scholarly journals Analysis of patient medical exposure in X-ray diagnostics in Russia for half a century (1970–2019)

2021 ◽  
Vol 14 (4) ◽  
pp. 60-75
Author(s):  
S. A. Kalnitsky ◽  
N. V. Tselikov
Keyword(s):  
Effective Dose ◽  
Radiation Safety ◽  
X Ray ◽  
Safety Issues ◽  
Radiation Sources ◽  
Medical Diagnostic ◽  
Effective Doses ◽  
The Russian Federation ◽  
Medical Exposure ◽  
Observation Period

During last 50 years, firstly in the RSFSR in the USSR (1970-80), then in the Russian Federation - RF (1990-2019), the authors studied the radiation safety issues of patients from medical exposure. The reader is offered a complex radiation-hygienic analysis of the 50-year medical exposure of patients and of the population in Russia to inform and analyze the available data on the most common type of use of ionizing radiation sources in the national economy. For a half century, several generations of people have changed and medical diagnostic X-ray equipment and technologies have also radically changed. The information from this article was obtained on the basis of radiation-hygienic statistics, as well as considered our research. The data is presented at the federal level in the form of the volume of research carried out- determined by the number of X-ray procedures, as well as the level of medical exposure in the form of effective dose of patients in Russia - a huge region with a population of about 150 million people, where about 200 million X-Ray procedures were performed annually, i.e. about 10 billion X-Ray procedures for the entire observation period. During the study, a collective effective dose was - 6.5 million person-Sv at the rate of 100 thousand person-Sv and more per year. The paper presents the dynamics and the structure of the studied indicators depending on the type of medical exposure, as well as its localization. The contribution of the X-ray diagnostics to the total volume of radiation diagnostics, which is developing dynamically, is presented. It was found that throughout the study, there were two oppositely directed processes: an increase in the number of X-Ray procedures and a decrease in the effective doses of patients. At present, the minimum dose has been reached, after that it has been increasing began, associated with the use of new computer technologies. It was determined that, depending on the localization, the main radiation load during X-ray procedures falls on the skeleton and digestive organs. It is shown that during the study period (in 1986) there was an accident at the Chernobyl, which significantly affected on medical activities and, in particular, X-ray diagnostic indicators. The paper shows the consequences of these situations. In general, the data presented is huge in volume and significant in information content. The information obtained on the basis of such a unique data is representative and allows, firstly, to analytically study the issues of radiation protection of patients and, secondly, to plan the strategy and tactics of its development.

scholarly journals Trends in the doses of the population of the Russian Federation in 2003–2018

2020 ◽  
Vol 12 (4) ◽  
pp. 96-122 ◽  
Author(s):  
Anatoly N. Barkovsky ◽  
Anzhelika A. Bratilova ◽  
Tatyana A. Kormanovskaya ◽  
Ruslan R. Akhmatdinov ◽  
Rustam R. Akhmatdinov
Keyword(s):  
Effective Dose ◽  
Russian Federation ◽  
Radiation Safety ◽  
Information Bulletin ◽  
Group A ◽  
Effective Doses ◽  
The Russian Federation ◽  
Medical Exposure ◽  
The Mean ◽  
Group B

In the last years radiation-hygienic passportization and Joint state system of control and accounting of the individual doses of the citizens have become a trusted source of the validated data on the state of the radiation safety in the Russian Federation and have become the basis of the Russian system of the information provision of the radiation safety. Annual analysis of that data is presented in the annual information bulletin “Doses of the population of the Russian Federation”. The current study is focused on the analysis of the data from the information bulletins to evaluate the trends in the doses of the Russian population from main sources of ionizing exposure in 2003–2018. It is indicated that the mean annual doses from man-made exposure of the group A staff in that period varies from 1,0–1,4 mSv per year, group B – 0,65–0,8 mSv per year. The number of exceedances of the annual dose limits from group A staff varied from 5 to 52 per year; for group B – 0–22 per year. For the whole investigated period there were only three cases of the exceedance of the 50 mSv annual individual dose for group A staff and four cases of the exceedance of the 12,5 mSv annual effective dose for group B staff. Mean effective dose per X-ray examination in 2006–2013 was decreasing from 0,56 mSv to 0,26 mSv and started to slowly increase leading to 0,29 mSv in 2018. The same trends were identified for the mean dose from medical exposure per citizen: reduction in 2003-2013 from 0,86 mSv to 0,45 mSv with the subsequent increase up to 0,56 mSv. The biggest contributor for the dose from medical exposure is computed tomography: the number of CT examinations increased from 1,3 mln in 2003 to 11,7 mln in 2018; contribution to the collective dose – from 5,7% to 54%. Mean annual effective doses from natural exposure of the population of the Russian regions varied from 1,6 to 15,1 mSv per year with the mean value for Russia of 3,11 – 3,79 mSv/year. The highest mean annual doses exceeding 5 mSv in each year were observed in Republic of Altay, Jewish Independent Region, Stavropol and Zabaikalskiy Krai, Republic of Tyva and Irkutsk region. Total effective doses exceeding 10 mSv/year were observed in Republic of Altay and Jewish Independent Region. For ten subjects of the Russain Federation (Republics of Buryatia, Altay, Tyva, Stavropol and Zabaikalskiy Krai, Irkutsk and Chita regions, Jewish Independent Region, Aginsko-Buryatskiy and Ust’-Ordinskiy independent districts) they exceed 5 mSv/year for the whole assessed period.

scholarly journals Modern principles of the radiation protection from sources of ionizing radiation in medicine. Part 1: Trends, structure of x-ray diagnostics and doses from medical exposure

2019 ◽  
Vol 12 (1) ◽  
pp. 6-24 ◽  
Author(s):  
G. G. Onischenko ◽  
A. Yu. Popova ◽  
I. K. Romanovich ◽  
A. V. Vodovatov ◽  
N. S. Bashketova ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Nuclear Medicine ◽  
Radiation Protection ◽  
Russian Federation ◽  
European Countries ◽  
X Ray ◽  
Collective Dose ◽  
Effective Doses ◽  
The Russian Federation ◽  
Medical Exposure

Implementation of modern highly informative methods of X-ray diagnostics (computed tomography, interventional examinations, nuclear medicine), associated with the increase of doses to the public and patients, requires the development and improvement of the existing system of the radiation protection from medical exposure. Despite the prevalence of the traditional imaging modalities in the structure of X-ray diagnostics in the Russian Federation (radiography and fluorography compose up to 95% out of 280 mln. X-ray examinations performed in 2017), the major contribution into the collective dose from medical exposure is due to the computed tomography (50,5%). Comparison of the structure of X-ray diagnostics in the Russian Federation with European Union indicates the absence of fluorography examinations and significantly (up to a factor of 5) higher contribution of computed tomography in European countries. An average collective dose from medical exposure in European countries is composed of 80% of computed tomography and of 10% of nuclear medicine; a mean effective dose per X-ray examination are higher up to a factor of 3 compared to Russia. The analysis of the trends of the development of the X-ray diagnostic in the Russian Federation allows predicting a further increase of the number of computer tomography, interventional and nuclear medicine examinations as well as an increase of the collective dose from medical exposure up to a factor of two in the  next decade. This will be associated with changes in the structure of the X-ray diagnostics and an increase of the mean effective doses from X-ray examinations.

CONTEMPORARY COLLECTIVE EFFECTIVE DOSE TO THE POPULATION FROM X-RAY AND NUCLEAR MEDICINE EXAMINATIONS—CHANGES OVER LAST 10 YEARS IN FINLAND

2020 ◽  
Vol 189 (3) ◽  
pp. 318-322
Author(s):  
Ritva Bly ◽  
Hannu Järvinen ◽  
Sampsa Kaijaluoto ◽  
Verneri Ruonala
Keyword(s):  
Nuclear Medicine ◽  
Effective Dose ◽  
Plain Radiography ◽  
Conversion Factors ◽  
X Ray ◽  
Weighting Factors ◽  
Effective Doses

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.

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
Keyword(s):  
Czech Republic ◽  
Clinical Practice ◽  
Radiation Exposure ◽  
Effective Dose ◽  
National Study ◽  
Malignant Diseases ◽  
Organ Doses ◽  
The Czech Republic ◽  
X Ray ◽  
Effective Doses

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.

scholarly journals Inaktivierungsversuche mit homozygoten Hefestämmen verschiedenen Ploidiegrades

1964 ◽  
Vol 19 (10) ◽  
pp. 929-935 ◽  
Author(s):  
Sigrid Hempel ◽  
Wolfgang Laskowski
Keyword(s):  
Succinic Acid ◽  
Effective Dose ◽  
Colony Formation ◽  
Daughter Cell ◽  
Distinct Difference ◽  
X Rays ◽  
Uv Treatment ◽  
Fermentation Processes ◽  
X Ray ◽  
Effective Doses

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.

Determination of Radiation Exposure for Patients with Dental X-Ray Studies

2020 ◽  
Vol 65 (1) ◽  
pp. 13-16
Author(s):  
S. Somov
Keyword(s):  
Radiation Exposure ◽  
Effective Dose ◽  
Computer Programs ◽  
Federal State ◽  
Patient Exposure ◽  
X Ray ◽  
Effective Doses ◽  
Statistical Form

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.

scholarly journals RADIATION SAFETY OF THE PERSONNEL OF MEDICAL AND INDUSTRIAL ESTABLISHMENTS (1945-2016)

2019 ◽  
Vol 96 (9) ◽  
pp. 801-809
Author(s):  
Vladimir V. Uiba ◽  
A. S. Samoylov ◽  
L. A. Ilin ◽  
I. P. Korenkov
Keyword(s):  
Radiation Safety ◽  
Flaw Detection ◽  
Historical Analysis ◽  
Radiation Technology ◽  
X Ray ◽  
Radiation Sources ◽  
Research Problems ◽  
Exposure Levels ◽  
Personnel Safety ◽  
Technical Solutions

In this article, the historical analysis of the application of ionizing radiation sources in medicine and industry from the early stages of the development of radiation technology to the present day is shown. A retrospective (1945-1960) assessment of the personnel radiation doses in the X-ray diagnostic department (the use of open and closed X-ray tubes) and of the personnel of flaw detection laboratories (using collet grips and non-standard flaw detectors) showed a significant exceeding of the permissible values existing at that period of time. For the time present the existing system for the protection of personnel in medical and industrial establishments is shown to meet modern requirements, and the exposure levels are well below the permissible values established by RSB (Radiation Safety Norms)-99/2009. In intervention methods of research problems of further improvement of the personnel safety system are shown to exist, first of all, the development of technical solutions for the protection of the lens is required.

scholarly journals Problems of radiation safety calculations related to spent nuclear fuel transport casks

2020 ◽  
Vol 6 (1) ◽  
pp. 43-47
Author(s):  
Artem V. Sobolev ◽  
Pavel A. Danilov
Keyword(s):  
Gamma Radiation ◽  
Effective Dose ◽  
Nuclear Fuel ◽  
Spent Nuclear Fuel ◽  
Radiation Safety ◽  
Spent Fuel ◽  
Preliminary Assessment ◽  
Radiation Sources ◽  
Fuel Assemblies ◽  
Long Time

The paper discusses the stages of calculating the radiation safety of spent nuclear fuel (SNF) transport packages, in particular, transport casks and some related problems. The problem of describing the source of neutrons and gamma radiation of spent nuclear fuel is shown. For individual designs of fuel assemblies, data are given on isotopes that make the main contribution to the neutron source as well as on gamma rays in nuclear fuel material and structural materials. The authors emphasize the necessity of analyzing the influence of the initial spent fuel parameters on the formation of the radiation spectrum and, therefore, on the radiation situation around the transport casks. Consideration is given to the problem of assessing the attenuation of gamma radiation in calculating protection analytically and using software. Due to the ambiguity of the position of the zone with the highest effective dose value on the SNF transport cask surface, it is indicated that preliminary estimates are required to take into account all radiation sources and their nonuniformities. All the problems presented in the paper are currently being solved by means of rather complex and voluminous calculations that take a long time. In order to be able to conduct a preliminary assessment of the radiation situation around the transport casks, the authors propose to create a methodology that will determine the type of interrelations between the maximum effective dose and input parameters, such as fuel burnup, decay, fuel composition, protection material in the SNF transport cask, etc. This methodology will make it possible to improve the efficiency of the process of designing the SNF transport casks, avoid possible design errors and, in particular, when used as intended, resolve the issue of the SNF cask loading configuration.

scholarly journals Effective Dose Calculation for Patients Undergoing X-ray Examinations in Erbil Hospitals

2020 ◽  
Vol 9 (3) ◽  
pp. 121-123
Author(s):  
Ilham Khalid Ibrahim ◽  
Fatiheea Fatihalla Hassan ◽  
Nashwan Karkhi Abdulkareem
Keyword(s):  
Cervical Spine ◽  
Effective Dose ◽  
Dose Calculation ◽  
Radiological Protection ◽  
Current Time ◽  
X Ray ◽  
The Monte Carlo Method ◽  
Effective Doses ◽  
The Mean ◽  
Probability Of Cancer

Background: In conventional X-ray examinations, patients are exposed to radiation. Biological hazards from radiation of any source is expressed as effective dose, and is measured in millisieverts (mSv). The purpose of this study was to assess and calculate the effective dose values for patients undergoing posteroanterior (PA) chest, abdomen, anteroposterior (AP) pelvis, and cervical spine X-ray examinations in general hospitals of Erbil city and compare it with those of other studies. Materials and Methods: A total of 255 patients between 20-70 years of age participated in this work (85 per hospital). The patients’ characteristics included age, sex, examination type, projection posture, and exposure parameters captured by NOMEX Multimeter including tube potential and current-time product. The mean effective doses (EDs) of four different examinations (chest (PA), pelvis (AP), abdomen, and cervical spine) were measured using the Monte Carlo method and compared with those of other studies. Results: The mean EDs were calculated 1.04, 2.01, 3.12, and 3.22 mSv for chest (PA), pelvis (AP), abdomen, and cervical spine, respectively. All ED values in this study were higher than those of published studies. The aim of the study was to increase the awareness of the radiographer and patients undergoing conventional X-ray diagnostic radiology on the risk of ionizing radiation for radiological protection in Erbil hospitals. Conclusion: The mean EDs were increased by an increase in the age; this may increase the probability of cancer incidence and heritable diseases. Hence, dose optimization is required due to more probable incidence of cancer when compared to other studies.

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