Lead Slowing Down Spectrometer Status Report

This report documents the progress that has been completed in the first half of FY2012 in the MPACT-funded Lead Slowing Down Spectrometer project. Significant progress has been made on the algorithm development. We have an improve understanding of the experimental responses in LSDS for fuel-related material. The calibration of the ultra-depleted uranium foils was completed, but the results are inconsistent from measurement to measurement. Future work includes developing a conceptual model of an LSDS system to assay plutonium in used fuel, improving agreement between simulations and measurement, design of a thorium fission chamber, and evaluation of additional detector techniques

All that glitters is not gold: A case of lanthanum carbonate aspiration

Introduction: Foreign body aspiration is a significant cause of morbidity and mortality in elderly hospitalized patients. These are typically small items that patients have access to, including small coins. Case presentation: This is a case report of a 75-year-old man recently bedridden from a large hemispheric stroke with sudden onset of hoarseness, cough and dysphagia. A chest X-ray was obtained which showed a radiopaque coin-shaped foreign body, presumably a coin in his aerodigestive tract. He was promptly taken to the endoscopy suite for upper endoscopy. During endoscopy, it was determined that the foreign body was a radiopaque medication that he had been given. It was easily and safely able to be crushed and lavaged down into his stomach and later determined to be lanthanum carbonate, a commonly used phosphate binder. Following endoscopy, the patient’s cough, hoarseness and dysphagia resolved with no long-term complications. Discussion: Lanthanum carbonate is a phosphate-binding medication used in the management and treatment of hyperphosphatemia commonly seen in patients with end-stage renal disease, which is radiopaque. There are few published reports and images of radiopaque fragments of medication in the gastrointestinal tract but none causing aspiration by masquerading as a coin-like density in the aerodigestive tract as we present here

Lead Slowing Down Spectrometer Research Plans

The MPACT-funded Lead Slowing Down Spectrometry (LSDS) project has been evaluating the feasibility of using LSDS techniques to assay fissile isotopes in used nuclear fuel assemblies. The approach has the potential to provide considerable improvement in the assay of fissile isotopic masses in fuel assemblies compared to other non-destructive techniques in a direct and independent manner. The LSDS collaborations suggests that the next step to in empirically testing the feasibility is to conduct measurements on fresh fuel assemblies to understand investigate self-attenuation and fresh mixed-oxide (MOX) fuel rodlets so we may betterto understand extraction of masses for 235U and 239Pu. While progressing toward these goals, the collaboration also strongly suggests the continued development of enabling technology such as detector development and algorithm development, thatwhich could provide significant performance benefits

Lead Slowing Down Spectrometer FY2013 Annual Report

Executive Summary The Lead Slowing Down Spectrometry (LSDS) project, funded by the Materials Protection And Control Technology campaign, has been evaluating the feasibility of using LSDS techniques to assay fissile isotopes in used nuclear fuel assemblies. The approach has the potential to provide considerable improvement in the assay of fissile isotopic masses in fuel assemblies compared to other non-destructive techniques in a direct and independent manner. This report is a high level summary of the progress completed in FY2013. This progress included: • Fabrication of a 4He scintillator detector to detect fast neutrons in the LSDS operating environment. Testing of the detector will be conducted in FY2014. • Design of a large area 232Th fission chamber. • Analysis using the Los Alamos National Laboratory perturbation model estimated the required number of neutrons for an LSDS measurement to be 10 to the 16th source neutrons. • Application of the algorithms developed at Pacific Northwest National Laboratory to LSDS measurement data of various fissile samples conducted in 2012. The results concluded that the 235U could be measured to 2.7% and the 239Pu could be measured to 6.3%. Significant effort is yet needed to demonstrate the applicability of these algorithms for used-fuel assemblies, but the results reported here are encouraging in demonstrating that we are making progress toward that goal. • Development and cost-analysis of a research plan for the next critical demonstration measurements. The plan suggests measurements on fresh fuel sub assemblies as a means to experimentally test self-attenuation and the use of fresh mixed-oxide fuel as a means to test simultaneous measurement of 235U and 239Pu

The use of resuscitative endovascular balloon occlusion of the aorta to control hemorrhagic shock during video-assisted retroperitoneal debridement or infected necrotizing pancreatitis.

Introduction: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique that has been shown to provide central vascular control to support proximal aortic pressure and minimize hemorrhage in a wide variety of clinic settings, however the role of REBOA for emergency general surgery is less defined. Case description: This is a report of a 44 year old man who experienced hemorrhagic shock during video-assisted retroperitoneal debridement (VARD) for necrotizing pancreatitis where REBOA was used to prevent ongoing hemorrhage and death. Discussion: This is the first documented report REBOA being used during pancreatic debridement in the literature and one of the first times it has been used in emergency general surgery. The use of REBOA is an option for those in hemorrhagic shock whom conventional aortic cross-clamping or supra-celiac aortic exposure is either not possible or exceedingly dangerous. Conclusion: REBOA allows for adequate resuscitation and can be used as a bridge to definitive therapy in a range of surgical subspecialties with minimal morbidity and complications. The risks associated with insertion of wires, sheaths, and catheters into the arterial system, as well as the risk of visceral and spinal cord ischemia due to aortic occlusion mandate that the use of this technique be utilized in only appropriate clinical scenarios

56Fe capture cross section experiments at the RPI LINAC Center

A new array of C6D6 detectors installed at the RPI LINAC Center has enabled the capability to measure neutron capture cross sections above the 847 keV inelastic scattering threshold of 56Fe through the use of digital post-processing filters and pulse-integral discriminators, without sacrificing the statistical quality of data at lower incident neutron energies where such filtering is unnecessary. The C6D6 detectors were used to perform time-of-flight capture cross section measurements on a sample 99.87% enriched iron-56. The total-energy method, combined with the pulse height weighting technique, were then applied to the raw data to determine the energy-dependent capture yield. Above the inelastic threshold, the data were analyzed with a pulse-integral filter to reveal the capture signal, extending the the full data set to 2 MeV

Fe capture cross section experiments at the RPI LINAC Center

A new array of C6D6 detectors installed at the RPI LINAC Center has enabled the capability to measure neutron capture cross sections above the 847 keV inelastic scattering threshold of 56Fe through the use of digital post-processing filters and pulse-integral discriminators, without sacrificing the statistical quality of data at lower incident neutron energies where such filtering is unnecessary. The C6D6 detectors were used to perform time-of-flight capture cross section measurements on a sample 99.87% enriched iron-56. The total-energy method, combined with the pulse height weighting technique, were then applied to the raw data to determine the energy-dependent capture yield. Above the inelastic threshold, the data were analyzed with a pulse-integral filter to reveal the capture signal, extending the the full data set to 2 MeV