plasmas produced by a gasbag target on the Shengguang-II facility is presented. The x-ray pinhole images confirm that millimeter-scale plasmas are generated and the x-ray framing images show a temporal window of 0.6-1.1 ns during which the millimeter-scale plasmas exist. The electron temperature is measured with a collective Thomson scattering system, providing 0.64 keV for C{sub 5}H{sub 12} and 1.8 keV for Xe plasmas. The electron density is inferred from the stimulated Raman scattering spectra. The experimental spectra show large differences for C{sub 5}H{sub 12}- and Xe-filled gasbags. A one-dimensional code based upon steady-state, kinetic linear theory is applied to calculate the stimulated Raman scattering spectra. Excellent agreement between the calculated and experimental results shows that the plasma parameters, especially the electron density and the temperature, dominate the disruption behavior of stimulated Raman scattering. The results also indicate that stimulated Raman scattering is probably located within specific region of the gasbag. The time-integrated reflectivity of both the stimulated Raman and Brillouin scattering is at a low level, even in the conditions of high laser intensity (1.5 Multiplication-Sign 10{sup 15} W/cm{sup 2}) and no beam-smoothing. The experimental results are promising for future ignition experiments with a 0.53 {mu}m laser as the driver.

2-METHYLBUTANE↗

THE NEXT GENERATION VIRGO CLUSTER SURVEY. XV. THE PHOTOMETRIC REDSHIFT ESTIMATION FOR BACKGROUND SOURCES

The Next Generation Virgo Cluster Survey (NGVS) is an optical imaging survey covering 104 deg{sup 2} centered on the Virgo cluster. Currently, the complete survey area has been observed in the u*giz bands and one third in the r band. We present the photometric redshift estimation for the NGVS background sources. After a dedicated data reduction, we perform accurate photometry, with special attention to precise color measurements through point-spread function homogenization. We then estimate the photometric redshifts with the Le Phare and BPZ codes. We add a new prior that extends to i {sub AB} = 12.5 mag. When using the u* griz bands, our photometric redshifts for 15.5 mag ≤ i ≲ 23 mag or z {sub phot} ≲ 1 galaxies have a bias |Δz| < 0.02, less than 5% outliers, a scatter σ{sub outl.rej.}, and an individual error on z {sub phot} that increases with magnitude (from 0.02 to 0.05 and from 0.03 to 0.10, respectively). When using the u*giz bands over the same magnitude and redshift range, the lack of the r band increases the uncertainties in the 0.3 ≲ z {sub phot} ≲ 0.8 range (–0.05 < Δz < –0.02, σ{sub outl.rej} ∼ 0.06, 10%-15% outliers, and z {sub phot.err.} ∼ 0.15). We also present a joint analysis of the photometric redshift accuracy as a function of redshift and magnitude. We assess the quality of our photometric redshifts by comparison to spectroscopic samples and by verifying that the angular auto- and cross-correlation function w(θ) of the entire NGVS photometric redshift sample across redshift bins is in agreement with the expectations.

79 ASTRONOMY AND ASTROPHYSICS↗

MO-H-19A-03: Patient Specific Bolus with 3D Printing Technology for Electron Radiotherapy

Purpose: Bolus is widely used in electron radiotherapy to achieve desired dose distribution. 3D printing technologies provide clinicians with easy access to fabricate patient specific bolus accommodating patient body surface irregularities and tissue inhomogeneity. This study presents the design and the clinical workflow of 3D printed bolus for patient electron therapy in our clinic. Methods: Patient simulation CT images free of bolus were exported from treatment planning system (TPS) to an in-house developed software package. Bolus with known material properties was designed in the software package and then exported back to the TPS as a structure. Dose calculation was carried out to examine the coverage of the target. After satisfying dose distribution was achieved, the bolus structure was transferred in Standard Tessellation Language (STL) file format for the 3D printer to generate the machine codes for printing. Upon receiving printed bolus, a quick quality assurance was performed with patient resimulated with bolus in place to verify the bolus dosimetric property before treatment started. Results: A patient specific bolus for electron radiotherapy was designed and fabricated in Form 1 3D printer with methacrylate photopolymer resin. Satisfying dose distribution was achieved in patient with bolus setup. Treatment was successfully finished for one patient with the 3D printed bolus. Conclusion: The electron bolus fabrication with 3D printing technology was successfully implemented in clinic practice.

60 APPLIED LIFE SCIENCES↗

TH-AB-209-11: Breast Microcalcification Classification Using Spectral X-Ray Coherent Scatter Computed Tomography

Purpose: To investigate the ability of Coherent Scatter Computed Tomography (CSCT) to distinguish non-invasively between type I calcifications, consisting of calcium oxalate dihydrate (CO) compounds which are more often associated with benign lesions, and type II calcifications containing hydroxyapatite (HA) which are predominantly associated with malignant tumors. Methods: The coherent scatter cross sections of HA and CO were measured using an energy dispersive x-ray diffractometer. The measured cross sections were introduced into MC-GPU Monte Carlo simulation code for studying the applicability of CSCT to discriminate between the two types of microcalcifications within the whole breast. Simulations were performed on a virtual phantom with inserted HA and CO spots of different sizes and placed in regions of interest having different background compositions. We considered a polychromatic x-ray source and an energy resolving photon counting detector. We applied an algorithm that estimates scatter components in projection space in order to obtain material-specific images of the breast. As material components adipose, glandular, HA and CO were used. The relative contrast of HA and CO components were used for type I and type II microcalcification discrimination. Results: The reconstructed CSCT images showed material-specific component-contrast values, with the highest CO or HA component contrast corresponding generally to the actual CO or HA feature, respectively. The discrimination performance varies with the x-ray intensity, calcification size, and background composition. The results were summarized using receiver operating characteristic (ROC) analysis with the area under the curve (AUC) taken as an overall indicator of discrimination performance and showing high AUC values up to unity. Conclusion: The simulation results obtained for a uniform breast imaging phantom indicate that CSCT has potential to be used as a non-invasive method for discrimination between type I and type II microcalcifications.

60 APPLIED LIFE SCIENCES↗

Ablative Richtmyer-Meshkov Experiments

Figure 1 shows a schematic of experimental setup for nonlinear Richtmyer-Meshkov (RM) instability experiments on OMEGA. Planar 15, 30, and 50-μm-thick CH targets were driven with three UV beams using a 6-ns square pulse shape, total energy of ~0.7 kJ, and laser intensity of ~5x10 13 W/cm 2 . Initial target modulations were imposed by laser imprinting using a beam with a special 2D phase plate with modulation wavelength of ~70 microns. The timing of this beam was advanced by ~200 ps, relative to other drive beams that have regular SG distributed phase plates (DPP’s). Figure 2 shows laser beam images, with SG4 DPP, and with a special 2D DPP. Growth of target modulations was measured with x-ray radiography using uranium (~1.3 keV), samarium (~1.8 keV), and tantalum (~2.2 keV) backlighters on a framing camera with 10-μm spatial resolution and 80-ps temporal resolution. Backlighter targets were driven with 2-ns square pulse shape and intensity of ~3x10 14 W/cm 2 using seven additional UV beams. Figure 3 shows an example of measured image at 1.1 ns (near the end of RM phase) taken with 50-μm thick CH foil and tantalum backlighter. Evolution of 2D broadband modulations was observed in RM phase for all target types during a shock transit time before beginning of acceleration and subsequent RT growth. Figure 4 summarizes areal-density evolution of 2D modulation at wavelength of 70 μm for 30-μm and 50-μm thick foils and compares data with predictions of 2D hydro code DRACO. Vertical dashed lines show expected times at the end of RM phase and beginning of the RT phase for these types of foils. Blue data points and curves correspond to 30-μm thick foils, while black curves and data points are for 50-μm-thick foils. Areal density modulations grow throughout RM phase, their evolution is similar to code predictions, validating the simulations.

42 ENGINEERING↗

High-Speed Diagnostic and Simulation Capabilities for Reacting Hypersonic Reentry Flows (LDRD Final Report)

High-enthalpy hypersonic flight represents an application space of significant concern within the current national-security landscape. The hypersonic environment is characterized by high-speed compressible fluid mechanics and complex reacting flow physics, which may present both thermal and chemical nonequilibrium effects. We report on the results of a three-year LDRD effort, funded by the Engineering Sciences Research Foundation (ESRF) investment area, which has been focused on the development and deployment of new high-speed thermochemical diagnostics capabilities for measurements in the high-enthalpy hypersonic environment posed by Sandia's free-piston shock tunnel. The project has additionally sponsored model development efforts, which have added thermal nonequilibrium modeling capabilities to Sandia codes for subsequent design of many of our shock-tunnel experiments. We have cultivated high-speed, chemically specific, laser-diagnostic approaches that are uniquely co-located with Sandia's high-enthalpy hypersonic test facilities. These tools include picosecond and nanosecond coherent anti-Stokes Raman scattering at 100-kHz rates for time-resolved thermometry, including thermal nonequilibrium conditions, and 100-kHz planar laser-induced fluorescence of nitric oxide for chemically specific imaging and velocimetry. Key results from this LDRD project have been documented in a number of journal submissions and conference proceedings, which are cited here. The body of this report is, therefore, concise and summarizes the key results of the project. The reader is directed toward these reference materials and appendices for more detailed discussions of the project results and findings.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

LONG DURATION FLARE EMISSION: IMPULSIVE HEATING OR GRADUAL HEATING?

Flare emissions in X-ray and EUV wavelengths have previously been modeled as the plasma response to impulsive heating from magnetic reconnection. Some flares exhibit gradually evolving X-ray and EUV light curves, which are believed to result from superposition of an extended sequence of impulsive heating events occurring in different adjacent loops or even unresolved threads within each loop. In this paper, we apply this approach to a long duration two-ribbon flare SOL2011-09-13T22 observed by the Atmosphere Imaging Assembly (AIA). We find that to reconcile with observed signatures of flare emission in multiple EUV wavelengths, each thread should be heated in two phases, an intense impulsive heating followed by a gradual, low-rate heating tail that is attenuated over 20–30 minutes. Each AIA resolved single loop may be composed of several such threads. The two-phase heating scenario is supported by modeling with both a zero-dimensional and a 1D hydrodynamic code. We discuss viable physical mechanisms for the two-phase heating in a post-reconnection thread.

79 ASTRONOMY AND ASTROPHYSICS↗

A simplified approach to characterizing a kilovoltage source spectrum for accurate dose computation

Purpose: To investigate and validate the clinical feasibility of using half-value layer (HVL) and peak tube potential (kVp) for characterizing a kilovoltage (kV) source spectrum for the purpose of computing kV x-ray dose accrued from imaging procedures. To use this approach to characterize a Varian Registered-Sign On-Board Imager Registered-Sign (OBI) source and perform experimental validation of a novel in-house hybrid dose computation algorithm for kV x-rays. Methods: We characterized the spectrum of an imaging kV x-ray source using the HVL and the kVp as the sole beam quality identifiers using third-party freeware Spektr to generate the spectra. We studied the sensitivity of our dose computation algorithm to uncertainties in the beam's HVL and kVp by systematically varying these spectral parameters. To validate our approach experimentally, we characterized the spectrum of a Varian Registered-Sign OBI system by measuring the HVL using a Farmer-type Capintec ion chamber (0.06 cc) in air and compared dose calculations using our computationally validated in-house kV dose calculation code to measured percent depth-dose and transverse dose profiles for 80, 100, and 125 kVp open beams in a homogeneous phantom and a heterogeneous phantom comprising tissue, lung, and bone equivalent materials. Results: The sensitivity analysis of the beam quality parameters (i.e., HVL, kVp, and field size) on dose computation accuracy shows that typical measurement uncertainties in the HVL and kVp ({+-}0.2 mm Al and {+-}2 kVp, respectively) source characterization parameters lead to dose computation errors of less than 2%. Furthermore, for an open beam with no added filtration, HVL variations affect dose computation accuracy by less than 1% for a 125 kVp beam when field size is varied from 5 Multiplication-Sign 5 cm{sup 2} to 40 Multiplication-Sign 40 cm{sup 2}. The central axis depth dose calculations and experimental measurements for the 80, 100, and 125 kVp energies agreed within 2% for the homogeneous and heterogeneous block phantoms, and agreement for the transverse dose profiles was within 6%. Conclusions: The HVL and kVp are sufficient for characterizing a kV x-ray source spectrum for accurate dose computation. As these parameters can be easily and accurately measured, they provide for a clinically feasible approach to characterizing a kV energy spectrum to be used for patient specific x-ray dose computations. Furthermore, these results provide experimental validation of our novel hybrid dose computation algorithm.

61 RADIATION PROTECTION AND DOSIMETRY↗

Machine learning-driven descriptions of protein dynamics at solid-liquid interfaces

This chapter has described how ML has enabled quantitative analysis of HS-AFM data to discover the physical phenomena governing protein dynamics and ordering at solid-liquid interfaces. The research detailed in this chapter modeled the rotation models of protein nanorods, the discovery of which would otherwise not be possible. By tracking the trajectories of individual protein rods from frame to frame, it was possible to model Brownian type motion and behaviors and Levy-flight dynamics that had not previously been shown. We also described the application of the Python package AtomAI, which has been developed specifically to analyze and extract physical phenomena, providing exemplar code for training an ensemble of deep neural networks to produce the semantic segmentation of AFM data and functions for encoding and decoding local environments. We last described a combinatorial approach to analyze very noisy data with a densely covered substrate where the emergence of order for the protein liquid crystals could be elucidated. By combining the methods from Case 1 and 2, it was possible to obtain the center of mass and angle for each rod in the images and track the assembly of the rods over time into a 2D liquid crystal array on the surface of mica.

protein dynamics, solid-liquid interfaces, atomic ↗

Anomaly detection in Hyper Suprime-Cam galaxy images with generative adversarial networks

ABSTRACT The problem of anomaly detection in astronomical surveys is becoming increasingly important as data sets grow in size. We present the results of an unsupervised anomaly detection method using a Wasserstein generative adversarial network (WGAN) on nearly one million optical galaxy images in the Hyper Suprime-Cam (HSC) survey. The WGAN learns to generate realistic HSC-like galaxies that follow the distribution of the data set; anomalous images are defined based on a poor reconstruction by the generator and outlying features learned by the discriminator. We find that the discriminator is more attuned to potentially interesting anomalies compared to the generator, and compared to a simpler autoencoder-based anomaly detection approach, so we use the discriminator-selected images to construct a high-anomaly sample of ∼13 000 objects. We propose a new approach to further characterize these anomalous images: we use a convolutional autoencoder to reduce the dimensionality of the residual differences between the real and WGAN-reconstructed images and perform UMAP clustering on these. We report detected anomalies of interest including galaxy mergers, tidal features, and extreme star-forming galaxies. A follow-up spectroscopic analysis of one of these anomalies is detailed in the Appendix; we find that it is an unusual system most likely to be a metal-poor dwarf galaxy with an extremely blue, higher-metallicity H ii region. We have released a catalogue with the WGAN anomaly scores; the code and catalogue are available at https://github.com/kstoreyf/anomalies-GAN-HSC; and our interactive visualization tool for exploring the clustered data is at https://weirdgalaxi.es.

79 ASTRONOMY AND ASTROPHYSICS↗

SU-E-T-561: Monte Carlo-Based Organ Dose Reconstruction Using Pre-Contoured Human Model for Hodgkins Lymphoma Patients Treated by Cobalt-60 External Beam Therapy

Purpose: Organ doses for the Hodgkin’s lymphoma patients treated with cobalt-60 radiation were estimated using an anthropomorphic model and Monte Carlo modeling. Methods: A cobalt-60 treatment unit modeled in the BEAMnrc Monte Carlo code was used to produce phase space data. The Monte Carlo simulation was verified with percent depth dose measurement in water at various field sizes. Radiation transport through the lung blocks were modeled by adjusting the weights of phase space data. We imported a precontoured adult female hybrid model and generated a treatment plan. The adjusted phase space data and the human model were imported to the XVMC Monte Carlo code for dose calculation. The organ mean doses were estimated and dose volume histograms were plotted. Results: The percent depth dose agreement between measurement and calculation in water phantom was within 2% for all field sizes. The mean organ doses of heart, left breast, right breast, and spleen for the selected case were 44.3, 24.1, 14.6 and 3.4 Gy, respectively with the midline prescription dose of 40.0 Gy. Conclusion: Organ doses were estimated for the patient group whose threedimensional images are not available. This development may open the door to more accurate dose reconstruction and estimates of uncertainties in secondary cancer risk for Hodgkin’s lymphoma patients. This work was partially supported by the intramural research program of the National Institutes of Health, National Cancer Institute, Division of Cancer Epidemiology and Genetics.

61 RADIATION PROTECTION AND DOSIMETRY↗

Shear Measurement Bias Due to Spatially Varying Spectral Energy Distributions in Galaxies

Galaxy color gradients (CGs)—i.e., spectral energy distributions that vary across the galaxy profile—will impact galaxy shape measurements when the modeled point-spread function (PSF) corresponds to that for a galaxy with spatially uniform color. This paper describes the techniques and results of a study of the expected impact of galaxy CGs on weak lensing measurements with the Large Synoptic Survey Telescope (LSST) when the PSF size depends on wavelength. The bias on cosmic shear measurements from CGs is computed both for parametric bulge$+$disk galaxy simulations and for more realistic chromatic galaxy surface brightness profiles based on Hubble Space Telescope V- and I-band images in the All-Wavelength Extended Groth Strip International Survey (AEGIS). For the parametric galaxies, and for the more realistic galaxies derived from AEGIS galaxies with a sufficient signal-to-noise ratio that CG bias can be isolated, the predicted multiplicative shear biases due to CGs are found to be at least a factor of two below the LSST full-depth requirement on the total systematic uncertainty in the redshift-dependent shear calibration. The analysis code and data products are publicly available (https://github.com/sowmyakth/measure_cg_bias).

79 ASTRONOMY AND ASTROPHYSICS↗

SU-E-T-378: Limits and Possibilities of a Simplistic Approach to Whole Breast Radiation Therapy Planning

Purpose: Challenges for radiation therapy in developing countries include unreliable infrastructure and high patient load. We propose a system to treat whole breast in the prone position without computed tomography and/or planning software. Methods: Six parameters are measured using calipers and levels with the patient prone in the treatment position. (1) The largest separation; (2) the angle that separation makes with the horizontal; (3) the separation 2 cm posterior to the nipple; (4) the vertical distance between these two separations; (5) the sup/inf length and (6) angle of the desired posterior field edge. The data in (5) (6) and (2) provide field length, collimator and gantry angles. Isocenter is set to the midpoint of (1), anterior jaw setting is 20cm (half-beam setup), and the dose is prescribed to a point 1.5 cm anterior to isocenter. MUs and wedge angles are calculated using an MU calculator and by requiring 100% dose at that point and 100-105% at the midpoint of (3). Measurements on 30 CT scans were taken to obtain the data 1-6. To test the resulting MU/wedge combinations, they were entered into Eclipse (Varian) and dose distributions were calculated. The MU/wedge combinations were recorded and tabulated. Results: Performing a dose volume histogram analysis, the contoured breast V95 was 90.5%, and the average V90 was 94.1%. The maximum dose never exceeded 114.5%, (average 108%). The lung V20 was <5% for 96.7%, and the heart V5 was <10% for 93.3% of our sample. Conclusion: A method to provide prone whole breast treatment without CT-planning was developed. The method provides reasonable coverage and normal tissue sparing. This approach is not recommended if imaging and planning capabilities are available; it was designed to specifically avoid the need for CT planning and should be reserved to clinics that need to avoid that step.

60 APPLIED LIFE SCIENCES↗

Online 3D EPID-based dose verification: Proof of concept

Purpose: Delivery errors during radiotherapy may lead to medical harm and reduced life expectancy for patients. Such serious incidents can be avoided by performing dose verification online, i.e., while the patient is being irradiated, creating the possibility of halting the linac in case of a large overdosage or underdosage. The offline EPID-based 3D in vivo dosimetry system clinically employed at our institute is in principle suited for online treatment verification, provided the system is able to complete 3D dose reconstruction and verification within 420 ms, the present acquisition time of a single EPID frame. It is the aim of this study to show that our EPID-based dosimetry system can be made fast enough to achieve online 3D in vivo dose verification. Methods: The current dose verification system was sped up in two ways. First, a new software package was developed to perform all computations that are not dependent on portal image acquisition separately, thus removing the need for doing these calculations in real time. Second, the 3D dose reconstruction algorithm was sped up via a new, multithreaded implementation. Dose verification was implemented by comparing planned with reconstructed 3D dose distributions delivered to two regions in a patient: the target volume and the nontarget volume receiving at least 10 cGy. In both volumes, the mean dose is compared, while in the nontarget volume, the near-maximum dose (D2) is compared as well. The real-time dosimetry system was tested by irradiating an anthropomorphic phantom with three VMAT plans: a 6 MV head-and-neck treatment plan, a 10 MV rectum treatment plan, and a 10 MV prostate treatment plan. In all plans, two types of serious delivery errors were introduced. The functionality of automatically halting the linac was also implemented and tested. Results: The precomputation time per treatment was ∼180 s/treatment arc, depending on gantry angle resolution. The complete processing of a single portal frame, including dose verification, took 266 ± 11 ms on a dual octocore Intel Xeon E5-2630 CPU running at 2.40 GHz. The introduced delivery errors were detected after 5–10 s irradiation time. Conclusions: A prototype online 3D dose verification tool using portal imaging has been developed and successfully tested for two different kinds of gross delivery errors. Thus, online 3D dose verification has been technologically achieved.

60 APPLIED LIFE SCIENCES↗