LEUKOCYTAL INDICES AND OCCUPATIONAL EXTERNAL GAMMA-EXPOSURE
Abstract. Background: The hematopoietic system is classified as the most radiosensitive body system. Research of occupational radiation-induced hematological shifts continues to be a relevant question of occupational radiation safety. Aim: Analysis of leukocytal indices dynamics depending on the accumulated dose of occupational external gamma-exposure. Methods: The database «Leukemia in the cohort of Mayak Production Association workers hired in 1948-1958» was used as the material. Leukocytal indices were estimated based on 19592 peripheral blood analyses; dynamics of hematological shifts was traced according to accumulation of absorbed doses of occupational external gamma-radiation; comparative analysis of hemogramms with a group of workers without oncohematological pathology was carried out. Nonparametric statistical methods were applied. Results: The period of dose accumulation at the same total dose of occupational external gamma-exposure was much different in the study groups, it was much shorter for individuals who later died of leukemia. Leukocytal indices in groups were most different in the range of accumulated absorbed doses of external gamma exposure equal to 2 – 2.5 Gy and had the largest amplitude of values among the workers diagnosed for leukemia later. Conclusion: The estimation of leukocytal indices may be used as the tool for early detection of adverse hematological shifts in cell lines and may be the indicator of pathologic hemapoiesis in the exposed workers before clinical manifestation of hematological pathology.