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Digital Twin of Worker of Nuclear Facility at the Stage of Pre-Shift Control 核设施工人在班前控制阶段的数字双胞胎
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-33-40
L.I. Baranov, A. Tsarev, F. Torubarov, A. Kretov, V.V. Petrova, E.V. Vasilyev, S.M. Dumansky, O.A. Tikhonova, T.M. Bulanova, M.V. Kalinina, P. Shulepov, I. Dibirgadzhiyev, A.S. Samoilov
Introduction. Digital twin. Digital twin in medicine using the example of Philips. Digital twin as an object of medical information space. Digital twin as an abstraction. Digital twin of worker of nuclear facility at the stage of pre-shift control. Conclusion.
导言。数字孪生。以飞利浦为例介绍数字孪生在医学中的应用。作为医疗信息空间对象的数字孪生。作为抽象概念的数字孪生。核设施工人在班前控制阶段的数字孪生。结论。
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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
Study of 239Pu Microdistribution in Liver of Mayak Workers Using Neutron-Activated Measurement Method 利用中子激活测量法研究马雅克工人肝脏中 239Pu 的微观分布情况
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-92-104
S. Sypko, G. Bobov, V.E. Vvedensky, A. Nazarenkova
Purpose: Conducted research was aimed at studying of microdistribution of 239Pu particles in liver tissues of former MAYAK PA workers. Current research is a continuation of studies of microdistribution of 239Pu particles in lung tissues of former MAYAK PA workers that were conducted earlier and published. Material and methods: Neutron-induced track method was utilized for studying the distribution of sizes of 239Pu nanoparticles. At Southern Urals Biophysics Institute this method was improved, optimized and adapted for studying of plutonium microdistribution in biological tissues. Liver samples studying started in 2020. Samples were chosen from Radiobiology Human Tissue Repository SUBI. Liver samples from Voronezh regional pathology and anatomical bureau and Tobolsk regional hospital #3 were obtained within the search of contemporary liver tissues. Application of liver samples on track detectors and their assembling into plastic box for following irradiation in nuclear reactor at Joint stock company “Institute of Nuclear Materials” was provided similarly to lung samples. Standart pathohistological techniqes were applied. The thickness of liver slides was 5 micrometers. Basic track count was conducted on the results of 36-minute etching. Single tracks and stars were counted. Stars with high density of tracks that exceeded counting abilities were counted on the results of 9-minute etching either directly (if all tracks were distinct) or in accordance with patent for invention RU 2733491 C2 that enables to calculate the number of tracks in a star by distinct peripheral tracks. Results: This study quantitatively compares 239Pu microdistribution in liver of three deceased former Mayak PA workers who were exposed to 239Pu by inhalation and three deceased subjects who had been never employed at Mayak PA (from Ozyorsk, Voronezh, Tobolsk). The comparison is made utilizing neutron-activation method of measurement. The results are compared to the results of less-sensitive autoradiographic method. The study demonstrated that the most of 239Pu activity in liver is concentrated in liver lobules. 239PuO2 nanoparticles found didn’t exceed the size of 20 nm. Track density for three liver samples of subjects who had been never employed at Mayak PA differed for less than two times.
目的:开展研究的目的是研究 239Pu 粒子在前 MAYAK PA 工人肝组织中的微观分布。目前的研究是早先进行并已发表的关于 239Pu 粒子在前 MAYAK PA 工人肺组织中的微观分布研究的继续。材料和方法:利用中子诱导轨迹法研究 239Pu 纳米粒子的大小分布。南乌拉尔生物物理研究所对该方法进行了改进、优化和调整,用于研究钚在生物组织中的微观分布。肝脏样本研究始于 2020 年。样本选自放射生物学人体组织库 SUBI。肝脏样本来自沃罗涅日州病理解剖学局和朵伯利斯克州第 3 医院,是在寻找当代肝脏组织的过程中获得的。肝脏样本在轨道探测器上的应用以及将其装入塑料盒以便在核材料研究所的核反应堆中进行后续辐照的过程与肺脏样本类似。采用了标准的病理组织学技术。肝脏切片的厚度为 5 微米。根据 36 分钟的蚀刻结果进行基本轨迹计数。对单个轨迹和星形轨迹进行计数。轨迹密度高且超出计数能力的星体,则根据 9 分钟蚀刻的结果直接计数(如果所有轨迹都很明显),或根据 RU 2733491 C2 发明专利进行计数,该专利可通过明显的外围轨迹计算星体中的轨迹数。结果:本研究定量比较了三名通过吸入方式接触过 239Pu 的已故前马雅克工厂工人和三名从未在马雅克工厂工作过的已故受试者(分别来自奥佐尔斯克、沃罗涅日和朵伯利斯克)肝脏中 239Pu 的微观分布情况。比较采用了中子活化测量法。结果与灵敏度较低的自显影方法的结果进行了比较。研究表明,肝脏中大部分 239Pu 活性都集中在肝小叶中。发现的 239PuO2 纳米粒子的大小不超过 20 纳米。从未在马雅克公共事业公司工作过的受试者的三个肝脏样本的轨迹密度相差不到两倍。
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引用次数: 0
Study of 239Pu Microdistribution in Liver of Mayak Workers Using Neutron-Activated Measurement Method 利用中子激活测量法研究马雅克工人肝脏中 239Pu 的微观分布情况
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-92-104
S. Sypko, G. Bobov, V.E. Vvedensky, A. Nazarenkova
Purpose: Conducted research was aimed at studying of microdistribution of 239Pu particles in liver tissues of former MAYAK PA workers. Current research is a continuation of studies of microdistribution of 239Pu particles in lung tissues of former MAYAK PA workers that were conducted earlier and published. Material and methods: Neutron-induced track method was utilized for studying the distribution of sizes of 239Pu nanoparticles. At Southern Urals Biophysics Institute this method was improved, optimized and adapted for studying of plutonium microdistribution in biological tissues. Liver samples studying started in 2020. Samples were chosen from Radiobiology Human Tissue Repository SUBI. Liver samples from Voronezh regional pathology and anatomical bureau and Tobolsk regional hospital #3 were obtained within the search of contemporary liver tissues. Application of liver samples on track detectors and their assembling into plastic box for following irradiation in nuclear reactor at Joint stock company “Institute of Nuclear Materials” was provided similarly to lung samples. Standart pathohistological techniqes were applied. The thickness of liver slides was 5 micrometers. Basic track count was conducted on the results of 36-minute etching. Single tracks and stars were counted. Stars with high density of tracks that exceeded counting abilities were counted on the results of 9-minute etching either directly (if all tracks were distinct) or in accordance with patent for invention RU 2733491 C2 that enables to calculate the number of tracks in a star by distinct peripheral tracks. Results: This study quantitatively compares 239Pu microdistribution in liver of three deceased former Mayak PA workers who were exposed to 239Pu by inhalation and three deceased subjects who had been never employed at Mayak PA (from Ozyorsk, Voronezh, Tobolsk). The comparison is made utilizing neutron-activation method of measurement. The results are compared to the results of less-sensitive autoradiographic method. The study demonstrated that the most of 239Pu activity in liver is concentrated in liver lobules. 239PuO2 nanoparticles found didn’t exceed the size of 20 nm. Track density for three liver samples of subjects who had been never employed at Mayak PA differed for less than two times.
目的:开展研究的目的是研究 239Pu 粒子在前 MAYAK PA 工人肝组织中的微观分布。目前的研究是早先进行并已发表的关于 239Pu 粒子在前 MAYAK PA 工人肺组织中的微观分布研究的继续。材料和方法:利用中子诱导轨迹法研究 239Pu 纳米粒子的大小分布。南乌拉尔生物物理研究所对该方法进行了改进、优化和调整,用于研究钚在生物组织中的微观分布。肝脏样本研究始于 2020 年。样本选自放射生物学人体组织库 SUBI。肝脏样本来自沃罗涅日州病理解剖学局和朵伯利斯克州第 3 医院,是在寻找当代肝脏组织的过程中获得的。肝脏样本在轨道探测器上的应用以及将其装入塑料盒以便在核材料研究所的核反应堆中进行后续辐照的过程与肺脏样本类似。采用了标准的病理组织学技术。肝脏切片的厚度为 5 微米。根据 36 分钟的蚀刻结果进行基本轨迹计数。对单个轨迹和星形轨迹进行计数。轨迹密度高且超出计数能力的星体,则根据 9 分钟蚀刻的结果直接计数(如果所有轨迹都很明显),或根据 RU 2733491 C2 发明专利进行计数,该专利可通过明显的外围轨迹计算星体中的轨迹数。结果:本研究定量比较了三名通过吸入方式接触过 239Pu 的已故前马雅克工厂工人和三名从未在马雅克工厂工作过的已故受试者(分别来自奥佐尔斯克、沃罗涅日和朵伯利斯克)肝脏中 239Pu 的微观分布情况。比较采用了中子活化测量法。结果与灵敏度较低的自显影方法的结果进行了比较。研究表明,肝脏中大部分 239Pu 活性都集中在肝小叶中。发现的 239PuO2 纳米粒子的大小不超过 20 纳米。从未在马雅克公共事业公司工作过的受试者的三个肝脏样本的轨迹密度相差不到两倍。
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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
Multiple Primary Malignant Tumors in Workers Chronically Exposed to Ionizing Radiation 长期暴露于电离辐射工人的多发性原发性恶性肿瘤
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-67-72
G. Zhuntova, T. Azizova, M. Bannikova
Purpose: To characterize multiple primary malignant tumors (MPMTs) in workers occupationally chronically exposed to ionizing radiation. Material and methods: The study included 22,377 workers employed at reactors, plutonium-production plant and radiochemical plant of the Mayak Production Association (PA) who had been hired in 1948–1982. The study considered cases of MPMTs (verified with the morphological examination) that had been diagnosed in workers before 31 December 2018. The paper describes the structure and provides the comparative characteristics of synchronous and metachronous MPMTs. Results: 320 cases of MPMTs that were verified with the morphological examination were registered in the cohort: 68.4 % in males and 31.6 % in females. 3 and more malignant tumors were registered in 20 % of workers with MPMTs. MPMTs accounted for 10.5 % of total malignant tumors registered in the cohort. Synchronous MPMTs accounted for 22.8 % in males and for 18.8 % in females. 36.6 % of metachronous MPMTs were diagnosed with an interval of more than 10 years. The structure of MPMTs was dominated by tumors of digestive organs, skin, genital organs (both sexes), respiratory organs (for males), and breast (for females). As for a histological type of tumor, adenocarcinomas and basal-cell carcinomas (both sexes), squamous-cell carcinomas (for males), ductal and lobular tumors (for females) were the most frequent. Groups of workers with synchronous and metachronous MPMTs demonstrated some significant differences: synchronous MPMTs were diagnosed in later age than the primary metachronous tumor; the numbers of smokers and heavy alcohol drinkers were bigger in the group of workers with synchronous MPMTs, as well as the smoking index. Neither radiation doses nor the duration of occupational exposure at a date of diagnosis of synchronous MPMTs and a primary metachronous tumor were significantly different. Compared to the entire study cohort, the number of workers occupationally exposed at high doses was bigger in workers with MPMTs (above 1.0 Sv for external gamma-ray exposure, and above 1.0 Gy for internal alpha exposure). Conclusion: MPMTs in workers of the nuclear enterprise were characterized in relation to non-radiation and occupation-related factors. In the future it is planned to assess the impact of the occupational radiation exposure on the risk of MPMTs in workers of the study cohort considering non-radiation factors.
目的:描述长期暴露于电离辐射的职业工人中多发性原发性恶性肿瘤(MPMTs)的特征。材料和方法:研究对象包括 1948-1982 年受雇于马雅克生产协会(PA)反应堆、钚生产厂和放射化学厂的 22,377 名工人。研究考虑了 2018 年 12 月 31 日之前在工人中确诊的 MPMT 病例(经形态学检查验证)。本文描述了同步型和变异型 MPMTs 的结构并提供了其比较特征。结果:队列中登记了 320 例经形态学检查验证的 MPMTs:男性占 68.4%,女性占 31.6%。在患有多发性骨髓瘤的工人中,有 20% 的人患有 3 种及 3 种以上的恶性肿瘤。多发性骨髓瘤占队列中登记的恶性肿瘤总数的 10.5%。同步性多发性骨髓瘤在男性中占 22.8%,在女性中占 18.8%。36.6%的间变性恶性肿瘤的确诊时间间隔超过10年。多发性骨髓瘤的结构以消化器官肿瘤、皮肤肿瘤、生殖器官肿瘤(男女均有)、呼吸器官肿瘤(男性)和乳腺肿瘤(女性)为主。就肿瘤的组织学类型而言,腺癌和基底细胞癌(男女)、鳞状细胞癌(男性)、导管和小叶肿瘤(女性)最为常见。患有同步性和间变性多发性肉芽肿的工人群体显示出一些显著差异:同步性多发性肉芽肿的确诊年龄晚于原发性间变性肿瘤;同步性多发性肉芽肿工人群体中吸烟者和酗酒者的人数以及吸烟指数都更高。同步性多发性骨髓瘤和原发性间变性肿瘤确诊时的辐射剂量和职业接触时间均无显著差异。与整个研究队列相比,患有多发性骨髓瘤的工人中受到高剂量职业照射的人数更多(外部伽马射线照射超过 1.0 Sv,内部阿尔法射线照射超过 1.0 Gy)。结论核企业工人的多发性骨髓瘤特征与非辐射和职业相关因素有关。今后,计划在考虑非辐射因素的情况下,评估职业辐照对研究队列中工人多发性骨髓瘤风险的影响。
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引用次数: 0
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
Digital Twin of Worker of Nuclear Facility at the Stage of Pre-Shift Control 核设施工人在班前控制阶段的数字双胞胎
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-33-40
L.I. Baranov, A. Tsarev, F. Torubarov, A. Kretov, V.V. Petrova, E.V. Vasilyev, S.M. Dumansky, O.A. Tikhonova, T.M. Bulanova, M.V. Kalinina, P. Shulepov, I. Dibirgadzhiyev, A.S. Samoilov
Introduction. Digital twin. Digital twin in medicine using the example of Philips. Digital twin as an object of medical information space. Digital twin as an abstraction. Digital twin of worker of nuclear facility at the stage of pre-shift control. Conclusion.
导言。数字孪生。以飞利浦为例介绍数字孪生在医学中的应用。作为医疗信息空间对象的数字孪生。作为抽象概念的数字孪生。核设施工人在班前控制阶段的数字孪生。结论。
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引用次数: 0
Multiple Primary Malignant Tumors in Workers Chronically Exposed to Ionizing Radiation 长期暴露于电离辐射工人的多发性原发性恶性肿瘤
Q4 Medicine Pub Date : 2024-02-01 DOI: 10.33266/1024-6177-2024-69-1-67-72
G. Zhuntova, T. Azizova, M. Bannikova
Purpose: To characterize multiple primary malignant tumors (MPMTs) in workers occupationally chronically exposed to ionizing radiation. Material and methods: The study included 22,377 workers employed at reactors, plutonium-production plant and radiochemical plant of the Mayak Production Association (PA) who had been hired in 1948–1982. The study considered cases of MPMTs (verified with the morphological examination) that had been diagnosed in workers before 31 December 2018. The paper describes the structure and provides the comparative characteristics of synchronous and metachronous MPMTs. Results: 320 cases of MPMTs that were verified with the morphological examination were registered in the cohort: 68.4 % in males and 31.6 % in females. 3 and more malignant tumors were registered in 20 % of workers with MPMTs. MPMTs accounted for 10.5 % of total malignant tumors registered in the cohort. Synchronous MPMTs accounted for 22.8 % in males and for 18.8 % in females. 36.6 % of metachronous MPMTs were diagnosed with an interval of more than 10 years. The structure of MPMTs was dominated by tumors of digestive organs, skin, genital organs (both sexes), respiratory organs (for males), and breast (for females). As for a histological type of tumor, adenocarcinomas and basal-cell carcinomas (both sexes), squamous-cell carcinomas (for males), ductal and lobular tumors (for females) were the most frequent. Groups of workers with synchronous and metachronous MPMTs demonstrated some significant differences: synchronous MPMTs were diagnosed in later age than the primary metachronous tumor; the numbers of smokers and heavy alcohol drinkers were bigger in the group of workers with synchronous MPMTs, as well as the smoking index. Neither radiation doses nor the duration of occupational exposure at a date of diagnosis of synchronous MPMTs and a primary metachronous tumor were significantly different. Compared to the entire study cohort, the number of workers occupationally exposed at high doses was bigger in workers with MPMTs (above 1.0 Sv for external gamma-ray exposure, and above 1.0 Gy for internal alpha exposure). Conclusion: MPMTs in workers of the nuclear enterprise were characterized in relation to non-radiation and occupation-related factors. In the future it is planned to assess the impact of the occupational radiation exposure on the risk of MPMTs in workers of the study cohort considering non-radiation factors.
目的:描述长期暴露于电离辐射的职业工人中多发性原发性恶性肿瘤(MPMTs)的特征。材料和方法:研究对象包括 1948-1982 年受雇于马雅克生产协会(PA)反应堆、钚生产厂和放射化学厂的 22,377 名工人。研究考虑了 2018 年 12 月 31 日之前在工人中确诊的 MPMT 病例(经形态学检查验证)。本文描述了同步型和变异型 MPMTs 的结构并提供了其比较特征。结果:队列中登记了 320 例经形态学检查验证的 MPMTs:男性占 68.4%,女性占 31.6%。在患有多发性骨髓瘤的工人中,有 20% 的人患有 3 种及 3 种以上的恶性肿瘤。多发性骨髓瘤占队列中登记的恶性肿瘤总数的 10.5%。同步性多发性骨髓瘤在男性中占 22.8%,在女性中占 18.8%。36.6%的间变性恶性肿瘤的确诊时间间隔超过10年。多发性骨髓瘤的结构以消化器官肿瘤、皮肤肿瘤、生殖器官肿瘤(男女均有)、呼吸器官肿瘤(男性)和乳腺肿瘤(女性)为主。就肿瘤的组织学类型而言,腺癌和基底细胞癌(男女)、鳞状细胞癌(男性)、导管和小叶肿瘤(女性)最为常见。患有同步性和间变性多发性肉芽肿的工人群体显示出一些显著差异:同步性多发性肉芽肿的确诊年龄晚于原发性间变性肿瘤;同步性多发性肉芽肿工人群体中吸烟者和酗酒者的人数以及吸烟指数都更高。同步性多发性骨髓瘤和原发性间变性肿瘤确诊时的辐射剂量和职业接触时间均无显著差异。与整个研究队列相比,患有多发性骨髓瘤的工人中受到高剂量职业照射的人数更多(外部伽马射线照射超过 1.0 Sv,内部阿尔法射线照射超过 1.0 Gy)。结论核企业工人的多发性骨髓瘤特征与非辐射和职业相关因素有关。今后,计划在考虑非辐射因素的情况下,评估职业辐照对研究队列中工人多发性骨髓瘤风险的影响。
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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
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Medical Radiology and Radiation Safety
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