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Biomedical subjects

R M Harrison

Publications and source records attributed to R M Harrison.

At least 19 recordsLinked to original sources

Personal exposures to airborne metals in London taxi drivers and office workers in 1995 and 1996.

In 1995, a petroleum marketer introduced a diesel fuel additive in the UK containing Mn as MMT (methylcyclopentadienyl manganese tricarbonyl). A small study of personal exposures to airborne Mn in London was conducted before and after introduction of the additive to identify any major impact of the additive on exposures. In 1995, personal exposures to Mn were measured in two groups, taxi drivers and office workers (10 subjects per group) for two consecutive 7-day periods. A similar study was carried out in 1996 to determine if exposures had changed. Samples were also analyzed for Ca, Al, Mg and Pb. In 1996, exposures to aerosol mass as total suspended particulates (TSP) and PM2.5 were measured in addition to the metals. Manganese exposures in this cohort did not increase as a result of introduction of the additive. However, a significant source of Mn exposure was discovered during the conduct of these tests. The mean exposure to Mn was higher among the office workers in both years than that of the taxi drivers. This was due to the fact that approximately half of the office workers commuted via the underground railway system where airborne dust and metal concentrations are significantly elevated over those in the general environment. Similar results have been noted in other cities having underground rail systems. Exposure to Mn, Pb, Ca, and Mg were not significantly different between the 2 years. Taxi drivers had higher exposures than office workers to Mg and Pb in both years. Commuting via the underground also had a significant impact on exposures to TSP, PM2.5, Al, and Ca, but had little effect on exposures to Mg. The aerosol in the underground was particularly enriched in Mn, approximately 10-fold, when compared to the aerosol in the general environment. There are several possible sources for this Mn, including mechanical wear of the steel wheels on the steel rais, vaporization of metal from sparking of the third rail, or brake wear.

Air Pollutants, Occupational

Partial volume effects in MRI studies of multiple sclerosis.

We have estimated the accuracy of volume measurements of multiple sclerosis (MS) lesions made using magnetic resonance imaging (MRI) for lesions of comparable diameter to the image slice thickness. We used a phantom containing objects of known volume and obtained images using a range of slice thicknesses. Measurements on the phantom were used to assess a theoretical model, which was then employed to investigate the effects of image dimensions and geometry upon volume measurement accuracy. We observed measured volume to be dependent upon slice thickness. Thin slices gave the most accurate estimate of volume. As slice thickness increased relative to object diameter, the error in the volume measurement increased (to as much as 100%), the volume measured being dependent on the position of the object relative to the slice center. Using a signal intensity threshold value of 50% to outline objects gave results closest to the actual volume. As expected, a lower threshold value tended to give higher volume estimates (up to 100% larger), as did a semi-automated local edge detection technique. For accurate volume measurement, the slice thickness should be no more than a fifth of anticipated object diameter. For typical MS lesions (7 mm in diameter), this implies using a 1.5-mm slice thickness. For serial studies, a repositioning error of 1 mm could lead to differences in the volume measurement of individual lesions of up to 12% between studies for lesions of typical MS size and 5-mm slice thickness. These results emphasize the need for accurate patient repositioning, relatively thin slices, for regular quality assurance checks to ensure that pixel size and slice position are correct and stable over time, and that lesion outlining is performed in a consistent fashion. We would recommend the use of a 3D sequence with 1 mm cubic voxels for accurate measurements of MS lesions.

Humans

Patient dosimetry measurement methods.

This article reviews patient dosimetry measurement methods applied to diagnostic radiology examinations. Various dose quantities and their relevance to patient dose surveys are described. When contemplating a patient dose survey it is important to develop a clear measurement strategy. This involves a detailed consideration of the most applicable dose measurement method for the intended survey. Various approaches to patient dosimetry are described and reviewed.

Data Collection

Bladder infection in the menopausal monkey.

PURPOSE: The highest incidence of urinary tract infection in females occurs in elderly women. This study was done to determine whether this is due to the declining immune response that occurs during advancing age, or the menopausal state in the aged. MATERIALS AND METHODS: Adult female monkeys (average age 19 years) were studied, half being subjected to bilateral oophorectomy to produce the menopause. In addition, old females (average age 29 years) already at menopause were studied before and after hormonal replacement with estradiol and progesterone. Bacterial adherence to vaginal cells was studied prior to and after urethral infection with E. coli. Plasma estradiol and progesterone levels were done, as well as white blood counts, plasma cytokine assays and serum antibody titers. RESULTS: Bacteriuria was not prolonged, nor was there a significant difference in bacterial adherence to vaginal cells due to menopause. Interleukin-1 levels were depressed after surgical menopause but not as much as found in the old menopausal females and this low level was not corrected by hormonal replacement. The initial interleukin-2 levels were higher after spontaneous menopause, but the increasing plasma levels seen in cycling animals after infection did not occur in the aged menopausal females following infection even after hormone replacement. The antibody titers to the E. coli infection showed a trend to a lessened response to infection after menopause but were not significantly decreased. CONCLUSIONS: The deficient Il-1, Il-2 and antibody response following infection was not corrected by hormone replacement and thus appears to be due to aging rather than lack of female hormones. These facts may be explained by the T cell senescence known to occur in aged individuals.

Age Factors

Effect of genistein on steroid hormone production in the pregnant rhesus monkey.

Genistein is a phytoestrogen found in soy beans. Phytoestrogens have been reported to cause reproductive problems in sheep and rats. This research was conducted to determine the effects of genistein fed to rhesus monkeys during pregnancy, with specific interest on fetal growth and steroidogenesis in the maternal-fetoplacental unit. Two groups of five monkeys each were selected in early stages of pregnancy. One group was administered genistein in a fruit treat each weekday until Cesarean section 10 days prior to term. The second, control group, received fruit treats without genistein. Maternal blood samples were collected on Tuesday and Friday of each week. At delivery, samples were collected from the maternal peripheral circulation, uterine veins, uterine-ovarian veins, and the fetal heart. Comparisons between control and genistein-treated monkeys revealed no differences in the maternal weight gained during pregnancy, or in fetal weights or placental weights at delivery. Serum was assayed by radioimmunoassay (RIA) for estradiol, progesterone, dehydroepiandrosterone sulfate (DHEA-S), and estrone. No significant differences (P > 0.05) were noted in progesterone or DHEA-S levels at delivery or during the pregnancy; however, estradiol levels were higher (P < 0.05) in the four areas studied at delivery and in the maternal blood with advancing gestation. Additionally, estrone levels tended to increase more rapidly (P = 0. 057) in the maternal blood of monkeys receiving genistein than in untreated controls, suggesting that genistein may stimulate the deconjugation of estrone in the gut, thus allowing its reabsorption into the peripheral circulation and conversion to estradiol.

Animals

Effect of age and hormonal state on cytokine synthesis in the monkey.

The authors studied plasma cytokine activity using cross reactive polyclonal antibodies to human cytokines in young and old female monkeys to determine if age had any effect on cytokine secretion, and compared hormonal effects as well. While interleukin 1 (IL-1) was not higher in aged cycling monkeys, it was after menopause. Menopause depressed IL-2 activity also. Variable results were seen with the other cytokines.

Aging

Tumour dose estimation using automated TLD techniques.

Lithium fluoride (TLD-700) dosimeters were used to measure exit surface absorbed doses in external beam radiotherapy using an automated TLD reader. Delivered tumour absorbed doses were derived from these measurements for head and neck, pelvis and breast treatments. For the head and neck treatments (first fraction only), the mean percentage difference between prescribed and delivered tumour absorbed doses was -0.15 +/- 3.0% (+/- 1 SD), for the pelvic treatments -0.83 +/- 2.8% and for the breast treatments +0.26 +/- 2.9%. The spread of results is approximately +/- 3% (+/- 1 SD). This is comparable with the estimated uncertainty in a single TLD absorbed dose measurement in phantom (+/- 2%; +/- 1 SD). Thus, ICRU recommended tolerances for absorbed dose delivery of +/- 5% may not be unequivocally detectable using this method. An action level of +/- 10% is suggested, allowing investigation of possible gross errors in treatment delivery at an early stage, before the course of treatment has progressed to a point at which absorbed dose compensation is impossible.

Breast Neoplasms

Evaluation of personal exposure to monoaromatic hydrocarbons.

OBJECTIVES: To evaluate the personal exposure of members of the general public to atmospheric benzene, toluene, and the xylenes, excluding exposure from active smoking. METHOD: 50 volunteers were equipped with active air samplers for direct measurement of personal exposure to monoaromatic hydrocarbons (MAH) and an activity diary was completed during each sampling period. Exposures were also estimated indirectly by combining activity data with independent measurements of hydrocarbon concentrations in several microenvironments. RESULTS: Personal exposure were generally well in excess of those which would be inferred from outdoor measurements from an urban background monitoring station. A wide range of sources contribute to exposure, with indoor and in car concentrations generally exceeding those measured at background outdoor locations. Environments contaminated with tobacco smoke were among those exhibiting the highest concentrations. Personal exposures determined indirectly from activity diaries/microenvironment measurements were well correlated with those determined directly with personal samplers. Personal 12 hour daytime exposures to benzene ranged from 0.23-88.6 ppb (mean 3.81 ppb), with 12 hour night time exposures of 0.61-5.67 ppb (mean 1.94 ppb) compared with an annual average concentration of 1.18 ppb at the nearest suburban fixed site monitoring station. The excess of personal exposure over fixed site concentrations was greater for benzene and toluene than for the xylenes. CONCLUSION: A wide range of sources contribute to personal exposures to monoaromatic hydrocarbons with exposure duration being as important a determinant of total exposure as concentrations. Exposures generally exceed those estimated from concentrations measured by background fixed point monitors. Microenvironment sampling combined with activity diary information can provide satisfactory estimates of personal exposure to these compounds.

Adolescent

Automated TLD system for tumor dose estimation from exit dose measurements in external beam radiotherapy.

PURPOSE: An automated TLD facility has been commissioned and calibrated, and techniques have been developed for the measurement of exit doses in external beam radiotherapy, to enable the routine estimation of delivered tumor doses. METHODS AND MATERIALS: An automated TLD system, originally intended for use in diagnostic radiology and radiation protection, has been evaluated and configured for the measurement of exit doses in radiotherapy. Linearity, optimum heating cycles and calibration procedures have been determined. At the photon energies used, encapsulated lithium fluoride chips provide insufficient buildup to ensure electronic equilibrium, necessitating calibration to allow for oblique exit surfaces. Expressions are derived to allow the calculation of delivered tumor doses. RESULTS: Under the calibration conditions described, the uncertainty in a single TLD measurement is approximately +/-2% (+/-1 standard deviation). Over the dose range 0.4-1.5 Gy, TL response is linear. The total heating cycle time, including annealing, is 75 s. Measurements of R(exit) (the ratio of exit dose with and without full backscatter), used in the estimation of tumor doses, decreases with field size for small fields and varies only slightly for field sizes greater than 7 x 7 cm. Lack of electronic equilibrium leads to a decrease in R(exit) with increasing exit surface obliquity for all energies considered. Application of the technique to a simulated treatment showed good agreement between estimated and applied tumor doses, when surface obliquity was taken into account. CONCLUSION: This work describes the commissioning and calibration of an automated TLD facility and demonstrates that exit surface measurements using TLD chips used under conditions where electronic equilibrium was not established, have the potential for identifying discrepancies in delivered tumor doses.

Calibration

Is there a role for telemedicine in an urban environment?

Semi-structured interviews were carried out to determine the expectations of potential participants in a feasibility study of teleconsulting. General practitioners produced high positive scores in all areas. Hospital consultants produced high scores but were more critical of technical performance and administrative arrangements. Patient satisfaction with teleconsulting was generally good. The results suggested that teleconsulting was both feasible and acceptable to the users.

Family Practice

Low energy X-ray depth dose data for use in radiotherapy--comments on the review of BJR Supplement 17.

Percentage depth dose data acquired during the revision of BJR Supplement 17: Central Axis Depth Dose Data for Use in Radiotherapy have been reviewed. Coverage of the half value layer (HVL) and field diameter rang was broad, although gaps were apparent at HVLs of 3-5 and 6-7 mm A1 and field diameters > 14 cm. Comparisons of submitted data with that in Supplement 17 indicate a generally even spread of data about the existing PDD values. Most data agreed to within +/- 5% at 2 cm and +/- 15% at 10 cm depth. Systematic discrepancies may be due to the use of different phantom materials. There is evidence that the spread of data is at least partially due to the problems of beam quality specification. The inadequacy of the first HVL as a specifier of beam quality is a well known and a more realistic specifier might be defined in terms of a broad beam dose ratio at defined depths, for a given beam geometry.

Humans

Uncertainties in dosemeter intercomparison techniques.

The results of 180 intercomparisons of field dosemeters with an NPL secondary-standard exposure meter (type 2560, with a type 2561 chamber) have been analyzed in order to study variations in readings when ionization chambers are interchanged during the comparison process. It is suggested that the percentage standard error of the mean of the combined series of chamber intercomparisons be used to set a target uncertainty (0.3%), action level (0.5%) and limit of acceptability (1.0%). The target uncertainty is consistent with IAEA estimates of uncertainty for this part of the calibration chain. It is shown that if the calibration procedure is repeated, the percentage difference between the geometric means calculated from each calibration (i.e. a single interchange of chambers) may be as high as +/- 1%. This reinforces the need for at least one repetition of the intercomparison procedure.

Biophysical Phenomena

Genotypic selection of simian immunodeficiency virus in macaque infants infected transplacentally.

To understand viral and host factors that contribute to transplacental transmission of human immunodeficiency virus, we developed an animal model using pregnant female macaques infected with simian immunodeficiency virus (SIV). Pregnant females were inoculated intravenously during midgestation with either a well-characterized primary isolate of SIV (SIV/DeltaB670) or a combination of SIV/DeltaB670 and the macrophage-tropic molecular clone SIV/17E-Fr. The viral genetic diversity in five infected female macaques and their in utero-infected infants was analyzed. All of the mothers harbored a genetically diverse virus population at parturition, whereas a single genotype from the maternal quasispecies was identified in the infants at birth. Only one of two variants was found in the infants: SIV/17E-Fr (two cases) or a genotype contained within the SIV/DeltaB670 quasispecies (three cases). The macrophage-tropic properties of both transmitted genotypes were suggested by productive replication in primary rhesus macrophage cultures in vitro and the clonal presence in central nervous system tissue of infected monkeys with encephalitis. These observations provide compelling evidence for both genotypic and phenotypic selection in transplacental transmission of SIV and suggest a critical role for macrophages in fetal infection in utero.

Acquired Immunodeficiency Syndrome

A method and contrast-detail phantom for the quantitative assessment of radiotherapy portal imaging systems.

Several designs of electronic portal imaging systems for radiotherapy have been reported or are now commercially available, as well as the familiar radiographic screen-film combinations. In order to evaluate imaging performance of these, and future, systems a prototype contrast-detail test object has been developed in conjunction with a method for determining contrast from a model of the X-ray spectra produced by linear accelerators. Several existing test objects rely on qualitative or semi-quantitative estimates of contrast. In this technique, quantitative estimates of contrast may be determined for each detail size from realistic estimates of the X-ray spectrum by using a spectral model either in conjunction with narrow-beam attenuation measurements on the linear accelerator used, or by using the nominal value of maximum photon energy. This technique should facilitate the comparison of imaging systems used with linear accelerators of different energies as well as providing a quantitative quality control tool for regular measurements of imaging performance. Examples of the use of the test object in the evaluation of several commercial screen-film combinations are given.

Evaluation Studies as Topic

A micro-computer based CT and digital fluorography system for radiotherapy simulators.

A low cost system designed to produce low resolution CT images from a radiotherapy treatment simulator is described. The system is based upon a standard micro-computer and operates using the simulator's image intensifier as the CT detector. The resulting images are intended to supply cross-sectional anatomical information appropriate for the application of inhomogeneity corrections to treatment plans for megavoltage radiotherapy of the thorax. Options for digital fluorography and hold-last-frame fluoroscopy are also described. Examples of clinical images are presented.

Computer Simulation

Absence of long-term gonadotoxicity in primates receiving extracorporeal shock wave application.

Extracorporeal shock wave lithotripsy (SWL) is becoming popular in the management of lower ureteral calculi; however, the quantity of data on its potential gonadotoxic effects are limited. Eight nonhuman primates had baseline measurements of testicular volume, semen analysis, serum testosterone and FSH assays, and DNA flow cytometric analysis of testicular aspirates. The anesthetized primates were lowered into a Dornier XL-1 lithotripter and at a 20 kV power setting had various numbers of shocks (0, 500, 1500) directed at each testis. Sequential studies were done at 6-week intervals for 9 months. The control group showed no significant change in any measure. Semen analysis, testosterone, and FSH results were variable and without statistically significant differences. There were changes in the DNA histograms, with the tetraploid (4N) group of cells being the most sensitive. All changes caused by SWL application returned to baseline by 9 months. Data from this primate study document no apparent long-term male gonadotoxicity from SWL, but the authors suggest measures to protect the testis during clinical use.

Animals