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At least 19 records

Evaluation of the EarthSHAB Stratospheric Solar Hot Air Balloon Flight Prediction Model Using Balloon Trajectory Data

Abstract The heliotrope is a solar balloon design which is constructed out of painter’s plastic, and the exterior is coated in charcoal powder. Darkening the plastic gives the balloon a high solar absorptance, which allows it to ascend into the lower stratosphere and float for hours at a time. The balloons have previously been used to lift scientific instruments into the stratosphere to study chemical explosions, earthquakes, and stratospheric aerosols. They have also been proposed as a platform for planetary exploration. Flight predictions are crucial to preflight planning to reduce safety risks and meet flight objectives. However, there exists a wide range of possible flight paths due to varying environmental conditions and solar balloon configurations. EarthSHAB is one such software that was designed to support flight planning using the weather forecasts and balloon properties to predict the flight path of a solar balloon. We compare EarthSHAB-simulated flight paths to a set of observed flight paths for the 3.5-m diameter heliotrope design called the “Cloudskimmer.” Using the criteria that the modeled paths must fall within 5% of the observations to be considered successful, we found that EarthSHAB successfully predicted the Cloudskimmer ascent rate and average float altitude 10% and 90% of the time, respectively. We also found that the average difference in the observed and predicted landing locations was 97 km and landing times were 54 ± 38 min. Significant deviations between the observed and predicted ascent rates and excursions at float were found to be associated with heavy payloads and convective cloud development, respectively. Significance Statement Solar balloons are used to lift scientific instruments into the lower stratosphere for hours at a time to study chemical explosions, earthquakes, stratospheric aerosols, and more. The flight paths of solar balloons can be difficult to predict due to variability in their design and surrounding environment. We evaluate the accuracy of EarthSHAB, a software that predicts the altitude profile and horizontal trajectory of a solar balloon using inputs such as the weather, balloon size, and balloon mass. Our results suggest that for the balloon design used in this study, EarthSHAB is best suited for modeling the behavior of balloons with lightweight payloads that do not fly within or directly above clouds.

Lien, Jessica M. [Sandia National Laboratories, Al↗

The Randomized Freeway Stent Study: Drug-Eluting Balloons Outperform Standard Balloon Angioplasty for Postdilatation of Nitinol Stents in the SFA and PI Segment

Purpose: The prospective randomized multicenter Freeway study evaluated the possible hemodynamic and clinical benefits of primary stent insertion followed by percutaneous transluminal angioplasty (PTA) with drug-eluting balloons (DEB) over post-stent insertion PTA with standard balloons in the treatment of symptomatic femoropopliteal arteriosclerotic lesions. Methods: In total, 204 patients in 13 centers in Germany and Austria were enrolled and randomized to primary stenting followed by either FREEWAY™ drug-eluting balloon or standard PTA balloon angioplasty. The primary endpoint was the rate of clinically driven target lesion revascularization (TLR) at 6 months; the secondary endpoints include TLR rate at 12 months and primary patency, shift in Rutherford classification, ankle–brachial index (ABI) and major adverse events (MAE) at 6 and 12 months. Lesion characteristics and vessel patency were analyzed by an independent and blinded corelab. Results: At 6-month and 12-month follow-up, TLR rate was lower in the DEB arm compared to standard PTA but did not reach statistical significance (4.1% vs. 9.0% p = 0.234 and 7.9% vs. 17.7% p = 0.064, respectively). Primary patency was significantly better for patients treated with the DEB at 6 months (90.3% vs. 69.8% p = 0.001) and 12 months (77.4% vs. 61.0% p = 0.027). Improvement in Rutherford classifications was likewise significantly better for patients in the DEB group at 6 (94.9% vs. 84.3% p = 0.027) and 12 months (95.5% vs. 79.9% p = 0.003). The percentage of patients with an improved ABI of 1.0–1.2 was significantly higher in the DEB group compared to the PTA group at 6 months (55.3% vs. 35.3%; p = 0.015) but without significant difference at 12 months (48.2% vs. 32.9%; p = 0.055). At 6 months, rate of major adverse events (MAE) was 1% in both arms, and at 12 months 2.2% for the DEB and 3.8% for the PTA group. Conclusion: The Freeway Stent Study shows that the usage of DEB as a restenosis prophylaxis seems to be safe and feasible. The 12-month follow-up results give a clear sign in favor of the DEB group.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

The Efficacy of Paclitaxel Drug-Eluting Balloon Angioplasty Versus Standard Balloon Angioplasty in Stenosis of Native Hemodialysis Arteriovenous Fistulas: An Analysis of Clinical Success, Primary Patency and Risk Factors for Recurrent Dysfunction

Purpose: To investigate the efficacy of paclitaxel drug-eluting balloons (PEB) versus standard balloon angioplasty (BA) in stenosis of native hemodialysis arteriovenous fistulas (AVFs). Materials and Methods: A total of 96 patients with ESRD (mean ± SD age 57.0 ± 9.1 years, 63.5% were males) who underwent endovascular treatment with PEB angioplasty (n = 32) and BA (n = 64) for a dysfunctional native AVF were included. Clinical success, complications, primary patency and postoperative recurrence parameters were recorded in each group. Results: Primary patency rate at 6 months was significantly higher in PEB than in BA group (96.9 vs. 20.3%, p < 0.001), while the two groups had similar primary patency rates at 9 months (66.8 vs. 50.0%) and 12 months (6.3% for each). No significant difference was noted between PEB and BA groups in terms of the rate (21.9% and. 31.3%), time (median 220 vs. 152.5 days) and reasons (reocclusion in 18.8 vs. 28.1%) for dysfunction recurrence as well as the number of recurrent treatments. AVF dysfunction recurrence was more likely in younger age AVF (median 4 vs. 23 months, p < 0.001 in PEB, and 8.5 vs. 20.5 months p = 0.001 in SBA) and in AVF ≤ 6 months in both SBA and PEB groups (71.4 vs. 12.0%, p = 0.005 in PEB, 40.0 vs. 2.3%, p < 0.001). Conclusion: In conclusion, our findings emphasize favorable safety and efficacy of PEB and BA in the management of dysfunctional hemodialysis AVFs with similar rates of post-PTA recurrence of AVF dysfunction. Nonetheless, there was a nonsignificant tendency for lower rate and a delay for recurrent dysfunction in patients treated with PEB and a significant association younger AVF age with an increased risk of post-PTA recurrence of AVF dysfunction. Level of Evidence: 3, Retrospective cohort study.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Two-Year Mortality After Angioplasty of the Femoro-Popliteal Artery with Uncoated Balloons and Paclitaxel-Coated Balloons—A Pooled Analysis of Four Randomized Controlled Multicenter Trials

Purpose: In view of a recent meta-analysis reporting increased mortality following angioplasty with paclitaxel-coated devices in peripheral arteries, we performed a patient-level 2-year mortality analysis based on pooled original data of four randomized controlled trials (THUNDER, FEMPAC, PACIFIER and CONSEQUENT). Methods and Results: Clinical data of four randomized controlled trial were pooled to assess 2-year mortality following paclitaxel-coated balloon (PCB) angioplasty compared to angioplasty without paclitaxel (control group). A logistic regression model was applied to identify potential predictors of mortality. At two years, 13 of 185 (7.0%) patients had died in the control group and 16/184 (8.7%) in the PBC group, p = 0.55. Kaplan–Meier analysis revealed no significant difference from all-cause death at 2 years (log rank p = 0.54). Causes of death were well balanced between the groups with no pattern or trend in favour of any specific causes in the PBC group. Logistic regression revealed that treatment groups (controls or PBC) were not a predictor of 2-year mortality. The only predictor for mortality was patient age ≥ 75 years. The delivered paclitaxel doses per patient were not significantly different in patients that died and those who did not die during the 24-month follow-up (5.300 ± 4.224 μg vs. 6.248 ± 4.629 μg, p = 0.433). Conclusions: Based on original patient-level data of four pooled randomized controlled trials, we found no increase in 2-year mortality in patients treated with PCB compared to control patients treated with uncoated balloons. Causes of death were well balanced between PCB and control patients.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Solar Hot Air Balloons for Terrestrial and Planetary Atmospheres

The first solar hot air balloon was constructed in the early 1970s (Besset, 2016). Over the following decades the Centre National d'Etudes Spatiales (CNES) developed the Montgolfiere Infrarouge (MIR) balloon, which flew on solar power during the day and infrared radiation from the Earth's surface at night (Fommerau and Rougeron, 2011). The balloons were capable of flying for over 60 days and apparently reached altitudes of 30 km at least once (Malaterre, 1993). Solar balloons were the subject of a Jet Propulsion Laboratory study that performed test flights on Earth (Jones and Wu 1999) and discussed their mission potential for Mars, Jupiter, and Venus (Jones and Heun, 1997). The solar balloons were deployed from the ground and dropped from hot air balloons; some were altitude controlled by means of a remotely-commanded air valve at the top of the envelope. More recently, solar balloons have been employed for infrasound studies in the lower stratosphere (see Table 1). The program began in 2015, when a prototype balloon reached an altitude of 22 kilometers before terminating just prior to float (Bowman et al., 2015). An infrasound sensor was successfully deployed on a solar balloon during the 2016 SISE/USIE experiment, in which an acoustic signal from a ground explosion was captured at a range of 330 km (Anderson et al. 2018; Young et al. 2018). This led to the launch of a 5-balloon infrasound network during the Heliotrope experiment (Bowman and Albert, 2018). The balloons were constructed by the researchers themselves at a materials of less than $50 per envelope.

14 SOLAR ENERGY↗

Chemosaturation Percutaneous Hepatic Perfusion (CS-PHP) with Melphalan: Evaluation of 2D-Perfusion Angiography (2D-PA) for Leakage Detection of the Venous Double-Balloon Catheter

Purpose: To evaluate the feasibility of 2D-perfusion angiography (2D-PA) for detecting leakage of the double-balloon catheter used for chemosaturation percutaneous hepatic perfusion (CS-PHP). Materials and Methods: Overall, 112 CS-PHP (09/2015-09/2018) in 52 patients were retrospectively screened for leakage alongside the double-balloon catheter on standard venograms. Finally, 18 procedures with visually detected leakage were included. Fifteen consecutive procedures without leakage served as control. To evaluate 2D-PA for leakage detection, the acquired digital subtraction venograms were post-processed. For each balloon, two different target ROIs were evaluated to assess a possible impact of localization and shape of the ROIs. Time to peak (TTP), peak density (PD), area under the curve (AUC), and ratios of target ROI/reference ROIs (PD{sub tROI}/PD{sub REF}; AUC{sub tROI}/AUC{sub REF}; and TTP{sub tROI}/TTP{sub REF}) were calculated. Results: Leakages were located as follows: 15/18 cranial and 3/18 caudal. At the cranial balloon both ROIs showed a significant decrease in PD{sub tROI}/PD{sub REF} and AUC{sub tROI}/AUC{sub REF} (ROI1: p < 0.0001; p < 0.0001; ROI2: p < 0.0001; p < 0.0001) and a significant increase in TTP{sub tROI}/TTP{sub REF} (ROI1: p = 0.0009; ROI2: p = 0.0003) after double-balloon correction. Following balloon adjustment, the 2D-PA ratios (PD and AUC) of the tested ROIs differed significantly (p < 0.05). The inter-individual comparison of the 2D-PA parameters of the group with leakage before balloon correction and the non-leakage group showed significantly different 2D-PA values for the cranial balloon in both ROIs (p < 0.05). No significant differences were found for the caudal balloon. Conclusion: 2D-PA provides a feasible tool for detecting leakages alongside the cranial portion of the double-balloon catheter used in CS-PHP. The shape and position of the ROIs used to assess perfusion and flow have an impact on the measurements.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Balloon Tag Manufacturing Technique for Sensor Fish and Live Fish Recovery

Fish may experience injuries and mortality when they pass through hydraulic conveyances at hydropower dams, even if these conveyances are designed to be fish-friendly, such as downstream bypass systems, modified spillways and turbines. The main methods used to study fish passage conditions in hydraulic structures involve direct, in situ testing using Sensor Fish technology and live fish. Sensor Fish data helps identify physical stressors and their locations in the fish passage environment, while live fish are assessed for injuries and mortality. Balloon tags, which are self-inflating balloons attached externally to Sensor Fish and live fish, aid in their recovery after passing through hydraulic structures. This article focuses on the development of balloon tags with varying numbers of dissolvable, vegetable-based capsules containing a mixture of oxalic acid, sodium bicarbonate powders, and water at two different temperatures. Our research determined that balloon tags with three capsules, injected with 5 mL of water at 18.3 °C, consistently achieved the desired balloon volume. These tags had a mean inflation volume of 114 cm 3 with a standard deviation of 1.2 cm 3 . Among the balloon tags injected with water at 18.3 °C, it was observed that the two-capsule balloon tags took the longest time to reach full inflation. In addition, the four-capsule balloon tags demonstrated a faster inflation start time, while the three-capsule balloon tags demonstrated a faster deflation start time. Overall, this approach proves to be effective for validating the performance of new technologies, improving turbine design, and making operational decisions to enhance fish passage conditions. Importantly, it serves as a valuable tool for research and field evaluations, aiding in the refinement of both the design and operation of hydraulic structures.

59 BASIC BIOLOGICAL SCIENCES↗

Studying the effect of drug-to-excipient ratio on drug release profile for drug coated balloons

Drug-coated balloons (DCB) have emerged as the alternative procedure for restenosis because of their ability to treat a variety of occlusion types with a uniform dose of anti-proliferative drugs. DCB are balloons coated with antiproliferative drugs encapsulated in a polymer matrix. There are several types of coating matrices used to produce DCB. In this study, the relationship between coating composition and drug release under physiologically relevant conditions was examined to understand how differences in coating composition impacts the drug transfer from the balloon surface to the simulated body fluids. To conduct the experiments, the balloons were coated with different paclitaxel (drug)-to-iopromide (excipient) ratios (3:1, 3:2 and 1:2) using an in-house developed micro-pipetting method. Scanning electron microscopy (SEM) images showed that the 3:1 PTX:IOP ratio produced a more uniform, crystalline microstructure with a thinner coating throughout the balloon surface compared to the other drug-to-excipient ratios. The 1:2 PTX:IOP ratio showed the least crystalline microstructure among the three ratios evaluated in this study. Three different drug elution conditions were tested. The amount of drug released to the medium was quantified by high performance liquid chromatography (HPLC). Our soaking study and submerge & deploy study showed that ~20% of the drug transferred to the target site under physiological conditions. A track and deploy method was performed using a “mock” artery, to simulate an in vitro environment. Coated balloons were passed through the mock artery to mimic tracking turns the balloon within the arteries during the angioplasty procedures. Seven elution samples were collected at different stages of the procedure. Finally, drug release results suggest that the higher excipient ratio helps to deliver the lipophilic drug to the target site under simulated conditions but causes higher drug loss during the balloon transfer process.

60 APPLIED LIFE SCIENCES↗

Report on ISR-1 High-Altitude Balloon Flight

To test small technologies at lower cost for space science applications, LANL has developed a small high altitude balloon payload that could, in the future, be regularly and inexpensively launched from LANL. A neutron detector, NEMO, was integrated to evaluate its performance in a space-like mixed-radiation environment and collect neutron data in the atmosphere. In collaboration with EES-14, a high-altitude balloon payload was launched from LANL Technical Area 51 on February 27, 2023 and April 17, 2023. For real-time geolocation, a SAM-M8Q M8 GNSS module was used to get position and time, and an Iridium RockBLOCK 9603 was used to communicate with the ground using the Iridium satellite fleet. These modules were all controlled using an Iteaduino Mega microcontroller board. Finally, a High Altitude Science Eagle Flight Computer with a temperature pressure sensor ran independently, writing data to an SD card. All of these modules were powered by a 5 mAh lithium polymer battery. The battery was attached to the bottom of the payload while the remaining electronics were embedded in the underside of the top of the payload. These modules were wired as seen in Figure 1-2. The Iteaduino Mega microcontroller board was programmed to use the RockBLOCK to send a message once every 10 minutes containing neutron and GPS data read off the NEMO and SAM M8Q, respectively. Once the message send attempt finished, the RockBLOCK would be slept for the rest of the 10 minute interval. The Eagle Flight Computer ran continuously throughout the flight, taking data every 6 seconds. The RockBLOCK message data was set up to be delivered from the Iridium satellite fleet to a website, where it was stored and parsed to create live maps and plots for analysis and balloon retrieval. The RockBLOCK message data was additionally configured to be sent to an email as a fail-safe. The payload was ground-tested successfully for over 50 hours, with multiple revisions occurring to best prepare for conditions at altitude and improve the software and firmware to fix any issues that cropped up with the data pipeline. Additional to the balloon payload, the flight had an attached iMet-4 radiosonde and Garmin T5 GPS Dog Collar. The radiosonde provided GPS and meteorological data. The T5 dog collar is used along with a Garmin Astro 430 to track the balloon at a range of up to 9 miles for retrieval. The balloon itself was initially a 1600 g meteorological balloon with an attached High Altitude Science parachute, both of which can be seen in Figure 1-3. After the first flight, the EES team swapped to a Rocketman parachute.

42 ENGINEERING↗

The impact of kinetic and global effects on ideal ballooning 2nd stable pedestals of conventional and low aspect-ratio tokamaks

The EPED model (Snyder et al 2011 Nucl. Fusion 51 103016) has had success in describing the pedestal structure of Type-I ELM and QH-mode plasmas in tokamaks, by combining kinetic ballooning mode (KBM) and peeling–ballooning (PB) constraints. Within EPED, the KBM constraint is often approximated by a technique using calculated ideal ballooning mode (IBM) thresholds, fit to a functional form designed to capture non-local effects. It has been noted that quantitative differences between local ideal MHD and gyro-kinetic (GK) ballooning stability can be larger at low aspect ratio. KBM critical pedestals are consistent with observations in initial studies on conventional and spherical tokamaks. In this work, the application of a reduced model for the calculation of the kinetic ballooning stability boundary is presented based on a novel and newly developed gyro-fluid system (GFS) code (Staebler et al 2023 Phys. Plasmas 30 102501). GFS is observed to capture KBMs in DIII-D as well as the NSTX pedestals, opening a route to integrating this model into EPED. Finally, high but finite $n$ global ballooning modes are observed to limit the access to the local 2nd stability and thus provide a transport mechanism that constrains the pedestal evolution with $β_{p,\textrm{ped}}$. The high $n$ global ballooning stability is approximated by its ideal MHD analog using ELITE. It is shown that nearly-local high $n$ modes with $k_yρ_s$ ~ $0.25 - 0.5$ can provide a proxy for the critical $β_{p,\textrm{ped}}$ when a 2nd stable access exists on DIII-D plasmas. The use of GFS and ELITE scaling in EPED provides improved agreement to EPED1 in an initial comparison with DIII-D pedestal data.

Anastopoulos Tzanis, Michail Savvas [Oak Ridge Nat↗

Modeling the Vertical Response of an Aeroseismometer Balloon System

Aeroseismometery is a novel, cutting edge capability that involves balloon based systems for detecting and geolocating sources of infrasound. The incident infrasound from a range of sources such as volcanos, earthquakes, explosions, supersonic aircraft impinges upon the balloon system causing it to respond dynamically. The dynamic response is post-processed to locate the infrasound source. This report documents the derivation of an analytical model that predicts the balloon dynamics. Governing equations for the system are derived as well as a transfer function relating the infrasound signal to the net force on the balloon components. Experimental measurements of the infrasound signals are convolved with the transfer function and the governing equations numerically time integrated to obtain predictions of the displacement, velocity and acceleration of the balloon system. The predictions are compared to the experimental measurements with good agreement observed. The derivation focuses only on the vertical dynamics of the balloon system. Future work will develop governing equations for the swinging response of the balloon to the incident infrasound.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Multihour Stratospheric Flights with the Heliotrope Solar Hot-Air Balloon

Standard meteorological balloons can deliver small scientific payloads to the stratosphere for a few tens of minutes, but achieving multihour level flight in this region is more difficult. We have developed a solar-powered hot-air balloon named the heliotrope that can maintain a nearly constant altitude in the upper troposphere–lower stratosphere as long as the sun is above the horizon. It can accommodate scientific payloads ranging from hundreds of grams to several kilograms. The balloon can achieve float altitudes exceeding 24 km and fly for days in the Arctic summer, although sunset provides a convenient flight termination mechanism at lower latitudes. Two people can build an envelope in about 3.5 h, and the materials cost about $30. The low cost and simplicity of the heliotrope enables a class of missions that is generally out of reach of institutions lacking specialized balloon expertise. Here, we discuss the design history, construction techniques, trajectory characteristics, and flight prediction of the heliotrope balloon. We conclude with a discussion of the physics of solar hot-air balloon flight.

54 ENVIRONMENTAL SCIENCES↗

Geophysical and Planetary Acoustics Via Balloon Borne Platforms

Balloon-borne infrasound research began again in 2014 with a small payload launched as part of the High Altitude Student Platform (HASP; Bowman and Lees(2015)). A larger payload was deployed through the same program in 2015. These proof of concept experiments demonstrated that balloon-borne microbarometers can capture the ocean microbarom (a pervasive infrasound signal generated by ocean waves) even when nearby ground sensors are not able to resolve them (Bowman and Lees, 2017). The following year saw infrasound sensors as secondary payloads on the 2016 Ultra Long Duration Balloon flight from Wanaka, New Zealand (Bowman and Lees, 2018; Lamb et al., 2018) and the WASP 2016 balloon flight from Ft. Sumner, New Mexico (Young et al., 2018). Another payload was included on the HASP 2016 flight as well. In 2017, the Heliotrope project included a four element microbarometer network drifting at altitudes of 20-24 km on solar hot air balloons (Bowman and Albert, 2018). At the time of this writing the Trans-Atlantic Infrasound Payload (TAIP, operated by Sandia National Laboratories) and the Payload for Infrasound Measurement in the Arctic (PIMA, operated by Jet Propulsion Laboratory) are preparing to fly from Sweden to Canada aboard the PMC-Turbo balloon. The purpose of this experiment is to cross-calibrate several different infrasound sensing systems and test whether wind noise events occur in the stratosphere.

47 OTHER INSTRUMENTATION↗

Automatic tuning of dressed multicell cavities using pressurized balloons

A method and system for automatically tuning hollow structures, can include pressurized balloons located in one or more targeted cells of a hollow structure of a device having a hollow structures and respective cells. A pressurized balloon can be inserted into a targeted cell so as to localize plastic deformation to the targeted cell using prescribed values of global force and balloon pressure. A pair of inflate/deflate rods associated with an independent air supply for the pressurized balloon can inflate or deflate the pressurized balloon without affecting other pressurized balloons. The pair of inflate/deflate rods can be automatically insertable or removable from the hollow structure by controlled motorized motions.

36 MATERIALS SCIENCE↗

Infrasound and Gravity Waves Over the Andes Observed by a Pressure Sensor on Board a Stratospheric Balloon

The study of infrasound (acoustic) and gravity waves sources and propagation in the atmosphere of a planet gives us precious insight on atmosphere dynamics, climate, and even internal structure. The implementation of modern pressure sensors with high rate sampling on stratospheric balloons is improving their study. In our work we analyzed the data from the National Aeronautics and Space Administration Ultra Long Duration Balloon mission (16 May to 30 June 2016). Here, we focus on the balloon's transit of the Andes Mountains. We detected gravity waves that are associated to troposphere convective activity and mountain waves. An increase of the horizontal wavelengths from 50 to 70 km with increasing distance to the mountains is favoring the presence of mountain waves. We also report on the detection of infrasounds generated by the mountains in the 0.01–0.1 Hz range with a pressure amplitude increase by a factor 2 relative background signal. Besides, we characterized the decrease of microbaroms power when the balloon was flying away from the ocean coast. These observations suggest, in a way similar to microseisms for seismometers, that microbaroms are the main background noise sources recorded in the stratosphere even far from the ocean sources. Finally, we observed a broadband signal above the Andes, between 0.45 and 2 Hz, probably associated with a thunderstorm. The diversity of geophysical phenomena captured in less than a day of observation stresses the interest of high rate pressure sensors on board long-duration balloon missions.

54 ENVIRONMENTAL SCIENCES↗

A study of resistive peeling–ballooning modes across spherical tokamaks

We investigate how non-ideal-magnetohydrodynamics (MHD) effects, in particular plasma resistivity, impact the peeling–ballooning stability thresholds in spherical tokamaks. This analysis follows the discovery of resistive kink-peeling modes in ELMing National Spherical Torus Experiment (NSTX) discharges. In the present study we extend this modeling to ELMing pulses in the Mega Ampere Spherical Tokamak (MAST) and MAST—Upgrade (MAST-U), where we find a clear resistive scaling for peeling–ballooning modes. While in NSTX ideal-MHD predicts stability for ELMing discharges, in MAST-U we find that the plasma is slightly unstable to peeling–ballooning modes, but is fully stabilized once diamagnetic effects are considered in terms of a growth rate normalization. A resistive power law scaling is calculated for these modes on MAST-U, which lies in between that of tearing modes and resistive interchange modes. A comparison between M3D-C1 and NIMROD shows reasonable agreement for this scaling. Resistivity destabilizes the modes and the peeling–ballooning unstable domain is considerably expanded in both, MAST and MAST-U. In addition to the MAST/-U pulses we also analyze resistive PB stability in a NSTX-similarity discharge on DIII-D. While having a different aspect ratio from NSTX, this discharge uses NSTX-like shaping parameters, toroidal field and plasma current. By considering these discharges alongside NSTX cases, we identify conditions influencing the onset of resistive peeling–ballooning modes. Furthermore, our findings indicate that magnetic shear in the pedestal region is closely linked to the emergence of resistive edge modes.

MAST-U↗

Prophylactic Occlusion Balloon Placement in the Abdominal Aorta Combined with Uterine or Ovarian Artery Embolization for the Prevention of Cesarean Hysterectomy Due to Placenta Accreta: A Retrospective Study

Objective: To evaluate the outcomes of uterine-conserving surgery with the occlusion balloon technique followed by uterine or ovarian artery embolization (OAE) in women with placenta accreta. Methods: A total of 31 consecutive patients, who were diagnosed with placenta accreta through grayscale ultrasonography or magnetic resonance imaging prenatally, were retrospectively analyzed in our hospital between October 2015 and September 2017. All of the women underwent a Cesarean section combined with prophylactic placement of a balloon catheter in the abdominal aorta followed by uterine artery embolization (UAE) or OAE when necessary. Results: Technical success was achieved in 31 cases (100%), including successful catheterization and inflation of balloons. The uterus was conserved in 30 (96.77%) patients. The estimated blood loss, packed RBC transfused, and the operation time were 1906.45 ± 1117.64 ml, 4(0–6) U, and 88.68 ± 28.35 min, respectively. Out of all of the patients, we found nine cases of bleeding after the release of the balloon. Among these patients, six cases originated from the ovarian arteries and three cases originated from uterine arteries. Further embolization was performed through catheterization. The mean fetal radiation exposure was 4.33 ± 0.79 mGy. Conclusions: Prophylactic abdominal aorta balloon occlusion followed by UAE or OAE can effectively control postpartum hemorrhaging with reduced blood loss, transfusion requirements, and hysterectomy rates in patients with placenta accreta.

62 RADIOLOGY AND NUCLEAR MEDICINE↗