{"title":"Relationship between assistant's lens exposure and dose information during computed tomography examinations.","authors":"Hajime Ito, Kosuke Matsubara, Ikuo Kobayashi, Yurie Shimakawa, Daichi Murayama, Takayuki Sakai, Tomonori Isobe, Noriyuki Yanagawa, Shigehiro Ochi","doi":"10.1088/1361-6498/ad4903","DOIUrl":"10.1088/1361-6498/ad4903","url":null,"abstract":"<p><p>According to International Commission of Radiological Protection, the equivalent dose limit for the eye lens for occupational exposure is recommended to be 20 mSv yr<sup>-1</sup>, averaged over 5 years, with no single year above 50 mSv. Some studies reported the measurement of assistant's lens exposure in diagnostic computed tomography (CT) examinations, but further investigation is still required in the association between the lens dose for assistants and various dose parameters. Therefore, we measured the assistant's lens exposure using small optically stimulated luminescence dosimeters. The type of occupation, type of assistance, total scan time, total mAs, total scan length, and dose-length product (DLP) were recorded and analyzed in association with air kerma at the lens position. The assistance was classified into four types: 'assisted ventilation,' 'head holding,' 'body holding,' and 'raising patient's arm.' The air kerma of lens position was not significantly different for each assistance type (<i>p</i>< 0.05, Kruskal-Wallis test). Further, the lens doses for assistants correlated with DLP, but with various strengths of correlation with the assistance type and were influenced by the distance from the CT gantry. In conclusion, lens dose during assistance and DLP demonstrated the strongest correlation. 'Raising patient's arm' and 'head holding' exhibited stronger correlations, which required less table movement during the CT scan than 'assisted ventilation' and 'body holding'.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900034","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":"The human dimension: the Bernard Wheatley Award for 2023.","authors":"M C Thorne","doi":"10.1088/1361-6498/ad48ff","DOIUrl":"https://doi.org/10.1088/1361-6498/ad48ff","url":null,"abstract":"","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":"44 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946406","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}
Laura Dupont, Christoph Aberle, Diomidis Botsikas, Michael Ith, Thiago Viana Miranda Lima, Roman Menz, Pascal Monnin, Pierre-Alexandre Poletti, Stefano Presilla, Alexander Schegerer, Liana-Cristina Stoica, Philipp Trueb, Marta Sans Merce
{"title":"Proposed DRLs for mammography in Switzerland.","authors":"Laura Dupont, Christoph Aberle, Diomidis Botsikas, Michael Ith, Thiago Viana Miranda Lima, Roman Menz, Pascal Monnin, Pierre-Alexandre Poletti, Stefano Presilla, Alexander Schegerer, Liana-Cristina Stoica, Philipp Trueb, Marta Sans Merce","doi":"10.1088/1361-6498/ad37c8","DOIUrl":"10.1088/1361-6498/ad37c8","url":null,"abstract":"<p><p>The aim of this study is to propose diagnostic reference levels (DRLs) values for mammography in Switzerland. For the data collection, a survey was conducted among a sufficient number of centres, including five University hospitals, several cantonal hospitals, and large private clinics, covering all linguistic regions of Switzerland to be representative of the clinical practice. The data gathered contained the mean glandular dose (MGD), the compressed breast thickness (CBT), the mammography model and the examination parameters for each acquisition. The data collected was sorted into the following categories: 2D or digital breast tomosynthesis (DBT) examination, craniocaudal (CC) or mediolateral oblique (MLO) projection, and eight categories of CBT ranging from 20 mm to 100 mm in 10 mm intervals. A total of 24 762 acquisitions were gathered in 31 centres on 36 mammography units from six manufacturers. The analysis showed that the data reflects the practice in Switzerland. The results revealed that the MGD is larger for DBT than for 2D acquisitions for the same CBT. From 20-30 mm to 90-100 mm of CBT, the 75th percentile of the MGD values obtained increased from 0.81 mGy to 2.55 mGy for 2D CC acquisitions, from 0.83 mGy to 2.96 mGy for 2D MLO acquisitions, from 1.22 mGy to 3.66 mGy for DBT CC acquisitions and from 1.33 mGy to 4.04 mGy for DBT MLO acquisitions. The results of the survey allow us to propose Swiss DRLs for mammography according to the examination type (2D/DBT), projection (CC/MLO) and CBT. The proposed values are very satisfactory in comparison with other studies.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289432","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}
Sylvain Andresz, Penelope Allisy-Roberts, Sotirios Economides, Julie Morgan, Franz Kabrt, Sharan Packer, Arturo Perez Mulas, Andy Rogers, Caroline Schieber, Nicolas Stritt, Fernand Vermeersch
{"title":"Synthesis of the European ALARA network 20th workshop 'ALARA for interventional radiology and nuclear medicine'.","authors":"Sylvain Andresz, Penelope Allisy-Roberts, Sotirios Economides, Julie Morgan, Franz Kabrt, Sharan Packer, Arturo Perez Mulas, Andy Rogers, Caroline Schieber, Nicolas Stritt, Fernand Vermeersch","doi":"10.1088/1361-6498/ad460d","DOIUrl":"10.1088/1361-6498/ad460d","url":null,"abstract":"<p><p>The European as low as reasonably achievable(ALARA) network regularly organises workshops on topical issues in radiation protection (RP). The topic of the 20th workshop was: 'ALARA for interventional radiology (IR) and nuclear medicine (NM)'. The objective was to examine the challenges faced when applying the optimisation principle (ALARA) in IR and NM and to consider how ALARA could be better implemented for patient and staff exposures. This memorandum provides a synthesis of the workshop sessions, and recommendations coming from the working groups discussion. Parallels are drawn with the recommendations arising from the 13th EAN workshop on 'ALARA and the medical sector (2011)' to consider how the optimisation challenges in IR and NM have evolved over the past decade. Current levels of exposure are presented along with operational practice and the challenges and opportunities for improvement, both in monitoring and practice. Whilst RP challenges remain, the application of ALARA appears more established in IR compared with experiences reported in 2011. The application of ALARA to emerging technologies in the NM setting is in need of further development to ensure that RP is considered at all stages in the development process of new radiopharmaceuticals. Besides the obvious technical and operational aspects, the importance of education and training, human factors and broadly the RP 'culture' were deemed fundamental to the success of the application of ALARA and where further emphasis is needed. All concerned parties, medical physics experts (MPEs), radiation protection experts, clinical staff, manufacturers and regulators have a role to play in the application of ALARA and this is discussed in the memorandum. Many of the recommendations from the 13th EAN workshop remain applicable today and overlap with the recommendations arising from the 20th workshop. This should prompt attention given that the use of IR and the development of novel radiopharmaceuticals for NM is only anticipated to increase with time.</p>","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867923","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":"NCRP commentary no. 33—recommendations for stratification of equipment use and radiation safety training for fluoroscopy","authors":"Donald L Miller and Stephen Balter","doi":"10.1088/1361-6498/ad4042","DOIUrl":"https://doi.org/10.1088/1361-6498/ad4042","url":null,"abstract":"National Council on Radiation Protection and Measurements Commentary No. 33 ‘Recommendations for Stratification of Equipment Use and Radiation Safety Training for Fluoroscopy’ defines an evidence-based, radiation risk classification for fluoroscopically guided procedures (FGPs), provides radiation-related recommendations for the types of fluoroscopes suitable for each class of procedure, and indicates the extent and content of training that ought to be provided to different categories of facility staff who might enter a room where fluoroscopy is or may be performed. For FGP, radiation risk is defined by the type and likelihood of radiation hazards that could be incurred by a patient undergoing a FGP. The Commentary also defines six training groups of facility staff based on their role in the fluoroscopy room. The training groups are based on a combination of job descriptions and the procedures in which these individuals might be involved. The Commentary recommends the extent and content of training that should be provided to each of these training groups. It also provides recommendations on training formats, training frequency, and methods for demonstrating that the learner has acquired the necessary knowledge.","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":"81 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140828829","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}
Abinash Chakraborty, Neeraj Parashar, Dhananjay Kumar Pandey, Pankaj Kumar, U V Deokar, J P N Pandey and M S Kulkarni
{"title":"Radiological complexity of nuclear facilities: an information complexity approach to workplace monitoring","authors":"Abinash Chakraborty, Neeraj Parashar, Dhananjay Kumar Pandey, Pankaj Kumar, U V Deokar, J P N Pandey and M S Kulkarni","doi":"10.1088/1361-6498/ad42a5","DOIUrl":"https://doi.org/10.1088/1361-6498/ad42a5","url":null,"abstract":"Nuclear energy is crucial for achieving net-zero carbon emissions. A big challenge in the nuclear sector is ensuring the safety of radiation workers and the environment, while being cost-effective. Workplace monitoring is key to protecting workers from risks of ionising radiation. Traditional monitoring involves radiological surveillance via installed radiation monitors, continuously recording measurements like radiation fields and airborne particulate radioactivity concentrations, especially where sudden radiation changes could significantly impact workers. However, this approach struggles to detect incremental changes over a long period of time in the radiological measurements of the facility. To address this limitation, we propose abstracting a nuclear facility as a complex system. We then quantify the information complexity of the facility’s radiological measurements using an entropic metric. Our findings indicate that the inferences and interpretations from our abstraction have a firm basis for interpretation and can enhance current workplace monitoring systems. We suggest the implementation of a radiological complexity-based alarm system to complement existing radiation level-based systems. The abstraction synthesized here is independent of the type of nuclear facility, and hence is a general approach to workplace monitoring at a nuclear facility.","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":"9 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140828942","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}
Jun Hirouchi, Ikuo Kujiraoka, Shogo Takahara, Momo Takada, Thierry Schneider and Michiaki Kai
{"title":"Comparison of lifetime mortality risk, incidence risk, and DALYs of baseline cancer rates among countries as a benchmark for radiation-related cancer risk","authors":"Jun Hirouchi, Ikuo Kujiraoka, Shogo Takahara, Momo Takada, Thierry Schneider and Michiaki Kai","doi":"10.1088/1361-6498/ad4043","DOIUrl":"https://doi.org/10.1088/1361-6498/ad4043","url":null,"abstract":"Statistical benchmark data are necessary when considering the basis for radiation protection criteria based on calculated risks. We herein focused on baseline mortality and incidence cancer rates as benchmark data collected from 33 countries. Furthermore, we calculated the lifetime mortality and incidence risks and disability-adjusted life years (DALYs) for all solid cancers, colon cancer, lung cancer, breast cancer, thyroid cancer, and leukemia using the baseline cancer rates and compared them among the countries. The results showed that the lifetime mortality and incidence risks and DALYs for all solid cancers differed among the countries by a factor of 2–4 for males and 2–3 for females; these were low in less-developed countries. Our study proposed that health risk based on baseline cancer rates should be the benchmark for comparing radiation cancer risks.","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":"33 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140812045","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":"'Radiation safety of accelerator based radioisotope production facilities', IAEA Specific Safety Guide (SSG-59), 2020.","authors":"Mishkat A Jafri, I Ulfat","doi":"10.1088/1361-6498/ad3ce4","DOIUrl":"https://doi.org/10.1088/1361-6498/ad3ce4","url":null,"abstract":"","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":"44 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854202","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":"Age-based diagnostic reference levels and achievable doses for paediatric CT: a survey in Shanghai, China","authors":"Fanqiaochu Yang and Linfeng Gao","doi":"10.1088/1361-6498/ad3ce5","DOIUrl":"https://doi.org/10.1088/1361-6498/ad3ce5","url":null,"abstract":"Computed tomography (CT) is extensively utilised in medical diagnostics due to its notable radiographic superiority. However, the cancer risk associated with CT examinations, particularly in children, is of significant concern. The assessment of cancer risk relies on the radiation dose to examinees. Diagnostic reference levels (DRLs) and achievable doses (ADs) were used to assess the level of radiation dose in CT examinations widely. Although the national DRLs of paediatric CT have been explored in China, few local DRLs at the city level have been assessed. To set up the local DRLs and ADs of paediatric CT, we investigated the radiation dose level for paediatric CT in Shanghai. In this survey, a total of 3061 paediatric CT examinations underwent in Shanghai in 2022 were selected by stratified sampling, and the dose levels in terms of volume CT dose index (CTDIvol) and the dose-length product (DLP) were analysed by 4 age groups. The DRLs and ADs were set at the 75th and 50th percentile of the distribution and compared with the previous studies at home and abroad. The survey results revealed that, for head scan, the DRLs of CTDIvol were from 25 to 46 mGy, and the levels of DLP were from 340 to 663 mGy·cm. For chest, the DRLs of CTDIvol were from 2.2 to 8.3 mGy, and the levels of DLP were from 42 to 223 mGy·cm. For abdomen, the DRLs of CTDIvol were from 6.3 to 16 mGy, and the levels of DLP were from 181 to 557 mGy·cm. The ADs were about 60% lower than their corresponding DRLs. The levels of radiation doses in children-based hospitals were higher than those in other medical institutions (P < 0.001). In conclusion, there was still potential for reducing radiation dose of paediatric CT, emphasising the urgent need for optimising paediatric CT dose in Shanghai.","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":"6 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140805732","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}
Jukka T Tyrväinen, Jonne Naarala and Tuukka Turtiainen
{"title":"Relevance of radon progeny measurements for the assessment of inhalation doses in groundwater utilities","authors":"Jukka T Tyrväinen, Jonne Naarala and Tuukka Turtiainen","doi":"10.1088/1361-6498/ad3ce3","DOIUrl":"https://doi.org/10.1088/1361-6498/ad3ce3","url":null,"abstract":"The high radon concentrations measured in the indoor air of groundwater facilities and the prevalence of the problem have been known for several years. Unlike in other workplaces, in groundwater plants, radon is released into the air from the water treatment processes. During the measurements of this study, the average radon concentrations varied from 500 to 8800 Bq m–3. In addition, the indoor air of the treatment plants is filtered and there are no significant internal aerosol sources. However, only a few published studies on groundwater plants have investigated the properties of the radon progeny aerosol, such as the equilibrium factor (F) or the size distribution of the aerosol, which are important for assessing the dose received by workers. Moreover, the International Commission on Radiological Protection has not provided generic aerosol parameter values for dose assessment in groundwater treatment facilities. In this study, radon and radon progeny measurements were carried out at three groundwater plants. The results indicate surprisingly high unattached fractions (fp = 0.27–0.58), suggesting a low aerosol concentration in indoor air. The corresponding F values were 0.09–0.42, well below those measured in previous studies. Based on a comparison of the effective dose rate calculations, either the determination of the fp or, with certain limitations, the measurement of radon is recommended. Dose rate calculation based on the potential alpha energy concentration alone proved unreliable.","PeriodicalId":50068,"journal":{"name":"Journal of Radiological Protection","volume":"30 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140805770","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}