This study introduces the use of a deep convolutional neural network for reconstructing fast-ion velocity distributions from fast-ion loss detectors and imaging neutral particle analyzers (INPAs), automatically integrating uncertainty quantification through Monte Carlo dropout. The network-based reconstructions reveal pitch-angle splitting in high-energy features of lost fast-ion velocity distributions at ASDEX Upgrade during active neutral beam injection, a previously observed phenomenon now confirmed through neural networks. Moreover, contrary to common theories attributing these high-energy features to edge localized mode (ELM)-driven acceleration, we provide experimental evidence that they also occur in type-I ELM-quiescent phases. Additionally, we demonstrate improved reconstructions from INPA measurements, both synthetic and from an ASDEX Upgrade commissioning discharge, with the reconstructions closely matching TRANSP simulations. These findings suggest that neural networks can provide robust reconstructions with well-defined uncertainties, improving the reliability of interpretations of fast-ion behavior in magnetically confined plasmas.

We present a fully analytical model for calculating energy spectra of neutrons generated by fusion reactions involving a fast ion, or beam, and a stationary ion, or target, in magnetic fusion plasmas. For neutrons moving along the line-of-sight of a detector, the neutron spectrum is given by an analytical expression and the usual differential cross section. This makes the model several orders of magnitude faster than ordinary Monte Carlo simulations and free of any related statistical noise. Additionally, the analytical description of the reaction physics provides much more insight into the formation of the spectrum. An example of this is the bias of beam-target spectra towards high-energy neutron counts, which corresponds to forward-emission events. On the other hand, the fast-ion uniform gyro-angle distribution has an opposite effect, but is ultimately weaker than the preferential forward emission of neutrons. The model is validated against numerical calculations from the forward model code GENESIS to verify its validity and it is furthermore derived from a probabilistic viewpoint, adding further insight.

In this paper we demonstrate how the inversion, in energy and major radius (E, R) coordinates, of imaging neutral particle analyser (INPA) measurements can be used to obtain the fast-ion distribution. The INPA is most sensitive to passing ions with energies in the range (20-150) keV and pitches near 0.5 in the core and 0.7 near the plasma edge. Inversion of synthetic signals, via 0th-order Tikhonov and Elastic Net regularization, were performed to demonstrate the capability of recovering the ground truth fast-ion 2D phase-space distribution resolved in major radius and energy, even in the presence of moderate noise levels (10%). Finally, we apply our method to measure the 2D phase-space distribution in an MHD quiescent plasma at ASDEX Upgrade and find good agreement with the slowing down fast-ion distribution predicted by TRANSP.

In 2021 JET exploited its unique capabilities to operate with T and D-T fuel with an ITER-like Be/W wall (JET-ILW). This second major JET D-T campaign (DTE2), after DTE1 in 1997, represented the culmination of a series of JET enhancements-new fusion diagnostics, new T injection capabilities, refurbishment of the T plant, increased auxiliary heating, in-vessel calibration of 14 MeV neutron yield monitors-as well as significant advances in plasma theory and modelling in the fusion community. DTE2 was complemented by a sequence of isotope physics campaigns encompassing operation in pure tritium at high T-NBI power. Carefully conducted for safe operation with tritium, the new T and D-T experiments used 1 kg of T (vs 100 g in DTE1), yielding the most fusion reactor relevant D-T plasmas to date and expanding our understanding of isotopes and D-T mixture physics. Furthermore, since the JET T and DTE2 campaigns occurred almost 25 years after the last major D-T tokamak experiment, it was also a strategic goal of the European fusion programme to refresh operational experience of a nuclear tokamak to prepare staff for ITER operation. The key physics results of the JET T and DTE2 experiments, carried out within the EUROfusion JET1 work package, are reported in this paper. Progress in the technological exploitation of JET D-T operations, development and validation of nuclear codes, neutronic tools and techniques for ITER operations carried out by EUROfusion (started within the Horizon 2020 Framework Programme and continuing under the Horizon Europe FP) are reported in (Litaudon et al Nucl. Fusion accepted), while JET experience on T and D-T operations is presented in (King et al Nucl. Fusion submitted).

This prospective randomized controlled trial aimed to compare the efficacy and safety of topical preservative-free diclofenac (DICLO) to dexamethasone (DEX) eyedrops, and their combination (DEX+DICLO) after trabeculectomy. Sixty-nine patients with medically uncontrolled glaucoma were randomized to receive topical postoperative treatment with DICLO (n = 23), DEX (n = 23), or a combination of DEX and DICLO (n = 23). The primary outcome was the intraocular pressure (IOP) 12 months postoperatively. Secondary outcomes included surgical success, failure, visual field, and visual acuity from baseline to 12 months postoperatively. IOP reached the lowest point one day after trabeculectomy. At 12 months, IOP was 10.0 mmHg (95% CI, 8.4–11.6 mmHg) for DICLO, 10.9 mmHg (95% CI, 9.4–12.3 mmHg) for DEX, and 11.2 mmHg (95% CI, 9.1–13.3 mmHg) for DEX+DICLO. There were no significant differences in IOP, surgical success, failure, visual field, or visual acuity between the DICLO, DEX, or DEX+DICLO groups. We found that topical diclofenac was not statistically different from topical dexamethasone in controlling IOP 12 months after trabeculectomy. Combining diclofenac and dexamethasone offered no added IOP control compared to dexamethasone alone.

We introduce an anisotropic regularization framework for the reconstruction of distribution functions from measurements, utilizing an approach that applies distinct regularization techniques such as non-negative constrained Tikhonov, total variation, and Besov-space priors, either penalizing the one-norm or the two-norm, in each dimension to reflect the anisotropic characteristics of the multidimensional data. This method, applied to fast-ion loss detector (FILD) measurements, demonstrates a significant improvement over conventional nonnegative-constrained zeroth-order Tikhonov regularization because the prior information of the form of the distribution allows better reconstructions. The validity of the approach is corroborated through FILD measurements of prompt fast-ion losses in an ASDEX Upgrade discharge, where the reconstructed distribution function agrees well with the prompt-loss distribution predicted by ASCOT simulations. Moreover, we develop a composite quality metric, Q , that combines the mean squared error and the Jaccard index for a comprehensive evaluation of reconstruction accuracy and spatial fidelity. Finally, anisotropic regularization is applied to FILD measurements at ASDEX Upgrade to study fast-ion acceleration by edge-localized modes. The refined analysis resolves fine structure in the pitch of the accelerated ions and clearly shows that some ions are accelerated to over twice the injection energy.

PURPOSE:To determine vision-related quality of life (VR-QoL) and functional and structural parameters associated with VR-QoL in patients with glaucoma before and 12 months after trabeculectomy. METHODS:Fifty-eight patients undergoing trabeculectomy were included. Participants completed the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25) prior to and 12 months after trabeculectomy. Functional (visual acuity and visual fields) and structural (ganglion cell layer volume) parameters were evaluated for their association with VR-QoL using multiple linear regression of VFQ-25 subscale scores. Intraocular pressure and the number of glaucoma medications were also included in the analyses. RESULTS:The VFQ-25 composite score did not change after trabeculectomy (before: 74.9; 12 months: 74.0; p = 0.512). The subscale mental health had a significantly higher score 12 months after trabeculectomy (before: 65.6; 12 months: 71.4; p = 0.017). The VFQ-25 scores for general health (before: 68.5; 12 months: 62.5; p = 0.009) and role difficulties (before: 78.9; 12 months: 53.7; p < 0.001) were significantly lower 12 months after trabeculectomy. No functional or structural parameters were associated with VFQ-25 composite score. CONCLUSION:Overall, VR-QoL in glaucoma patients was similar before and after trabeculectomy, reflecting the procedure's stabilizing effect on both objective and subjective visual function. The absence of correlations between VR-QoL and clinical parameters emphasizes the multifaceted nature of VR-QoL and highlights the limitations of depending solely on objective clinical metrics to evaluate patients' subjective experiences. Using both objective measures and VR-QoL, clinicians can better understand the challenges patients face due to glaucoma and trabeculectomy, potentially leading to better solutions.

In fusion plasma physics, the large-scale trajectories of energetic particles in magnetic confinement devices are known as orbits. To effectively and efficiently be able to work with orbits, the Orbit Weight Computational Framework (OWCF) was developed. The OWCF constitutes a set of scripts, functions and applications capable of computing, visualizing and working with quantities related to fast-ion (FI) orbits in toroidally symmetric fusion devices. The current version is highly integrated with the DRESS code, which enables the OWCF to compute and analyze the orbit sensitivity for arbitrary neutron- and gamma-diagnostics. However, the framework is modular in the sense that any future codes (e.g. FIDASIM) can be easily integrated. The OWCF can also compute projected velocity spectra for FI orbits, which play a key role in many FI diagnostics. Via interactive applications, the OWCF can function both as a tool for investigative research but also for teaching. The OWCF will be used to analyze and simulate the diagnostic results of current and future fusion experiments such as ITER. The orbit weight functions computed with the OWCF can be used to reconstruct the FI distribution in terms of FI orbits from experimental measurements using tomographic inversion.

We present a new version of the FILDSIM code (Galdon-Quiroga et al 2018 Plasma Phys. Control. Fusion 60 105005), which significantly refines the modelling of the fast-ion loss detector (FILD) signal. We demonstrate that the FILD weight functions computed using this new version of FILDSIM are more accurate relative to synthetic benchmarks than those computed using the previous version. Thus, the new version enables higher-quality velocity-space sensitivity modelling and reconstructions. We validate the improvements on experimental data from discharge #75620 at TCV. Additionally, we present a novel approach for characterizing FILDs through a gross FILD measurement and a gross weight function based on the calculations from the new version of FILDSIM. We use them to characterize the TCV FILD.

The fast-ion phase-space distribution function in axisymmetric tokamak plasmas is completely described by the three constants of motion: energy, magnetic moment and toroidal canonical angular momentum. In this work, the observable regions of constants-of-motion phase-space, given a diagnostic setup, are identified and explained using projected velocities of the fast ions along the diagnostic lines-of-sight as a proxy for several fast-ion diagnostics, such as fast-ion D alpha spectroscopy, collective Thomson scattering, neutron emission spectroscopy and gamma-ray spectroscopy. The observable region in constants-of-motion space is given by a position condition and a velocity condition, and the diagnostic sensitivity is given by a gyro-orbit and a drift-orbit weighting. As a practical example, 3D orbit weight functions quantifying the diagnostic sensitivity to each point in phase-space are computed and investigated for the future COMPASS-Upgrade and MAST-Upgrade tokamaks.

In the JET DTE2 deuterium-tritium campaign, neutron diagnostics were employed to measure 14 MeV neutrons originating from D(T,n)4He reactions. In discharge 99965, a diamond matrix detector (KM14) and a magnetic proton recoil (MPRu) detector with a vertical and an oblique line-of-sight were used, respectively. At the timepoints of interest, a significant decrease in the expected diagnostic signals can be observed as electromagnetic wave heating in the ion cyclotron range of frequencies (ICRF) is switched off. Utilizing only TRANSP simulation data, the fast-ion distribution is found to have been likely composed mostly of trapped orbits. In contrast, analysis performed using orbit weight functions revealed that the majority of neutrons in the KM14 Ed=9.3 MeV and MPRu Xcm=33 cm measurement bins are to have originated from fast deuterium ions on co-passing orbits. This work explains the perhaps surprising results and shows that the relative signal decrease as ICRF heating is switched off is largest for counter-passing orbits. Finally, for the magnetic equilibria of interest, it is shown how stagnation orbits, corresponding to similar to 1 % of the fast-ion distribution, were completely unobservable by the KM14 diagnostic.

Tomographic reconstructions of a 3D fast-ion constants-of-motion phase-space distribution function are computed by inverting synthetic signals based on projected velocities of the fast ions along the diagnostic lines of sight. A spectrum of projected velocities is a key element of the spectrum formation in fast-ion D-alpha spectroscopy, collective Thomson scattering, and gamma-ray and neutron emission spectroscopy, and it can hence serve as a proxy for any of these. The fast-ion distribution functions are parameterised by three constants of motion, the kinetic energy, the magnetic moment and the toroidal canonical angular momentum. The reconstructions are computed using both zeroth-order and first-order Tikhonov regularisation expressed in terms of Bayesian inference to allow uncertainty quantification. In addition to this, a discontinuity appears to be present in the solution across the trapped-passing boundary surface in the three-dimensional phase space due to a singularity in the Jacobian of the transformation from position and velocity space to phase space. A method to allow for this apparent discontinuity while simultaneously penalising large gradients in the solution is demonstrated. Finally, we use our new methods to optimise the diagnostic performance of a set of six fans of sightlines by finding where the detectors contribute most complementary diagnostic information for the future COMPASS-Upgrade tokamak.

Fast-ion loss detectors (FILDs) are crucial for analyzing fast-ion dynamics in magnetically confined fusion plasmas. A core challenge is to derive an accurate ion velocity distribution, requiring treatment of thousands of remapped camera frames for a full discharge. The ill-posed nature of this task necessitates regularization with a well-chosen regularization parameter and computationally efficient methods. In this work, we introduce the 'resolution principle,' a novel criterion for selecting the optimal regularization parameter, providing a distinction between genuine features and artefacts smaller than the diagnostic resolution in the reconstruction, thereby preventing misinterpretations. This principle, coupled with three iterative reconstruction techniques-Kaczmarz's method, coordinate descent, and Cimmino's method-demonstrates enhanced reconstruction capabilities compared to conventional methods like Tikhonov regularization. Utilizing these techniques allows rapid processing of measurements from full discharges, removing the computational bottleneck and facilitating between-discharge reconstructions. By reconstructing 6000 camera frames from an ELMy H-mode discharge at ASDEX Upgrade, we capture the temporal evolution of gyroradii and pitch angles, unveiling a direct correlation between pitch-angle behavior and changes in the toroidal magnetic field for a specific subset of lost ions accelerated by edge-localized modes (ELMs) to energies approximately twice that of the injection energy.

To compare the effect of three different anti-inflammatory regimens consisting of preservative-free dexamethasone (DEX), diclofenac (DICLO) eye drops, and their combination (DEX + DICLO) following trabeculectomy on early postoperative inflammation. A prospective randomized controlled trial. Sixty-nine patients undergoing trabeculectomy were randomized to receive either postoperative treatment with topical DEX (n = 23), topical DICLO (n = 23), or a combination of topical DEX and topical DICLO (n = 23) after trabeculectomy. The primary outcome was the anterior chamber flare measurement in the first 3 months postoperatively. Secondary outcomes included intraocular pressure, central corneal thickness, conjunctival injection, and number of cells in the anterior chamber from baseline to 3 months postoperatively. Anterior chamber flare reached a maximum 1 day after trabeculectomy with an increase of 55% (95% CI 37–73%) for DEX, 64% (95% CI 47–82%) for DICLO, and 57% (95% CI 39–75%) for DEX + DICLO and returned to near pre-operative values 6 weeks after surgery. There were no significant differences in anterior chamber flare [effect size for DICLO: 0.16 (95% CI − 4.3 to 4.6), effect size for DEX + DICLO: 0.09 (95% CI − 4.1 to 4.3)], intraocular pressure, central corneal thickness, conjunctival injection, or number of cells in the anterior chamber between DEX, DICLO, or DEX + DICLO groups. We found that topical diclofenac was not statistically different from topical dexamethasone in controlling early postoperative inflammation after trabeculectomy, while combining diclofenac and dexamethasone offered no added anti-inflammatory control compared to dexamethasone alone. www.clinicaltrials.gov (NCT04054830).

We compute reconstructions of 4D and 5D fast-ion phase-space distribution functions in fusion plasmas from synthetic projections of these functions. The fast-ion phase-space distribution functions originating from neutral beam injection (NBI) at TCV and Wendelstein 7-X (W7-X) at full, half, and one-third injection energies can be distinguished and particle densities of each component inferred based on 20 synthetic spectra of projected velocities at TCV and 680 at W7-X. Further, we demonstrate that an expansion into a basis of slowing-down distribution functions is equivalent to regularization using slowing-down physics as prior information. Using this technique in a Tikhonov formulation, we infer the particle density fractions for each NBI energy for each NBI beam from synthetic measurements, resulting in six unknowns at TCV and 24 unknowns at W7-X. Additionally, we show that installing 40 LOS in each of 17 ports at W7-X, providing full beam coverage and almost full angle coverage, produces the highest quality reconstructions.

This paper introduces a new model to find the velocity-space location of energetic ions generating ion cyclotron emission (ICE) in plasmas. ICE is thought to be generated due to inverted gradients in the v⊥ direction of the velocity distribution function or due to anisotropies, i.e., strong gradients in the pitch direction. Here, we invert synthetic ICE spectra generated from first principles PIC-hybrid computations to find the locations of these ICE-generating ions in velocity space in terms of a probability distribution function. To this end, we compute 2D ICE weight functions based on the magnetoacoustic cyclotron instability, which reveals the velocity-space sensitivity of ICE measurements. As an example, we analyze the velocity-space sensitivity of synthetic ICE measurements near the first 15 harmonics for plasma parameters typical for the Large Helical Device. Furthermore, we investigate the applicability of a least-square subset search, Tikhonov regularization, and Lasso regularization to obtain the locations in velocity space of the ions generating the ICE.

This paper characterizes the correlation of simultaneous measurements with different fast-ion H-alpha (FIDA) spectroscopy sightlines on Wendelstein 7-X. Using a collisionless guiding-center code, it is shown that, for two investigated volumes in the bulk of the plasma, some regions of phase space are correlated and the magnetic configuration has little influence on this correlation. For the sightlines of the FIDA system, the correlation between these is explained well by the magnetic configuration. Sightlines with measurement volumes at the same spatial locations have the highest correlation, and sightlines with measurement volumes near the same flux surface but on different sides of the magnetic axis have a high correlation. The correlation between the blueshifted signal in the starting sightline and redshifted signal in the detection sightline is investigated, demonstrating that it is possible to investigate any finite interval of detection wavelengths. Due to the different shapes of the weight functions for the toroidal and oblique sightlines, the blue-redshift correlation is very different from the total-spectrum correlation. The correlation between the toroidal and oblique sightline fans is relatively much larger than the internal correlation in the oblique sightlines, which is however, much larger than the internal correlation in the toroidal sightlines. This is a result of the dependence of the weight functions on the angle between the sightline and magnetic field, illustrating how important it is for the FIDA sightlines to cover different angles with the magnetic field.

This prospective randomized controlled trial aimed to compare changes in intraocular pressure in three different anti-inflammatory regimens following trabeculectomy. Sixty-nine patients were randomized to receive either postoperative prophylaxis with topical preservative-free dexamethasone (DEX), diclofenac (DICLO), or their combination (DEX+DICLO). Our main outcome measure was an intraocular pressure (IOP) change of a minimum 4 mmHg following the withdrawal of anti-inflammatory prophylaxis 9 weeks after trabeculectomy. We found that the IOP decreased ≥ 4 mmHg in 18.6% of eyes after cessation of the topical steroid DEX (n = 3/22) and DEX+DICLO (n = 5/21), whereas a decrease in IOP was not observed in the DICLO group. In conclusion, IOP decreased in nearly 1/5 of patients after cessation of topical steroidal anti-inflammatory prophylaxis after trabeculectomy. This points toward a steroid-induced increase in IOP even after trabeculectomy. Thus, increased postoperative IOP may be related to steroid use, and the success or failure of a trabeculectomy cannot be fully evaluated before anti-inflammatory prophylaxis with steroids is stopped or changed to non-steroidal eye drops.

The tokamak à configuration variable (TCV) continues to leverage its unique shaping capabilities, flexible heating systems and modern control system to address critical issues in preparation for ITER and a fusion power plant. For the 2019–20 campaign its configurational flexibility has been enhanced with the installation of removable divertor gas baffles, its diagnostic capabilities with an extensive set of upgrades and its heating systems with new dual frequency gyrotrons. The gas baffles reduce coupling between the divertor and the main chamber and allow for detailed investigations on the role of fuelling in general and, together with upgraded boundary diagnostics, test divertor and edge models in particular. The increased heating capabilities broaden the operational regime to include T e / T i ∼ 1 and have stimulated refocussing studies from L-mode to H-mode across a range of research topics. ITER baseline parameters were reached in type-I ELMy H-modes and alternative regimes with ‘small’ (or no) ELMs explored. Most prominently, negative triangularity was investigated in detail and confirmed as an attractive scenario with H-mode level core confinement but an L-mode edge. Emphasis was also placed on control, where an increased number of observers, actuators and control solutions became available and are now integrated into a generic control framework as will be needed in future devices. The quantity and quality of results of the 2019–20 TCV campaign are a testament to its successful integration within the European research effort alongside a vibrant domestic programme and international collaborations.

An ion cyclotron emission (ICE) diagnostic is prepared for installation into the W7-X stellarator, with the aim to be operated in the 2022 experimental campaign. The design is based on the successful ICE diagnostic on the ASDEX Upgrade tokamak. The new diagnostic consists of four B-dot probes, mounted about 72° toroidally away (one module) from the neutral beam injector, with an unobstructed plasma view. Two of the B-dot probes are oriented parallel to the local magnetic field, aimed to detect fast magnetosonic waves. The remaining two probes are oriented poloidally, with the aim to detect slow waves. The radio frequency (RF) signals picked up by the probes are transferred via 50 Ω vacuum-compatible coaxial cables to RF detectors. Narrow band notch filters are used to protect the detectors from possible RF waves launched by the W7-X antenna. The signal will be sampled with a four-channel fast analog-to-digital converter with 14 bit depth and 1 GSample/s sampling rate. The diagnostic's phase-frequency characteristic is properly measured in order to allow measuring the wave vectors of the picked up waves.