Custom Cesium-131 Vicryl Mesh Brachytherapy for Recurrent Anal Cancer: A Report of Two Cases

While the standard of care for anal cancer consists of concurrent chemoradiation, patients with advanced T stages often succumb to local failures. Salvage treatment consists of an abdominoperineal resection (APR). While this is a good surgery to treat the local recurrence, there may be a risk of obtaining a positive margin due to the advanced nature and location of the recurrence. Addressing these high-risk positive margin sites with adjuvant brachytherapy after surgical resection is a good option to deliver a high dose of radiation to the R1 resection site while sparing the adjacent critical organs at risk. Herein, we present a case report of two patients with persistent or recurrent anal cancer who were treated with an APR with placement of a custom Cesium-131 brachytherapy mesh implant.

Cesium Modulation in Cu(In, Ga)(S, Se)2 Solar Cells: Comprehensive Analysis on Interface, Surface, and Grain Boundary

Cesium (Cs) incorporation and sulfurization on copper indium gallium selenide solar cells are the keys to improving the device quality. In this study, we explore the impact of Cs modulation on sulfur-containing Cu(In, Ga)(S, Se)2 (CIGSSe) absorbers, resulting in a performance increase of over 2%, reaching 18.11%. The improvement stems from a widened surface bandgap, grain boundary (GB) passivation, and a moderate injection blocking layer. The surface bandgap widens from 1.44 to 2.63 eV after Cs incorporation, confirmed by ultraviolet photoelectron spectroscopy (UPS) and low-energy inverse photoemission spectroscopy (LEIPS) analysis. Cs presence and S depletion in GBs suggest a new phase that might mitigate carrier recombination. Heightened Cs incorporation introduces interface issues, including an augmented injection blocking layer and interface defects. Our study offers insights into interface challenges and GB engineering strategies in Cs-treated CIGSSe solar cells, illuminating the multifaceted impact of heavy alkali metal ion Cs in CIGS-based photovoltaics.

Advancing in Cesium Retention: Application of Magnesium Phosphate Cement Composites

A serious risk that harms the safe use of water and affects aquatic ecosystems is water pollution. This occurs when the water's natural equilibrium is disrupted by an excessive amount of substances, both naturally occurring and as a byproduct of human activities, that have varied degrees of toxicity. Radiation from Cs isotopes, which are common components of radioactive waste and are known for their long half-lives (30 years), which are longer than the natural decay processes, is a major source of contamination. Adsorption is a commonly used technique for reducing this kind of contamination, and zeolite chabazite has been chosen as the best adsorbent for cesium in this particular situation. The purpose of this research is to investigate a composite material based on magnesium phosphate cement (MPC). Magnesium oxide (MgO), potassium dihydrogen phosphate (KH2PO4), and properly selected retarders are used to create the MPC. The optimal conditions for this composite material are investigated through the utilization of X-ray diffraction, scanning electron microscopy, BET surface area analysis, and atomic absorption spectroscopy. The principal aim is to enable innovations in the elimination of radioactive waste-contaminated water using effective cesium removal. The most promising results were obtained by using KH2PO4 as an acid, and MgO as a base, and aiming for an M/P ratio of two or four. Furthermore, we chose zeolite chabazite as a crucial component. The best adsorption abilities for Cs were found at Qads = 106.997 mg/g for S2 and Qads = 122.108 mg/g for S1. As a result, zeolite is an eco-friendly material that is a potential usage option, with many benefits, such as low prices, stability, and ease of regeneration and use.

Green Anisole as Antisolvent in Planar Triple-Cation Perovskite Solar Cells with Varying Cesium Concentrations

The feasibility of replacing toxic chlorobenzene antisolvents with environmentally friendly anisole in the fabrication of planar triple-cation perovskite solar cells was explored here. The successful integration of anisole not only ensures comparable device performance but also contributes to the development of more sustainable and green fabrication processes for next-generation photovoltaic technologies. Nevertheless, to ensure the possibility of achieving well-functioning unencapsulated devices whose working operation depends on outdoor atmospheric conditions, we found that adjusting the cesium concentrations in the perovskite layers enabled the electrical characterization of efficient devices even under high relative humidity conditions (more than 40%). We found that 10% of CsI in the precursor solution will make devices with low hysteresis indexes and sustained performance stability over a 90-day period both with cholorobenzene and anisole antisolvent. These results further confirm that green anisole can replace chlorobenzene as an antisolvent.

Layered metal sulfides with MaSbc- framework (M = Sb, In, Sn) as ion exchangers for the removal of Cs(Ⅰ) and Sr(Ⅱ) from radioactive effluents: a review

Nuclear power has emerged as a pivotal contributor to the global electricity supply owing to its high efficiency and low-carbon characteristics. However, the rapid expansion of the nuclear industry has resulted in the production of a significant amount of hazardous effluents that contain various radionuclides, such as 137Cs and 90Sr. Effectively removing 137Cs and 90Sr from radioactive effluents prior to discharge is a critical challenge. Layered metal sulfides exhibit significant potential as ion exchangers for the efficient uptake of Cs+ and Sr2+ from aqueous solutions owing to their open and exchangeable frameworks and the distinctive properties of their soft S2- ligands. This review provides a detailed account of layered metal sulfides with MaSb c- frameworks (M = Sb, In, Sn), including their synthesis methods, structural characteristics, and Cs+ and Sr2+ removal efficiencies. Furthermore, we highlight the advantages of layered metal sulfides, such as their relatively high ion exchange capacities, broad active pH ranges, and structural stability against acid and radiation, through a comparative evaluation with other conventional ion exchangers. Finally, we discuss the challenges regarding the practical application of layered metal sulfides in radionuclide scavenging.

Quantitative dual-energy computed tomography with cesium as a novel contrast agent for localization of thermochemical ablation in phantoms and ex vivo models

BACKGROUND

Thermochemical ablation (TCA) is a minimally invasive therapy under development for hepatocellular carcinoma. TCA simultaneously delivers an acid (acetic acid, AcOH) and base (sodium hydroxide, NaOH) directly into the tumor, where the acid/base chemical reaction produces an exotherm that induces local ablation. However, AcOH and NaOH are not radiopaque, making monitoring TCA delivery difficult.

PURPOSE

We address the issue of image guidance for TCA by utilizing cesium hydroxide (CsOH) as a novel theranostic component of TCA that is detectable and quantifiable with dual-energy CT (DECT).

MATERIALS AND METHODS

To quantify the minimum concentration of CsOH that can be positively identified by DECT, the limit of detection (LOD) was established in an elliptical phantom (Multi-Energy CT Quality Assurance Phantom, Kyoto Kagaku, Kyoto, Japan) with two DECT technologies: a dual-source system (SOMATOM Force, Siemens Healthineers, Forchheim, Germany) and a split-filter, single-source system (SOMATOM Edge, Siemens Healthineers). The dual-energy ratio (DER) and LOD of CsOH were determined for each system. Cesium concentration quantification accuracy was evaluated in a gelatin phantom before quantitative mapping was performed in ex vivo models.

RESULTS

On the dual-source system, the DER and LOD were 2.94 and 1.36-mM CsOH, respectively. For the split-filter system, the DER and LOD were 1.41- and 6.11-mM CsOH, respectively. The signal on cesium maps in phantoms tracked linearly with concentration (R2  = 0.99) on both systems with an RMSE of 2.56 and 6.72 on the dual-source and split-filter system, respectively. In ex vivo models, CsOH was detected following delivery of TCA at all concentrations.

CONCLUSIONS

DECT can be used to detect and quantify the concentration of cesium in phantom and ex vivo tissue models. When incorporated in TCA, CsOH performs as a theranostic agent for quantitative DECT image-guidance.

Xylem K+ loading modulates K+ and Cs+ absorption and distribution in Arabidopsis under K+-limited conditions

Potassium (K+) is an essential macronutrient for plant growth. The transcriptional regulation of K+ transporter genes is one of the key mechanisms by which plants respond to K+ deficiency. Among the HAK/KUP/KT transporter family, HAK5, a high-affinity K+ transporter, is essential for root K+ uptake under low external K+ conditions. HAK5 expression in the root is highly induced by low external K+ concentration. While the molecular mechanisms of HAK5 regulation have been extensively studied, it remains unclear how plants sense and coordinates K+ uptake and translocation in response to changing environmental conditions. Using skor mutants, which have a defect in root-to-shoot K+ translocation, we have been able to determine how the internal K+ status affects the expression of HAK5. In skor mutant roots, under K+ deficiency, HAK5 expression was lower than in wild-type although the K+ concentration in roots was not significantly different. These results reveal that HAK5 is not only regulated by external K+ conditions but it is also regulated by internal K+ levels, which is in agreement with recent findings. Additionally, HAK5 plays a major role in the uptake of Cs+ in roots. Therefore, studying Cs+ in roots and having more detailed information about its uptake and translocation in the plant would be valuable. Radioactive tracing experiments revealed not only a reduction in the uptake of 137Cs+ and 42K+in skor mutants compared to wild-type but also a different distribution of 137Cs+ and 42K+ in tissues. In order to gain insight into the translocation, accumulation, and repartitioning of both K+ and Cs+ in plants, long-term treatment and split root experiments were conducted with the stable isotopes 133Cs+ and 85Rb+. Finally, our findings show that the K+ distribution in plant tissues regulates root uptake of K+ and Cs+ similarly, depending on HAK5; however, the translocation and accumulation of the two elements are different.

A Highly Sensitive and Selective Optical Sensor for the On-Line Detection of Cesium in Water

In this study, we have undertaken the development of two fluorescent sensors based on calixarene compounds for the purpose of detecting cesium in water. By introducing the sulfonate functional groups, we have considerably improved the water solubility of sensors, enabling complete dissolution of products in aqueous media and direct analysis of polluted water samples. Through rigorous experiments, we have demonstrated that the complexation of Cs+ ions with sensors 1 and 2 in water leads to a remarkable enhancement of fluorescence. This fluorescence enhancement serves as a reliable indication of cesium presence and allows for sensitive detection. To further advance the practical application of our sensors, we have successfully integrated calixarene sensors 1 and 2 into a microfluidic sensor chip. This integration has enabled real-time, on-line measurements and has resulted in the development of a portable detection device capable of detecting cesium ions in water samples at parts per billion (ppb) levels. This device holds great promise for environmental monitoring and assessment, providing a convenient and efficient solution for cesium detection. Our work represents a significant advancement in the field of cesium detection, displaying the efficacy of calixarene-based fluorescent sensors and their integration into microfluidic systems. The enhanced water solubility, fluorescence response, and portability of our detection device offers tremendous potential for applications in environmental monitoring, water quality assessment, and emergency response scenarios where rapid and accurate cesium detection is crucial.

Effects of Cold Sintering on the Performance of Zeolite 13X as a Consolidated Adsorbent for Cesium

Cold sintering, a novel low-temperature consolidation technique, has shown promising results in various inorganic materials. However, the application of this technique to nanoporous materials for energy and environmental fields is not yet fully understood. This study investigates the effects of cold sintering on the relative densities, compressive strengths, chemical durabilities, crystal structures, specific surface areas, and adsorption capacities of zeolites. Cold sintering at 200 °C achieved 10 to 20% greater densification than conventional high temperature (700 °C) sintering; however, the original nanoporous structure of dry cold sintered zeolite was not maintained. Introducing liquid agents during the cold sintering process resulted in reduced degradation of the SSA and increased densification. Using NaOH as the liquid agent increased the solubility of elements in zeolite, which promoted chemical mobility and achieved the highest relative density (96.7 ± 2.8%). However, soluble layers between the particles led to fragmentation, making it unsuitable for aqueous applications. Using H₂O as the liquid agent resulted in a relative density of 90.4 ± 4.1% while maintaining the nanoporous properties and structural integrity of zeolite under water. The cesium adsorption capacity (19.0 ± 0.1 mg·g^-1) was similar to that of conventional zeolite ion exchangers, indicating that cold sintering with H₂O was an efficient, economical, and safer alternative to conventional high-temperature consolidation method. Our findings suggest that this cold sintering can be applied to other nanoporous materials, such as metal-organic frameworks and covalent organic frameworks, in separation, catalysis, and adsorption applications.

Surface Reconstruction and Passivation of BiVO4 Photoanodes Depending on the "Structure Breaker" Cs. JACS AU 2023;3:1851-1863. [PMID: 37502161 PMCID: PMC10369408 DOI: 10.1021/jacsau.3c00100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0]

Monoclinic BiVO₄ is one of the most promising photoanode materials for solar water splitting. The photoelectrochemical performance of a BiVO₄ photoanode could be significantly influenced by the noncovalent interactions of redox-inert metal cations at the photoanode-electrolyte interfaces, but this point has not been well investigated. In this work, we studied the Cs⁺-dependent surface reconstruction and passivation of BiVO₄ photoanodes. Owing to the "structure breaker" nature of Cs⁺, the Cs⁺ at the BiVO₄ photoanode-electrolyte interfaces participated in BiVO₄ surface photocorrosion to form a Cs⁺-doped bismuth vanadium oxide amorphous thin layer, which inhibited the continuous photocorrosion of BiVO₄ and promoted surface charge transfer and water oxidation. The resulting cocatalyst-free BiVO₄ photoanodes achieved 3.3 mA cm^-2 photocurrent for water oxidation. With the modification of FeOOH catalysts, the photocurrent at 1.23 V_RHE reached 5.1 mA cm^-2, and a steady photocurrent of 3.0 mA cm^-2 at 0.8 V_RHE was maintained for 30 h. This work provides new insights into the understanding of Cs⁺ chemistry and the effects of redox-inert cations at the electrode-electrolyte interfaces.

Open-Path Atmospheric Transmission of Diode-Pumped Alkali Lasers in Maritime and Desert Environments

A tunable diode laser absorption spectroscopy (TDLAS) device has been developed to study long-path atmospheric transmission near diode pumped alkali laser (DPAL) emission wavelengths. By employing a single aperture and retro reflector in a mono-static configuration, the noise associated with atmospheric and platform jitter were reduced by a factor of ∼30 and the open-air path length was extended to 4.4 km and over a very broad spectral range, up to 120 cm^-1. Water vapor absorption lines near the rubidium (Rb) and cesium (Cs) variants of the DPAL near 795 and 894 nm, oxygen lines near the potassium (K) DPAL near 770 nm, and water vapor absorption in the vicinity of the neodymium-doped yttrium aluminum garnet (Nd:YAG) laser 1.064 μm and chemical oxygen iodine laser (COIL) 1.3 μm lines were studied. The detection limit for path absorbance increases from ΔA = 0.0017 at 100 m path length to 0.085 for the 4.4 km path. Comparison with meteorological instruments for maritime and desert environments yields agreement for the 2.032 km path to within 1.5% for temperature, 4.5% for pressure, and 5.1% for concentration, while agreements for the 4.4 km path are within 1.4% for temperature, 7.7% for pressure, and 23.5% for concentration. An intra cavity output spectroscopy (ICOS) device was also used as a spectral reference to verify location of atmospheric lines. Implications of TDLAS collection system design on signal-to-noise (S/N) are discussed as well as the effect of path turbulence on baseline noise and inform the selection of the DPAL variant least affected by molecular absorption.

Oral formulation of Prussian blue with improved efficacy for prophylactic use against thallium

OBJECTIVE

The present study is aimed to enhance the efficacy of Insoluble Prussian blue (PB) in the stomach. PB formulation was developed comprising of PB in combination with pH modifying agents particularly magnesium hydroxide, calcium carbonate, sodium carbonate, and sodium bicarbonate. pH profile and the binding efficacy of the final formulation was evaluated in simulated gastric fluid (SGF).

METHODS

The capsule formulation was optimized with desired in vitro characteristics. The final formulations (FF1-FF4) were evaluated for drug release, pH profile, and binding efficacy for thallium (Tl). The stability studies were performed in terms of drug assay, Fourier-transformed infrared (FTIR) spectroscopy and Thermo-gravimetric analysis (TGA). The in vivo study was performed in rats to determine the removal efficacy of optimized formulation (FF4) for Tl.

RESULTS

The PB formulation consisting of optimized PB granules and pH modifying agents showed a significant increase in the binding efficacy for Tl in SGF at an equilibrium time of 24 h. The Maximum Binding Capacity (MBC) of FF1-FF4 was found to be higher than commercially available Radiogardase^®-Cs capsules and PB granules alone in SGF. The blood Tl level in rats treated with FF4 showed three-fold decreases in the level of Tl in the blood (C_max) and Area under Curve (AUC) as compared to the control.

CONCLUSION

The results revealed that the developed oral PB formulation has a significantly higher efficiency of binding Tl at the acidic pH of the stomach thereby reducing its absorption into the systemic circulation. Thus, the optimized formulation of PB with pH-modifying agents is a better drug for prophylactic use in thallium ingestion.

Uptake of Radionuclides by Bryophytes in the Chornobyl Exclusion Zone

The "Chernobyl nuclear disaster" released huge amounts of radionuclides, which are still detectable in plants and sediments today. Bryophytes (mosses) are primitive land plants lacking roots and protective cuticles and therefore readily accumulate multiple contaminants, including metals and radionuclides. This study quantifies ¹³⁷Cs and ²⁴¹Am in moss samples from the cooling pond of the power plant, the surrounding woodland and the city of Prypiat. Activity concentrations of up to 297 Bq/g (¹³⁷Cs) and 0.43 Bq/g (²⁴¹Am) were found. ¹³⁷Cs contents were significantly higher at the cooling pond, where ²⁴¹Am was not detectable. Distance to the damaged reactor, amount of original fallout, presence of vascular tissue in the stem or taxonomy were of little importance. Mosses seem to absorb radionuclides rather indiscriminately, if available. More than 30 years after the disaster, ¹³⁷Cs was washed out from the very top layer of the soil, where it is no more accessible for rootless mosses but possibly for higher plants. On the other hand, ¹³⁷Cs still remains solved and accessible in the cooling pond. However, ²⁴¹Am remained adsorbed to the topsoil, thus accessible to terrestrial mosses, but precipitated in the sapropel of the cooling pond.

Phosphonation of Alginate-Polyethyleneimine Beads for the Enhanced Removal of Cs(I) and Sr(II) from Aqueous Solutions

Although Cs(I) and Sr(II) are not strategic and hazardous metal ions, their recovery from aqueous solutions is of great concern for the nuclear industry. The objective of this work consists of designing a new sorbent for the simultaneous recovery of these metals with selectivity against other metals. The strategy is based on the functionalization of algal/polyethyleneimine hydrogel beads by phosphonation. The materials are characterized by textural, thermo-degradation, FTIR, elemental, titration, and SEM-EDX analyses to confirm the chemical modification. To evaluate the validity of this modification, the sorption of Cs(I) and Sr(II) is compared with pristine support under different operating conditions: the pH effect, kinetics, and isotherms are investigated in mono-component and binary solutions, before investigating the selectivity (against competitor metals) and the possibility to reuse the sorbent. The functionalized sorbent shows a preference for Sr(II), enhanced sorption capacities, a higher stability at recycling, and greater selectivity against alkali, alkaline-earth, and heavy metal ions. Finally, the sorption properties are compared for Cs(I) and Sr(II) removal in a complex solution (seawater sample). The combination of these results confirms the superiority of phosphonated sorbent over pristine support with promising performances to be further evaluated with effluents containing radionuclides.

Cesium could be used as a proxy for potassium in mycorrhizal Medicago truncatula

Arbuscular mycorrhizal (AM) fungi interact with the roots of most land plants and help them to acquire various mineral resources from the soil, including potassium (K⁺). However, tracking K⁺ movement in AM symbiosis remains challenging. Recently, we reported that rubidium can be used as a proxy for K⁺ in mycorrhizal Medicago truncatula. In the present work, we investigated the possibility of using cesium (Cs⁺) as another proxy for K⁺ in AM symbiosis. Plants were placed in growing systems that include a separate compartment only accessible to the AM fungus Rhizophagus irregularis isolate 09 and in which various amounts of cesium chloride (0 mM, 0.5 mM, 1.5 mM, or 3.75 mM) were supplied. Plants were watered with sufficient K⁺ or K⁺-free nutrient solutions, and shoot and root biomass, fungal colonization, and K⁺ and Cs⁺ concentrations were recorded seven weeks after inoculation. Our results indicate that Cs⁺ accumulated in plant tissues only when K⁺ was present in the nutrient solution and when the highest concentration of Cs⁺ was used in the fungal compartment. Consequently, we conclude that Cs⁺ could be used as a proxy for K⁺ in AM symbiosis, but with serious limitations.

Removal of Cs-137 Radionuclide by Resorcinol-Formaldehyde Ion-Exchange Resins from Solutions Simulating Real Liquid Radioactive Waste

The efficiency of the removal of Cs-137 radionuclides with porous and non-porous resorcinol−formaldehyde resins from alkaline solutions simulating the composition of real liquid radioactive waste (LRW) streams has been evaluated. Resins were synthesized through the polycondensation of resorcinol and formaldehyde in an alkaline medium at a molar ratio of 1.8/2.2 and a temperature of 210 °C. The Cs-137 distribution coefficients on RFRs in alkaline solutions simulating LRW were above 103 mL/g under static sorption conditions. In a model solution with pH 11, the full dynamic sorption capacity of non-porous RFR was 0.178 mmol/g. The values of the full dynamic sorption capacities of porous RFRs were 0.274 and 1.035 mmol/g for resins obtained with calcium carbonate and toluene as templates, respectively. When the sizes of RFR beads increased two-fold, the volume until 5% cesium breakthrough decreased by 20−40%. The most pronounced beneficial effect of the RFR’s porosity was observed at flow rates from 25 to 50 BV/h. It was shown that the negative effect of metal cations on Cs-137 uptake increases in the following order: Na+ < Mg2+ < Ca2+ < K+. The number of bed volumes of LRW-simulating solution decontaminated with RFRs until 5% cesium breakthrough was above 450; that is higher than the value of known commercially available analogs. The latter shows that the developed RFRs are promising for application in technological schemes of alkaline LRW processing.

Safety and efficacy of salvage therapy with laser interstitial thermal therapy for malignant meningioma refractory to cesium-131 brachytherapy: illustrative case

BACKGROUND

Anaplastic meningioma are rare, cancerous tumors of the central nervous system that often require multimodal therapy for tumor control. Both laser interstitial thermal therapy (LITT) and brachytherapy with implanted cesium-131 metallic seeds have demonstrated efficacy in the treatment of recurrent and resistant anaplastic meningioma; however, their safety as a dual therapy has never been reported.

OBSERVATIONS

In this report, the authors present a case of a 53-year-old female who received LITT in combination with brachytherapy after surgical and radiation treatment options had been exhausted. The authors discuss the unique safety concern of thermal injury with this treatment combination and demonstrate their method for the safe administration of these treatments together. Furthermore, the authors provide a review of the literature on LITT as an emerging therapy for anaplastic meningioma.

LESSONS

The use of LITT in combination with brachytherapy remains an option for salvage therapy in patients with recurrent meningioma that provides durable local control of tumor.

Isotherm, Kinetic, and Selectivity Studies for the Removal of 133Ba and 137Cs from Aqueous Solution Using Turkish Perlite

The efficiency of 133Ba and 137Cs removal from aqueous solution is vital to mitigate ecological concerns over spreading these radionuclides in the environment. The present work focused on the use of Turkish perlite for the sorptive removal of 133Ba and 137Cs from aqueous solution by the radioindicator method. Perlite was characterized by XRF, XRD, FTIR, SEM−EDX, and BET analyses. The maximum percentage removals of 88.2% and 78.7% were obtained for 133Ba and 137Cs at pH 6 and pH 9, respectively. For both ions, the sorption equilibrium was attained relatively rapidly. Experimental kinetic data were well described with pseudo-second-order and intraparticle diffusion models. The uptake of both ions increased with the increase in metal concentration (1 × 10−5 to 5 × 10−2 mol/L) in solution. The maximum uptake capacities of 133Ba and 137Cs were found to be 1.96 and 2.11 mmol/g, respectively. The effect of competing ions decreased in the order of Ca2+>K+>Ni2+>Na+ for 133Ba sorption, whereas for 137Cs sorption, the order was determined as Ca2+>Ni2+>K+>Na+. Selectivity studies pointed out that sorption of 133Ba onto perlite is preferable to 137Cs. Therefore, Turkish perlite is a promising, cost-effective, and efficient natural material for the removal of 133Ba and 137Cs from relatively diluted aqueous solution.

Resection with intraoperative cesium-131 brachytherapy as salvage therapy for recurrent brain tumors

OBJECTIVE

The authors' objective was to examine the safety and efficacy of salvage intracranial cesium-131 brachytherapy in combination with resection of recurrent brain tumors.

METHODS

The authors conducted a retrospective chart review of consecutive patients treated with intraoperative intracranial cesium-131 brachytherapy at a single institution. Permanent suture-stranded cesium-131 seeds were implanted in the resection cavity after maximal safe tumor resection. The primary outcomes of interest were local, locoregional (within 1 cm), and intracranial control, as well as rates of overall survival (OS), neurological death, symptomatic adverse radiation effects (AREs), and surgical complication rate graded according to Common Terminology Criteria for Adverse Events version 5.0.

RESULTS

Between 2016 and 2020, 36 patients received 40 consecutive cesium-131 implants for 42 recurrent brain tumors and received imaging follow-up for a median (interquartile range [IQR]) of 17.0 (12.7-25.9) months. Twenty patients (55.6%) with 22 implants were treated for recurrent brain metastasis, 12 patients (33.3%) with 16 implants were treated for recurrent atypical (n = 7) or anaplastic (n = 5) meningioma, and 4 patients (11.1%) were treated for other recurrent primary brain neoplasms. All except 1 tumor (97.6%) had received prior radiotherapy, including 20 (47.6%) that underwent 2 or more prior radiotherapy treatments and 23 (54.8%) that underwent prior resection. The median (IQR) tumor size was 3.0 (2.3-3.7) cm, and 17 lesions (40.5%) had radiographic evidence of ARE prior to salvage therapy. Actuarial 1-year local/locoregional/intracranial control rates for the whole cohort and patients with metastases and meningiomas were 91.6%/83.4%/47.9%, 88.8%/84.4%/45.4%, and 100%/83.9%/46.4%, respectively. No cases of local recurrence of any histology (0 of 27) occurred after gross-total resection (p = 0.012, log-rank test). The 1-year OS rates for the whole cohort and patients with metastases and meningiomas were 82.7%, 79.1%, and 91.7%, respectively, and the median (IQR) survival of all patients was 26.7 (15.6-36.4) months. Seven patients (19.4%) experienced neurological death from progressive intracranial disease (7 of 14 total deaths [50%]), 5 (13.9%) of whom died of leptomeningeal disease. Symptomatic AREs were observed in 9.5% of resection cavities (n = 4), of which 1 (2.4%) was grade 3 in severity. The surgical complication rate was 16.7% (n = 7); 4 (9.5%) of these patients had grade 3 or higher complications, including 1 patient (2.4%) who died perioperatively.

CONCLUSIONS

Cesium-131 brachytherapy resulted in good local control and acceptable rates of symptomatic AREs and surgical complications in this heavily pretreated cohort, and it may be a reasonable salvage adjuvant treatment for this patient population.

Monitoring Noble Gases (Xe and Kr) and Aerosols (Cs and Rb) in a Molten Salt Reactor Surrogate Off-Gas Stream Using Laser-Induced Breakdown Spectroscopy (LIBS)

This study with surrogate materials shows that laser-induced breakdown spectroscopy (LIBS) is a robust tool with promising capability toward monitoring gaseous (Xe and Kr) and aerosol (Cs and Rb) species in an off-gas stream from a molten salt reactor (MSR). MSRs will continually evolve fission products into the cover gas flowing across the reactor headspace. The cover gas entrains Xe and Kr gases, along with aerosol particles, before passing into an off-gas treatment system. Univariate models of Xe and Kr peaks showed a strong correlation to concentration indicated by their coefficients of determination of 0.983 and 0.997, respectively. Multivariate models were built for all four analytes using partial least squares regression coupled with preprocessing steps including normalization, trimming, and/or genetic algorithm derived filters. The models were evaluated by predicting the concentrations of the analytes in four validation samples, in which all calibration models were successfully validated at a confidence interval of 99.9%. Lastly, pressure controllers were used to regulate the mass flow rate of Kr flowing into the measurement cell in sinusoidal and stepwise waveforms to test the real-time monitoring capabilities of the regression models. Both univariate and partial least squares Kr models were able to successfully quantify the gas concentration in the real-time evaluation. The root mean squared error of prediction (RMSEP) values for these real-time tests were calculated to be 0.051, 0.060, and 0.121 mol% demonstrating the measurement systems' capability to perform online monitoring with acceptable accuracy.

Part 2: Stabilization/Containment of Radiological Particle Contamination to Enhance First Responder, Early Phase Worker, and Public Safety

The application of stabilization technologies to a radiologically contaminated surface has the potential for reducing the spread of contamination and, as a result, decreasing worker exposure to radiation. Three stabilization technologies, calcium chloride (CaCl2), flame retardant Phos-Chek® MVP-Fx, and Soil2O™ were investigated to evaluate their ability to reduce the resuspension and tracking of radiological contamination during response activities such as vehicle and foot traffic. Concrete pavers, asphalt pavers, and sandy soil walking paths were used as test surfaces, along with simulated fallout material (SFM) tagged with radiostrontium (Sr-85) applied as the contaminant. Radiological activities were measured using gamma spectrometry before and after simulated vehicle operation and foot traffic experiments, conducted with each stabilization technology and without application as a nonstabilized control. These measurements were acquired separately for each combination of surface and vehicle/foot traffic experiment. The resulting data describes the extent of SFM removed from each surface onto the tires or boots, the extent of SFM transferred to adjacent surfaces, and the residual SFM remaining on the tires or boots after each experiment. The type of surface and response worker actions influenced the stabilization results. For instance, when walked over, less than 2% of particles were removed from nonstabilized concrete, 4% from asphalt, and 40% of the particles were removed from the sand surface. By contrast, for vehicle experiments, ~40% of particles were again removed from the sand, but 7% and 15% from concrete and asphalt, respectively. In most cases, the stabilization technologies did provide improved stabilization. The improvement was related to the type of surface, worker actions, and stabilizer; a statistical analysis of these variables is presented. Overall, the results suggest an ability to utilize these technologies during the planning and implementation of response activities involving foot and vehicle traffic. In addition, resuspension of aerosolizable range SFM was monitored during walking path foot traffic experiments, and all stabilizing agents decreased the measured radioactivity, with the Soil2O™ decrease being 3 fold, whereas the CaCl2 and Phos-Chek MVP-Fx surfaces generated no detectable radioactivity. Overall, these results suggest that the stabilization technologies decrease the availability of particles respirable by response workers under these conditions.

Impact of Cesium Concentration on Optoelectronic Properties of Metal Halide Perovskites

Performance of a perovskite solar cell is largely influenced by the optoelectronic properties of metal halide perovskite films. Here we study the influence of cesium concentration on morphology, crystal structure, photoluminescence and optical properties of the triple cation perovskite film. Incorporation of small amount (x = 0.1) of cesium cations into Csx(MA0.17FA0.83)1−x Pb(I0.83Br0.17)3 leads to enhanced power conversion efficiency (PCE) of the solar cell resulting mainly from significant rise of the short-current density and the fill factor value. Further increase of Cs concentration (x > 0.1) decreases the film’s phase purity, carrier lifetime and correspondingly reduces PCE of the solar cell. Higher concentration of Cs (x ≥ 0.2) causes phase segregation of the perovskite alongside with formation of Cs-rich regions impeding light absorption.

K+ -independent Kir blockade by external Cs+ and Ba2

Cations such as Cs⁺ and Ba²⁺ are known to block K⁺ currents by entering an open channel and binding to the selectivity filter, where they obstruct the pore and block diffusion of the permeant ion. This obstruction is voltage- and K⁺ -dependent and is relieved by the trans permeant ion flux. The present patch-clamp study on Xenopus muscle cells shows that, unlike the voltage-activated K⁺ (Kv) channels, blockade of the inward rectifier K⁺ (Kir) channels by external foreign cations results from the combination of pore obstruction with a new and independent mechanism. This new blockade is independent of the K⁺ concentrations and flux and acts indiscriminately on both the outward and the inward Kir components. External Cs⁺ and Ba²⁺ compete for this blockade with free access to common channel sites. These features suggest that the blocking cations do not need to enter the channel for this new mechanism, and should bind to the extracellular side of the channel. When K⁺ fluxes are flowing outward, the pore obstruction is relieved for both Kir and Kv currents, and the K⁺ -independent blockade here described is responsible for a selective Kir inhibition, justifying the use of these external cations as tools in cell physiology studies.

Effect of the Resorcinol/Formaldehyde Ratio and the Temperature of the Resorcinol-Formaldehyde Gel Solidification on the Chemical Stability and Sorption Characteristics of Ion-Exchange Resins

A series of resorcinol–formaldehyde resins (RFR) samples for Cs-137 removal from liquid alkaline media have been synthesized. It has been demonstrated that the chemical stability as well as sorption characteristics are determined by the resorcinol/formaldehyde molar ratio and the solidification temperature. It has been also demonstrated that the sample synthesized at the resorcinol/formaldehyde molar ratio of 1.8/2.2 and solidified at 210 °C is characterized by the best sorption-selective characteristics and chemical stability. Under dynamic conditions, at feeding >1000 bed volumes of a model solution with pH > 13, the RFR 3-1 goes through six sorption cycles without noticeable changes in the sorption characteristics. The results are presented that demonstrate the possibility of RFR application in the decontamination of real LRW from Cs-137.

Stepwise Generation of Mono-, Di-, and Triply-Reduced Warped Nanographenes: Charge-Dependent Aromaticity, Surface Nonequivalence, Swing Distortion, and Metal Binding Sites

The stepwise chemical reduction of a molecular warped nanographene (WNG) having a negatively curved π-surface and defined C₈₀ H₃₀ composition with Cs metal used as the reducing and complexing agent allowed the isolation of three different reduced states with one, two, and three electrons added to its π-conjugated system. This provided a unique series of nanosized carbanions with increasing negative charge for in-depth structural analysis of consequences of controlled electron charging of non-planar nanographenes, using X-ray crystallographic and computational tools. The 3D molecular electrostatic potential (MEP) maps identified the negative charge localization at the central part of the WNG surface where selective coordination of Cs⁺ ions is confirmed crystallographically. In-depth theoretical investigation revealed a complex response of the WNG to the stepwise electron acquisition. The extended and contorted π-surface of the WNG undergoes subtle swinging distortions that are accompanied by notable changes in the electronic structure and site-dependent aromaticity of the resulting carbanions.