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Radio-Ecological Situation in the Area of the Uranium Legacy Site – Stepnaya Mine (Kalmykia) 斯捷普纳亚矿区(卡尔梅克)铀矿遗留区的放射性生态状况
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-41-49
A. Titov, I. Belskikh, D. Isaev, N. Shandala, T. A. Doroneva, I.I. Bogdanov, M. Semenova, A.A. Shitova, S.L. Burthev
Purpose: To study the radio-ecological situation on the “uranium legacy” site of the former Stepnaya mine in the Republic of Kalmykia. Material and methods: To measure the ambient dose equivalent rate (ADER), the pedestrian gamma survey method was used using a portable spectrometric complex MKC-01A Multirad-M and dosimeter-radiometer MKC-AT6101c. The activity of gamma-emitting radionuclides in soil samples was measured using a stationary gamma spectrometer from CANBERRA. The activities of 210Po and 210Pb were measured using a radiometric installation UMF-2000 following their radiochemical separation from samples. Short-term measurements of activity concentration (AC) and equivalent equilibrium activity concentration (EEAC) of radon were carried out with an aerosol alpha radiometer for radon and thoron RAA-20P2 Poisk. Doses of radiation exposure to biological objects were estimated using dose coefficients provided by ICRP Publication 136 taking into account recommendations R52.18.820-2015. Results: Gamma ADER values at the mine site vary over the range from 0.1 to 0.36 µSv/h, and on 80 % of the area these values do not exceed the background value of 0.14 µSv/h. Along the road from the mine to Narta village the ADER values do not exceed background values with exception of the area around the dam, where in a local part of this area of about 300 m2 these values reach 0.49 µSv/h. The specific activities of natural radionuclides in the soil are below the criteria for classification as solid radioactive waste (SRW). Under the certain weather conditions, radon EEAC inside the buildings on the site reaches 13 kBq/m3, and on the territory 1-1.5 kBq/m3. Ecological risk for the terrestrial biological objects under consideration (grass, soil worm, snake and mouse-like rodents) does not exceed 0.025. Conclusions: The radiation situation at the Stepnaya mine site meets the requirements of SP LKP-91, which were in force until 2020. However, in order to transfer the facility to a local government body, reclamation work should be carried out in accordance with the Federal Law “On the Transfer of Lands or Land Plots from One Category to Another” dated December 21, 2004 No. 172-FZ and GOST R 59057— 2020 «Environmental Protection. Lands. General Requirements for Reclamation of Affected Lands». Doses of exposure to biological objects do not impact significantly on morbidity, reproduction and life expectancy of terrestrial biological objects.
目的:研究卡尔梅克共和国前斯捷普纳亚矿 "铀遗产 "遗址的放射生态状况。材料和方法为了测量环境剂量当量率(ADER),使用了便携式综合光谱仪 MKC-01A Multirad-M 和剂量辐射计 MKC-AT6101c,采用了行人伽马测量法。土壤樣本㆗伽馬放射性核素的放射性活度,是利用㆒台由加 拿大製造的固定式伽馬譜法儀測量的。至於 210Po 和 210Pb 的放射性活度,則是利用㆒台 UMF-2000 輻射測量裝置,在樣本㆗進行放射化學分離後測量出來的。氡和钍 RAA-20P2 Poisk 气溶胶阿尔法辐射计对氡的活度浓度(AC)和等效平衡活度浓度 (EEAC)进行了短期测量。生物物体受到的辐射剂量使用国际放射防护委员会第 136 号出版物提供的剂量系数进行估算,同时考虑到 R52.18.820-2015 号建议。结果:矿区的伽马 ADER 值在 0.1 至 0.36 µSv/h 之间变化,80% 的区域的 ADER 值不超过 0.14 µSv/h 的本底值。从矿区到 Narta 村的公路沿线,ADER 值未超过背景值,但大坝周围地区除外,在该地区约 300 平方米的局部区域,ADER 值达到 0.49 µSv/h。土壤中天然放射性核素的比活度低于固体放射性废物 (SRW) 的分类标准。在特定的天气条件下,场地内建筑物内的氡 EEAC 达到 13 kBq/m3,场地内的氡 EEAC 为 1-1.5 kBq/m3。所考虑的陆地生物对象(草、土壤蠕虫、蛇和类鼠)的生态风险不超过 0.025。结论斯捷普纳亚矿区的辐射情况符合国家卫生标准 LKP-91 的要求,该标准有效期至 2020 年。然而,为了将该设施转让给地方政府机构,应根据 2004 年 12 月 21 日第 172-FZ 号《关于土地或地块从一类转让给另一类的联邦法》和 GOST R 59057- 2020 号《环境保护。土地。受影响土地复垦的一般要求"。生物物体的暴露剂量不会对陆地生物物体的发病率、繁殖和预期寿命产生重大影响。
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引用次数: 0
Comparative Retrospective Analysis of the Results of Cytogenetic Studies of Employees of the Object of Use of Ionizing Radiation 电离辐射使用对象员工细胞遗传学研究结果的比较性回顾分析
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-61-66
T.V. Vishnevskaya, D. Isubakova, M. Tsyplenkova, O. Tsymbal, I. Milto, R. M. Takhauov
Purpose: To conduct a comparative retrospective analysis of the results of cytogenetic studies of workers at facilities using ionizing radiation in 2003 and 2018. Material and methods: The material for the study was the venous blood of workers at facilities using ionizing radiation. The study was conducted on conditionally healthy workers (n = 11), of which 2 groups were formed: the control group (blood sampling and cytogenetic study of blood lymphocytes were carried out in 2003) and the study group (blood sampling was carried out in 2018). For all examined individuals, blood lymphocytes were cultured and standard cytogenetic analysis followed by statistical processing of the results. Results: A comparative retrospective analysis showed that in the study group (2018) compared to the control group (2003), the frequency of chromatid fragments was reduced (p = 0.0452). The frequencies of other types of cytogenetic disorders studied (aberrant cells, chromosomal fragments, dicentric and circular chromosomes) do not differ between groups. Cytogenetic abnormalities in blood lymphocytes are a highly sensitive measure of the degree of radiation exposure in the early and late periods after exposure and can be used as a biological indicator of ionizing radiation. The absence of differences in indicators of radiation exposure markers may be due to the large interval of time that elapsed after irradiation until the moment of examination (15 years), during which lymphocytes with chromosomal aberrations were eliminated from the blood. In the future, for the completeness of the retrospective analysis and the accuracy of the result, it is planned to conduct a study on a larger sample with a shorter time interval between cytogenetic studies. Conclusion: The result of this work allows us to supplement the understanding of the mutation process in the somatic cells of individuals exposed to ionizing radiation in the course of professional activities and indicates genotoxicity.
目的:对 2003 年和 2018 年使用电离辐射设施的工人的细胞遗传学研究结果进行比较性回顾分析。材料与方法:研究材料为电离辐射设施工人的静脉血。研究对象为条件健康的工人(n = 11),其中分为两组:对照组(2003 年进行了血液采样和血液淋巴细胞细胞遗传学研究)和研究组(2018 年进行了血液采样)。对所有受检者的血液淋巴细胞进行培养和标准细胞遗传学分析,然后对结果进行统计处理。结果显示回顾性对比分析表明,与对照组(2003 年)相比,研究组(2018 年)染色体片段的频率有所降低(P = 0.0452)。所研究的其他类型细胞遗传学疾病(畸变细胞、染色体片段、双中心染色体和环状染色体)的频率在组间没有差异。血液淋巴细胞的细胞遗传学异常是衡量辐照后早期和晚期辐照程度的一个高度敏感的指标,可用作电离辐射的生物学指标。辐照指标之所以没有差异,可能是因为从辐照后到检查时(15 年)间隔时间较长,在此期间血液中染色体畸变的淋巴细胞已被清除。为了保证回顾性分析的完整性和结果的准确性,今后计划对细胞遗传学研究间隔时间较短的更大样本进行研究。结论这项工作的结果使我们对在职业活动中受到电离辐射照射的人的体细胞突变过程有了更深入的了解,并表明了基因毒性。
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引用次数: 0
Assessment of the Radiation Situation during Short-Term Flights to the Moon 评估月球短期飞行期间的辐射状况
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-50-60
I.V. Ivanov, V. I. Burmistrov, E. Matkevich
Background: The issue of assessing the features of factors affecting the formation of radiation doses of astronauts while in orbit of the Moon and on its surface remains insufficiently studied, which is important for ensuring the anti-radiation safety of astronauts on lunar missions. Purpose: To analyze the factors influencing the formation of the radiation dose of astronauts at the stage of finding the spacecraft in orbit of the Moon and the lander on its surface. Material and methods: The features of the dose load levels on astronauts at the stages of the Moon’s orbit and on the Moon’s surface are analyzed and generalized, calculation methods are used taking into account the orbit of the spacecraft around the Moon, the anti-radiation properties of the materials of the lander and spacesuit and the time spent in them during a short-term lunar mission. Results: The total radiation doses of astronauts for 14 days, calculated according to dosimetric measurements during the years of low solar activity (2009 and 2018‒2019), are 19.5‒23.2 mSv for astronauts staying in a spacecraft in lunar orbit, and from 22,7 to 24,0 mSv for astronauts on the Lunar surface, depending on the mass thickness of the protection at the maximum permissible 250 mSv for 1 month. An increase in the mass thickness of the anti-radiation protection of the lander in the equivalent of aluminum from 1.5 to 3-5 g/cm2 and the lunar spacesuit in the equivalent of aluminum from 0.2 to 0.5‒1 g/cm2 will reduce the total radiation dose of astronauts no more than 1.3 times during a 14-day stay on the surface of the moon. The results indicate that in order to minimize the radiation doses that astronauts receive during a lunar mission, it is important to take into account the forecast of solar activity in order to optimize the launch time of the spacecraft in the «windows» with minimal levels of radiation exposure. Conclusion: When predicting radiation hazard levels for astronauts during a short-term lunar mission, it is necessary to assess the levels of exposure to cosmic ionizing radiation both in the orbit of the Moon, depending on the lunar trajectory of the spacecraft, and on the surface of the Moon, taking into account the time spent in the lunar module and in a spacesuit, as well as levels of solar activity. It is important to take into account the analyzed features of the formation of cosmonauts’ radiation doses while orbiting the Moon and on its surface when predicting the time limits of the lunar mission, anti-radiation protection of astronauts and their compliance with the regulatory limits of exposure.
背景:对影响宇航员在月球轨道和月球表面辐射剂量形成的因素特征的评估问题仍然没有进行充分的研究,这对于确保执行月球任务的宇航员的抗辐射安全非常重要。目的:分析在月球轨道上寻找航天器和在月球表面寻找着陆器阶段形成宇航员辐射剂量的影响因素。材料和方法分析和归纳了宇航员在月球轨道和月球表面各阶段的剂量负荷水平的特点,采用的计算方法考虑了航天器绕月轨道、着陆器和宇航服材料的抗辐射性能以及短期月球任务期间在其中度过的时间。结果:根据低太阳活动年(2009 年和 2018-2019 年)的剂量测定结果,宇航员 14 天的总辐射剂量为 19.5-23.2 毫希沃特(mSv),宇航员在月球轨道的航天器中停留 14 天的总辐射剂量为 19.5-23.2 毫希沃特(mSv),宇航员在月球表面停留 14 天的总辐射剂量为 22.7-24.0 毫希沃特(mSv),这取决于 1 个月内最大允许 250 毫希沃特(mSv)的防护质量厚度。如果将着陆器防辐射保护装置的质量厚度(铝当量)从 1.5 克/平方厘米增加到 3-5 克/平方厘米,月球宇航服的质量厚度(铝当量)从 0.2 克/平方厘米增加到 0.5-1 克/平方厘米,那么宇航员在月球表面停留 14 天期间的总辐射剂量将减少不超过 1.3 倍。结果表明,为了最大限度地减少宇航员在月球任务期间受到的辐射剂量,必须考虑到太阳活动的预测,以便在辐射量最小的 "窗口 "内优化航天器的发射时间。结论在预测短期月球飞行任务期间宇航员的辐射危害水平时,有必要评估在月球轨道 (取决于航天器的月球轨道)和月球表面的宇宙电离辐射照射水平,同时考虑到在登月舱 和宇航服中度过的时间以及太阳活动水平。在预测月球飞行任务的时间限制、宇航员的抗辐射保护以及他们遵守辐照规定限值时,必须考虑到对宇航员在月球轨道上和月球表面的辐射剂量形成特点的分析。
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引用次数: 0
Fluorimetric Evaluation of the Effect of Malic, Succinic and Ascorbic Acids on the Growth Properties of A549 Cells in Culture 用荧光测定法评估苹果酸、琥珀酸和抗坏血酸对培养中的 A549 细胞生长特性的影响
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-28-32
L.A. Romodin, E. Yashkina, A.A. Moskovskij
Relevance: A number of researchers consider the study of the radioprotective properties of non-toxic or low-toxic natural substances to be a promising direction. A special place among them is occupied by antioxidants and participants in the basic reactions of metabolism. In order to avoid methodological errors when performing these studies, it is necessary to conduct a number of additional experiments. For example, in order to study the properties of various substances on cell cultures using tablet readers, it is first necessary to make sure that these substances do not affect the ability of cells to adsorb to the bottom of the wells of the tablet and do not interfere with cell proliferation. And if such an influence is detected, further experiments with these substances should be planned taking into account the information received. Purpose: To search the effect of ascorbic, malic and succinic acids on the ability of lung adenocarcinoma cells (A549) to adhere in a 96-well plate, followed by the onset of proliferation by fluorescence registration method using Hoechst-33342 fluorophore. Methodology: The experiment was carried out in a 96-well tablet. The working concentration of Hoechst-33342 was 1 μg/ml (1.62 μM). Fluorescence was recorded at a wavelength of 460 nm when the samples were excited by light with a wavelength of 355 nm. In an experiment to study the effect of ascorbate, malate and succinate on cell adhesion and proliferation, 20,000 cells and a solution of one of these substances in a working concentration of 2 mM were introduced into the cells of the tablet. The number of cells in the wells was estimated based on the fluorescence of Hoechst-33342 after a day of incubation. Result: In samples containing 2 mM succinic acid and ascorbic acid, a statistically significant decrease in the intensity of fluorescence was observed compared with a sample that did not contain the drug. This suggests that these compounds negatively affect the growth properties of the A549 culture: they inhibit cell adhesion or slow down their proliferation. Scope of the results and conclusions:The results obtained are necessary for the methodologically correct planning of the most detailed studies on the A549 cell line model using fluorescent methods, including studies on the radioprotective properties of ascorbate, malate and succinate under the influence of rare ionizing and neutron radiation.
相关性:许多研究人员认为,研究无毒或低毒天然物质的防辐射特性是一个很有前途的方向。其中,抗氧化剂和参与新陈代谢基本反应的物质占有特殊地位。为了避免在进行这些研究时出现方法错误,有必要进行一些额外的实验。例如,要使用读片器研究各种物质对细胞培养物的特性,首先必须确保这些物质不会影响细胞吸附到片剂孔底部的能力,也不会干扰细胞增殖。如果检测到有这种影响,则应根据所获信息计划使用这些物质进行进一步实验。目的:研究抗坏血酸、苹果酸和琥珀酸对肺腺癌细胞(A549)在 96 孔板中吸附能力的影响,以及使用 Hoechst-33342 荧光团的荧光登记法对细胞开始增殖的影响。实验方法实验在 96 孔板中进行。Hoechst-33342 的工作浓度为 1 μg/ml (1.62 μM)。当样品被波长为 355 nm 的光激发时,在波长为 460 nm 处记录荧光。在研究抗坏血酸、苹果酸盐和琥珀酸盐对细胞粘附和增殖的影响的实验中,将 20,000 个细胞和工作浓度为 2 mM 的其中一种物质的溶液引入片剂细胞中。培养一天后,根据 Hoechst-33342 的荧光估计孔中细胞的数量。结果在含有 2 mM succinic acid 和 ascorbic acid 的样品中,与不含药物的样品相比,荧光强度出现了统计学意义上的显著下降。这表明这些化合物对 A549 培养物的生长特性产生了负面影响:它们抑制了细胞粘附或减缓了细胞增殖。结果和结论的范围:所获得的结果对于从方法上正确规划使用荧光方法对 A549 细胞系模型进行最详细的研究,包括研究抗坏血酸、苹果酸盐和琥珀酸盐在稀有电离辐射和中子辐射影响下的辐射保护特性非常必要。
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引用次数: 0
Assessment of the Radiation Situation during Short-Term Flights to the Moon 评估月球短期飞行期间的辐射状况
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-50-60
I.V. Ivanov, V. I. Burmistrov, E. Matkevich
Background: The issue of assessing the features of factors affecting the formation of radiation doses of astronauts while in orbit of the Moon and on its surface remains insufficiently studied, which is important for ensuring the anti-radiation safety of astronauts on lunar missions. Purpose: To analyze the factors influencing the formation of the radiation dose of astronauts at the stage of finding the spacecraft in orbit of the Moon and the lander on its surface. Material and methods: The features of the dose load levels on astronauts at the stages of the Moon’s orbit and on the Moon’s surface are analyzed and generalized, calculation methods are used taking into account the orbit of the spacecraft around the Moon, the anti-radiation properties of the materials of the lander and spacesuit and the time spent in them during a short-term lunar mission. Results: The total radiation doses of astronauts for 14 days, calculated according to dosimetric measurements during the years of low solar activity (2009 and 2018‒2019), are 19.5‒23.2 mSv for astronauts staying in a spacecraft in lunar orbit, and from 22,7 to 24,0 mSv for astronauts on the Lunar surface, depending on the mass thickness of the protection at the maximum permissible 250 mSv for 1 month. An increase in the mass thickness of the anti-radiation protection of the lander in the equivalent of aluminum from 1.5 to 3-5 g/cm2 and the lunar spacesuit in the equivalent of aluminum from 0.2 to 0.5‒1 g/cm2 will reduce the total radiation dose of astronauts no more than 1.3 times during a 14-day stay on the surface of the moon. The results indicate that in order to minimize the radiation doses that astronauts receive during a lunar mission, it is important to take into account the forecast of solar activity in order to optimize the launch time of the spacecraft in the «windows» with minimal levels of radiation exposure. Conclusion: When predicting radiation hazard levels for astronauts during a short-term lunar mission, it is necessary to assess the levels of exposure to cosmic ionizing radiation both in the orbit of the Moon, depending on the lunar trajectory of the spacecraft, and on the surface of the Moon, taking into account the time spent in the lunar module and in a spacesuit, as well as levels of solar activity. It is important to take into account the analyzed features of the formation of cosmonauts’ radiation doses while orbiting the Moon and on its surface when predicting the time limits of the lunar mission, anti-radiation protection of astronauts and their compliance with the regulatory limits of exposure.
背景:对影响宇航员在月球轨道和月球表面辐射剂量形成的因素特征的评估问题仍然没有进行充分的研究,这对于确保执行月球任务的宇航员的抗辐射安全非常重要。目的:分析在月球轨道上寻找航天器和在月球表面寻找着陆器阶段形成宇航员辐射剂量的影响因素。材料和方法分析和归纳了宇航员在月球轨道和月球表面各阶段的剂量负荷水平的特点,采用的计算方法考虑了航天器绕月轨道、着陆器和宇航服材料的抗辐射性能以及短期月球任务期间在其中度过的时间。结果:根据低太阳活动年(2009 年和 2018-2019 年)的剂量测定结果,宇航员 14 天的总辐射剂量为 19.5-23.2 毫希沃特(mSv),宇航员在月球轨道的航天器中停留 14 天的总辐射剂量为 19.5-23.2 毫希沃特(mSv),宇航员在月球表面停留 14 天的总辐射剂量为 22.7-24.0 毫希沃特(mSv),这取决于 1 个月内最大允许 250 毫希沃特(mSv)的防护质量厚度。如果将着陆器防辐射保护装置的质量厚度(铝当量)从 1.5 克/平方厘米增加到 3-5 克/平方厘米,月球宇航服的质量厚度(铝当量)从 0.2 克/平方厘米增加到 0.5-1 克/平方厘米,那么宇航员在月球表面停留 14 天期间的总辐射剂量将减少不超过 1.3 倍。结果表明,为了最大限度地减少宇航员在月球任务期间受到的辐射剂量,必须考虑到太阳活动的预测,以便在辐射量最小的 "窗口 "内优化航天器的发射时间。结论在预测短期月球飞行任务期间宇航员的辐射危害水平时,有必要评估在月球轨道 (取决于航天器的月球轨道)和月球表面的宇宙电离辐射照射水平,同时考虑到在登月舱 和宇航服中度过的时间以及太阳活动水平。在预测月球飞行任务的时间限制、宇航员的抗辐射保护以及他们遵守辐照规定限值时,必须考虑到对宇航员在月球轨道上和月球表面的辐射剂量形成特点的分析。
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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
The Impotance of SPECT/CT in Simultaneous Assessment of Calcinosis of Coronary Arteries, Perfusion and Contractile Function of the Myocardium among Females with Coronary Heart Disease SPECT/CT 在同时评估冠心病女性患者冠状动脉钙化、心肌灌注和收缩功能方面的作用
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-88-91
I.O. Tomashevsky, O.S. Kornikova
Purpose: To study the frequency of calcinosis of coronary arteries and its effect on myocardial perfusion and contractile function among females with coronary heart disease (CHD). Material and methods: A survey was conducted among 141 females with coronary heart disease (CHD): simultaneous assessment of coronary artery calcinosis, perfusion and contractile function with 99m Tc-technetril SPECT/CT with ECG-synchronization and X-ray radiation correction, as well as comparison of data with the results of electrocardiography (ECG), echocardiography (ECHO-CG), clinical and biochemical blood tests. Results: Coronary artery calcinosis was detected in 33 (23 %) females with coronary heart disease (CHD) out of all patients identified: over the age of 55 years (M = 67 years with variations from 58 to 83 years) ‒ in 25 (17.7 %), aged 41‒55 years (M = 50 years with variations from 46 to 54 years) ‒ in 7 (4.6 %), at the age of 25‒40 years ‒ in one female 35 years (0.7 %). The Agatston calcium score interval was set as follows: at the maximum degree > 400 ‒ for 6 females (4.2 % of all surveyed); at 101‒400 ‒ in 9 (6.4 %); at 11‒100 ‒ in 17 (12.0 %); at 1‒10 ‒ in one female (0.7 %); with a minimum degree of 0 ‒ in 108 females (76.7 % of all surveyed). In the presence of maximum degree of calcinosis (> 400 units), a slight significant decrease in perfusion, an increase in ejection fraction and diastole duration was revealed. Conclusion: The use of combined SPECT/CT with ECG synchronization and CT radiation correction technology in 141 females with coronary artery disease made it possible to identify coronary artery calcinosis in 23 % of patiets.
目的:研究冠状动脉钙化的频率及其对女性冠心病患者心肌灌注和收缩功能的影响。材料与方法:对 141 名患有冠心病(CHD)的女性进行调查:使用 99m Tc-technetril SPECT/CT 同时评估冠状动脉钙化、心肌灌注和收缩功能,并进行心电图(ECG)同步和 X 射线辐射校正,以及将数据与心电图(ECG)、超声心动图(ECHO-CG)、临床和生化血液检查结果进行比较。结果显示在所有已确认的冠心病(CHD)患者中,有 33 名(23%)女性患者发现了冠状动脉钙化:55 岁以上(男 = 67 岁,年龄从 58 岁到 83 岁不等)--25 人(17.7%),41-55 岁(男 = 50 岁,年龄从 46 岁到 54 岁不等)--7 人(4.6%),25-40 岁--1 名 35 岁女性(0.7%)。阿加特斯通钙分值区间设定如下:最大值大于 400--6 名女性(占所有受访者的 4.2%);101-400--9 名女性(占 6.4%);11-100--17 名女性(占 12.0%);1-10--1 名女性(占 0.7%);最小值为 0--108 名女性(占所有受访者的 76.7%)。在出现最大程度的钙化(> 400 单位)时,灌注量会有轻微的显著下降,射血分数和舒张时间会增加。结论是在141名女性冠心病患者中使用SPECT/CT结合心电图同步和CT辐射校正技术,可以发现23%的患者存在冠状动脉钙化。
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引用次数: 0
The Impotance of SPECT/CT in Simultaneous Assessment of Calcinosis of Coronary Arteries, Perfusion and Contractile Function of the Myocardium among Females with Coronary Heart Disease SPECT/CT 在同时评估冠心病女性患者冠状动脉钙化、心肌灌注和收缩功能方面的作用
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-88-91
I.O. Tomashevsky, O.S. Kornikova
Purpose: To study the frequency of calcinosis of coronary arteries and its effect on myocardial perfusion and contractile function among females with coronary heart disease (CHD). Material and methods: A survey was conducted among 141 females with coronary heart disease (CHD): simultaneous assessment of coronary artery calcinosis, perfusion and contractile function with 99m Tc-technetril SPECT/CT with ECG-synchronization and X-ray radiation correction, as well as comparison of data with the results of electrocardiography (ECG), echocardiography (ECHO-CG), clinical and biochemical blood tests. Results: Coronary artery calcinosis was detected in 33 (23 %) females with coronary heart disease (CHD) out of all patients identified: over the age of 55 years (M = 67 years with variations from 58 to 83 years) ‒ in 25 (17.7 %), aged 41‒55 years (M = 50 years with variations from 46 to 54 years) ‒ in 7 (4.6 %), at the age of 25‒40 years ‒ in one female 35 years (0.7 %). The Agatston calcium score interval was set as follows: at the maximum degree > 400 ‒ for 6 females (4.2 % of all surveyed); at 101‒400 ‒ in 9 (6.4 %); at 11‒100 ‒ in 17 (12.0 %); at 1‒10 ‒ in one female (0.7 %); with a minimum degree of 0 ‒ in 108 females (76.7 % of all surveyed). In the presence of maximum degree of calcinosis (> 400 units), a slight significant decrease in perfusion, an increase in ejection fraction and diastole duration was revealed. Conclusion: The use of combined SPECT/CT with ECG synchronization and CT radiation correction technology in 141 females with coronary artery disease made it possible to identify coronary artery calcinosis in 23 % of patiets.
目的:研究冠状动脉钙化的频率及其对女性冠心病患者心肌灌注和收缩功能的影响。材料与方法:对 141 名患有冠心病(CHD)的女性进行调查:使用 99m Tc-technetril SPECT/CT 同时评估冠状动脉钙化、心肌灌注和收缩功能,并进行心电图(ECG)同步和 X 射线辐射校正,以及将数据与心电图(ECG)、超声心动图(ECHO-CG)、临床和生化血液检查结果进行比较。结果显示在所有已确认的冠心病(CHD)患者中,有 33 名(23%)女性患者发现了冠状动脉钙化:55 岁以上(男 = 67 岁,年龄从 58 岁到 83 岁不等)--25 人(17.7%),41-55 岁(男 = 50 岁,年龄从 46 岁到 54 岁不等)--7 人(4.6%),25-40 岁--1 名 35 岁女性(0.7%)。阿加特斯通钙分值区间设定如下:最大值大于 400--6 名女性(占所有受访者的 4.2%);101-400--9 名女性(占 6.4%);11-100--17 名女性(占 12.0%);1-10--1 名女性(占 0.7%);最小值为 0--108 名女性(占所有受访者的 76.7%)。在出现最大程度的钙化(> 400 单位)时,灌注量会有轻微的显著下降,射血分数和舒张时间会增加。结论是在141名女性冠心病患者中使用SPECT/CT结合心电图同步和CT辐射校正技术,可以发现23%的患者存在冠状动脉钙化。
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引用次数: 0
Water Bolus Utilization for the Radiation Therapy of Patients with Isolated Superficial Lesions of Cutaneous T-Cell Lymphoma 利用水栓对皮肤 T 细胞淋巴瘤孤立表层病变患者进行放射治疗
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-77-82
A. Shkuratov, S. Golub, Y. Kirpichev, A. Moiseev, I. Korovin, A. Kryaneva
Purpose: To demonstrate the effectiveness of water bolus, combined with individual immobilization for the treatment of lesions in the pedal region of the foot on a patient with isolated cutaneous T-cell lymphoma lesions. Material and methods: Construction of individual immobilization devices, simultaneously functioning as a bolus, in two clinical cases of T-cell cutaneous lymphoma radiation therapy in the pedal region of the foot, along with 3D-CRT and VMAT treatment planning, accompanied by retrospective evaluation of interfractional motion. Results: The proposed methodology demonstrates the effectiveness of the individual immobilization devices in minimizing interfractional motion, as well as the benefit of the bolus effect of the device in achieving optimal dose distribution in the treatment of superficial T-cell lymphoma lesions.
目的:展示水栓治疗结合单独固定治疗足部足底病变的有效性,该患者患有孤立的皮肤 T 细胞淋巴瘤病变。材料和方法在两个T细胞皮肤淋巴瘤放射治疗足部踏板区的临床病例中,结合3D-CRT和VMAT治疗计划,构建单独的固定装置,同时发挥水栓的作用,并对间隙运动进行回顾性评估。结果:所提出的方法证明了单个固定装置在最小化间隙运动方面的有效性,以及该装置的栓剂效应在治疗浅表 T 细胞淋巴瘤病灶时实现最佳剂量分布方面的优势。
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引用次数: 0
Comparative Assessment of the Effect of Local Proton Radiation with a Dose of 30 Gy in BALB/c and C57BL/6 Mice 剂量为 30 Gy 的局部质子辐射对 BALB/c 和 C57BL/6 小鼠影响的比较评估
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-20-27
V.A. Anikina, S.S. Sorokina, A. E. Shemyakov, E. A. Zamyatina, N.R. Popova
Purpose: To evaluate the effect of local proton irradiation at a dose of 30 Gy on Balb/c and C57BL/6 mice in terms of the degree and dynamics of radiation-induced skin damage formation, changes in body weight and peripheral blood elements count. Material and methods: Experiments were performed on non-depilated male mice aged 7‒8 weeks from two strains: Balb/c and C57BL/6 (n=15). Local irradiation of the skin was carried out on the dorsal side of the animals using a scanning proton beam at an extended Bragg peak in the proton therapy complex «Prometheus» of the LPI Physico-technical Centre (Protvino) at a dose of 30 Gy with a proton energy of 87.8 MeV. During the irradiation session, animals were subjected to intraperitoneal anesthesia using a combination of Zoletil 100 (Virbac, France) and Xyla (Interchemie, Netherlands) in a previously determined ratio 1:3 (20‒40 mg/kg). Photographic documentation of radiation-induced skin damage was performed weekly for 70 days. Animals were examined daily for clinical manifestations of radiation-induced skin damage formation according to the RTOG international scale for 21 days following irradiation. The body weight dynamics of mice were evaluated one day before irradiation and then weekly for 70 days. Blood samples were collected from the tail vein by cutting the tip of the tail and analyzed using a DH36 Vet hematology analyzer (Dymind, China) one day before irradiation, one day and three days after irradiation, and weekly thereafter for 70 days. Experimental data were presented as mean ± standard deviation (M ± SD). Results: In this study, the impact of a single local exposure to proton radiation at a dose of 30 Gy on the degree and dynamics of radiation-induced skin damage formation was evaluated. It was demonstrated that Balb/c mice exhibited a higher frequency and degree of radiation-induced skin damage formation compared to the C57BL/6 mice. Analysis of body weight in mice after radiation exposure revealed no significant decrease in either mouse strain. A comparative analysis of the number of platelets, erythrocytes and hemoglobin concentration in both mouse strains did not reveal any changes, while a tendency towards a decrease in the number of leukocytes, lymphocytes, and granulocytes was observed in the irradiated Balb/c mice group compared to the control group. Conversely, in irradiated C57BL/6 mice, the number of lymphocytes was higher compared to control animals. Conclusion: In this study, Balb/c mice exhibited higher radiosensitivity compared to C57BL mice in response to a single local proton irradiation at a dose of 30 Gy.
目的:评估 30 Gy 剂量的局部质子辐照对 Balb/c 和 C57BL/6 小鼠的影响,包括辐射诱导的皮肤损伤形成的程度和动态变化、体重和外周血元素计数的变化。材料和方法实验对象为两个品系的 7-8 周龄未脱毛雄性小鼠:Balb/c和C57BL/6(n=15)。在 LPI 物理技术中心(Protvino)的质子治疗综合设施 "普罗米修斯"(Prometheus)中,使用延伸布拉格峰的扫描质子束对动物背侧皮肤进行局部照射,剂量为 30 Gy,质子能量为 87.8 MeV。在照射过程中,使用 Zoletil 100(Virbac,法国)和 Xyla(Interchemie,荷兰)以事先确定的 1:3 的比例(20-40 毫克/千克)对动物进行腹腔内麻醉。在 70 天内,每周对辐射引起的皮肤损伤进行拍照记录。在辐照后的 21 天内,根据 RTOG 国际评分标准,每天对动物进行检查,以了解辐射诱导的皮肤损伤形成的临床表现。在辐照前一天评估小鼠的体重动态,然后在 70 天内每周评估一次。在辐照前一天、辐照后一天和三天,以及此后每周的 70 天内,从小鼠尾部静脉采集血液样本,并使用 DH36 Vet 血液分析仪(Dymind,中国)进行分析。实验数据以均数±标准差(M±SD)表示。结果本研究评估了单次局部照射 30 Gy 剂量的质子辐射对辐射诱导的皮肤损伤程度和形成动态的影响。结果表明,与 C57BL/6 小鼠相比,Balb/c 小鼠出现辐射诱导的皮肤损伤的频率和程度更高。对辐照后小鼠体重的分析表明,两种小鼠的体重都没有明显下降。对两个品系小鼠的血小板数量、红细胞数量和血红蛋白浓度进行的比较分析没有发现任何变化,但与对照组相比,辐照 Balb/c 小鼠组的白细胞、淋巴细胞和粒细胞数量有减少的趋势。相反,与对照组相比,辐照 C57BL/6 小鼠的淋巴细胞数量较高。结论在这项研究中,与 C57BL 小鼠相比,Balb/c 小鼠对 30 Gy 剂量的单次局部质子辐照表现出更高的放射敏感性。
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引用次数: 0
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Medical Radiology and Radiation Safety
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