RESULTS OF CZECH NATIONAL STUDY OF RADIATION EXPOSURE FROM RADIOTHERAPY OF NON-MALIGNANT DISEASES, IN PARTICULAR OF HEEL SPURS

2019 ◽  
Vol 186 (2-3) ◽  
pp. 386-390
Author(s):  
V Dufek ◽  
H Zackova ◽  
L Kotik ◽  
I Horakova

Abstract About 26 000 patients are treated per year with radiotherapy for non-malignant diseases in the Czech Republic. Approximately 75% of them are treated on X-ray therapy units and most of these patients undergo radiotherapy of heel spurs. The evaluation of radiation exposure of these patients was based on measured organ doses and on data from clinical practice. Collective effective doses for particular diagnoses were calculated in order to compare doses resulting from different diagnoses treated on X-ray therapy units. The collective effective dose from radiotherapy of heel spurs in the Czech Republic in 2013 was evaluated to 77 manSv. It represents 25.6% of the total collective effective dose for all diagnoses of radiotherapy for non-malignant diseases treated on X-ray therapy units.

2019 ◽  
Vol 186 (2-3) ◽  
pp. 211-214
Author(s):  
Ján Kubančák ◽  
Dagmar Kyselová ◽  
Ivan Kovář ◽  
Magdaléna Hlaváčová ◽  
Ronald Langer ◽  
...  

Abstract Monitoring of exposures of aircrew members of airline operators registered in the Czech Republic has been performed since 1998. The individual effective doses are calculated using the computer code CARI annually. The calculations are based on information about participation of aircrew members on the specific flights and on the parameters describing the typical flight profiles of the flights; the latter is regularly verified with control measurements performed onboard aircraft. The results show that (1) the average annual effective doses in the period from 1998 to 2017 range from 1.3 to 2.1 mSv, (2) the maximum effective dose of a crew member is 5.7 mSv and (3) the annual collective effective doses range from 1.3 to 4.1 manSv. Combined relative uncertainty of the results is ~25%.


2020 ◽  
Vol 65 (1) ◽  
pp. 13-16
Author(s):  
S. Somov

Purpose: Improving the quality of radiation assessment of patients of the medical institution of the dental profile using the calculated values of effective doses. Material and methods: Using the RED-2018 and ORTO-2018 programs, the values of effective patient exposure doses for 29 medical organizations of the dental profile were calculated. The obtained values of the effective dose were compared with the values specified in the methodological recommendations MP 0100 / 1659-07-26 of February 16, 2007 “Filling of forms of federal state statistical observation 3-DOZ”. Results: The analysis showed that the doses obtained using the RED-2018 and ORTO-2018 computer programs, respectively, are 21 and 14 times lower than the doses indicated in the methodological recommendations MP 0100 / 1659-07-26. Conclusion: It is shown that the developed computer programs can be applied by a dentist practicing physician who performs an x-ray examination in order to automatically and reliably determine the patient’s dose when performing x-ray-mathematical studies in accordance with the guidelines of MU 2.6.1.2944-11 “Monitoring effective doses of patients during x-ray examinations” also used in the preparation of radiation hygienic passports of organizations and statistical form 3-DOZ. The indication of the actually calculated values of the effective dose of the patient, rather than repeatedly overestimated averages, will reduce the level of radiophobia in society.


2018 ◽  
Vol 183 (4) ◽  
pp. 529-534
Author(s):  
Toshio Kawasaki ◽  
Masami Sakakubo ◽  
Kanako Ito

Abstract The present study evaluated the organ and effective doses in infant diagnostic cardiac catheterisation performed using a modern x-ray imaging unit by in-phantom dosimetry. In addition, conversion factors from dose–area product (DAP) to effective dose were determined. The organ and effective doses in 1-year old during diagnostic cardiac catheterisations were measured using radiophotoluminescence glass dosemeters implanted into an infant anthropomorphic phantom. The mean effective doses, evaluated according to the International Commission on Radiologic Protection Publication 103, were 4.0 mSv (range: 1.5–8.7 mSv). The conversion factors from DAP to effective dose were 2 and 3.5 mSv (Gy cm2)−1 for posteroanterior and lateral fluoroscopy, respectively, and 1.8 and 3.3 mSv (Gy cm2)−1 for posteroanterior and lateral cineangiography, respectively. The dose data and conversion factors evaluated in the present study may be useful for estimating radiation exposure in infants during diagnostic cardiac catheterisation.


2021 ◽  
Vol 41 (4) ◽  
pp. R140-R151
Author(s):  
Heinrich Eder ◽  
Helmut Schlattl

Abstract This review article provides an overview on the results of studies conducted by the authors to improve the current personal protection concept in the clinical application of x-rays. With the aid of personal dose equivalent measurements during radiologically guided clinical interventions, laboratory tests using the Alderson-Rando phantom as well as Monte Carlo simulations various x-ray application scenarios were investigated. The organ doses and the effective doses of staff persons standing near the patient were determined. The 3D-attenuation properties of protective clothing under the scattered radiation emitted by the patient play a special role here. With regard to the minimisation of the quantity ‘effective dose’ the protection of the lower body from the gonads to the chest is of particular importance, since 80% of the effective dose is contributed by this region of the body. In contrast, protection of the back plays a subordinate role. Protective aprons optimised in terms of effective dose can be significantly lighter than conventional aprons, providing equal protection. The assessment of the attenuation properties of protective clothing should be based on the risk-related dose quantity, effective dose, rather than lead equivalent. In the future, the evaluation of radiation protective clothing could be based on the calculation of the effective dose assuming standardised irradiation conditions.


2012 ◽  
Vol 41 (3-4) ◽  
pp. 129-141 ◽  
Author(s):  
M.I. Balonov ◽  
P.C. Shrimpton

The radiation risks from a range of medical x-ray examinations (radiography, fluoroscopy, and computed tomography) were assessed as a function of the age and sex of the patient using risk models described in Publication 103 (ICRP, 2007) and UNSCEAR (2006, Annex A). Such estimates of risk based on typical organ doses were compared with those derived from effective doses using the International Commission on Radiological Protection's nominal risk coefficients. Methodologically similar but not identical dose and risk calculations were performed independently at the Institute of Radiation Hygiene (Russia) and the Health Protection Agency (UK), and led to similar conclusions. The radiogenic risk of stochastic health effects following various x-ray procedures varied significantly with the patient's age and sex, but to differing degrees depending on which body organs were irradiated. In general, the risks of radiation-induced stochastic health effects in children are estimated to be higher (by a factor of ⩽4) than in adults, and risks in senior patients are lower by a factor of ⩾10 relative to younger people. If risks are assessed on the basis of effective dose, they are underestimated for children of both sexes by a factor of ⩽4. This approach overestimates risks by a factor of ⩽3 for adults and about an order of magnitude for senior patients. The significant sex and age dependence of radiogenic risk for different cancer types is an important consideration for radiologists when planning x-ray examinations. Whereas effective dose was not intended to provide a measure of risk associated with such examinations, it may be sufficient to make simple adjustments to the nominal risk per unit effective dose to account for age and sex differences.


GeroPsych ◽  
2012 ◽  
Vol 25 (3) ◽  
pp. 161-166
Author(s):  
Hana Stepankova ◽  
Eva Jarolimova ◽  
Eva Dragomirecka ◽  
Irena Sobotkova ◽  
Lenka Sulova ◽  
...  

This work provides an overview of psychology of aging and old age in the Czech Republic. Historical roots as well as recent activities are listed including clinical practice, cognitive rehabilitation, research, and the teaching of geropsychology.


2020 ◽  
Vol 189 (3) ◽  
pp. 318-322
Author(s):  
Ritva Bly ◽  
Hannu Järvinen ◽  
Sampsa Kaijaluoto ◽  
Verneri Ruonala

Abstract Contemporary collective effective doses to the population from x-ray and nuclear medicine examinations in Finland in 2018 was estimated. The estimated effective dose per caput from x-ray examinations increased from year 2008 to 2018 respectively from 0.45 mSv to 0.72 mSv and from nuclear medicine examinations from 0.03 mSv to 0.04 mSv. The proportional dose due to CT examinations of the total collective effective dose from all x-ray examinations increased from 58% in 2008 to 70% in 2018 and the dose did not change substantially in total when new conversion factors were applied. The collective effective dose from conventional plain radiography did not change substantially during the last ten years while the new (ICRP 103) tissue weighting factors were taken into use in 2018, however frequencies of examinations in total decreased. The collective effective dose from CT in nuclear medicine tripled between 2009 and 2018.


2020 ◽  
Vol 189 (1) ◽  
pp. 35-47
Author(s):  
Anna Bågenholm ◽  
Pål Løvhaugen ◽  
Rune Sundset ◽  
Tor Ingebrigtsen

Abstract This audit describes ionizing and non-ionizing diagnostic imaging at a regional trauma centre. All 144 patients (males 79.2%, median age 31 years) met with trauma team activation from 1 January 2015 to 31 December 2015 were included. We used data from electronic health records to identify all diagnostic imaging and report radiation exposure as dose area product (DAP) for conventional radiography (X-ray) and dose length product (DLP) and effective dose for CT. During hospitalization, 134 (93.1%) underwent X-ray, 122 (84.7%) CT, 92 (63.9%) focused assessment with sonography for trauma (FAST), 14 (9.7%) ultrasound (FAST excluded) and 32 (22.2%) magnetic resonance imaging. One hundred and sixteen (80.5%) underwent CT examinations during trauma admissions, and 73 of 144 (50.7%) standardized whole body CT (SWBCT). DAP values were below national reference levels. Median DLP and effective dose were 2396 mGycm and 20.42 mSv for all CT examinations, and 2461 mGycm (national diagnostic reference level 2400) and 22.29 mSv for a SWBCT.


1964 ◽  
Vol 19 (10) ◽  
pp. 929-935 ◽  
Author(s):  
Sigrid Hempel ◽  
Wolfgang Laskowski

A diploid Saccaromyces strain was treated with several doses of X-rays, UV and succinic acid peroxyde (BPO). The inactivation of the ability to form macroscopic colonies as well as the ability to form microcolonies of at least two cells to a few hundred cells has been compared with the inactivation of respiration and fermentation intensity. If the inactivation of macroscopic colony formation is taken as a measure of the effective dose applied, the formation of at least one daughter cell as well as respiration and fermentation intensity is reduced to approximately the same extent after BPO and X-ray treatment. In the latter case, however, much higher effective doses have to be applied and a distinct difference between respiration and fermentation sensitivity is observed. After UV-treatment the formation of at least one daughter cell is exceedingly more sensitive than the fermentation processes. The respiration processes behave most UV resistant. Possible reasons for the observed different relative sensitivities are discussed.


2020 ◽  
Vol 189 (4) ◽  
pp. 466-474
Author(s):  
Wiam Elshami ◽  
Mohamed Abuzaid ◽  
Antti Pekkarinen ◽  
Mika Kortesniemi

Abstract Purpose Occupational radiation exposure for medical workers in radiology and cardiology was analyzed in nine hospitals in the UAE between 2002 and 2016. The purpose of the study was to determine the time trend and the differences in occupational radiation exposure among worker groups and hospitals in the country. Methods Readings of 5700 thermoluminescence dosimeters (TLDs) were obtained from 1011 medical workers and grouped into 5 worker groups (radiographers, diagnostic radiologists, nurses, cardiologists and physicians). Results The mean annual effective dose was from 0.38 to 0.62 mSv per worker. Even though an increase in the collective effective dose has been noticed during the study period, no significant time trend was observed in the mean effective dose. Furthermore, cardiologists received higher mean and maximum effective doses than the other worker groups. Conclusion The annual effective doses were below the limits set by national legislation and international standards, and for the average worker, the likelihood of high exposure is small. However, improvements in radiation protection practices could be implemented to reduce occupational radiation dose to cardiologists, who were the most exposed worker group in this study.


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