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Abstract In paper degradation studies, the viscosity-average degree of polymerisation (DPv) is often used as a key indicator of the extent of degradation of cellulosic paper. DPv can be deduced from the viscosity of dilute paper solutions, as typically measured through glass capillary viscometry. The current study proposes an efficient, alternative method to evaluate DPv of cellulosic paper, which is based on rotational rheometry. The proposed methodology relies on the application of a shear flow in a thin film of cellulose solution to measure its dynamic viscosity, from which DPv can be subsequently derived in a straightforward fashion. Rheometry allows to measure the viscosity for a range of shear rates, which results in multiple DPv evaluations per sample, and thus in statistically representative data from an individual test. Further, rheometry typically requires considerably less paper mass per test than glass capillary viscometry, which makes the method attractive for paper degradation studies with limited sample availability. Also, rheometry measurements are less work-intensive than glass capillary viscometry measurements. The rheometry method has been applied to 4 hygrothermally aged cellulose paper samples and the unaged counterpart. The measurement results regarding the age-dependency of DPv and the number of cellulose chain scissions are compared to those obtained by glass capillary viscometry, showing a very good agreement. At a longer ageing time, both experimental methods reveal a non-linear decrease in time of DPv, and a non-linear increase in time of the number of cellulose chain scissions, which indicate that the cellulose ageing process is realistically captured. The agreement in measurement results further demonstrates that rheometry is an easy-to-use, accurate and efficient alternative for DPv measurements by glass capillary viscometry.

Introduction: Our institution was the first in the world to clinically implement MR-guided adaptive radiotherapy (MRgART) in 2014. In 2021, we installed a CT-guided adaptive radiotherapy (CTgART) unit, becoming one of the first clinics in the world to build a dual-modality ART clinic. Herein we review factors that lead to the development of a high-volume dual-modality ART program and treatment census over an initial, one-year period. Materials and Methods: The clinical adaptive service at our institution is enabled with both MRgART (MRIdian, ViewRay, Inc, Mountain View, CA) and CTgART (ETHOS, Varian Medical Systems, Palo Alto, CA) platforms. We analyzed patient and treatment information including disease sites treated, radiation dose and fractionation, and treatment times for patients on these two platforms. Additionally, we reviewed our institutional workflow for creating, verifying, and implementing a new adaptive workflow on either platform. Results: From October 2021 to September 2022, 256 patients were treated with adaptive intent at our institution, 186 with MRgART and 70 with CTgART. The majority (106/186) of patients treated with MRgART had pancreatic cancer, and the most common sites treated with CTgART were pelvis (23/70) and abdomen (20/70). 93.0% of treatments on the MRgART platform were stereotactic body radiotherapy (SBRT), whereas only 72.9% of treatments on the CTgART platform were SBRT. Abdominal gated cases were allotted a longer time on the CTgART platform compared to the MRgART platform, whereas pelvic cases were allotted a shorter time on the CTgART platform when compared to the MRgART platform. Our adaptive implementation technique has led to six open clinical trials using MRgART and seven using CTgART. Conclusions: We demonstrate the successful development of a dual platform ART program in our clinic. Ongoing efforts are needed to continue the development and integration of ART across platforms and disease sites to maximize access and evidence for this technique worldwide.

Purpose: This study aimed to develop a routine quality assurance method for a dose accumulation technique provided by a radiation therapy platform for online treatment adaptation. Methods and Materials: Two commonly used phantoms were selected for the dose accumulation QA: Electron density and anthropomorphic pelvis. On a computed tomography (CT) scan of the electron density phantom, 1 target (gross tumor volume [GTV]; insert at 6 o'clock), a subvolume within this target, and 7 organs at risk (OARs; other inserts) were contoured in the treatment planning system (TPS). Two adaptation sessions were performed in which the GTV was recontoured, first at 7 o'clock and then at 5 o'clock. The accumulated dose was exported from the TPS after delivery. Deformable vector fields were also exported to manually accumulate doses for comparison. For the pelvis phantom, synthetic Gaussian deformations were applied to the planning CT image to simulate organ changes. Two single-fraction adaptive plans were created based on the deformed planning CT and cone beam CT images acquired onboard the radiation therapy platform. A manual dose accumulation was performed after delivery using the exported deformable vector fields for comparison with the system-generated result. Results: All plans were successfully delivered, and the accumulated dose was both manually calculated and derived from the TPS. For the electron density phantom, the average mean dose differences in the GTV, boost volume, and OARs 1 to 7 were 0.0%, –0.2%, 92.0%, 78.4%, 1.8%, 1.9%, 0.0%, 0.0%, and 2.3%, respectively, between the manually summed and platform-accumulated doses. The gamma passing rates for the 3-dimensional dose comparison between the manually generated and TPS-provided dose accumulations were >99% for both phantoms. Conclusions: This study demonstrated agreement between manually obtained and TPS-generated accumulated doses in terms of both mean structure doses and local 3-dimensional dose distributions. Large disagreements were observed for OAR1 and OAR2 defined on the electron density phantom due to OARs having lower deformation priority over the target in addition to artificially large changes in position induced for these structures fraction-by-fraction. The tests applied in this study to a commercial platform provide a straightforward approach toward the development of routine quality assurance of dose accumulation in online adaptation.

Two abdominal patients were treated with Lattice stereotactic body radiation therapy (SBRT) using magnetic resonance guided radiation therapy (MRgRT). This is one of the first reported treatments of Lattice SBRT with the use of MRgRT. A description of the treatment approach and planning considerations were incorporated into this report. MRgRT Lattice SBRT delivered similar planning quality metrics to established dosimetric parameters for Lattice SBRT. Increased signal intensity were seen in the MRI treatments for one of the patients during the course of treatment.

We conducted a prospective pilot study evaluating the feasibility of same day MRI-only simulation and treatment with MRI-guided adaptive palliative radiotherapy (MAP-RT) for urgent palliative indications (NCT#03824366). All (16/16) patients were able to complete 99% of their first on-table attempted fractions, and no grades 3–5 toxicities occurred.

Contouring during adaptive radiotherapy (ART) can be a time-consuming process. This study describes the generation of patient specific contouring regions of interest (CRoI) for evaluating the high dose fall-off in stereotactic abdominal ART. An empirical equation was derived to determine the radius of a cylindrical patient specific CRoIs. These CRoIs were applied to 60 patients and their adaptive fractions (301 unique treatment plans). Out of the 301 unique treatment plans, 284 (94%) treatment plans contained the high dose fall-off within the CRoI. There was an expected predicted average timesaving of 2.9-min-per case. Patient specific CRoIs improves the efficiency of ART.

Purpose: A real-time noninvasive thermometry technique is required to estimate the temperature distribution during hyperthermia to monitor and control the treatment. The main objective of this study is to demonstrate the possibility of detecting change in backscatter energy (CBE) of acoustic harmonics in tissue-mimicking gel phantoms and ex vivo bovine muscle tissues in which the temperature was locally increased within the hyperthermia regime. Materials and Methods: A peristaltic pump was used to circulate hot water through a needle inserted inside the samples to locally increase the temperature from 26 °C to 46 °C. The CBE of acoustic harmonics were used to identify the location of temperature changes in the samples. A conventional echo-shift technique was also implemented for comparison. Data collection was performed for two conditions to investigate the effect of motion on both techniques by: (1) inducing vibration in the sample through the peristatic pump and, (2) subsequently with no sample vibration while the pump was off. Results: Harmonics were able to determine the location of temperature rise in the presence and absence of vibration. In gel phantom, the mean contrast to noise ratio (CNR) in CBE maps reduced by a factor of 0.86 due to vibration whereas in gradient maps the CNR reduced by a factor of 8.3. Conclusions: The findings of this study suggest that the change in backscatter energy of acoustic harmonics can potentially be used to develop a noninvasive ultrasound-based thermometry technique with lower susceptibility to motion artifacts compared to the echo-shift method.

Cellular elastomeric metamaterials are interesting for various applications, e.g. soft robotics, as they may exhibit multiple microstructural pattern transformations, each with its characteristic mechanical behaviour. Numerical literature studies revealed that pattern formation is restricted in (thick) boundary layers causing significant mechanical size effects. This paper aims to experimentally validate these findings on miniaturized specimens, relevant for real applications, and to investigate the effect of increased geometrical and material imperfections resulting from specimen miniaturization. To this end, miniaturized cellular metamaterial specimens are manufactured with different scale ratios, subjected to in-situ micro-compression tests combined with digital image correlation yielding full-field kinematics, and compared to complementary numerical simulations. The specimens' global behaviour agrees well with the numerical predictions, in terms of pre-buckling stiffness, buckling strain and post-buckling stress. Their local behaviour, i.e. pattern transformation and boundary layer formation, is also consistent between experiments and simulations. Comparison of these results with idealized numerical studies from literature reveals the influence of the boundary conditions in real cellular metamaterial applications, e.g. lateral confinement, on the mechanical response in terms of size effects and boundary layer formation.

This study compares the phase assemblage and pore structure variation of Portland cement and blended cements, containing limestone and burnt oil shale, during carbonation. Hardened cement paste was exposed to natural carbonation (400 ppm of CO2) at a relative humidity of 70 % for one year. Samples were prepared and cured at 95 % RH for 28 days. Reference mixes were exposed to CO2-free atmosphere to decouple the effect of ongoing hydration and drying from that of carbonation. The phase assemblage was investigated using XRD-Rietveld refinement and thermogravimetric analyses. The porosity and pore structure was assessed based on the results from mercury intrusion porosimetry. Additionally preliminary results of gas diffusion experiment of carbonated and non-carbonated samples are presented.

A three-dimensional simulation of a free-electron laser (FEL) with two beams is used to study the sensitivity of the third harmonic due to wiggler imperfections. In the two-beam FEL, for a fundamental wavelength of 107.5 nm, the power will be converted to the third harmonic at a shorter wavelength, in this case in the extreme ultraviolet at 35.8 nm. In this arrangement, the fundamental resonance of the higher energy beam coincides with the third harmonic of the lower energy beam, for this energy conversion to take place. For enhanced focusing, a planar wiggler with parabolic pole face is considered. Investigation of the effect of wiggler errors on the efficiencies of harmonic and fundamental resonance of the two-beam and the one-beam FEL shows that the average efficiency for the third harmonic in the two-beam FEL is decreased by 36% while the reduction of average efficiency for the fundamental of the two-beam is 55% and for the third harmonic of the one-beam is 48%. This shows that the third harmonic radiation in the two-beam FEL is less sensitive to wiggler imperfection compared to its fundamental as well as the third harmonic in the one-beam FEL. The reason is that the energy that transfers to the third harmonic of the two-beam FEL comes from both electron beams. It was also found that, for almost all cases, standard deviation increases with an increasing level of wiggler imperfection while, for the two-beam FEL, saturation length of the fundamental resonance decreases and the third harmonic increases with increasing wiggler imperfection.

Three-dimensional simulation of harmonic up-conversion in a free-electron laser amplifier operating simultaneously with two cold and relativistic electron beams with different energy is presented in the steady-state regime. The fundamental resonance of the higher energy beam is adjusted at the third harmonic of the lower energy beam. By using slowly varying envelope approximation, the hyperbolic wave equations can be transformed into parabolic diffusion equations. By applying the source-dependent expansion to these equations, electromagnetic fields are represented in terms of the Hermite Gaussian modes which are well suited for the planar wiggler configuration. The electron dynamics is described by the fully three-dimensional Lorentz force equation in the presence of the realistic planar magnetostatic wiggler and electromagnetic fields. A set of coupled nonlinear first-order differential equations is derived and solved numerically. This set of equations describes self-consistently the longitudinal spatial dependence of radiation waists, curvatures, and amplitudes together with the evaluation of the electron beam. The evolutions of the transverse modes, in this system, are investigated for the fundamental resonance and its harmonic up-conversion. In addition to uniform beam, prebunched electron beam has also been studied. The effect of sinusoidal distribution of entry times for low energy electron beam on the evolution of radiation is compared with water bag distribution. It is shown that prebunching reduces the saturation length substantially. The analysis is related to extreme ultraviolet and x-ray emission where by seeding the lower frequency of the fundamental resonance of the lower energy beam substantial power is obtained at its third harmonic.

• SE and CPMG pulse sequences implemented on ViewRay's onboard 0.35 T MRI scanner. • NSA = 16 with a pixel size of 3 × 3 mm2 or denoising with a pixel size of 1.5 × 1.5 mm2. • Dose uncertainty and resolution comparable to that with a 1.5 T scanner. Magnetic Resonance Imaging (MRI) scanners are widely used for 3D gel dosimeters readout. However, limited access to MRI scanners is a challenge in MRI-based gel dosimetry. Recent clinical implementation of MRI-guided radiation therapy machines provides potential opportunities for onboard gel dosimetry using its MRI subsystem. The objective of this study was to investigate the feasibility of gel dosimetry using ViewRay's onboard 0.35 T MRI scanner. A BANG® polymer gel dosimeter was irradiated by three beams of 3 × 3 cm2 field size. The T 2 relaxation rate (R 2) of the irradiated gel was measured using a Philips 1.5 T Ingenia MRI and a ViewRay 0.35 T onboard MRI and spin-echo pulse sequences. The number of signal averages (NSA) was set to 16 for the ViewRay acquisitions and one for the Philips 1.5 T MRI to achieve similar signal-to-noise ratios. The in-plane spatial resolution was 1.5 × 1.5 mm2 and the slice thickness was 5 mm. The relative dose uncertainty was obtained using R 2 versus dose curves to compare the performance of dosimetry using the two different MRIs and field strengths. The dose uncertainty decreased from 12% at 2 Gy to 3.5% at 7.5 Gy at 1.5 T. The dose uncertainty decreased from 13% at 2 Gy to 4% at 7.5 Gy with NSA = 16 and 3 × 3 mm2 pixel size, and from 10.5% at 2 Gy to 3.2% at 7.5 Gy with NSA = 16 and denoised R 2 maps (1.5 × 1.5 mm2 pixel size) at 0.35 T. The mean of dose resolution was 0.4 Gy at 1.5 T while the mean of dose resolution was 0.8 Gy and 0.64 Gy at 0.35 T by downsampling and denoising the R2 map, respectively. Therefore, comparable dose uncertainty was achievable using the ViewRay's onboard 0.35 T and Philips 1.5 T MRI scanners. 3D gel dosimetry using onboard low-field MRI scanner provides ViewRay users a 3D high resolution dosimetry option besides film and ionization chamber. [ABSTRACT FROM AUTHOR]