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Commuter Assistance Program Administrative Operating Procedure

Sandia National Laboratories/New Mexico’s (SNL/NM) Commuter Assistance Program (CAP) offers commuting alternatives to driving a single-occupant vehicle (SOV) to members of the workforce (MOW). The goal of this program is to reduce SOV use for commuting to and from SNL/NM, provide MOW opportunities to reduce their transportation costs, reduce greenhouse gas emissions, and reduce parking congestion at SNL/NM. The CAP advocates alternative transportation strategies such as carpooling, vanpooling, bicycling, and using public transportation. The Commuter Assistance Program website is the portal for MOW to access information about the different commuting alternatives available. Additionally, the website provides information on the City of Albuquerque’s Park and Ride program, traffic conditions, and the City of Albuquerque’s Guaranteed Ride Home.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Developments in the Regulatory Framework of Nuclear Waste Management in Germany - Licensing Procedures for storage of SNF and Public Involvement - 19612

According to article 6 of the German Atomic Energy Act (AtG), storage of Spent Nuclear Fuel requires a license. The competent licensing authority in this field is the Federal Office for Safety of Nuclear Waste Management (BfE). According to the Act for selecting a repository site for heat-generating radioactive waste (HAW) (Site Selection Act - StandAG) dating from 2017, BfE has been assigned the task of developing, conducting, and evaluating public participation procedures in the process of site search and selection for a deep geological repository for radioactive waste and SNF. Article 6 AtG applies to interim storage of SNF. If the legally defined licensing conditions by article 6 (2) AtG are met, the storage license applied for has to be granted. For on-site facilities, interim storage has been limited to 40 years. The licensing procedures for interim storage of SNF are carried out in accordance with the general administrative procedural rules. In certain cases due to the Environmental Impact Assessment Act (EIA Act), an EIA has to be carried out. In these cases, a formalized licensing procedure including an involvement of the public is conducted. The Nuclear Licensing Procedure Ordinance (AtVfV) originating from 1977 and reformulated in 1995 defines formalized rules for the public participation procedure which have to be followed strictly. These include a public hearing. The risen objections are evaluated by the licensing authority and taken account of in the licensing decision. The process of repository site selection defined by the StandAG exceeds these formalized procedures significantly: The objective of this process is to achieve a broad social consensus about the site selection procedure and about a repository site that will offer the best possible safety for one million years. Therefore, the process has to be particularly transparent, and involvement of the public - including newly developed forms of public involvement - is an essential part of it. BfE as competent authority in both the fields of repository site search and selection and licensing of interim storage of SNF has recently developed new strategies of involving the public concerning interim storage of SNF. Supplementing the standard licensing procedures, BfE presently informs and involves the public about topical issues regarding the present state and recent developments in the field of interim storage of SNF. Current central topics are for example the return of HAW and MAW from reprocessing of SNF in France and UK as well as perspective longer interim storage periods on the interface with final disposal. Regarding longer interim storage, host communities of interim storage facilities are concerned that interim storage might be extended indefinitely. Additionally, there is a strong fear of transports of radioactive waste and SNF from one place to another. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗

UTrain Manual for Training Administrators

This Institutional Training Administrative Procedure provides the business rules that must be followed when working in UTrain. As commercial off-the-shelf software with customizations, UTrain cannot address all the implementation business requirements, and thus, administrative business rules and processes were defined and documented. Many business rules were incorporated into the UTrain training materials. UTrain is the Laboratory’s official learning management system. UTrain is the system of record for all Laboratory training, qualification, certification, and worker authorization. All training at LANL must be documented in UTrain. The detailed steps of how to operate UTrain are contained in the UTrain courses and training manuals and in the UTrain job aids, not in this document.

96 KNOWLEDGE MANAGEMENT AND PRESERVATION↗

Stroke After Radiation Therapy for Head and Neck Cancer: What Is the Risk?

Purpose: A retrospective population-based cohort study was conducted to determine the risk of ischemic stroke with respect to time, associated with curative radiation therapy in head and neck squamous cell carcinomas (HNSCC). Methods and Materials: On the basis of data from the Ontario Cancer Registry and regional cancer treatment centers, 14,069 patients were identified with diagnoses of squamous cell carcinoma of the oral cavity, larynx, and pharynx who were treated for cure between 1990 and 2010. Hazards of stroke and time to stroke were examined, accounting for the competing risk of death. Stroke risk factors identified through diagnostic and procedural administrative codes were adjusted for in the comparison between treatment regimens, which included surgery alone versus radiation therapy alone and surgery alone versus any exposure to radiation therapy. Results: Overall, 6% of patients experienced an ischemic stroke after treatment, with 5% experiencing a stroke after surgery, 8% after radiation therapy alone, and 6% after any exposure to radiation therapy. The cause-specific hazard ratios of ischemic stroke after radiation therapy alone and after any exposure to radiation therapy compared with surgery were 1.70 (95% confidence interval [CI]: 1.41-2.05) and 1.46 (95% CI: 1.23-1.73), respectively, after adjustment for stroke risk factors, patient factors, and disease-related factors. Conclusions: Radiation therapy was associated with an increased risk of ischemic stroke compared with surgery alone: for both radiation therapy alone and after all treatment modalities that included any radiation treatment were combined. Because of a shift toward a younger HNSCC patient population, our results speak to the need for adequate follow-up and survivorship care among patients who have been treated with radiation therapy. Advances in treatment that minimize chronic morbidity also require further evaluation.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Bioorthogonal catalytic patch

The toxicity and complicated administration procedures of transition metal catalysts have hampered the applications of bioorthogonal catalysis in vivo. Here the authors fill the needles of a microneedle array patch with palladium nanoparticles deposited on titanium nanosheets and show that the device, applied locally on the skin of mouse models bearing melanoma, promotes intratumoural conversion of systemically injected caged doxorubicin into the active drug, reducing its toxicity and side effects. Bioorthogonal catalysis mediated by transition metals has inspired a new subfield of artificial chemistry complementary to enzymatic reactions, enabling the selective labelling of biomolecules or in situ synthesis of bioactive agents via non-natural processes. However, the effective deployment of bioorthogonal catalysis in vivo remains challenging, mired by the safety concerns of metal toxicity or complicated procedures to administer catalysts. Here, we describe a bioorthogonal catalytic device comprising a microneedle array patch integrated with Pd nanoparticles deposited on TiO 2 nanosheets. This device is robust and removable, and can mediate the local conversion of caged substrates into their active states in high-level living systems. In particular, we show that such a patch can promote the activation of a prodrug at subcutaneous tumour sites, restoring its parent drug's therapeutic anticancer properties. Finally, this in situ applied device potentiates local treatment efficacy and eliminates off-target prodrug activation and dose-dependent side effects in healthy organs or distant tissues.

77 NANOSCIENCE AND NANOTECHNOLOGY↗

Impacts Analyses Supporting the National Environmental Policy Act Environmental Assessment for the Resumption of Transient Testing Program

This document contains the analysis details and summary of analyses conducted to evaluate the environmental impacts for the Resumption of Transient Fuel and Materials Testing Program. It provides an assessment of the impacts for the two action alternatives being evaluated in the environmental assessment. These alternatives are (1) resumption of transient testing using the Transient Reactor Test Facility (TREAT) at Idaho National Laboratory (INL) and (2) conducting transient testing using the Annular Core Research Reactor (ACRR) at Sandia National Laboratory in New Mexico (SNL/NM). Analyses are provided for radiologic emissions, other air emissions, soil contamination, and groundwater contamination that could occur (1) during normal operations, (2) as a result of accidents in one of the facilities, and (3) during transport. It does not include an assessment of the biotic, cultural resources, waste generation, or other impacts that could result from the resumption of transient testing. Analyses were conducted by technical professionals at INL and SNL/NM as noted throughout this report. The analyses are based on bounding radionuclide inventories, with the same inventories used for test materials by both alternatives and different inventories for the TREAT Reactor and ACRR. An upper value on the number of tests was assumed, with a test frequency determined by the realistic turn-around times required between experiments. The estimates provided for impacts during normal operations are based on historical emission rates and projected usage rates; therefore, they are bounding. Estimated doses for members of the public, collocated workers, and facility workers that could be incurred as a result of an accident are very conservative. They do not credit safety systems or administrative procedures (such as evacuation plans or use of personal protective equipment) that could be used to limit worker doses. Doses estimated for transportation are conservative and are based on transport of the bounding radiologic inventory that will be contained in any given test. The transportation analysis assumes all transports will contain the bounding inventory.

99 GENERAL AND MISCELLANEOUS↗

Recycled Water Reuse Permit Renewal Application for the Central Facilities Area Sewage Treatment Plant

This renewal application for a Recycled Water Reuse Permit is being submitted in accordance with the Idaho Administrative Procedures Act 58.01.17 “Recycled Water Rules” and the Municipal Wastewater Reuse Permit LA-000141-03 for continuing the operation of the Central Facilities Area Sewage Treatment Plant located at the Idaho National Laboratory. The permit expires March 16, 2015. The permit requires a renewal application to be submitted six months prior to the expiration date of the existing permit. For the Central Facilities Area Sewage Treatment Plant, the renewal application must be submitted by September 16, 2014. The information in this application is consistent with the Idaho Department of Environmental Quality’s Guidance for Reclamation and Reuse of Municipal and Industrial Wastewater and discussions with Idaho Department of Environmental Quality personnel.

99 GENERAL AND MISCELLANEOUS↗

Analysis of Debris Trajectories at the Scaled Wind Farm Technology (SWiFT) Facility

Sandia National Laboratories operates the Scaled Wind Farm Technology Facility (SWiFT) on behalf of the Department of Energy Wind and Water Power Technologies Office. An analysis was performed to evaluate the hazards associated with debris thrown from one of SWiFT’s operating wind turbines, assuming a catastrophic failure. A Monte Carlo analysis was conducted to assess the complex variable space associated with debris throw hazards that included wind speed, wind direction, azimuth and pitch angles of the blade, and percentage of the blade that was separated. In addition, a set of high fidelity explicit dynamic finite element simulations were performed to determine the threshold impact energy envelope for the turbine control building located on-site. Assuming that all of the layered, independent, passive and active engineered safety systems and administrative procedures failed (a 100% failure rate of the safety systems), the likelihood of the control building being struck was calculated to be less than 5/10,000 and ballistic simulations showed that the control building would not provide passive protection for the majority of impact scenarios. Although options exist to improve the ballistic resistance of the control building, the recommendation is not to pursue them because there is a low probability of strike and there is an equal likelihood personnel could be located at similar distances in other areas of the SWiFT facility which are not passively protected, while the turbines are operating. A fenced exclusion area has been created around the turbines which restricts access to the boundary of the 1/100 strike probability. The overall recommendation is to neither relocate nor improve passive protection of the control building as the turbine safety systems have been improved to have no less than two independent, redundant, high quality engineered safety systems. Considering this, in combination with a control building strike probability of less than 5/10,000, the overall probability of turbine debris striking the control building is less than 1/1,000,000.

17 WIND ENERGY↗

HPGe System Gamma Spectroscopy Data Analysis

The purpose of this administrative procedure is to describe the analysis of gamma spectroscopy data. This procedure specifies how gamma spectroscopy data are used to identify and quantify radioactivity in sample waste items.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

2018 Idaho National Laboratory Annual Report for Permit to Construct P-2015.0023

The U.S. Department of Energy (DOE) Idaho National Laboratory (INL) Site operates facilities with potential emissions criteria and hazardous air pollutants. This report documents the calendar year 2018 criteria and hazardous air pollutants emissions and has been prepared to comply with permit to construct (PTC) P-2015-0023, Condition 2.9 and Idaho Administrative Procedures Act (IDAPA) 58.01.01.178, Standard Contents of Permits Establishing a Facility Emissions Cap. IDAPA 58.01.01.178.04 requires that all permits establishing a FEC shall include sufficient reporting to assure compliance with the permit establishing the FEC. Total hazardous air pollutant (HAP) emissions for the year were 1.49 tons in aggregate and the maximum individual HAP was hydrochloric acid at 1.26 tons. Criteria pollutant emissions were 2.16 tons for sulfur dioxide, 35.6 tons for oxides of nitrogen, 11.6 tons of carbon monoxide, 3.51 tons of total particulate matter and 2.66 tons of VOCs.

99 GENERAL AND MISCELLANEOUS↗

Modeling Protocol for Evaluation of Air Emissions for the Idaho National Laboratory Site-wide Permit to Construct and Facility Emission Cap (PTC/FEC)

This document outlines the methods to be used for calculating non-radiological air quality impacts from proposed emissions at the Idaho National Laboratory (INL) Site in support of applying for a renewal to a Permit to Construct with a Facility Emissions Cap (PTC/FEC). The INL Site is seeking to maintain a state enforceable limit on emissions to maintain synthetic minor status in accordance with Idaho Administrative Procedures Act (IDAPA) 58.01.01.175-181 and IDAPA 58.01.01.200-228.

54 ENVIRONMENTAL SCIENCES↗

Idaho National Laboratory Annual Report for Permit to Construct P-2015.0023 for Calendar Year 2020

The U.S. Department of Energy (DOE) Idaho National Laboratory (INL) Site operates facilities with potential emissions criteria and hazardous air pollutants. This report documents the calendar year 2020 criteria and hazardous air pollutants emissions and has been prepared to comply with permit to construct (PTC) P-2015-0023, Condition 2.9 and Idaho Administrative Procedures Act (IDAPA) 58.01.01.178, Standard Contents of Permits Establishing a Facility Emissions Cap (FEC). IDAPA 58.01.01.178.04 requires that all permits establishing a FEC shall include sufficient reporting to assure compliance with the permit establishing the FEC. Total hazardous air pollutant (HAP) emissions for the year were 0.59 tons in aggregate and the maximum individual HAP was hydrochloric acid at 0.35 tons. Criteria pollutant emissions were 1.23 tons for sulfur dioxide, 40.96 tons for oxides of nitrogen, 11.7 tons of carbon monoxide, 3.01 tons of total particulate matter and 1.98 tons of volatile organic compounds (VOC).

99 GENERAL AND MISCELLANEOUS↗

Annual FEC-PTC Report - CDRL F.70

The U.S. Department of Energy (DOE) Idaho National Laboratory (INL) Site operates facilities with potential emissions of criteria and hazardous air pollutants. This report documents the calendar year 2021 criteria and hazardous air pollutants emissions and has been prepared to comply with permit to construct (PTC) P-2015.0023 for the period of 1-1-2021 up to the effective date of PTC P 2020.0045 (1-29-2021), and PTC P-2020.0045 for the period from 1-29-2021 through 12-31-2021. The Idaho Administrative Procedures Act (IDAPA) 58.01.01.178, Standard Contents of Permits Establishing a Facility Emissions Cap (FEC) requires that all permits establishing a FEC shall include sufficient reporting to assure compliance with the permit establishing the FEC. Total hazardous air pollutant (HAP) emissions for the year were 0.10 tons in aggregate and the maximum individual HAP was toluene at 0.04 tons. Criteria pollutant emissions were 0.75 tons for sulfur dioxide, 24.33 tons for oxides of nitrogen, 6.07 tons of carbon monoxide, 2.53 tons of total particulate matter and 0.99 tons of volatile organic compounds (VOC).

99 GENERAL AND MISCELLANEOUS↗

Continuous Monitoring and Intrafraction Target Position Correction During Treatment Improves Target Coverage for Patients Undergoing SBRT Prostate Therapy

Purpose: To compare the potential benefits of continuous monitoring of prostate position and intervention (CMI) using 2-mm displacement thresholds during stereotactic body radiation therapy (SBRT) treatment to those of a conventional image-guided procedure involving single localization prior to treatment. Methods and Materials: Eighty-nine patients accrued to a prostate SBRT dose escalation protocol were implanted with radiofrequency transponder beacons. The planning target volume (PTV) margin was 5 mm in all directions, except for 3 mm in the posterior direction. The prostate was kept within 2 mm of its planned position by the therapists halting dose delivery and, if necessary, correcting the couch position. We computed the number, type, and time required for interventions and where the prostate would have been during dose delivery had there been, instead, a single image-guided setup procedure prior to each treatment. Distributions of prostate displacements were computed as a function of time. Results: After the initial setup, 1.7 interventions per fraction were required, with a concomitant increase in time for dose delivery of approximately 65 seconds. Small systematic drifts in prostate position in the posterior and inferior directions were observed in the study patients. Without CMI, intrafractional motion would have resulted in approximately 10% of patients having a delivered dose that did not meet our clinical coverage requirement, that is, a PTV D95 of >90%. The posterior PTV margin required for 95% of the dose to be delivered with the target positioned within the PTV was computed as a function of time. The margin necessary was found to increase by 2 mm every 5 minutes, starting from the time of the imaging procedure. Conclusions: CMI using a tight 2-mm displacement threshold was not only feasible but was found to deliver superior PTV coverage compared with the conventional image-guided procedure in the SBRT setting.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

WE-G-BRC-00: Experiences with TG100 in Clinical Use

Failure Mode and Effects Analysis (FMEA) originated as an industrial engineering technique used for risk management and safety improvement of complex processes. In the context of radiotherapy, the AAPM Task Group 100 advocates FMEA as the framework of choice for establishing clinical quality management protocols. However, there is concern that widespread adoption of FMEA in radiation oncology will be hampered by the perception that implementation of the tool will have a steep learning curve, be extremely time consuming and labor intensive, and require additional resources. To overcome these preconceptions and facilitate the introduction of the tool into clinical practice, the medical physics community must be educated in the use of this tool and the ease in which it can be implemented. Organizations with experience in FMEA should share their knowledge with others in order to increase the implementation, effectiveness and productivity of the tool. This session will include a brief, general introduction to FMEA followed by a focus on practical aspects of implementing FMEA for specific clinical procedures including HDR brachytherapy, physics plan review and radiosurgery. A description of common equipment and devices used in these procedures and how to characterize new devices for safe use in patient treatments will be presented. This will be followed by a discussion of how to customize FMEA techniques and templates to one’s own clinic. Finally, cases of common failure modes for specific procedures (described previously) will be shown and recommended intervention methodologies and outcomes reviewed. Learning Objectives: Understand the general concept of failure mode and effect analysis Learn how to characterize new equipment for safety Be able to identify potential failure modes for specific procedures and learn mitigation techniques Be able to customize FMEA examples and templates for use in any clinic.

60 APPLIED LIFE SCIENCES↗

SU-E-J-161: Inverse Problems for Optical Parameters in Laser Induced Thermal Therapy

Purpose: Magnetic resonance-guided laser-induced thermal therapy (MRgLITT) is investigated as a neurosurgical intervention for oncological applications throughout the body by active post market studies. Real-time MR temperature imaging is used to monitor ablative thermal delivery in the clinic. Additionally, brain MRgLITT could improve through effective planning for laser fiber's placement. Mathematical bioheat models have been extensively investigated but require reliable patient specific physical parameter data, e.g. optical parameters. This abstract applies an inverse problem algorithm to characterize optical parameter data obtained from previous MRgLITT interventions. Methods: The implemented inverse problem has three primary components: a parameter-space search algorithm, a physics model, and training data. First, the parameter-space search algorithm uses a gradient-based quasi-Newton method to optimize the effective optical attenuation coefficient, μ-eff. A parameter reduction reduces the amount of optical parameter-space the algorithm must search. Second, the physics model is a simplified bioheat model for homogeneous tissue where closed-form Green's functions represent the exact solution. Third, the training data was temperature imaging data from 23 MRgLITT oncological brain ablations (980 nm wavelength) from seven different patients. Results: To three significant figures, the descriptive statistics for μ-eff were 1470 m{sup −1} mean, 1360 m{sup −1} median, 369 m{sup −1} standard deviation, 933 m{sup −1} minimum and 2260 m{sup −1} maximum. The standard deviation normalized by the mean was 25.0%. The inverse problem took <30 minutes to optimize all 23 datasets. Conclusion: As expected, the inferred average is biased by underlying physics model. However, the standard deviation normalized by the mean is smaller than literature values and indicates an increased precision in the characterization of the optical parameters needed to plan MRgLITT procedures. This investigation demonstrates the potential for the optimization and validation of more sophisticated bioheat models that incorporate the uncertainty of the data into the predictions, e.g. stochastic finite element methods.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Transcatheter Arterial Embolization with N-Butyl-2-Cyanoacrylate in the Management of Spontaneous Hematomas

IntroductionSpontaneous hematoma refractory to conservative management is a potentially serious condition that requires prompt diagnosis and intervention. The purpose of this study was to evaluate the performance of computed tomography (CT) in the treatment planning and to report the effectiveness of transcatheter embolization with N-butyl-2-cyanoacrylate (NBCA).Materials and MethodsForty-one interventions in 38 patients within a 12-year period were evaluated. CT and angiograms were reviewed for the location of the hematoma, the presence of extravasation, and the correlation of CT and angiography findings.ResultsArterial extravasation was present on 34/39 CT scans. Angiograms confirmed the CT scans in 29 cases. Angiograms revealed extravasation in four cases which CT showed venous bleeding (n = 2) or no bleeding (n = 2). Five patients with arterial and 1 patient with venous extravasation on CT images had no extravasation on angiograms. Embolization was performed to all arteries with extravasation on angiograms. Empiric embolization of the corresponding artery on the CT was performed when there was no extravasation on angiograms. Embolization procedures were performed with 15 % NBCA diluted with iodized oil. Technical success was achieved in 40/41 (97.6 %) interventions. Clinical success was achieved in 35 patients with a single, in 1 patient with 2, and in 1 patient with 3 interventions. No complications related to embolization procedure occurred. None of the patients died due to a progression of the hematoma.ConclusionNBCA is an effective and safe embolic agent to treat hematoma refractory to conservative management. Contrast-enhanced CT may provide faster and more effective intervention.Level of Evidence IIIRetrospective.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Percutaneous Microwave Ablation of Renal Angiomyolipomas

PurposeTo evaluate the safety and efficacy of US-guided percutaneous microwave (MW) ablation in the treatment of renal angiomyolipoma (AML).Materials and MethodsFrom January 2011 to April 2014, seven patients (5 females and 2 males; mean age 51.4) with 11 renal AMLs (9 sporadic type and 2 tuberous sclerosis associated) with a mean size of 3.4 ± 0.7 cm (range 2.4–4.9 cm) were treated with high-powered, gas-cooled percutaneous MW ablation under US guidance. Tumoral diameter, volume, and CT/MR enhancement were measured on pre-treatment, immediate post-ablation, and delayed post-ablation imaging. Clinical symptoms and creatinine were assessed on follow-up visits.ResultsAll ablations were technically successful and no major complications were encountered. Mean ablation parameters were ablation power of 65 W (range 60–70 W), using 456 mL of hydrodissection fluid per patient, over 4.7 min (range 3–8 min). Immediate post-ablation imaging demonstrated mean tumor diameter and volume decreases of 1.8 % (3.4–3.3 cm) and 1.7 % (27.5–26.3 cm{sup 3}), respectively. Delayed imaging follow-up obtained at a mean interval of 23.1 months (median 17.6; range 9–47) demonstrated mean tumor diameter and volume decreases of 29 % (3.4–2.4 cm) and 47 % (27.5–12.1 cm{sup 3}), respectively. Tumoral enhancement decreased on immediate post-procedure and delayed imaging by CT/MR parameters, indicating decreased tumor vascularity. No patients required additional intervention and no patients experienced spontaneous bleeding post-ablation.ConclusionOur early experience with high-powered, gas-cooled percutaneous MW ablation demonstrates it to be a safe and effective modality to devascularize and decrease the size of renal AMLs.

62 RADIOLOGY AND NUCLEAR MEDICINE↗