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Use of bremsstrahlung radiation to monitor Y-90 tumor and whole body activities during experimental radioimmunotherapy in mice.

BACKGROUND: Large differences in uptake between tumors, even for the same size, frequently observed in clinical and experimental radioimmunotherapy (RAIT), make monitoring of uptake in individual tumors imperative in comparing protocols. 90Y, widely-used for RAIT, emits no gamma radiation and absorption of the beta particle in tissue makes its detection unsuitable for in vivo monitoring. We tested whether bremsstrahlung radiation, produced when betas are decelerated by nuclei, could be used to monitor tumor uptake. METHODS: Subcutaneous human LS174T colon carcinoma tumors were grown in the upper thigh of nude mice and labeled antibody injected intracardially. With the tumor placed in the 2 cm-diameter aperture in a lead collimator, photons with energies from 100 to 200 keV transmitted through plastic, which absorbed the beta particles, were counted to maximize shielding from the rest of the body. The contribution of the normal tissues was subtracted by counting the non-tumor-bearing leg in the same position. Excretion was calculated from whole body activity determined by removing the collimator, placing the mouse in a syringe surrounded by tissue-equivalent material 10 cm from the detector, and counting photons between 200 and 740 keV to minimize the effect of tissue attenuation. RESULTS: For tumors larger than 0.14 gm, a good correlation was obtained between the in vivo bremsstrahlung measurements and the measurements on excised tumors in a calibrated well counter. Similar excretion rates observed in all the animals suggested that the whole body counting was accurate. CONCLUSIONS: Bremstrahlung detection appears feasible and reliable for monitoring both tumor and whole body activities.

Animals↗

[Problems of radiation safety of a Martian expedition crew].

Analysis of the radiation conditions during a piloted expedition to Mars made it evident that the radiation safety system will be one of the most critical components of life support aboard the future Martian vehicle. The concept and main functions of the system have been considered. The authors give their vision of the radiation monitoring system based on the present-day radiation safety postulates, comparison and contrasting methods and equipment applied for the purpose in current orbital and projected interplanetary flights.

Cosmic Radiation↗

An innovative methodology for analyzing digital visibility images in an urban environment.

A novel methodology combining digital imaging, conventional fixed visibility monitors, and solar radiation monitors has been developed to characterize the visual air quality of the El Paso and Ciudad Juarez urban vista. The authors have found that the digital image quality is reproducible and useful for quantitative analysis of visibility conditions. Regions of interest were selected in images along view paths of interest and values for a contrast variable of interest, typically the coefficient of variation or contrast ratio (CR) for discrete targets, were computed. Both of these indices are bounded at 0 and 1 and are scaled to the "clean day" maxima for a given date, time, and selected view paths. This produces a relative visibility index for various view paths. With the siting of a Belfort (6230A) visibility monitor at a central location, it has been possible to initiate contrast analysis of various targets in current and archived camera images obtained near this monitor. For uniformly "clean" days, as indicated by fine particulate matter observations and visual inspection, the authors have been able to use the extinction coefficient (Bext) derived from the 6230A to put the relative visibility index, based on CR, on an absolute basis in terms of an ideal target located at a given distance. This permits the generation of contrast extinction, Bext/C, for each view path that is independent of the actual target intrinsic contrast (within limits) and allows the comparison of Bext/C along different view paths with other air quality indices. Multiple linear regression was used to derive a relationship between the CR-based Bext/C value and air quality parameters. Visibility attenuation because of sulfate particles was found to have the highest correlation with Bext/C. In addition, solar radiation was observed to be a significant predictor of visibility in the urban region.

Air↗

Radiation exposure to family and household members after prostate brachytherapy.

PURPOSE: Patients with localized prostate cancer frequently seek alternatives to radical surgery and external beam radiation therapy. Permanent prostate brachytherapy is an acceptable option. However, fears of radiation exposure to family members may deter some individuals from choosing this treatment option. A direct measurement was performed to determine the expected lifetime exposure from the patient with a brachytherapy prostate implant to family members and the household. METHODS AND MATERIALS: After a permanent brachytherapy implant with (125)I or (103)Pd, patients and their family members were provided radiation monitors to measure direct radiation exposure at home. Each patient was given two monitors to wear, and each member of the household, including the spouse, children, and pets, was given a single monitor. In addition, four rooms in the house frequently occupied by the patient were monitored. Based on the reading from the dosimeters measured at the first follow-up visit, the lifetime exposure to each individual or room was calculated. Forty-four patients, along with their families, agreed to participate and complied with the use of the dosimeters. Twenty-nine patients received a (125)I implant and 15 a (103)Pd implant. Assays were obtained on 272 monitors: 78 worn by patients, 52 worn by household members, and 142 posted in rooms. RESULTS: Exposures measured by patient dosimeters were within the expected range for the type of implant received. Exposures to family members were low. Based on dosimeter readings, the calculated mean lifetime dose to a spouse from her husband was 0.1 (range: 0.04-0.55) mSv for a (125)I implant and 0.02 (range: 0.015-0.074) mSv for a (103)Pd implant. Other family or household members had 0.07 (range: 0.04-0.32) mSv or 0.02 (range: 0.015-0.044) mSv for (125)I and (103)Pd implants, respectively. The calculated lifetime exposure did not exceed the annual limit set by the U.S. Nuclear Regulatory Commission in any of the cases. The majority of room dosimeters (94%) had no detectable radiation exposure. CONCLUSIONS: Radiation exposure to family members from a patient receiving a permanent prostate brachytherapy implant with radioactive (125)I or (103)Pd is very low and well below the limits recommended by the U.S. Nuclear Regulatory Commission. Radiation exposure to members of a patient's family or to the public should not be a deterrent to undergoing this procedure.

Brachytherapy↗

Continuous long-term monitoring of UV radiation in professional mountain guides reveals extremely high exposure.

Ultraviolet radiation (UVR) is estimated to be one of the most important risk factors for nonmelanoma and melanoma skin cancers. High occupational UV exposure is assumed to be associated with skin cancer. Mountain guides receive considerable UV doses due to altitude-related increase of UVR and reflection from snow- and ice-covered surfaces. The aim of our study was to assess the annual occupational UV exposure of mountain guides. Spore film test chambers containing spores of Bacillus subtilis (VioSpor) were used as UV dosimeters with a spectral sensitivity profile similar to erythema-weighted data calculated from spectroradiometric measurements. Nine mountain guide instructors carried dosimeters on the sides of their heads on a total of 1,406 working days during one year (July 1999-June 2000). Dosimeters were changed monthly. Measurements of 92 months could be evaluated (4-12 months/mountain guide). The mean individual monthly UV exposure was 107 standard erythema doses (SED) (median 71 SED; range 10-505 SED). The mean annual cumulative UV exposure was 1,097 SED (median 1,273 SED; range 312-1,770 SED) per mountain guide. The mean UV dose per day (4-10 hr) was 6.6 SED (median 5.7 SED; range 0.6-24.2 SED). This is the second study of continuous annual UV dosimetry in a cohort of outdoor workers. Our study showed that it is not sufficient to interpolate annual UV exposure from a few days' measurements. Only long-term dosimetry can give reliable yearly information of UVR load. Median daily UV exposure exceeded limits for UV radiation (e.g., ACGIH effective dose 30 J/m(2) per 8 hr period corresponding to 1.08 SED/day) 6-fold; maximal exposure exceeded these limits 23-fold. These extremely high exposure values are suggestive for an increased risk of skin cancer and thorough epidemiologic studies in the collectives of professional and recreational mountaineering are required.

Germany↗

Nuclear industry family study:methods and description of a United Kingdom study linking occupational information held by employers to reproduction and child health.

OBJECTIVE: To describe the methods used in the nuclear industry family study for which a comprehensive database has been assembled that links employment in the nuclear industry and dosimetry records to information on employees' reproductive health and the health of their children. To discuss the response rates and characteristics of the study population. METHODS: Occupational cohort design leading to a retrospective cohort study of reproductive outcomes reported by 46 396 current and former employees of both sexes in the nuclear industry. Employees of nuclear establishments in the United Kingdom operated by the Atomic Energy Authority, the Atomic Weapons Establishment, and British Nuclear Fuels were surveyed with postal questionnaires ot collect information on pregnancies, children,and periods of infertility. Information on employment and monitoring for ionising radiation was supplied by the employing nuclear authority and was linked to pregnancies and periods of infertility with unique personal identification numbers. RESULTS: The design and completion of this study resulted in high quality data on a representative population of the Atomic Energy Authority, Atomic Weapons Establishment, and British Nuclear Fuels workforces. The response to the survey was extremely good (82% for male workers and 88% for female workers, excluding undelivered questionnaires), and a unique relational database has been created which will enable infertility, pregnancy, and child health outcomes to be examined with respect to the employment and radiation monitoring characteristics of parents. CONCLUSION: This is the first United Kingdom study to link detailed reproductive history data to occupational information held by employers. The methods developed for the study were found to be feasible and successful. The design can be adapted for other investigations of reproductive hazards to men and women in the workplace and is currently in use to survey over 100 000 armed forces personnel in an investigation of reproductive outcome among veterans of the Gulf war.

Adult↗

Present and future radiation dosimetry for Russian cosmonauts.

This report describes the features of the cosmic-radiation monitoring system defined by the parameters of cosmic radiation and by the conditions of operation of dosimeters in space. The objectives of the operative and personal monitoring on board Russian spacecraft have been defined and substantiated. Accordingly, the operating characteristics of the dosimeters used during the flights of Russian manned spacecraft are given. The feasibility of perfecting the radiation monitoring facilities to be used in future manned space missions is discussed. The methods used by the Radiation Safety Service during manned space missions are described.

Aerospace Medicine↗

Estimating occupational radiation doses when individual dosimetry information is not available: a job exposure matrix.

BACKGROUND: A job exposure matrix (JEM) was developed for a population based case control study to assess the possible association between occupational radiation and non-Hodgkin's lymphoma. METHODS: Using published radiation monitoring data, we developed a radiation JEM composed of estimated annual dose distributions, categorized by time period, for a broad range of occupational and industrial groups. RESULTS: When information is available to correctly assess an individual's exposure status, the annual dose distributions in the JEM can be used in conjunction with job histories to estimate the distribution of possible cumulative doses for individuals. The median of the cumulative dose distribution can then be used in standard epidemiologic analysis. In addition, methods can be applied that incorporate the uncertainty about each individual's true dose into risk estimates and associated confidence intervals. CONCLUSIONS: The JEM can be useful in estimating occupational radiation exposures in other studies, particularly population based case control studies which include detailed occupational histories.

Adult↗

Radiation exposure during fluoroscopically controlled percutaneous lithotripsy.

Radiation measurements in the vicinity of a standard urologic table modified for fluoroscopic-guided lithotripsy demonstrate radiation levels as high as 3000 mrem per hour at the edge of the table. Excessive radiation exposure to the physician, exceeding the annual maximum permissible dose to the eyes and thyroid, can be expected after only 10 cases. Suggested radiation protection measures include the use of finger, wrist and neck radiation monitors, eye and thyroid shields and improved shielding of both collimator and patient scatter radiation.

Fluoroscopy↗

Detection of radon decay products in rainwater.

The Argonne National Laboratory-East (ANL-E) Environmental Radiation Monitoring System measures and records ambient radiation levels and provides detection capability for radon decay products in rain clouds. These decay products in rainwater tracked into a facility on the shoes of workers can cause false alarms from hand and shoe monitors. The monitors at ANL-E can easily detect the radon decay products, and the 19.6 and 26.8 min half-lives of the beta-particle emitters are long enough in many cases for sufficient activity to still be present to initiate a contamination alarm when the shoes are checked for radioactivity. The Environmental Radiation Monitoring System provides a warning when precipitation contains elevated levels of radon decay products. It is based on a prototype developed at the Super Collider Laboratory. During its first year of operation there were nine alarms from radon decay products with an alarm trigger point set at 30% greater than background. The alarms occurred at both monitoring stations, which are approximately 1,000 m apart, indicating large diameter radon clouds. The increases in background were associated with low atmospheric pressure. There was no correlation with radon released from the coal-burning steam plant on the site. Alarms also occurred when short-lived accelerator-produced radioactivity in the exhaust stack plume passed over the NaI(Tl) detector in one of the stations. The 450 MeV proton accelerator near the station produced 12C, 13N, and 15O by spallation of air nuclei. The gamma-ray spectrum from the plume from the accelerator exhaust stack was dominated by the 511 keV annihilation gamma rays from decay of these radionuclides. These gamma rays were easily distinguished from the 609 keV, 1,120 keV, and 1,764 keV gamma rays emitted by the radon decay products.

Atmospheric Pressure↗