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The Importance of Radiation Methods in the Diagnosis of Coronary Heart Disease in a Specific Patient 放射方法在诊断特定患者冠心病中的重要性
Q4 Medicine Pub Date : 2024-04-01 DOI: 10.33266/1024-6177-2024-69-2-49-52
I.O. Tomashevsky, O.S. Kornikova
Purpose: Demonstrate a clinical observation in which to establish a diagnosis it was necessary to use eight methods for diagnosing coronary pathology, four of which are radiation. Material and methods: To establish a diagnosis in a cardiac patient with suspected coronary heart disease (CHD), post-infarction cardiosclerosis, echocardiography (ECG), Holter monitoring (HM), bicycle ergometry (VE), X-ray computed tomography (X-ray computed tomography) to determine calcification of the coronary arteries, single-photon selective computer tomography (SPECT), magnetic resonance computed tomography (MRI), positron emission computed tomography (PET), coronary angiography (CAG). Results: The sequential use of eight diagnostic methods, four from radiation, was established when observing cardiosclerosis with coronary heart disease, cardiosclerosis in the 4, 5, 10, and 11 segments of the heart, complicated by a left ventricular aneurysm in the lower and lateral walls with minor ischemia at the height of physical activity. The need to use SPECT/CT in the complex diagnosis of coronary heart disease consists of using hybrid tomography and sequentially performing two studies in one diagnostic procedure (X-ray computed tomography and SPECT with 99m Tc-technetril) it seems possible to obtain 26 study indicators (with X-ray computed tomography – 4 indicators assessing calcification of the coronary arteries, with SPECT – 11 indicators of perfusion and 11 indicators of myocardial function). Conclusion: A clinical observation of the diagnosis of coronary artery disease with post-infarction cardiosclerosis and left ventricular aneurysm was demonstrated in which eight diagnostic technologies were used (ECG, CM, VE, CT, SPECT, MRI, PET, and CAG), four of which relate to radiation diagnostics (X-ray CT, SPECT, PET, and KAG). A feature of sequential hybrid tomography (X-ray CT and SPECT with 99mTc-technitrile) is that this technology allows you to obtain 26 research indicators.
目的:展示一项临床观察,在该观察中,为了确定诊断,必须使用八种方法来诊断冠状动脉病变,其中四种是放射方法。材料和方法:为确诊一名疑似冠心病(CHD)、梗塞后心脏硬化、超声心动图(ECG)、Holter 监测(HM)、自行车测力(VE)的心脏病患者、确定冠状动脉钙化的 X 射线计算机断层扫描(X 射线计算机断层扫描)、单光子选择性计算机断层扫描(SPECT)、磁共振计算机断层扫描(MRI)、正电子发射计算机断层扫描(PET)、冠状动脉造影术(CAG)。结果:在观察伴有冠心病的心肌梗塞、心脏 4、5、10 和 11 节段的心肌梗塞、左心室下壁和侧壁动脉瘤并发症以及体育活动高峰期的轻微缺血时,确定了八种诊断方法(其中四种来自辐射)的顺序使用。在冠心病的复杂诊断中需要使用 SPECT/CT,包括使用混合断层扫描,在一次诊断过程中依次进行两项检查(X 射线计算机断层扫描和使用 99m Tc-technetril 的 SPECT),似乎可以获得 26 项研究指标(X 射线计算机断层扫描--4 项评估冠状动脉钙化的指标,SPECT--11 项灌注指标和 11 项心肌功能指标)。结论是对冠状动脉疾病合并梗死后心脏硬化和左心室动脉瘤的诊断进行了临床观察,其中使用了八种诊断技术(心电图、CM、VE、CT、SPECT、MRI、PET 和 CAG),其中四种与放射诊断有关(X 射线 CT、SPECT、PET 和 KAG)。顺序混合断层扫描(X 射线 CT 和 SPECT,99m锝-technitrile)的一个特点是,该技术可以获得 26 项研究指标。
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引用次数: 0
Experience in Developing Radiation Sources for Personalized Brachytherapy Based on Titanium Alloys 开发基于钛合金的个性化近距离放射治疗辐射源的经验
Q4 Medicine Pub Date : 2024-04-01 DOI: 10.33266/1024-6177-2024-69-2-73-80
D. Chuvilin, I. I. Skobelin, A. V. Kurochkin, K. A. Makoveeva, A.N. Strepetov, P. A. Karalkin, M.A. Karalkina, I.V. Reshetov
Purpose: The study explores the possibility of manufacturing radiation sources for personalized brachytherapy using titanium alloys, activated in a neutron flux reactor, by measuring the radiation composition of applicator implants and their dosimetric characteristics. Material and methods: A 3D implant of a brachytherapy source was made from a titanium alloy using an additive selective laser melting setup. The titanium 3D prototype was irradiated for three days in the horizontal experimental channel of the IR-8 reactor. Subsequently, measurements of the gamma-ray spectrum from the irradiated implant were carried out on a spectrometer, and dose characteristics of the 3D implant were measured using a dosimeter-radiometer. Results: In the experimental 3D implant obtained by us, the radionuclide 47Sc exhibits the highest activity. Currently, 47Sc is considered a promising candidate for brachytherapy. It possesses attractive nuclear and physical properties as a β-emitter, decaying into the ground state (27 %) of 47Ti (Eβmax = 600 keV) and the excited state of 47Ti (Eβmax = 439 keV) with a half-life of 3.4 days. Additionally, 47Sc emits γ-radiation at an energy of 159 keV (68 %), which is suitable for imaging, allowing for SPECT or planar scintigraphy and obtaining a picture of the drug’s distribution in the body. In the experimental implant, small amounts of scandium radionuclides – 46Sc and 48Sc, were also detected, emitting sufficiently hard gamma radiation, which can pose a problem for patient dosage determination. The advantages of using titanium-47 with an enrichment of over 95 %, economically available, have been demonstrated, allowing for high radiochemical yields of 47Sc, sufficient for therapy. Conclusion: The 3D printing technology allows the production of a customized applicator for brachytherapy of specific dimensions and the delivery of arbitrarily-shaped sources to the tumor area for personalized therapy of oncological diseases. When implanting sources based on titanium alloys activated in a neutron flux of a research nuclear reactor, the radionuclide scandium-47 exhibits the highest activity.
目的:本研究通过测量施用器植入物的辐射成分及其剂量特性,探讨利用在中子通量反应堆中活化的钛合金制造个性化近距离治疗辐射源的可能性。材料和方法使用添加剂选择性激光熔化装置用钛合金制作近距离放射源的三维植入物。在 IR-8 反应堆的水平实验通道中对钛三维原型进行了为期三天的辐照。随后,使用光谱仪测量了辐照植入物的伽马射线光谱,并使用剂量辐射计测量了三维植入物的剂量特性。结果在我们获得的实验性三维植入体中,放射性核素 47Sc 的放射性活度最高。目前,47Sc 被认为是近距离放射治疗的理想候选材料。作为一种β发射体,它具有诱人的核物理特性,可衰变为 47Ti 的基态(27%)(Eβmax = 600 keV)和 47Ti 的激发态(Eβmax = 439 keV),半衰期为 3.4 天。此外,47Sc 发出的 γ 射线能量为 159 千伏安(68%),适合成像,可用于 SPECT 或平面闪烁成像,并可获得药物在体内的分布情况。在实验植入物中,还检测到了少量的钪放射性核素--46Sc 和 48Sc,它们会发出足够硬的伽马射线,这可能会给患者剂量的确定带来问题。使用富集度超过 95%、经济实惠的钛-47 的优势已经得到证明,它可以产生足够用于治疗的 47Sc 高放射化学产量。结论通过三维打印技术,可以生产出定制的近距离放射治疗器,具有特定的尺寸,并能将任意形状的放射源输送到肿瘤区域,实现肿瘤疾病的个性化治疗。在研究核反应堆的中子通量中激活基于钛合金的放射源时,放射性核素钪-47的活性最高。
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引用次数: 0
Angelina Konstantinovna Guskova (for the 100th Anniversary of her Birth) 安吉丽娜-康斯坦丁诺夫娜-古斯科娃(Angelina Konstantinovna Guskova)(纪念其诞辰 100 周年
Q4 Medicine Pub Date : 2024-04-01 DOI: 10.33266/1024-6177-2024-69-2-83-88
I.L. Efimova
Angelina Konstantinovna Guskova, Doctor of Medical Sciences, Professor, Corresponding Member of the Russian Academy of Medical Sciences, Laureate of the Lenin Prize, Honoured Scientist of the RSFSR, Laureate of the Sievert Prize, worked for 50 years at the A.I. Burnazyan FMBC. She was born on 29 March 1924 in the family of doctor Konstantin Vasilievich and pianist Zoya Vasilievna Guskov. In 1941, she entered the Sverdlovsk State Medical Institute, Faculty of Medicine, and successfully graduated in 1946. A.K. Guskova did her residency at the Clinic of Nervous Diseases and Neurosurgery. After her graduation, Angelina Konstantinovna was sent to Chelyabinsk-40 (Ozersk), where she started working in medical institutions serving the operating personnel of Plutonium Combine No. 817. There she gained her first experience in treating patients with acute and chronic radiation sickness. In 1957, A.K. Guskova became a senior researcher at the Institute of Biophysics in Moscow, from 1961 she headed the Radiology Department of the Institute of Occupational Hygiene and Occupational Diseases of the USSR Academy of Medical Sciences. In 1974 she returned to the Institute of Biophysics of the Ministry of Health of the USSR as Head of the Clinical Department. Under the leadership of A.K. Guskova in the Clinical Department of the Institute of Biophysics a number of methods of diagnostics and prediction of severity of radiation syndromes, as well as their treatment were developed and introduced into practice. This allowed the staff of the Department to successfully cope with the most difficult task of treating a large group of victims of the Chornobyl accident in 1986. A.K. Guskova is the author of more than 200 publications, 11 monographs (co-authored), and sections in monographs and manuals (independent). The most important of them are: «Human Radiation Disease» (1971), «Medical Assistance given to personnel of the Chernobyl N.P., after 1986 Accident». (1996). (editor and co-author), «Guidelines for Organisation of Medical Care for Persons Exposed to Radiation» (1986), «Guidelines for Radiation Medicine» (2001).
安吉丽娜-康斯坦丁诺夫娜-古斯科娃(Angelina Konstantinovna Guskova),医学博士,教授,俄罗斯医学科学院通讯院士,列宁奖获得者,俄罗斯苏维埃联邦社会主义共和国荣誉科学家,希沃特奖获得者,在 A.I. Burnazyan FMBC 工作了 50 年。她于 1924 年 3 月 29 日出生在医生康斯坦丁-瓦西里耶维奇和钢琴家卓娅-瓦西里耶芙娜-古斯科夫的家庭。1941 年,她进入斯维尔德洛夫斯克国立医学院医学系学习,并于 1946 年顺利毕业。A.K. Guskova 在神经疾病和神经外科诊所做住院医生。毕业后,安吉丽娜-康斯坦丁诺芙娜被派往车里雅宾斯克-40(奥泽尔斯克),开始在为第 817 号钚联合企业操作人员服务的医疗机构工作。在那里,她第一次获得了治疗急性和慢性辐射病患者的经验。1957 年,A.K. Guskova 成为莫斯科生物物理研究所的高级研究员,1961 年起担任苏联医学科学院职业卫生和职业病研究所放射科主任。1974 年,她回到苏联卫生部生物物理研究所担任临床部主任。在古斯科娃(A.K. Guskova)的领导下,生物物理研究所临床部开发出了许多诊断和预测辐射综合症严重程度的方法,并将这些方法用于治疗。这使得该部门的工作人员能够成功地完成治疗 1986 年切尔诺贝利核电站事故的大批受害者这一最艰巨的任务。А.К.古斯科娃发表了 200 多篇论文,出版了 11 部专著(合著)以及专著和手册中的章节(独立)。其中最重要的有"人类辐射病》(1971 年)、《1986 年切尔诺贝利核电站事故后向工作人员提供的医疗援助》(1996 年)。(1996).(编辑和合著者)、"受辐射人员医疗组织准则"(1986 年)、"辐射医学准则"(2001 年)。
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引用次数: 0
Theoretical Analysis of the Radiation Quality and the Relative Biological Efficiency of Tritium 氚的辐射质量和相对生物效率的理论分析
Q4 Medicine Pub Date : 2024-04-01 DOI: 10.33266/1024-6177-2024-69-2-65-72
S. Rodneva, D. Guryev
Introduction 1. Tritium and reference radiation 1.1 Tritium isotope and its energy spectrum 1.2 Reference radiation 2. Methods for determining the quality of radiation and RBE 2.1 Radiation quality in microdosimetry 2.2 RBE by the number of DNA double-strand breaks 2.3 RBE by fraction of secondary low-energy electrons 3. Analysis of calculations of radiation quality and tritium RBE 3.1 Estimation of tritium emission quality factors 3.2 Evaluation of the RBE of tritium radiation during its action on DNA 3.3 Estimation of the RBE of tritium from the fraction of secondary low-energy electrons 3.4 Quality factors and RBE of tritium with respect to reference emissions Conclusion
导言 1.氚和参考辐射 1.1 氚同位素及其能谱 1.2 参考辐射 2.确定辐射质量和 RBE 的方法 2.1 微剂量测定法中的辐射质量 2.2 根据 DNA 双链断裂数量确定的 RBE 2.3 根据次级低能电子分数确定的 RBE 3.辐射质量和氚 RBE 的计算分析 3.1 氚辐射质量因子的估算 3.2 氚辐射作用于 DNA 时的 RBE 评估 3.3 根据二次低能电子分数估算氚的 RBE 3.4 氚的质量因子和 RBE 与参考辐射量的关系 结论
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引用次数: 0
Development of the Legal Framework in the Field of Radiation Safety 制定辐射安全领域的法律框架
Q4 Medicine Pub Date : 2024-04-01 DOI: 10.33266/1024-6177-2024-69-2-24-29
A.S. Samoylov, O.A. Kochetkov, V. Klochkov, V. Barchukov, S.M. Shinkarev
Purpose: To justify the main areas of Russian legacy framework in the field of radiation safety assurance as a basis for improvement of the current standards and regulations. Material and methods: The article analyses international documents and Russian federal laws regulating different aspects of human safety and highlights the most important approaches and procedures of safety assurance proven in practice. Results: The necessity of developing new federal law “On Radiation Safety in Russian Federation” is substantiated. The article shows that internationally recognized principles of radiation safety assurance should be applied in Russia: those are the preservation principle, the responsibility principle, the continuous control principle and, in particular, the permission principle. The last principle means that what is not permitted is forbidden when it comes to handling ionizing radiation sources. The article describes the main provisions and elements of new law and details some considerations that need to be articulated and enhanced in new federal law based on positive experience of their implementation in the current federal laws on different safety aspects. Conclusion: New federal Law “On Radiation Safety in Russian Federation” should incorporate all positive experience of applying the current Federal Law of 09.01.1996 N 3-FL “On Radiation Safety of the Public” and other Russian laws regulating different aspects of human safety assurance in various fields. New law should be based on unconditional priority of protection of human life and health, present and future generations and the environment from possible radiation exposure. New law should enable interaction of the facilities whose activities are related to handling ionizing radiation sources and facilities of the infrastructure for radiation safety assurance, as well as provide connection to other regulations that set specific norms and requirements in the field of radiation safety assurance.
目的:论证俄罗斯在辐射安全保障领域遗留框架的主要领域,作为改进现行标准和法规的基础。材料与方法文章分析了规范人类安全不同方面的国际文件和俄罗斯联邦法律,并强调了在实践中得到证明的最重要的安全保证方法和程序。结果:制定新的联邦法律《俄罗斯联邦辐射安全法》的必要性得到了证实。文章指出,俄罗斯应采用国际公认的辐射安全保障原则:即保护原则、责任原则、持续控制原则,特别是许可原则。最后一项原则是指在处理电离辐射源时,不允许的就是禁止的。文章介绍了新法律的主要条款和要素,并根据现行联邦法律在不同安全方面的积极实施经验,详细阐述了新联邦法律中需要阐明和加强的一些考虑因素。结论:新联邦法《俄罗斯联邦辐射安全法》应吸收 1996 年 1 月 9 日 N 3-FL 号现行联邦法《公众辐射安全法》和俄罗斯其他有关各领域人类安全保障不同方面的法律的积极实施经验。新法律应以无条件优先保护人类生命和健康、今世后代以及环境免受可能的辐射为基础。新法律应使从事电离辐射源处理相关活动的设施与辐射安全保障基础设施的设 施相互配合,并与辐射安全保障领域制定具体规范和要求的其他法规相衔接。
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引用次数: 0
Results of the 70-th Session of the United Nations Scientific Committee on the Effects of the Atomic Radiation (UNSCEAR) (Vienna, 19–23 June, 2023) 联合国原子辐射影响问题科学委员会(UNSCEAR)第七十届会议(2023 年 6 月 19-23 日,维也纳)的成果
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-5-14
A.V. Akleyev, T. Azizova, S.A. Ivanov, S. Kiselev, R. M. Takhauov, S. Fesenko, S.M. Shinkarev
The paper dwells upon the key outcomes of the 70-th Session of the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) which took place during 19-23 June 2023. Experts from 30 UNSCEAR Member-states as well as the representatives of international organizations participated in the work of the Session. Within the framework of the meetings of the working group and subgroups the documents on the following projects were discussed: R.757 “Second primary cancer after radiotherapy”, R.758 “Epidemiological studies of radiation and cancer”, R.759 “Evaluation of public exposures to ionizing radiation from natural and other sources”, R.760 “Evaluation of diseases of the circulatory system from radiation exposure” and R.761 “Nervous system effects of ionizing radiation”. The Committee also discussed interim reports: UNSCEAR/70/7 “Implementation of the Strategy to improve collection, analysis and dissemination of data on radiation exposure (including consideration of the Committee’s ad hoc working group on sources and exposure)”, UNSCEAR/70/8 “Implementation of the Committee’s Future Programme of Work and proposals for 2025‒2029 period (including consideration of the Committee’s ad hoc working group on effects and mechanisms)”, working materials for this document “Terms used by the United Nations Scientific Committee on the Effects of Atomic Radiation”, UNSCEAR/70/9 “Implementation of public information and outreach strategy for 2020–2024” and Report to the UN General Assembly.
本文件详述了 2023 年 6 月 19 日至 23 日举行的联合国原子辐射影响问题科学委员会(UNSCEAR)第 70 届会议的主要成果。来自辐射科委30个成员国的专家以及国际组织的代表参加了本届会议的工作。在工作组和分组会议框架内,讨论了以下项目的文件:R.757 "放射治疗后的第二次原发性癌症",R.758 "辐射与癌症的流行病学研究", R.759 "评估公众受到的天然和其他来源的电离辐射",R.760 "评估辐照引起的循环系统 疾病 "和 R.761 "电离辐射对神经系统的影响"。委员会还讨论了临时报告:UNSCEAR/70/7 "改进辐照数据收集、分析和传播战略的实施情况(包括对委员会来源和辐照问题特设工作组的审议)",UNSCEAR/70/8 "委员会未来工作计划的实施情况和 2025-2029 年期间的建议(包括对委员会影响和机制问题特设工作组的审议)"、本文件的工作材料 "联合国原子辐射影响问题科学委员会使用的术语"、UNSCEAR/70/9"2020-2024 年公共信息和外联战略的执行情况 "和提交联合国大会的报告。
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引用次数: 0
The Sublimate Production Cohort of the Siberian Chemical Plant (Dosimetric Characteristics) 西伯利亚化工厂的亚硝酸盐生产群(剂量特性)
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-73-76
D. Kalinkin, I. Milto, Anas R. Takhauov, Lilia R. Takhauova, Yulia A. Samoilova, G. V. Gorina, Olesya V. Litvinova, R. M. Takhauov
Introduction: Uranium, which is the raw material basis of the nuclear industry, is capable of causing adverse medical and biological consequences for workers who come into contact with its compounds in the course of their professional activities. In order to study this effect and to study in detail the biomedical consequences of the effects of uranium compounds on the body of personnel of nuclear power facilities, it is necessary to form a cohort of persons engaged in work with uranium compounds. One of the key elements of the uranium conversion technology carried out within the framework of sublimation production is the production of raw uranium hexafluoride for subsequent isotopic enrichment. Purpose: To form and characterize a cohort of sublimate production of the personnel of the Siberian Chemical Plant involved in work with uranium compounds in the period 1953–2000. Material and methods: The source of information was the regional medical dosimetric register of Seversk Biophysical Research Center, containing information on all current and former employees of the Siberian Chemical Plant (about 65,000 people) from the moment of the company’s foundation to the present. Results: A cohort of Siberian Chemical Plant workers involved in work with uranium compounds in the period 1953–2000 has been formed and described. The cohort consists of 577 people (475 men and 102 women). Biomedical information and dosimetric information about the employees included in the cohort are included in the created database of the personnel of the Siberian Chemical Plant involved in working with uranium compounds in the period 1953–2000. Conclusion: The formed cohort and database will allow conducting epidemiological studies to assess the morbidity and mortality of personnel due to malignant neoplasms, as well as making scientifically sound conclusions about the role of uranium compounds in the occurrence and mortality due to malignant neoplasms.
导言:铀是核工业的基础原料,它能对在职业活动中接触铀化合物的工人造成不良的医疗和生物后果。为了研究这种影响,并详细研究铀化合物对核电设施工作人员身体造成的生物医学后果,有必要对从事铀化合物工作的人员进行分组。在升华生产框架内进行的铀转化技术的关键要素之一是生产六氟化铀原料,以便随后进行同位素浓缩。目的:建立 1953-2000 年间西伯利亚化工厂参与铀化合物工作的人员升华生产队列并确定其特征。材料和方法信息来源是塞韦尔斯克生物物理研究中心(Seversk Biophysical Research Center)的地区医学剂量登记册,其中包含西伯利亚化工厂自成立至今所有在职和离职员工(约 65,000 人)的信息。研究结果对西伯利亚化工厂 1953-2000 年期间从事铀化合物工作的工人进行了分类和描述。群组共有 577 人(男性 475 人,女性 102 人)。队列中包括的员工的生物医学信息和剂量测定信息已纳入所建立的 1953-2000 年期间西伯利亚化工厂从事铀化合物工作的人员数据库。结论通过建立的队列和数据库,可以开展流行病学研究,评估恶性肿瘤患者的发病率和死亡率,并就铀化合物在恶性肿瘤发病率和死亡率中的作用做出科学合理的结论。
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引用次数: 0
Results of the 70-th Session of the United Nations Scientific Committee on the Effects of the Atomic Radiation (UNSCEAR) (Vienna, 19–23 June, 2023) 联合国原子辐射影响问题科学委员会(UNSCEAR)第七十届会议(2023 年 6 月 19-23 日,维也纳)的成果
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-5-14
A.V. Akleyev, T. Azizova, S.A. Ivanov, S. Kiselev, R. M. Takhauov, S. Fesenko, S.M. Shinkarev
The paper dwells upon the key outcomes of the 70-th Session of the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) which took place during 19-23 June 2023. Experts from 30 UNSCEAR Member-states as well as the representatives of international organizations participated in the work of the Session. Within the framework of the meetings of the working group and subgroups the documents on the following projects were discussed: R.757 “Second primary cancer after radiotherapy”, R.758 “Epidemiological studies of radiation and cancer”, R.759 “Evaluation of public exposures to ionizing radiation from natural and other sources”, R.760 “Evaluation of diseases of the circulatory system from radiation exposure” and R.761 “Nervous system effects of ionizing radiation”. The Committee also discussed interim reports: UNSCEAR/70/7 “Implementation of the Strategy to improve collection, analysis and dissemination of data on radiation exposure (including consideration of the Committee’s ad hoc working group on sources and exposure)”, UNSCEAR/70/8 “Implementation of the Committee’s Future Programme of Work and proposals for 2025‒2029 period (including consideration of the Committee’s ad hoc working group on effects and mechanisms)”, working materials for this document “Terms used by the United Nations Scientific Committee on the Effects of Atomic Radiation”, UNSCEAR/70/9 “Implementation of public information and outreach strategy for 2020–2024” and Report to the UN General Assembly.
本文件详述了 2023 年 6 月 19 日至 23 日举行的联合国原子辐射影响问题科学委员会(UNSCEAR)第 70 届会议的主要成果。来自辐射科委30个成员国的专家以及国际组织的代表参加了本届会议的工作。在工作组和分组会议框架内,讨论了以下项目的文件:R.757 "放射治疗后的第二次原发性癌症",R.758 "辐射与癌症的流行病学研究", R.759 "评估公众受到的天然和其他来源的电离辐射",R.760 "评估辐照引起的循环系统 疾病 "和 R.761 "电离辐射对神经系统的影响"。委员会还讨论了临时报告:UNSCEAR/70/7 "改进辐照数据收集、分析和传播战略的实施情况(包括对委员会来源和辐照问题特设工作组的审议)",UNSCEAR/70/8 "委员会未来工作计划的实施情况和 2025-2029 年期间的建议(包括对委员会影响和机制问题特设工作组的审议)"、本文件的工作材料 "联合国原子辐射影响问题科学委员会使用的术语"、UNSCEAR/70/9"2020-2024 年公共信息和外联战略的执行情况 "和提交联合国大会的报告。
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引用次数: 0
Post-Radiation Changes in The Number of Phosphorylated H2ax and Atm Protein Foci in Low Dose X-Ray Irradiated Human Mesenchymal Stem Cells 低剂量 X 射线辐照后人间充质干细胞中磷酸化 H2ax 和 Atm 蛋白灶数量的变化
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-15-19
A. Chigasova, M. Pustovalova, A. Osipov, S.A. Korneva, P.S. Eremin, E. Yashkina, M. Ignatov, Y. Fedotov, N. Vorobyeva, A. N. Osipov
Aim: To study the patterns of changes in the number of foci of phosphorylated DNA double-strand break repair proteins H2AX (γH2AX) and ATM (pATM) in cultured human mesenchymal stem cells (MSCs) 1‒48 hours after exposure to X-ray radiation at doses of 40, 80, 160 and 250 mGy. Material and methods: We used the primary culture of human MSCs, obtained from the collection of LLC “BioloT” (Russia). Cells were irradiated using a RUB RUST-M1 X-ray biological unit (Diagnostika-M LLC, Moscow, Russia) equipped with two X-ray emitters at a dose rate of 40 mGy/min (voltage of 100 kV, an anode current of 8 mA, and a 1.5 mm Al filter) and 4 °C temperature. To quantify the yield of γH2AX and pATM foci immunocytochemical staining was carried out with the use of γH2AX and pATM antibody respectively. Statistical analysis of the obtained data was carried out using the statistical software package Statistica 8.0 (StatSoft). To assess the significance of differences between samples, Student’s t-test was used. Results: It was shown that the kinetics of changes in the number of γH2AX foci after irradiation at doses of 160 and 250 mGy and low (40‒80 mGy) doses are significantly different. In contrast to the significant (50‒60 %) decrease in the number of γH2AX foci observed 6 hours after irradiation at doses of 160 and 250 mGy, after irradiation at low doses, no significant decrease in γH2AX foci was observed at this time point. Analysis of the colocalization of γH2AX foci with pATM foci indicates that the mechanisms for maintaining a high number of γH2AX foci 24‒48 hours after low-dose irradiation are ATM independent. A hypothesis has been put forward to explain the phenomenon of maintaining the number of γH2AX foci 24‒48 hours after irradiation in low doses by replicative stress caused by stimulation of proliferation against the background of hyperproduction of free radicals, resulting in additional formation of DNA double-strand breaks and phosphorylation of H2AX by ATR kinase.
目的:研究培养的人类间充质干细胞(MSCs)在受到剂量为40、80、160和250 mGy的X射线照射1-48小时后,DNA双链断裂修复蛋白H2AX(γH2AX)和ATM(pATM)磷酸化灶数量的变化规律。材料与方法我们使用了从 "BioloT "有限责任公司(俄罗斯)收集的人类间充质干细胞原代培养物。使用 RUB RUST-M1 X 射线生物装置(Diagnostika-M LLC,俄罗斯莫斯科)对细胞进行辐照,该装置配有两个 X 射线发射器,剂量率为 40 mGy/min(电压为 100 kV,阳极电流为 8 mA,1.5 mm Al 过滤器),温度为 4 °C。为了量化 γH2AX 和 pATM 病灶的产量,分别使用 γH2AX 和 pATM 抗体进行免疫细胞化学染色。使用 Statistica 8.0 (StatSoft) 统计软件包对所得数据进行统计分析。为评估样本间差异的显著性,采用了学生 t 检验。结果结果表明,160 和 250 mGy 剂量与低剂量(40-80 mGy)照射后,γH2AX 病灶数量的变化动力学有显著差异。与 160 和 250 mGy 剂量照射 6 小时后观察到的γH2AX 病灶数量明显减少(50-60%)不同,低剂量照射后,在此时间点未观察到γH2AX 病灶数量明显减少。对 γH2AX 病灶与 pATM 病灶的共定位分析表明,低剂量辐照 24-48 小时后,维持大量 γH2AX 病灶的机制与 ATM 无关。有一种假说认为,低剂量辐照 24-48 小时后γH2AX 病灶数量的维持是由于在自由基产生过多的背景下刺激增殖引起复制应激,导致 DNA 双链断裂和 H2AX 被 ATR 激酶磷酸化。
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引用次数: 0
Own Experience of using the Radiopharmaceutical 99mTc-sentiskan in Visualization of Sentinel Lymph Nodes in Patients with Breast Cancer 使用放射性药物 99mTc-sentiskan 观察乳腺癌患者前哨淋巴结的亲身经历
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-83-87
R.I. Tamrazov, R.D. Khusnutdinov, E.N. Alekhin, N.V. Averina, Yu.S. Pyshkina, D.А. Pashkov
Purpose: To study the capabilities of the new radiopharmaceutical 99mTc-sentiscan in the visualization of sentinel lymph nodes in patients with breast cancer. Material and methods: A survey of 178 people diagnosed with breast cancer. Patients were divided into two groups depending on the route of administration of the radiopharmaceutical. The day before surgical treatment, all subjects were injected with a radiopharmaceutical using a syringe with an activity of no more than 120 MBq, in a volume of 0.3‒0.4 ml. The visualized sentinel lymph nodes were marked on the skin using a patented device – «Device for external marking of sentinel lymph nodes during radionuclide visualization». Intraoperative search for sentinel lymph nodes was carried out using gamma detectors Gamma-Finder II or Radical, followed by urgent histological examination. Results: Radioisotope visualization of sentinel lymph nodes using the domestic radiopharmaceutical 99mTc-sentiscan: in the first group (the drug was administered peritumorally) was 100 %, the average number of visualized lymph nodes in this group was 2.2; in the second group (the drug was administered subareolarly) ‒ 99.1 %, the average number of visualized lymph nodes ‒ 2.6. In the first group of patients, metastatic lesions of sentinel lymph nodes were detected in 8 cases (13.1 %), and in the second group ‒ in 14 (11.9 %). All lymph nodes were mapped in the axillary region on the side of the tumor process. Conclusion: The possibility of the radiopharmaceutical 99mTc-sentiscan for the identification and biopsy of sentinel lymph nodes in patients with breast cancer was assessed. The use of the domestic 99mTc-sentiscan makes it possible to visualize sentinel lymph nodes in patients with breast cancer and detect their location in 99.1‒100 % of cases. Taking into account the results obtained, the expanded indications for the use of the radiopharmaceutical and the cost of the kits, 99mTc-sentiscan is more preferable for use in clinical practice.
目的:研究新型放射性药物 99mTc-sentiscan 在乳腺癌患者前哨淋巴结显像中的应用。材料与方法对 178 名确诊为乳腺癌的患者进行调查。根据放射性药物的给药途径将患者分为两组。在手术治疗前一天,所有受试者均使用注射器注射放射性药物,注射剂量为 0.3-0.4 毫升,活性不超过 120 MBq。使用专利装置 "放射性核素显像时前哨淋巴结外部标记装置 "在皮肤上标记显像前哨淋巴结。术中使用伽马探测器 Gamma-Finder II 或 Radical 寻找前哨淋巴结,然后进行紧急组织学检查。结果使用国产放射性药物 99mTc-sentiscan 对前哨淋巴结进行放射性同位素显像:第一组(瘤周给药)显像率为 100%,平均显像淋巴结数为 2.2 个;第二组(乳晕下给药)显像率为 99.1%,平均显像淋巴结数为 2.6 个。第一组患者中有 8 例(13.1%)发现前哨淋巴结转移病灶,第二组有 14 例(11.9%)。所有淋巴结均位于肿瘤进程一侧的腋窝区域。结论研究评估了使用放射性药物 99mTc-sentiscan 对乳腺癌患者前哨淋巴结进行识别和活检的可能性。使用国产 99mTc-sentiscan 可以观察到乳腺癌患者的前哨淋巴结,并在 99.1%-100% 的病例中检测到其位置。考虑到所获得的结果、放射性药物使用适应症的扩大以及试剂盒的成本,99m锝-sentiscan 更适合用于临床实践。
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引用次数: 0
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Medical Radiology and Radiation Safety
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