Responses to the 2018 and 2019 “One Big Discovery” Question: ASTRO Membership’s Opinions on the Most Important Research Question Facing Radiation Oncology…Where Are We Headed?
No abstract prepared.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
SEARCH · Search NASA
Results for “Radiological Response”
Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
A Primer on Dose-Response Data Modeling in Radiation Therapy
An overview of common approaches used to assess a dose response for radiation therapy–associated endpoints is presented, using lung toxicity data sets analyzed as a part of the High Dose per Fraction, Hypofractionated Treatment Effects in the Clinic effort as an example. Each component presented (eg, data-driven analysis, dose-response analysis, and calculating uncertainties on model prediction) is addressed using established approaches. Specifically, the maximum likelihood method was used to calculate best parameter values of the commonly used logistic model, the profile-likelihood to calculate confidence intervals on model parameters, and the likelihood ratio to determine whether the observed data fit is statistically significant. The bootstrap method was used to calculate confidence intervals for model predictions. Correlated behavior of model parameters and implication for interpreting dose response are discussed.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
Normal Tissue Injury Induced by Photon and Proton Therapies: Gaps and Opportunities
Despite technological advances in radiation therapy (RT) and cancer treatment, patients still experience adverse effects. Proton therapy (PT) has emerged as a valuable RT modality that can improve treatment outcomes. Normal tissue injury is an important determinant of the outcome; therefore, for this review, we analyzed 2 databases: (1) clinical trials registered with ClinicalTrials.gov and (2) the literature on PT in PubMed, which shows a steady increase in the number of publications. Most studies in PT registered with ClinicalTrials.gov with results available are nonrandomized early phase studies with a relatively small number of patients enrolled. From the larger database of nonrandomized trials, we listed adverse events in specific organs/sites among patients with cancer who are treated with photons and protons to identify critical issues. The present data demonstrate dosimetric advantages of PT with favorable toxicity profiles and form the basis for comparative randomized prospective trials. A comparative analysis of 3 recently completed randomized trials for normal tissue toxicities suggests that for early stage non-small cell lung cancer, no meaningful comparison could be made between stereotactic body RT and stereotactic body PT due to low accrual (NCT01511081). In addition, for locally advanced non-small cell lung cancer, a comparison of intensity modulated RT with passive scattering PT (now largely replaced by spot-scanned intensity modulated PT), PT did not provide any benefit in normal tissue toxicity or locoregional failure over photon therapy. Finally, for locally advanced esophageal cancer, proton beam therapy provided a lower total toxicity burden but did not improve progression-free survival and quality of life (NCT01512589). The purpose of this review is to inform the limitations of current trials looking at protons and photons, considering that advances in technology, physics, and biology are a continuum, and to advocate for future trials geared toward accurate precision RT that need to be viewed as an iterative process in a defined path toward delivering optimal radiation treatment. A foundational understanding of the radiobiologic differences between protons and photons in tumor and normal tissue responses is fundamental to, and necessary for, determining the suitability of a given type of biologically optimized RT to a patient or cohort.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
The Association of Radiation Exposure with Stable Chromosome Aberrations in Atomic Bomb Survivors Based on DS02R1 Dosimetry and FISH Methods
The frequency of stable chromosome aberrations (sCA) in lymphocytes is a recognized radiation biological dosimeter. Its analysis can provide insights into factors that affect individual susceptibility as well as into the adequacy of radiation dose estimates used in studies of atomic bomb survivors. We analyzed the relationship between atomic bomb radiation exposure using the most recent DS02R1 dose estimates and the frequency of sCA as determined by FISH in 1,868 atomic bomb survivors. We investigated factors that may affect the background sCA rate and the shape and magnitude of the dose response. As in previous analyses of sCA in atomic bomb survivors that were based on Giemsa staining methods and used older DS86 dose estimates, the relationship between radiation dose and sCA rate was significant (P < 0.0001) with a linear-quadratic relationship at lower doses that did not persist at higher doses. As before, age at the time of the bombing and type of radiation shielding were significant dose-effect modifiers (P < 0.0001), but in contrast the difference in dose response by city was not so pronounced (P = 0.026) with a city effect not evident at doses below 1.25Gy. Background sCA rate increased with age at the time of examination (P < 0.0001), but neither sex, city, nor smoking was significantly associated with background rate. Based on FISH methods and recent dosimetry, the relationship between radiation dose and sCA frequency is largely consistent with previous findings, although the lesser importance of city as an effect modifier may reflect better dosimetry as well as more reproducible scoring of sCA. The persisting difference in sCA dose response by shielding category points to remaining problems with the accuracy or precision of radiation dose estimates in some A-bomb survivors.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
Evaluation of Early Response to Preoperative Accelerated Partial Breast Irradiation (PAPBI) by Histopathology, Magnetic Resonance Imaging, and 18F-fluorodexoyglucose Positron Emission Tomography/Computed Tomography (FDG PET/CT)
This study aimed to find indicators for early response to radiation therapy in breast cancer. These would be of help in tailoring treatment for individual patients.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
Quantification of Oxygen Depletion During FLASH Irradiation In Vitro and In Vivo
Delivery of radiation at ultrahigh dose rates (UHDRs), known as FLASH, has recently been shown to preferentially spare normal tissues from radiation damage compared with tumor tissues. However, the underlying mechanism of this phenomenon remains unknown, with one of the most widely considered hypotheses being that the effect is related to substantial oxygen depletion upon FLASH, thereby altering the radiochemical damage during irradiation, leading to different radiation responses of normal and tumor cells. Testing of this hypothesis would be advanced by direct measurement of tissue oxygen in vivo during and after FLASH irradiation.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
Multi-modal Free-moving Data Fusion (MFDF) v1.0
Multi-modal Free-moving Data Fusion (MFDF) is a python package that implements low and high-level functionality for performing qualitative and quantitative gamma-ray imaging analyses. Such analyses enable the use of gamma-ray spectrometers and/or imagers to estimate the distribution and quantity of radiological materials in an environment. Free-moving 3D imaging requires additional information about the 3D trajectory and orientation of the system, however all of these methods can be applied to 2D static gamma-ray imaging as well. The package includes methods (MLEM and MAP) for distributed source reconstruction, methods (PSL) for point source reconstruction, the ability to ingest and utilize quantitative detector response functions (for absolute analyses), and the ability to perform 3D estimation of dose-rates from quantitative reconstructions.
Joshi, Tenzing↗
SURVEILLANCE DETECTION FOR TRANSPORTATION OPERATIONS PERSONNEL TO PREVENT HIJACKING, THEFT, SABOTAGE, AND MALICIOUS SECURITY EVENTS DURING TRANSPORTING NUCLEAR MATERIAL
The secure transportation of high-consequence materials, including nuclear and radiological assets, is a critical global priority in the face of escalating terrorism, security threats, and violent protests targeting these operations. Effective surveillance detection—the ability to identify, assess, and respond to potential threats across a continuum of scenarios—is paramount in addressing these challenges. This paper outlines a phased, multi-tiered training program designed to strengthen the surveillance detection capabilities of organizations responsible for nuclear material transport. The proposed training program adopts a progressive approach, gradually increasing in technical complexity to provide participants with comprehensive knowledge and tools for implementing robust security strategies. It targets a wide spectrum of stakeholders, including competent authorities, regulators, inspectors, shippers, carriers, law enforcement, and emergency response personnel, equipping them to plan, evaluate, and safeguard nuclear material transportation effectively. Each phase of the program emphasizes distinct elements of the surveillance detection continuum and transport security, focusing on critical topics such as threat identification, adversary task timelines, protective methodologies, and attack mitigation strategies. The training framework is anchored in technical exchanges and scenario-driven courses that reflect real-world complexities and challenges. By addressing the surveillance detection continuum comprehensively—from early threat assessment to active countermeasures—the program reinforces global efforts to secure nuclear assets. It aligns with international security objectives and fosters a strong security culture within participating organizations, ensuring personnel are prepared to counter potential threats and maintain the safe, secure movement of these materials. Ultimately, this initiative aims to enhance preparedness, security, and response capabilities, supporting the global mission to safeguard high-consequence materials against evolving threats.
Zineddin, Dr. Z. [ORNL] (ORCID:0009000848740725)↗
Mathematical Modeling to Simulate the Effect of Adding Radiation Therapy to Immunotherapy and Application to Hepatocellular Carcinoma
To develop a comprehensive framework to simulate the response to immune checkpoint inhibitors (ICIs) in combination with radiation therapy (RT) and to apply the framework for investigating ICI-RT combination regimen in patients with hepatocellular carcinoma (HCC).
62 RADIOLOGY AND NUCLEAR MEDICINE↗
Cellular Response to Proton Irradiation: A Simulation Study with TOPAS-nBio
The cellular response to ionizing radiation continues to be of significant research interest in cancer radiotherapy, and DNA is recognized as the critical target for most of the biologic effects of radiation. Incident particles can cause initial DNA damages through physical and chemical interactions within a short time scale. Initial DNA damages can undergo repair via different pathways available at different stages of the cell cycle. The misrepair of DNA damage results in genomic rearrangement and causes mutations and chromosome aberrations, which are drivers of cell death. This work presents an integrated study of simulating cell response after proton irradiation with energies of 0.5–500 MeV (LET of 60–0.2 keV/µm). A model of a whole nucleus with fractal DNA geometry was implemented in TOPAS-nBio for initial DNA damage simulations. The default physics and chemistry models in TOPAS-nBio were used to describe interactions of primary particles, secondary particles, and radiolysis products within the nucleus. The initial DNA double-strand break (DSB) yield was found to increase from 6.5 DSB/Gy/Gbp at low-linear energy transfer (LET) of 0.2 keV/µm to 21.2 DSB/Gy/Gbp at high LET of 60 keV/µm. A mechanistic repair model was applied to predict the characteristics of DNA damage repair and dose response of chromosome aberrations. It was found that more than 95% of the DSBs are repaired within the first 24 h and the misrepaired DSB fraction increases rapidly with LET and reaches 15.8% at 60 keV/µm with an estimated chromosome aberration detection threshold of 3 Mbp. The dicentric and acentric fragment yields and the dose response of micronuclei formation after proton irradiation were calculated and compared with experimental results.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
Domestic Extremism: Countering the Threat Posed to Critical Assets
Domestic extremism has been a growing concern in the United States in recent months, as illustrated in multiple bulletins from the Department of Homeland Security (DHS) warning law enforcement partners of the heightened threat. As concerns about these actors grows, it is important that facilities in the U.S. and internationally that protect critical assets, such as sensitive information, hazardous materials, or critical infrastructure, have effective methods in place to secure those assets. DE has challenged security systems through the threat of insider attack and violence, creating a new threat to be countered in the Office of Radiological Security’s radiological source security mission. In this effort, we used a literature review and focus group discussions with experts in critical asset security and extremism to understand the nature of the domestic extremist threat, to identify best practices in securing assets, recognize potential gaps in security measures to be corrected, and recommend actions and next steps. Twenty-two subject matter experts participated in a series of five focus group sessions. Questions focused on definitions of domestic extremism, potential changes in the threat, best practices in securing facilities, assets, and personnel, and any perceived gaps. Upon completion of the focus groups, notes were analyzed thematically to identify any recurring patterns in the results. In addition, a review of academic, industry, and government literature was conducted to understand the threat, describe the process of radicalization to extremism, and to identify empirically informed practices in prevention and response. Results of this project demonstrated that further work is needed to define domestic extremism in law, regulation, and policy, to help the U.S. develop a consistent response to the threat within organizations. This is especially important, as SMEs emphasized the need for early intervention in prevention efforts, noting that organizations need clear guidance on when and how to intervene. In addition, the need for social media monitoring was discussed, although challenges remain to do so with appropriate respect for privacy and civil liberties concerns.
98 NUCLEAR DISARMAMENT, SAFEGUARDS, AND PHYSICAL P↗
2021 Consequence Management Hotline Drill After Action Report
In March 2021, a functional area drill was held at the Remote Sensing Laboratory–Nellis that focused on using CBRNResponder and the Digital Field Monitoring (DFM) tablets for sample hotline operations and the new paper Sample Control Forms (SCFs) for sample collection. Participants included staff trained and billeted as sample control specialists and Consequence Management Response Team (CMRT) field monitoring personnel. Teams were able to successfully gather and transfer samples to the sample control hotline staff through the manual process, though there were several noted areas for improvement. In July and October 2021, two additional functional area drills were held at Sandia National Laboratories that focused on field sample collection and custody transfer at the sample control hotline for the Consequence Management (CM) Radiological Assistance Program (RAP) program. The overarching goal of the drills was to evaluate the current CM process for sample collection, sample drop off, and sample control using the CBRNResponder mobile and web-based applications. The July 2021 drill had an additional focus to have a subset of samples analyzed by the local analytical laboratory, Radiation Protection Sample Diagnostics (RPSD) laboratory, to evaluate the Laboratory Access portal on CBRNResponder. All three drills were able to accomplish their objectives however, there were several issues noted (Observations: 25 Urgent, 29 Important, and 22 Improvement Opportunities). The observations were prioritized according to their impact on the mission as well as categorized to align with the programmatic functional area required to address the issue. This report provides additional detail on each observation for skillset/program leads and software developers to consider for future improvement or mandatory efforts.
96 KNOWLEDGE MANAGEMENT AND PRESERVATION↗
Development of a Computational Framework for Multiphysics Multiphase Species Tracking using NEAMS Tools
This report implements a high-fidelity multiphysics modeling framework using the Nuclear Energy Advanced Modeling and Simulation (NEAMS) program tools to track isotopic species in Molten Salt Reactors (MSRs), with a specific focus on the 91-depletion chain within the Molten Salt Reactor Experiment (MSRE). The model integrates neutronics, thermal-hydraulics, depletion, and thermochemistry to simulate the production, transport, and phase transitions of isotopes under steady-state and transient conditions. The main findings reveal that isotopes such as bromine-91 largely remain in the liquid phase, while others, including krypton-91and yttrium-91, transition to the gas phase, significantly influencing the reactor’s radiological source term. The study also shows that during transients, like a reactivity insertion transient, rapid void formation and the expansion of the liquid-gas interface led to substantial transfers of dissolved isotopes into the gas phase, altering isotope distribution and largely increasing the source term in the off-gas system. Additionally, the research highlights that short-lived isotopes dominate the initial off-gas response during transients, while longer-lived isotopes determine the equilibrium state, underscoring the necessity of dynamic simulations for accurate species tracking and reactor safety analysis. The developed methodology will be applied in the future to the tracking of a larger number of species and introduce other species tracking mechanisms, such as deposition and plating.
11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗
Melanoma Cell Intrinsic GABAA Receptor Enhancement Potentiates Radiation and Immune Checkpoint Inhibitor Response by Promoting Direct and T Cell-Mediated Antitumor Activity
Most patients with metastatic melanoma show variable responses to radiation therapy and do not benefit from immune checkpoint inhibitors. Improved strategies for combination therapy that leverage potential benefits from radiation therapy and immune checkpoint inhibitors are critical.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
Pilot Test Remediation of a Fractured Bedrock Aquifer at the Maywood Superfund Site, Maywood, New Jersey - 20073
The U.S. Army Corps of Engineers (USACE) and Cabrera Services are conducting a Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) Pilot Test treatment of a fractured bedrock aquifer at the Formerly Utilized Sites Remedial Action Program (FUSRAP) Maywood Superfund Site (FMSS) located in Maywood, New Jersey (NJ), USA. The Maywood Chemical Company Superfund Site in Bergen County, NJ is listed on the United States Environmental Protection Agency (USEPA) Superfund National Priorities List (NPL). The National Superfund Comprehensive Environmental Response, Compensation, and Liability Information System (CERCLIS) identification number is NJD980529762. The Maywood Chemical Company Superfund Site (hereafter referred to as the FMSS) consists of 92 designated properties in the communities of Maywood, Lodi and Rochelle Park, NJ. These are collectively known as FMSS 'Vicinity Properties' and include property owned by the federal government (the Maywood Interim Storage Site, or MISS); the Stepan Company (former location of the Maywood Chemical Works, or MCW); 62 residential properties; three properties owned by the state or federal government; four municipal properties; and 21 commercial properties. The Stepan Company property includes contaminated buildings and three remediated U.S. Nuclear Regulatory Commission (NRC) licensed burial pits; the MISS also includes a contaminated building. Contamination on the FMSS is being addressed under three separate actions coordinated by the lead regulator USEPA Region 2. The USACE is addressing thorium (Th) and other wastes at the site defined as 'FUSRAP waste' in the Soils and Buildings and Groundwater Records of Decision (ROD) for the FMSS. Stepan Company is addressing other chemical wastes (non-FUSRAP waste) at the FMSS. The Groundwater ROD [1] was signed into agreement by USACE Division Commander in June 2012 and USEPA Region 2 Administrator in July 2012 and presents the selected remedial actions for Operable Unit (OU) 2 groundwater at the MISS and adjacent properties. The selected remedial action is removal of non-radiologically contaminated soils on the MISS containing arsenic, lithium, and benzene with concentrations above cleanup levels, and monitored natural attenuation (MNA) of arsenic, lithium, and benzene in groundwater. In situ treatment of arsenic in the overburden aquifer using oxidation reduction (redox) alteration will also be performed if needed to meet the groundwater cleanup levels after the source soil is removed. The need for in situ treatment will be determined during the Groundwater ROD review at least three to four years after the contaminated source soil removal is completed. The third action addressing non-FUSRAP chemical wastes will be the responsibility of the Stepan Company as a primary responsible party in this action. (authors)
12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
Phase 1 Trial of Atezolizumab Plus Trimodal Therapy in Patients With Localized Muscle-Invasive Bladder Cancer
Immune checkpoint programmed death-ligand 1 inhibitor therapy has shown response in metastatic muscle invasive bladder cancer (MIBC). We evaluated the safety and tolerability of atezolizumab (anti-programmed death-ligand 1) in combination with trimodal therapy in patients with localized MIBC.
62 RADIOLOGY AND NUCLEAR MEDICINE↗
Active Phase on SrCo 1–x Fe x O -δ (0 ≤ x ≤ 0.5) Perovskite for Water Oxidation: Reconstructed Surface versus Remaining Bulk
Perovskite oxides based on earth-abundant transition metals have been extensively explored as promising oxygen evolution reaction (OER) catalysts in alkaline media. The (electro)chemically induced transformation of their initially crystalline surface into an amorphous state has been reported for a few highly active perovskite catalysts. However, little knowledge is available to distinguish the contribution of the amorphized surface from that of the remaining bulk toward the OER. In this work, we utilize the promoting effects of two types of Fe modification, i.e., bulk Fe dopant and Fe ions absorbed from the electrolyte, on the OER activity of SrCoO 3-δ model perovskite to identify the active phase. Transmission electron microscopy and X-ray photoelectron spectroscopy confirmed the surface amorphization of SrCoO 3-δ as well as SrCo 0.8 Fe 0.2 O 3-δ after potential cycling in Fe-free KOH solution. By further cycling in Fe-spiked electrolyte, Fe was incorporated into the amorphized surface of SrCoO 3-δ (SrCoO 3-δ + Fe 3+ ), yielding approximately sixfold increase in activity. Despite the difference in remaining perovskites, SrCoO 3-δ + Fe 3+ and SrCo 0.8 Fe 0.2 O 3-δ exhibited remarkably similar activity. These results reflect that the in situ developed surface species are directly responsible for the measured OER activity, whereas the remaining bulk phases have little impact.
37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗
Positron Emission Tomography Imaging of Functional Transforming Growth Factor β (TGFβ) Activity and Benefit of TGFβ Inhibition in Irradiated Intracranial Tumors
Transforming growth factor β (TGFβ) promotes cell survival by endorsing DNA damage repair and mediates an immunosuppressive tumor microenvironment. Thus, TGFβ activation in response to radiation therapy is potentially targetable because it opposes therapeutic control. Strategies to assess this potential in the clinic are needed.
62 RADIOLOGY AND NUCLEAR MEDICINE↗