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At least 1,531 records · Page 85

Magnetic ground state and perturbations of the distorted kagome Ising metal TmAgGe

Here, we present the magnetic orders and excitations of the distorted kagome intermetallic magnet TmAgGe. Using neutron single crystal diffraction we identify the propagation vectors k = ($\frac{1}{2}$ 0 0) and k = (0 0 0) and determine the magnetic structures of the zero-field and magnetic field-induced phases for H along the $\mathcal{a}$ and [–110] crystal directions. We determine the experimental magnetic field- temperature (H, T)-phase diagram and reproduce it by Monte Carlo simulations of an effective spin exchange Hamiltonian for one distorted kagome layer. Our model includes a strong axial single-ion anisotropy and significantly smaller exchange couplings, which span up to the third-nearest neighbors within the layer. Single crystal inelastic neutron scattering (INS) measurements reveal an almost flat, only weakly dispersive mode around 7 meV that we use alongside bulk magnetization data to deduce the crystal-electric field (CEF) scheme for the Tm 3+ ions. Random phase approximation (RPA) calculations based on the determined CEF wave functions of the two lowest quasidoublets enable an estimation of the interlayer coupling that is compatible with the experimental INS spectra. No evidence for low-energy spin waves associated to the magnetic order was found, which is consistent with the strongly Ising nature of the ground state.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

Using isotope shift for testing nuclear theory: The case of nobelium isotopes

We calculate field isotope shifts for nobelium atoms using nuclear charge distributions which come from different nuclear models.We demonstrate that comparing calculated isotope shifts with experiment can serve as a testing ground for nuclear theories. It also provides a way of extracting parameters of nuclear charge distribution beyond nuclear root mean square (rms) radius, e.g., parameter of quadrupole deformation β. The measurements of at least two atomic transitions is needed to disentangle the contributions of the changes in deformation and nuclear rms radius into field isotopic shift. We argue that a previous interpretation of the isotope measurements in terms of δ < r 2 > between 252,254 No isotopes should be amended when nuclear deformation is taken into account. As a result, we calculate isotope shifts for other known isotopes and for hypothetically metastable isotope 286 No for which the predictions of nuclear models differ substantially.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Modeling quasielastic interactions of monoenergetic kaon decay-at-rest neutrinos

Monoenergetic muon neutrinos at 236 MeV are readily produced in intense medium-energy proton facilities (≳2–3GeV) when a positive kaon decays at rest (KDAR; K + →μ + ν μ ). These neutrinos provide a unique opportunity to both study the neutrino interaction and probe the nucleus with a monoenergetic weak-interaction-only tool. We present cross-section calculations for quasielastic scattering of these 236-MeV neutrinos off 12 C and 40 Ar, paying special attention to low-energy aspects of the scattering process. Our model takes the description of the nucleus in a mean-field approach as the starting point, where we solve Hartree-Fock equations using a Skyrme type nucleon-nucleon interaction. Thereby, we introduce long-range nuclear correlations by means of a continuum random-phase approximation (CRPA) framework where we solve the CRPA equations using a Green's function method. The model successfully describes (e,e') data on 12 C and 40 Ca in the kinematic region that overlaps with the KDAR ν μ phase space. In addition to these results, we present future prospects for precision KDAR cross-section measurements and applications of our calculations in current and future experiments that will utilize these neutrinos.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗

Statistical Generation of Ocean Forcing With Spatiotemporal Variability for Ice Sheet Models

Melting of ice at the base of floating ice shelves that fringe the Antarctic ice sheet has been identified as a significant source of uncertainty in sea level rise projections. Part of this uncertainty derives from chaotic internal variability of the coupled ocean-atmosphere system. For numerical ice sheet model projections, this uncertainty has not previously been quantified because of the prohibitive computational expense of running large climate model ensembles. Here, we develop and demonstrate a technique that generates independent realizations of internal climate variability from a single climate model simulation. Building on previous developments in model emulation, this technique uses empirical orthogonal function decomposition and Fourier-phase randomization to generate statistically consistent realizations of spatiotemporal variability fields for the target climate variable. The method facilitates efficient sampling of a wide range of climate trajectories, which can also be incorporated within ice sheet or other physical models to represent feedback processes.

54 ENVIRONMENTAL SCIENCES↗

Rapid determination of soil classes in soil profiles using vis–NIR spectroscopy and multiple objectives mixed support vector classification

Summary Visible‐near infrared (vis–NIR) spectroscopy can reveal various soil properties and facilitate soil classification. However, few studies have attempted to classify vertical soil profiles that contain several genetic horizons. Here, we propose the ‘multiple objectives mixed support vector classification’ (MOM–SVC) method to classify soil profiles. A total of 130 soil profiles were collected from genetic horizons in Zhejiang Province, China. After laboratory analysis, soil profiles were classified according to the Chinese Soil Taxonomy system. Vis–NIR spectra were recorded from each genetic horizon of each soil profile and were then pre‐processed. We performed the MOM–SVC method as follows: (i) created a support vector machine (SVM) model (one‐versus‐one approach) using spectral data from all soil horizons in calibration profiles, (ii) applied the SVM model on each horizon of the profile to be predicted, (iii) extracted ‘votes’ from each horizon and mixed (or summarized) them into the votes of each profile to be predicted and (iv) classified each profile by the majority‐voting method. We also investigated whether the additional input of auxiliary soil information (e.g. moist soil colour, soil organic matter and soil texture), which could be measured easily or be well predicted by vis–NIR spectroscopy, could improve the accuracy of soil classification when combined with it. Independent validation results showed that the MOM–SVC method performed better at the soil order level than at the suborder level. Adding auxiliary soil information to the classification model improved the overall accuracy of classification at the soil order level. The proposed MOM–SVC method provides a fast objective diagnostic of soil classes for use in soil surveys and can help to update soil databases when a more objective soil classification system is developed. Highlights The MOM–SVC method can be used to classify soil profiles objectively with a variety of soil horizons. Stratified random sampling was used to quantify prediction uncertainty in classification MOM–SVC can predict soil orders with greater accuracy than suborders. Adding auxiliary soil information into the classification model improved prediction accuracy.

Chen, S.↗

Solid-phase heteroepitaxy of oriented Sb 2 Se 3 on GaAs for birefringent thin films

Here, we investigate the amorphous-to-crystalline transformation of antimony selenide (Sb 2 Se 3 ) on UHV-prepared GaAs (001) substrates. In the bulk orthorhombic form, Sb 2 Se 3 is a layered quasi-1D semiconductor with highly anisotropic properties of interest for optical and electronic devices. We find that an amorphous layer deposited by molecular beam epitaxy annealed at or above 230 °C yields a textured-epitaxial structure among some randomly oriented domains. The textured-epitaxial Sb 2 Se 3 grains are oriented with the covalently bonded “1D axis” constrained in-plane to GaAs [110] and with multiple van der Waals (hk0) orientations out-of-plane. The same texture was achieved exclusively without randomly oriented grains using continuous-wave laser radiation, highlighting the use of thermal and optical methods to yield anisotropic crystalline Sb 2 Se 3 films directly from the amorphous phase. Polarized reflectance and polarized microscopy confirm the unique state of in-plane birefringence in the crystallized thin film. Overall, we show that solid-phase heteroepitaxy provides additional pathways to the integration of low-symmetry chalcogenide semiconductors for demanding applications where the inherent anisotropy needs to be preserved.

Xiao, Kelly [Stanford Univ., CA (United States)] (↗

Reduction of prostate intrafraction motion using gas-release rectal balloons

Purpose: To analyze prostate intrafraction motion using both non-gas-release (NGR) and gas-release (GR) rectal balloons and to evaluate the ability of GR rectal balloons to reduce prostate intrafraction motion. Methods: Twenty-nine patients with NGR rectal balloons and 29 patients with GR balloons were randomly selected from prostate patients treated with proton therapy at University of Florida Proton Therapy Institute (Jacksonville, FL). Their pretreatment and post-treatment orthogonal radiographs were analyzed, and both pretreatment setup residual error and intrafraction-motion data were obtained. Population histograms of intrafraction motion were plotted for both types of balloons. Population planning target-volume (PTV) margins were calculated with the van Herk formula of 2.5{Sigma}+ 0.7{sigma} to account for setup residual errors and intrafraction motion errors. Results: Pretreatment and post-treatment radiographs indicated that the use of gas-release rectal balloons reduced prostate intrafraction motion along superior-inferior (SI) and anterior-posterior (AP) directions. Similar patient setup residual errors were exhibited for both types of balloons. Gas-release rectal balloons resulted in PTV margin reductions from 3.9 to 2.8 mm in the SI direction, 3.1 to 1.8 mm in the AP direction, and an increase from 1.9 to 2.1 mm in the left-right direction. Conclusions: Prostate intrafraction motion is an important uncertainty source in radiotherapy after image-guided patient setup with online corrections. Compared to non-gas-release rectal balloons, gas-release balloons can reduce prostate intrafraction motion in the SI and AP directions caused by gas buildup.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

SU-E-J-248: Comparative Study of Two Image Registration for Image-Guided Radiation Therapy in Esophageal Cancer

Purpose: Image-guided radiation therapy (IGRT) is one of the major treatment of esophageal cancer. Gray value registration and bone registration are two kinds of image registration, the purpose of this work is to compare which one is more suitable for esophageal cancer patients. Methods: Twenty three esophageal patients were treated by Elekta Synergy, CBCT images were acquired and automatically registered to planning kilovoltage CT scans according to gray value or bone registration. The setup errors were measured in the X, Y and Z axis, respectively. Two kinds of setup errors were analysed by matching T test statistical method. Results: Four hundred and five groups of CBCT images were available and the systematic and random setup errors (cm) in X, Y, Z directions were 0.35, 0.63, 0.29 and 0.31, 0.53, 0.21 with gray value registration, while 0.37, 0.64, 0.26 and 0.32, 0.55, 0.20 with bone registration, respectively. Compared with bone registration and gray value registration, the setup errors in X and Z axis have significant differences. In Y axis, both measurement comparison results of T value is 0.256 (P value > 0.05); In X axis, the T value is 5.287(P value < 0.05); In Z axis, the T value is −5.138 (P value < 0.05). Conclusion: Gray value registration is recommended in image-guided radiotherapy for esophageal cancer and the other thoracic tumors. Manual registration could be applied when it is necessary. Bone registration is more suitable for the head tumor and pelvic tumor department where composed of redundant interconnected and immobile bone tissue.

60 APPLIED LIFE SCIENCES↗

SU-E-T-608: Performance Comparison of Four Commercial Treatment Planning Systems Applied to Intensity-Modulated Radiotherapy

Purpose: To compare the performances of four commercial treatment planning systems (TPS) used for the intensity-modulated radiotherapy (IMRT). Methods: Ten patients of nasopharyngeal (4 cases), esophageal (3 cases) and cervical (3 cases) cancer were randomly selected from a 3-month IMRT plan pool at one radiotherapy center. For each patient, four IMRT plans were newly generated by using four commercial TPS (Corvus, Monaco, Pinnacle and Xio), and then verified with Matrixx (two-dimensional array/IBA Company) on Varian23EX accelerator. A pass rate (PR) calculated from the Gamma index by OminiPro IMRT 1.5 software was evaluated at four plan verification standards (1%/1mm, 2%/2mm, 3%/3mm, 4%/4mm and 5%/5mm) for each treatment plan. Overall and multiple pairwise comparisons of PRs were statistically conducted by analysis of covariance (ANOVA) F and LSD tests among four TPSs. Results: Overall significant (p>0.05) differences of PRs were found among four TPSs with F test values of 3.8 (p=0.02), 21.1(>0.01), 14.0 (>0.01), 8.3(>0.01) at standards of 1%/1mm to 4%/4mm respectively, except at 5%/5mm standard with 2.6 (p=0.06). All means (standard deviation) of PRs at 3%/3mm of 94.3 ± 3.3 (Corvus), 98.8 ± 0.8 (Monaco), 97.5± 1.7 (Pinnacle), 98.4 ± 1.0 (Xio) were above 90% and met clinical requirement. Multiple pairwise comparisons had not demonstrated a consistent low or high pattern on either TPS. Conclusion: Matrixx dose verification results show that the validation pass rates of Monaco and Xio plans are relatively higher than those of the other two; Pinnacle plan shows slight higher pass rate than Corvus plan; lowest pass rate was achieved by the Corvus plan among these four kinds of TPS.

60 APPLIED LIFE SCIENCES↗

Analysis of the Zero Relaxation Limit of Hyperbolic Balance Laws with Random Initial Data

We show the convergence of the zero relaxation limit of $2 \times 2$ systems of hyperbolic balance laws with stochastic initial data. Precisely, solutions converge to a solution of the local equilibrium approximation as the relaxation time tends to zero. The initial data are assumed to depend on finitely many random variables, and the convergence is then proved via the appropriate analogues of the compensated compactness methods used in treating the deterministic case. We also demonstrate the validity of this limit in the case of the semilinear $p$-system; the well-posedness of both the system and its equilibrium approximation is proved, and the convergence is shown with no a priori conditions on solutions. Here, this model serves as a prototype for understanding how asymptotic approximations can be used as control variates for hyperbolic balance laws with uncertainty.

$p$-system↗

Obtaining and Managing Answer Quality for Online Data-Intensive Services

Online data-intensive (OLDI) services use anytime algorithms to compute over large amounts of data and respond quickly. Interactive response times are a priority, so OLDI services parallelize query execution across distributed software components and return best effort answers based on the data so far processed. Omitted data from slow components could lead to better answers, but tracing online how much better the answers could be is difficult. Here, we introduce Ubora, a design method to measure the effect of slow-running components on the quality of answers. Ubora randomly samples online queries and executes them a second time. The first online execution omits data from slow components and provides interactive answers. The second execution uses mature results from intermediate components completed after the online execution finishes. Ubora uses memoization to speed up mature executions by replaying network messages exchanged between components. Our systems-level implementation works for a wide range of services, including Hadoop/Yarn, Apache Lucene, the EasyRec Recommendation Engine, and the OpenEphyra question-answering system. Ubora computes answer quality with more mature executions per second than competing approaches that do not use memoization. With Ubora, we illustrate that answer quality is effective at guiding online admission control. While achieving the same answer quality on high-priority queries, our adaptive controller had 55% higher peak throughput on low-priority queries than a competing controller guided by the rate of timeouts.

answer quality↗

miniGhost Mantevo miniapp

MiniGhost is a miniapp in the Mantevo project. Using a finite difference method, it mimics the inter-process communication requirements commonly found in applications of this sort. Random values are inserts into the grid, and therefore no "real problem" is solved.

Vaughan, Courtenay↗

Sub-pilot-scale Production of High-Value Products from U.S. Coals

Investigators from the University of Utah, University of Wyoming and Marshall University pursued a program to study the conversion of raw coal to high-value products of carbon fiber and silicon carbide. Team members also developed an initial framework for a data portal that can incorporate laboratory data on coal processing and product quality, and also work with tools for machine learning for data analysis, data visualization and economic assessment. Experimental R&D efforts focused on the conversion of raw coal to coal tar and other byproducts, and the resulting tar intermediates were upgraded to form anisotropic and isotropic pitch materials. These pitch materials were produced from coal using both thermal (pyrolysis) and chemical (mild solvolysis liquefaction) decomposition of raw coal. Four different coals were studied: Utah bituminous coal (Sufco), Wyoming PRB coal (Black Thunder), Illinois bituminous coal (Illinois #6), and West Virginia bituminous coal (Flying Eagle). Both metallurgical-grade coking coals and lower-grade steam coals were investigated, and controlled secondary gas-phase reactions were used during a two-stage pyrolysis process to induce cracking and condensation reactions among the pyrolytic tar species. This approach successfully improved the performance of the lower grade coals for yielding pitch materials, with properties more consistent with a commercial-grade pitch that had previously demonstrated success for quality carbon fiber production. The use of waste plastic materials was also studied, to help improve physical and chemical characteristics of the intermediate tars and final pitch product; in particular, for lowering the pitch softening point to an acceptable level for melt spinning carbon fiber. Mild solvolysis liquefaction was also used as a method for producing pitch for carbon fiber production. As expected, significantly higher pitch yields were obtained using this approach, and waste plastic materials were also successfully used to reduce pitch softening point to an acceptable level. The plastic materials were also utilized to create a solvent for the mild solvolysis process, and this plastic-derived solvent was shown to provide results consistent with more expensive commercial chemical solvents, and could thus avoid the need for costly recovery and recycle of a liquefaction solvent. Additional experimental R&D focused on the production of silicon carbide (β-SiC) from the residual char byproduct from pitch production, and also on the production of carbon fiber from the anisotropic pitch. SiC was successfully synthesized using a mixture of residual char and sandstone at a ratio of 1:1. Reaction temperature and residence time were optimized and yielded a product purity of 81%. For carbon fiber production, the most successful pitch samples were obtained from the mild solvolysis liquefaction approach, combined with the use of a plastic (HDPE)-derived solvent. Fiber properties improved over time as laboratory fiber production methodologies improved, and final yields of carbon fiber were obtained with a diameter of 12.14 ± 1.10 um, Modulus of 173.73 ± 15.25 GPa, and Tensile Strength of 1.04 ± 0.10 GPa. A proof-of-concept Modern Community Research Data Portal (MCRDP) was developed and deployed for coal and coal-derived pitch characterization, with the full support of (i) remote web-based access, (ii) distributed analysis, (iii) interactive visualization and exploration, (iv) shared and long-term data access, (v) advanced query capabilities and (vi) real-time collaboration. The Coal to Products Data Portal “coaltoproducts.org” provides researchers with space to store and share data within a project, tools for analyzing and understanding data for scientific investigation, and the ability to publish data to the broader community for reproducibility. The portal leverages the Material Commons 2.0 (MC) platform developed by the Center for PRedictive Integrated Structural Materials Science (PRISMS) of the University of Michigan, to achieve long-term longevity of data collections and, more importantly, collaborative science. A number of data visualization tools were also assessed and implemented for interrogating the experimental and modeling data. The machine learning portion of this project analyzed datasets from two different coal conversion processes performed on a diverse set of coal samples from both the coal pyrolysis experiments and the solvent liquefaction experiments. The work was initiated by exploring standard regression models on the pyrolysis data, aiming to understand the impact of sample characteristics and processing conditions on key product metrics. Over the course of the project, the focus expanded to include a variety of machine learning tools, delving into both supervised and unsupervised learning methods. Models tested on the pyrolysis data included linear, ridge, lasso, elastic-net, Gaussian process, random forest regression, and AutoSklearn, and the approach was continually refined to enhance predictive accuracy and model interpretability. Similar techniques were applied to the liquefaction data with an additional focus on feature engineering. Along with mesophase content, additional outputs of interest were the pitch yield, softening point, and QI content. Insights derived from these analyses are crucial in determining the factors influencing the quality and yield of coal-derived products. As the work progressed, the research evolved from foundational model comparisons to analyses of random forests, decision paths, and feature importance scores. A thorough market analysis was performed to examine the prospects of coal-based carbon fibers. The best opportunities for coal come from its lower and more stable price relative to petroleum, particularly for subbituminous coals, which is the primary advantage that a coal refinery may have over a petroleum refinery. Before a commercial CTP production facility can be modeled, however, several things need to be understood regarding the nature of the would-be coal refinery. These include the technology to be deployed, the size of facility, the volume(s) of co-product(s), and the waste and emissions profile of the plant. The volume of co-products and waste may be substantial and will require separate market analysis to ensure viability. In the near-term, the importance of coal tar pitch, in the form of carbon pitch, to the aluminum and steel industries is likely to overshadow the alternative use of this material as an input for carbon fiber. The importance of steel and aluminum in building materials, and the need for carbon materials in their manufacturing, will ensure that demand for these products remains for the long run. In addition, carbon fiber may also be the best substitute for steel and aluminum well into the future. While society will eventually be able to shift production of much of its electricity needs to renewables, it will not be able to shift away from fossil fuels for production of high-strength construction and vehicular materials. Demand for carbon fiber is expected to increase quickly, but the volume of carbon fiber and the amount of coal that would be needed to produce even a sizeable share of this market may still be relatively small compared to current coal production. Thus, other coal-based products like graphene, graphite, carbon foams, resins, and carbon-based building products will play important roles in sustaining coal production as coal-fired power generation continues to decline.

01 COAL, LIGNITE, AND PEAT↗

Robust Cross-correlation-based Measurement of Clump Sizes in Galaxies

Stars form in molecular complexes that are visible as giant clouds (∼10{sup 5−6} M{sub ⊙}) in nearby galaxies and as giant clumps (∼10{sup 8−9} M{sub ⊙}) in galaxies at redshifts z≈1–3. Theoretical inferences on the origin and evolution of these complexes often require robust measurements of their characteristic size, which is hard to measure at limited resolution and often ill-defined due to overlap and quasi-fractal substructure. We show that maximum and luminosity-weighted sizes of clumps seen in star formation maps (e.g., Hα) can be recovered statistically using the two-point correlation function (2PCF) if an approximate stellar surface density map is taken as the normalizing random field. After clarifying the link between Gaussian clumps and the 2PCF analytically, we design a method for measuring the diameters of Gaussian clumps with realistic quasi-fractal substructure. This method is tested using mock images of clumpy disk galaxies at different spatial resolutions and perturbed by Gaussian white noise. We find that the 2PCF can recover the input clump scale at ∼20% accuracy, as long as this scale is larger than the spatial resolution. We apply this method to the local spiral galaxy NGC 5194, as well as to three clumpy turbulent galaxies from the DYNAMO-HST sample. In both cases, our statistical measurements of Hα clump size agree with previous measurements and with the estimated Jeans lengths. However, the new measurements are free from subjective choices when fitting individual clumps.

79 ASTRONOMY AND ASTROPHYSICS↗

miniGhost Mantevo miniapp

MiniGhost is a miniapp in the Mantevo project. Using a finite difference method, it mimics the inter-process communication requirements commonly found in applications of this sort. Random values are inserts into the grid, and therefore no "real problem" is solved.

Source record↗

ASSESSMENT OF NORMALITY FOR CRITICALITY SAFETY BIAS AND BIAS UNCERTAINTY CALCULATION

The single-sided lower tolerance factors frequently used for non-trending assessment of the validation bias and bias uncertainty are sensitive to departures from normality. When used properly, the tolerance limits ensure that an appropriate fraction of the true population of applicable critical experiments lies above the calculated lower tolerance limit with the required statistical confidence level. One condition necessary to ensure that the appropriate proportion of the true population of keff values in the validation suite lies above the lower tolerance limit is that the assumption that the normality of the underlying population of critical experiments is valid or conservative.This paper discusses various methods used to assess whether the assumption that the validation suite may be treated as a random sample drawn from a normal distribution is acceptable. Techniques for assessing the validity of this underlying assumption include common omnibus hypothesis tests for normality, assessment of sample skewness and kurtosis of the validation suite, and graphical techniques. These techniques are used to assess the nature and potential conservatism/nonconservatism imparted by various departures from normality where possible. A review of hypothesis testing is also presented to frame the discussion of omnibus normality tests. Additionally, two cases are analysed with these techniques to provide an example of how they should be implemented.

Clarity, Justin↗

Kinetic Plasma Simulation Capabilities in the MOOSE Framework: Verification of Particle-Particle Collisions

High-fidelity simulations of complex plasma systems allow researchers to gain key insights into and understanding of these systems. To facilitate massively parallel high-fidelity plasma simulations, finite-element-based particle-in-cell capabilities are being developed within the open-source Multiphysics Object-Oriented Simulation Environment (MOOSE) based framework called Software for Advanced Large-scale Analysis of MAgnetic confinement for Numerical Design, Engineering & Research (SALAMANDER). While SALAMANDER’s primary objective is modeling edge plasmas and plasma-facing components in fusion devices, the particle-in-cell capabilities being developed are general and will support modeling low-temperature plasmas as well. Previously, collisionless magnetostatic simulation capabilities have been verified with the two-stream and Dorey-Guest-Harris instabilities, and single particle motion. Collisions were implemented using the direct simulation Monte Carlo method, and verification of this capability will be presented here several verification problems: relaxation of a randomly initialized gas to a Maxwellian distribution, Fourier heat flow, and comparison of reaction rates to both analytic calculations and those calculated using a multi-term Boltzmann solver.

70 - PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Prospective Randomized Trial of Prone Accelerated Intensity Modulated Breast Radiation Therapy With a Daily Versus Weekly Boost to the Tumor Bed

Purpose: To report the results of a prospective randomized trial comparing a daily versus weekly boost to the tumor cavity during the course of accelerated radiation to the breast with patients in the prone position. Methods and Materials: From 2009 to 2012, 400 patients with stage 0 to II breast cancer who had undergone segmental mastectomy participated in an institutional review board–approved trial testing prone breast radiation therapy to 40.5 Gy in 15 fractions 5 d/wk to the whole breast, after randomization to a concomitant daily boost to the tumor bed of 0.5 Gy, or a weekly boost of 2 Gy, on Friday. The present noninferiority trial tested the primary hypothesis that a weekly boost produced no more acute toxicity than did a daily boost. The recurrence-free survival was estimated for both treatment arms using the Kaplan-Meier method; the relative risk of recurrence or death was estimated, and the 2 arms were compared using the log-rank test. Results: At a median follow-up period of 45 months, no deaths related to breast cancer had occurred. The weekly boost regimen produced no more grade ≥2 acute toxicity than did the daily boost regimen (8.1% vs 10.4%; noninferiority Z = −2.52; P=.006). No statistically significant difference was found in the cumulative incidence of long-term fibrosis or telangiectasia of grade ≥2 between the 2 arms (log-rank P=.923). Two local and two distant recurrences developed in the daily treatment arm and three local and one distant developed in the weekly arm. The 4-year recurrence-free survival rate was not different between the 2 treatment arms (98% for both arms). Conclusions: A tumor bed boost delivered either daily or weekly was tolerated similarly during accelerated prone breast radiation therapy, with excellent control of disease and comparable cosmetic results.

62 RADIOLOGY AND NUCLEAR MEDICINE↗