Vijitha Ramanathan, S P Gamage, Uiu Karunathilaka, Wmis Wickramasinghe, Ranga Tudugala
{"title":"Assessing radiation exposure of fingers of PET/CTtechnologists during 18F-FDG procedures usingactive extremity dosimeters: A single-center study.","authors":"Vijitha Ramanathan, S P Gamage, Uiu Karunathilaka, Wmis Wickramasinghe, Ranga Tudugala","doi":"10.1088/1361-6498/ad9f72","DOIUrl":"https://doi.org/10.1088/1361-6498/ad9f72","url":null,"abstract":"<p><p>Extremity radiation exposure in nuclear medicine is a growing concern
because it may surpass the maximum permissible dose of 500 mSv. This study aimed
to assess the occupational nger dose received by technologists during the preparation
and administration of 18F-FDG radiopharmaceuticals in PET-CT whole-body scan
procedures. Fifty scans were selected, with one procedure excluded due to a high
administered activity. The mean administered activity per scan was 207.2 41.8 MBq,
with preparation and administration times averaging 1.44 1.30 minutes and 0.46 
0.31 minutes, respectively. The technologist's mean total nger dose received during
preparation and administration was 253.5 153.3 Sv per procedure. A signi cant
positive correlation was found between the administered activity and occupational
dose, with patient's body mass index, preparation time, and administration time also
contributing to dose variation. Based on 703 PET-CT procedures conducted in 2022,
the estimated occupational nger dose for a technologist was 178.2 mSv annually. This
value is well below the ICRP's maximum permissible dose of 500 mSv. The ndings
of this study have a signi cant impact on extremity dosimetry in nuclear medicine in
Sri Lanka, as this is the rst study of its kind.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Descriptive overview of AI applications in x-ray imaging and radiotherapy.","authors":"John Damilakis, John Stratakis","doi":"10.1088/1361-6498/ad9f71","DOIUrl":"https://doi.org/10.1088/1361-6498/ad9f71","url":null,"abstract":"<p><p>Artificial intelligence (AI) is transforming medical radiation applications by handling complex data, learning patterns, and making accurate predictions, leading to improved patient outcomes. This article examines the use of AI in optimizing radiation doses for X-ray imaging, improving radiotherapy outcomes, and briefly addresses the benefits, challenges, and limitations of AI integration into clinical workflows. In diagnostic radiology, AI plays a pivotal role in optimizing radiation exposure, reducing noise, enhancing image contrast, and lowering radiation doses, especially in high-dose procedures like computed tomography. Deep learning-powered CT reconstruction methods have already been incorporated into clinical routine. Moreover, AI-powered methodologies have been developed to provide real-time, patient-specific radiation dose estimates. These AI-driven tools have the potential to streamline workflows and potentially become integral parts of imaging practices. In radiotherapy, AI's ability to automate and enhance the precision of treatment planning is emphasized. Traditional methods, such as manual contouring, are time-consuming and prone to variability. AI-driven techniques, particularly deep learning models, are automating the segmentation of organs and tumors, improving the accuracy of radiation delivery, and minimizing damage to healthy tissues. Moreover, AI supports adaptive radiotherapy, allowing continuous optimization of treatment plans based on changes in a patient's anatomy over time, ensuring the highest accuracy in radiation delivery and better therapeutic outcomes. Some of these methods have been validated and integrated into radiation treatment systems, while others are not yet ready for routine clinical use mainly due to challenges in validation, particularly ensuring reliability across diverse patient populations and clinical settings. Despite the potential of AI, there are challenges in fully integrating these technologies into clinical practice. Issues such as data protection, privacy, data quality, model validation, and the need for large and diverse datasets are crucial to ensuring the reliability of AI systems.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andreas Engström, Mats Isaksson, Reza Javid, Per-Anders Larsson, Charlotta Lundh, Jens Wikström, Magnus Båth
{"title":"How much resources are reasonable to spend on radiological protection?","authors":"Andreas Engström, Mats Isaksson, Reza Javid, Per-Anders Larsson, Charlotta Lundh, Jens Wikström, Magnus Båth","doi":"10.1088/1361-6498/ad9f73","DOIUrl":"https://doi.org/10.1088/1361-6498/ad9f73","url":null,"abstract":"<p><p>In short terms, a society's available resources are finite and must be prioritised. The more resources that are spent on radiological protection, the lesser resources are available for other needs. The ALARA principle states that exposure of ionizing radiation should be kept as low as reasonably achievable, taking into account economic and societal factors. In practice, one of several approaches to determine what is considered as reasonably achievable is cost-benefit analysis. A demanding part of cost-benefit analysis is to decide on an α value, which stipulates the value of radiological protection. There are different conversion methods on how to convert societal costs into an α value. However, with the assistance of recent developments within both health economics and radiological protection room for improvements was found. Therefore, the aims of the present study were to develop a new conversion method (on how to convert societal costs into an α value) and to provide recommendations of α values for each member country of The Organisation for Economic Co-operation and Development (OECD). With the help of systematic reviews of societal costs (the value of a statistical life, productivity losses and healthcare costs) and discount rates, as well as Monte Carlo simulations of the number of years between exposure and cancer diagnosis, a new conversion method and recommendations of α values could be presented. The new conversion method was expressed as a discounted nominal risk of exposure with a median (interquartile range) of 175 (136-222) per 10 000 persons per Sv for the public and 169 (134-207) per 10 000 persons per Sv for workers. For OECD in general, recommendations of α values were determined to be $56-170 per man.mSv for the public and $61-162 per man.mSv for workers (2023-USD).</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sergey Y Tolmachev, Florencio T Martinez, Jessica E Linson, John D Brockman, Elizabeth M Thomas, Maia Avtandilashvili, George Tabatadze, Richard W Leggett, Caleigh Samuels, Nicole E Martinez, Derek W Jokisch, John D Boice, Lawrence T Dauer
{"title":"Distribution of plutonium and radium in the human heart.","authors":"Sergey Y Tolmachev, Florencio T Martinez, Jessica E Linson, John D Brockman, Elizabeth M Thomas, Maia Avtandilashvili, George Tabatadze, Richard W Leggett, Caleigh Samuels, Nicole E Martinez, Derek W Jokisch, John D Boice, Lawrence T Dauer","doi":"10.1088/1361-6498/ad9ebb","DOIUrl":"https://doi.org/10.1088/1361-6498/ad9ebb","url":null,"abstract":"<p><p>Since 1968, the United States Transuranium and Uranium Registries (USTUR) has studied the biokinetics and tissue dosimetry of uranium and transuranium elements in nuclear workers. As part of the USTUR collaboration with the Million Person Study (MPS) of Low-Dose Health Effects, radiation dose to different parts of the human heart is being estimated for workers with documented intakes of 239Pu or 226Ra. The study may be expanded for workers with intakes of 238U and other radionuclides. The distribution of radionuclides, expressed in terms of concentration (Bq per kg of tissue) serves as an important parameter for estimating radiation dose. Based on available organs from workers who donated their bodies or tissues for research, nine undissected hearts were selected: seven from USTUR registrants with plutonium exposure (males) and two individuals with radium intakes (female and male). For the plutonium workers, estimated 239Pu systemic deposition ranged from <74 Bq to 1765 Bq. Estimated 226Ra 'initial systemic intakes' were 10.1 MBq and 14.8 kBq for the female patient and male worker, respectively. Organ dissection was based on a heart model published by Borrego et al (2019). This model includes nine cardiac substructures: aorta, left main coronary artery, left atrium, left anterior descending artery, left circumflex artery, left ventricle, right atrium, right coronary artery, and right ventricle. In addition, heart valves, fat attached to epicardium, fluids, and a coronary bypass graft were collected resulting in 111 samples that are currently undergoing radiochemical analyses and mass-spectrometric measurements. The 239Pu and 226Ra evaluations are not completed. The results of this study are intended to support radiation worker health studies by improving associated dosimetric and epidemiological models.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Afroz, B H Østerås, Thevethas U S, M Meo, A Jahnen, J Dabin, I Thierry-Chef, T E Robsahm, G Døhlen, H M Olerud
{"title":"Doses from ionising radiation in paediatric cardiac catheterisations in Norway 1975-2021.","authors":"S Afroz, B H Østerås, Thevethas U S, M Meo, A Jahnen, J Dabin, I Thierry-Chef, T E Robsahm, G Døhlen, H M Olerud","doi":"10.1088/1361-6498/ad958e","DOIUrl":"10.1088/1361-6498/ad958e","url":null,"abstract":"<p><p>Paediatric patients with congenital heart disease often undergo cardiac catheterisation procedures and are exposed to considerable ionising radiation early in life. This study aimed to develop a method for estimating the dose area product (<i>P</i><sub>KA</sub>) from paediatric cardiac catheterisation procedures (1975-1989) at a national centre for paediatric cardiology and to evaluate trends in<i>P</i><sub>KA</sub>and exposure parameters until 2021. Data from 2200 catheterisation procedures on 1685 patients (1975-1989) and 4184 procedures on 2139 patients (2000-2021) under 18 years of age were retrospectively collected.<i>P</i><sub>KA</sub>values were missing for 1975-1989 but available from 2000 onward. The missing<i>P</i><sub>KA</sub>was estimated from air kerma and beam area, based on exposure records and input from clinicians working at that time.<i>P</i><sub>KA</sub>trends were analysed over time and age. There was a 71% reduction in median<i>P</i><sub>KA</sub>from the period 1975-1989 (median 6.63 Gy cm<sup>2</sup>) to 2011-2021 (1.91 Gy cm<sup>2</sup>). The<i>P</i><sub>KA</sub>increases significantly (<i>p</i>= 0.0001) with patient age, which was associated with body weight. Approximately 80% of the total<i>P</i><sub>KA</sub>was from cine acquisition in 1975-1989, while 20% was from fluoroscopy. The<i>P</i><sub>KA</sub>estimate during 1975-1989 was considerably impacted by the assumptions of missing parameters such as tube filtration, focus-to-heart distance, beam area, and number of cine series. The decreasing trend in<i>P</i><sub>KA</sub>values was attributed to advancements in both technologies and clinical practices. The high contribution of cine acquisition to the total dose during 1975-1989 was due to factors such as a high frame rate, multiple acquisitions, and high tube current. The estimated<i>P</i><sub>KA</sub>values for the period 1975-1989 are of importance for the dose reconstruction and risk assessments in the EU epidemiology project Health Effects of Cardiac Fluoroscopy and Modern Radiotherapy in Pediatrics(HARMONIC).</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Estimation and analysis of<i>S</i>values for<sup>131</sup>I using paediatric mesh type reference computational phantoms.","authors":"Pradeep Kumar Singh, Hemant Kumar Patni, Deepak Kumar Akar, Pramilla D Sawant","doi":"10.1088/1361-6498/ad8fb8","DOIUrl":"10.1088/1361-6498/ad8fb8","url":null,"abstract":"<p><p>This study examines the effect of paediatric mesh-type reference computational phantoms on organ<i>S</i>values resulting from radioiodine (<sup>131</sup>I) intake. Using Geant4, we estimated<sup>131</sup>I<i>S</i>values for 30 radiosensitive target tissues due to emission from the thyroid (Target ← Thyroid) in these phantoms. Our results show that<i>S</i>values differ between male and female phantoms of the same age and<i>S</i>values also decrease as phantom age increases. The male-to-female<i>S</i>value ratio typically varies within 10%, with larger differences observed for the esophagus, extra-thoracic regions, muscles, bladder, and sex organs. On average,<i>S</i>values for mesh phantoms are approximately 17% higher than those for voxel phantoms, with larger discrepancies for organs remodelled separately in mesh phantoms. The study provides organ<i>S</i>values for the paediatric population due to<sup>131</sup>I exposure from the thyroid, based on the reference mesh-type computational phantoms, enhancing organ dose estimation in emergency situations and during radioiodine treatment.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Colin J Martin, Mika K Kortesniemi, David G Sutton, Kimberly Applegate, Jenia Vassileva
{"title":"A strategy for achieving optimisation of radiological protection in digital radiology proposed by ICRP.","authors":"Colin J Martin, Mika K Kortesniemi, David G Sutton, Kimberly Applegate, Jenia Vassileva","doi":"10.1088/1361-6498/ad60d1","DOIUrl":"10.1088/1361-6498/ad60d1","url":null,"abstract":"<p><p>Radiology is now predominantly a digital medium and this has extended the flexibility, efficiency and application of medical imaging. Achieving the full benefit of digital radiology requires images to be of sufficient quality to make a reliable diagnosis for each patient, while minimising risks from radiation exposure, and so involves a careful balance between competing objectives. When an optimisation programme is undertaken, a knowledge of patient doses from surveys can be valuable in identifying areas needing attention. However, any dose reduction measures must not degrade image quality to the extent that it is inadequate for the clinical purpose. The move to digital imaging has enabled versatile image acquisition and presentation, including multi-modality display and quantitative assessment, with post-processing options that adjust for optimal viewing. This means that the appearance of an image is unlikely to give any indication when the dose is higher than necessary. Moreover, options to improve performance of imaging equipment add to its complexity, so operators require extensive training to be able to achieve this. Optimisation is a continuous rather than single stage process that requires regular monitoring, review, and analysis of performance feeding into improvement and development of imaging protocols. The ICRP is in the process of publishing two reports about optimisation in digital radiology. The first report sets out components needed to ensure that a radiology service can carry optimisation through. It describes how imaging professionals should work together as a team and explains the benefits of having appropriate methodologies to monitor performance, together with the knowledge and expertise required to use them effectively. It emphasises the need for development of organisational processes that ensure tasks are carried out. The second ICRP report deals with practical requirements for optimisation of different digital radiology modalities, and builds on information provided in earlier modality specific ICRP publications.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":"44 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Systematic study on the influence of inductive chargers on active personal dosemeters.","authors":"Steffen Ketelhut, Hayo Zutz, Oliver Hupe","doi":"10.1088/1361-6498/ad8fb7","DOIUrl":"10.1088/1361-6498/ad8fb7","url":null,"abstract":"<p><p>Electromagnetic compatibility testing plays an important role in the type testing of radiation protection dosemeters in view of technical developments and the associated increase in electromagnetic fields. Lately, the use of inductive charging devices has grown as a user-friendly type of charging mobile-phones. In this article, we investigate their impact on active personal dosemeters (APD). The measurements show a substantial additional dose reading of up to several tens of mSv when exposed to the field of an inductive charger for 20 s. According to the widely used Qi standard, the charging devices operate at frequencies of between 87 kHz and 205 kHz for power transfers between 5 W and 30 W. These parameters fall outside the scope of type-testing standards for APD. An update of the standards might therefore be necessary.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":16.4,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fanqiaochu Yang, Liangyong Qu, Jie Yao, Zhijun Zhou, Linfeng Gao
{"title":"Survey on the distribution of medical imaging frequencies and dose levels for CT examinations in a comprehensive hospital in Shanghai.","authors":"Fanqiaochu Yang, Liangyong Qu, Jie Yao, Zhijun Zhou, Linfeng Gao","doi":"10.1088/1361-6498/ad8ce6","DOIUrl":"10.1088/1361-6498/ad8ce6","url":null,"abstract":"<p><p>With the continuous advancement and clinical application of CT technology, the increasing collective dose burden from CT scans and associated potential health risks have become significant concerns in radiation protection. Current research increasingly focuses on the cumulative effective dose (CED) resulting from multiple CT scans, often revealing patients with high CEDs, even exceeding 100 mSv. However, reports on CEDs from multiple CT scans in China are scarce. Therefore, we investigated the distribution of CT scan frequencies and CEDs at a comprehensive hospital in Shanghai, examining data from 1 October 2022, to 30 April 2024, sourced from the hospital's radiology information system. The effective dose (<i>E</i>) was estimated using conversion factors<i>k</i>and DLP values from Radiation Dose Structured Reports (RDSR). We assessed the number of CT examinations conducted per patient and evaluated the CED over 1.6 years. During this period, 112 339 CT examinations were performed. Significant differences in CT examination frequencies were observed across different age groups and examination regions (<i>P</i>< 0.01). A total of 78.43% of patients underwent only one CT examination in 1.6 years, while 0.03% had more than 10 examinations, with a maximum of 15. Of the patients, 67.78% (76,142 individuals) received a CED less than 10 mSv, 0.05% (53 patients) received a CED over 50 mSv, and one patient exceeded 100 mSv. In conclusion, this study underscored the necessity of monitoring patients with high CT examination frequencies and CEDs, highlighting the importance of justification and optimization in medical radiation protection.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Galina Zhuntova, Tamara V Azizova, Maria V Bannikova
{"title":"Chronic bronchitis and bronchial asthma: the impact of chronic occupational radiation exposure on incidence and mortality of Mayak nuclear workers.","authors":"Galina Zhuntova, Tamara V Azizova, Maria V Bannikova","doi":"10.1088/1361-6498/ad90ee","DOIUrl":"https://doi.org/10.1088/1361-6498/ad90ee","url":null,"abstract":"<p><p>The information about the radiation risk of non-cancer respiratory diseases is inconsistent and mainly corresponds to mortality. Previously, an increased risk of chronic bronchitis incidence was demonstrated in the cohort of workers employed at the first Russian nuclear facility Mayak Production Association who had been chronically exposed to gamma rays (externally) and to alpha-active plutonium aerosols (internally). Within this retrospective study, we performed analyses of incidence of and mortality from chronic bronchitis and bronchial asthma using improved estimates of radiation doses provided by the \"Mayak Worker Dosimetry System (MWDS) - 2013\". The cohort included 22,377 individuals hired in 1948-1982, and its follow-up was extended by 10 years (to the end of 2018). The excess relative risk of chronic bronchitis incidence per unit radiation dose (ERR/Gy) and the 95% confidence interval (95% CI) were: with the 0-year lag ERR/Gy=0.07 (95% CI -0.01, 0.17) for gamma exposure and ERR/Gy=0.36 (95% CI 0.13, 0.68) for alpha exposure; with the 10-year lag ERR/Gy=0.15 (95% CI 0.04, 0.30) for gamma exposure and ERR/Gy=0.54 (95% CI 0.19, 1.03) for alpha exposure. The chronic bronchitis mortality risk was significantly associated with internal alpha exposure only for certain worker categories: ERR/Gy=4.08 (95% CI 0.59, 14.3) in males; ERR/Gy=7.10 (95% CI 0.31, 70.44) in former smokers; ERR/Gy=7.94 (95% CI 1.71, 30.2) in workers with the smoking index above 20 pack×years. No association was observed in the chronic bronchitis mortality risk with external gamma exposure. No strong evidence was observed for the impact of gamma and alpha exposure on risk of mortality from chronic bronchitis. The study confirmed the significant positive linear association of the chronic bronchitis incidence risk with gamma and alpha radiation doses from occupational chronic external and internal exposure. However, the estimates of ERR/Gy of alpha particles from internal exposure appeared to be almost 2.4-3 times lower than those based on the MWDS-2008. The observed inconsistency requires further clarification. As for bronchial asthma in Mayak workers, no association was demonstrated in the incidence and mortality risks with occupational gamma and alpha radiation exposure.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}