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Outcome summary of the scientific program of the 16th IRPA Congress. 第十六届IRPA大会科学计划成果总结。
IF 1.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2025-11-10 DOI: 10.1088/1361-6498/ae0f23
Renate Czarwinski, Chunsheng Li, Simon Bouffler, Christopher Clement, Lawrence Dauer, Eduardo Gallego, Debbie Gilley, John O'Hagan, Jim Hondros, Tetsuo Ishikawa, Philip Metcalf, Stefan Mundigl, Kevin Nelson, Thierry Schneider, Gabriela Siraky, Charles Wilson, Andrzej Wojcik

The 16th International Congress of the International Radiation Protection Association (IRPA16), held in conjunction with the 69th Annual Meeting of the Health Physics Society (HPS) in Orlando, USA, provided an excellent platform for radiation protection professionals to exchange knowledge and advancements in radiological protection science and practice. The event featured 1241 participants from 67 countries, with 241 oral presentations and 440 posters spanning 11 thematic areas, including radiation health effects, dosimetry, medical applications, nuclear energy, and emergency preparedness. Key discussions covered updates on radiological protection systems, new findings in low-dose radiation epidemiology, and advancements in radiation measurement and dosimetry. Special focus was given to education and training, stakeholder engagement, and the integration of ethical considerations into radiological protection practices. The congress also highlighted emerging challenges in non-ionising radiation (NIR), medical radiation safety, and radioactive waste management. Notably, the prestigious Rolf M. Sievert Award was presented to Dr Maria del Rosario Perez for her significant contributions to global radiation protection, and the Gold Medal for Radiation Protection was awarded to Dr Ohtsura Niwa for his work in community engagement following the Fukushima accident. IRPA16 reinforced the importance of harmonising radiation protection standards globally and fostering interdisciplinary collaboration to address emerging scientific and societal challenges in radiological safety.

第16届国际辐射防护协会(IRPA16)国际大会与第69届健康物理学会(HPS)年会上在美国奥兰多举行,为辐射防护专业人员提供了一个交流辐射防护科学和实践知识和进步的绝佳平台。这次活动有来自67个国家的1241名与会者参加,有241次口头报告和440张海报,涉及11个主题领域,包括辐射对健康的影响、剂量学、医疗应用、核能和应急准备。主要讨论内容包括放射防护系统的最新进展、低剂量辐射流行病学的新发现以及辐射测量和剂量学的进展。特别关注教育和培训、利益攸关方参与以及将伦理考虑纳入辐射防护实践。大会还强调了在非电离辐射、医疗辐射安全和放射性废物管理方面出现的新挑战。值得注意的是,著名的Rolf M. Sievert奖被授予Maria del Rosario Perez博士,以表彰她对全球辐射防护的重大贡献;辐射防护金质奖章被授予Ohtsura Niwa博士,以表彰他在福岛事故后在社区参与方面的工作。IRPA16强调了协调全球辐射防护标准和促进跨学科合作以应对辐射安全领域新出现的科学和社会挑战的重要性。
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引用次数: 0
Ukrainian experience: safety issues of radioactive waste management in the territories affected by hostilities. 乌克兰经验:受敌对行动影响领土内放射性废物管理的安全问题。
IF 1.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2025-11-07 DOI: 10.1088/1361-6498/ae16b4
Kateryna Fuzik, Sergii Kondratiev, Liliia Kutina, Yuliia Hontar, Yuliia Yesypenko, Nataliia Rybalka, Svetlana Smyshliaieva, Katarzyna Siegien

Ukraine continues to face problems of ensuring safety in the territories affected by hostilities, where many radiation-hazardous facilities are located and radioactive sources are used or stored. These include in particular, plant under decommissioning and other facilities at the site of the Chornobyl nuclear power plant, the sites of the national radioactive waste (RW) management operator, and other facilities linked to RW management inside and around the Chornobyl exclusion zone (CEZ). Regulating the safety of such facilities during wartime is an unprecedented task. Problematic issues are related to the temporary occupation by military forces, the aftermath of fighting such as unexploded shells and mines, and the continuing risk of shelling and missiles that pose threats to safety supervision. The radiation risks are linked to possible damage and theft of equipment, loss of control over RW packages, violations of the operating rules at the facilities, difficulties in delivering personnel to the facilities, and partial evacuation of personnel. At the same time, the situation is made complicated by continuing military risks and the loss of normal logistical capabilities. The regulator State Nuclear Regulatory Inspectorate of Ukraine, in collaboration with its technical support organisation, the State Scientific and Technical Center for Nuclear and Radiation Safety and with support from the Norwegian radiation and nuclear safety authority, has developed approaches and procedures for regulating the safety of facilities and activities within the CEZ during wartime, at the time of active armed conflict and addressing the aftermath following de-occupation. This approach was developed in the absence of global experience in regulating safety under such conditions and can be applied as further areas are de-occupied and hostilities cease. This article aims to share with the international community unique Ukrainian experience in maintaining safety principles and provisions in wartime conditions and handling licensing matters during the hostilities and after liberation of the occupied territories.

乌克兰继续面临确保受敌对行动影响的领土安全的问题,那里有许多辐射危险设施,并使用或储存放射源。其中特别包括正在退役的工厂和切尔诺贝利核电站场址的其他设施、国家放射性废物管理运营商的场址以及切尔诺贝利禁区内和周围与放射性废物管理有关的其他设施。在战时管理这些设施的安全是一项前所未有的任务。有问题的问题涉及军事部队的临时占领、战斗的后果,如未爆炸的炮弹和地雷,以及对安全监督构成威胁的炮击和导弹的持续危险。辐射风险与可能损坏和盗窃设备、对放射性废物包装失去控制、违反设施操作规则、向设施运送人员困难以及部分人员撤离有关。与此同时,由于持续的军事风险和正常后勤能力的丧失,局势变得更加复杂。乌克兰监管机构国家核监管监察局(SNRIU)与其技术支持组织国家核与辐射科学技术中心合作。
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引用次数: 0
Specific absorbed fractions and radionuclide S values for adult and pediatric respiratory tracts within ICRP series of mesh-type reference computational phantoms. ICRP网格型参考计算幻影系列中成人和儿童呼吸道的特定吸收组分和放射性核素值。
IF 1.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2025-11-06 DOI: 10.1088/1361-6498/ae1843
Bangho Shin, Chansoo Choi, Robert J Dawson, Chan Hyeong Kim, Wesley E Bolch

Recently, the International Commission on Radiological Protection (ICRP) has released adult and pediatric mesh-type reference computational phantoms (MRCPs) through its Publications 145 and 156, which incorporate anatomically refined respiratory tract structures that overcome the limitations of earlier voxel and stylized models. In this study, a comprehensive dataset of specific absorbed fractions (SAFs) and radionuclideSvalues was generated for the respiratory tract across the entire age- and sex-specific series of ICRP MRCPs. The phantoms were implemented in the Geant4 Monte Carlo radiation transport code (version 11.3) to compute SAFs for photons, electrons, and alpha particles over the energy ranges of 0.001-10 MeV for photons and electrons and 1-12 MeV for alpha particles, with certain low-energy values supplemented by a limiting SAF interpolation approach. The calculated SAFs were subsequently combined with nuclear decay data from ICRP Publication 107 to derive S values for all relevant source regions following inhalation exposures to radionuclides. Photon and electron SAFs were obtained for 36 source-target combinations, and alpha SAFs for 18 combinations, whileSvalues were produced for 1,252 radionuclides. The calculated SAFs exhibited clear age-dependent trends, with larger values in younger phantoms. Furthermore, the calculated SAFs andSvalues were generally greater than previously reported ICRP values. The complete dataset is available through an open-access repository, representing the first effort to provide SAFs andSvalues for the respiratory tract using the ICRP MRCPs. The calculations explicitly accounted for micrometre-scale source and target regions within anatomically realistic respiratory tract structures, while also incorporating inter-tissue irradiation cases, which had not been possible with previous models.

最近,国际放射防护委员会(ICRP)通过其出版物145和156发布了成人和儿童网格型参考计算模型(MRCPs),该模型结合了解剖学上精细的呼吸道结构,克服了早期体素模型和模式化模型的局限性。在这项研究中,针对整个年龄和性别特异性的ICRP mrcp系列,生成了呼吸道特定吸收分数(SAFs)和放射性核素S值的综合数据集。在Geant4蒙特卡罗辐射传输代码(版本11.3)中实现了这些幻影,以计算光子,电子和α粒子在0.001-10 MeV能量范围内的SAF,光子和电子在1-12 MeV能量范围内的SAF,并通过限制SAF插值方法补充了某些低能值。计算出的安全系数随后与ICRP出版物107中的核衰变数据相结合,得出吸入放射性核素暴露后所有相关源区域的S值。得到了36种源靶组合的光子和电子SAFs, 18种组合的α SAFs, 1252种放射性核素的S值。计算出的SAFs表现出明显的年龄依赖趋势,年轻的幻影值更大。此外,计算的SAFs和S值通常大于先前报道的ICRP值。完整的数据集可通过开放存取存储库获得,这是使用ICRP MRCPs提供呼吸道SAFs和S值的第一次努力。计算明确地考虑了微米尺度的源和目标区域在解剖学上真实的呼吸道结构中,同时也纳入了组织间照射的情况,这在以前的模型中是不可能的。
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引用次数: 0
Expanding the radiation monitoring network as an effective approach to reducing uncertainties in emergency response preparedness during armed conflict. 扩大辐射监测网,作为减少武装冲突期间应急准备工作不确定性的有效办法。
IF 1.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2025-11-06 DOI: 10.1088/1361-6498/ae10c3
Yu Kyrylenko, Yu Balashevska, Z Ivanov, A Myshkovska, I Shevchenko, O Pecherytsia, Yu Yesypenko, K Siegien

The current Russian aggression against Ukraine leads to complex needs for and challenges to the expansion of the Ukrainian radiation monitoring network. The issue of preparedness and response in times of war, in particular during the seizure of the Zaporizhzhia Nuclear Power plant site, has greatly exacerbated the issue of developing a response strategy based not only on expert opinion on possible scenarios but also on actual measurements in the first hours of a potential release. In this context, the shortage of radiation monitoring stations has become a significant issue for operators, the public, and various organisations, including State Nuclear Regulatory Inspectorate of Ukraine (SNRIU) and State Scientific and Technical Center for Nuclear and Radiation Safety. To address this, proposals have been made to identify suitable locations for additional automatic radiation monitoring systems to complement the existing ones. The main environment for solving this problem became the RESTORATION project, conducted in 2023-2024 in collaboration with Norwegian Radiation and Nuclear Safety Authority SNRIU, and State Scientific and Technical Center for Nuclear and Radiation Safety. The main objective of activities is to identify the data needed to select appropriate locations for radiation monitoring stations using the European decision support system JRODOS. For this study, the reference severe accident scenario at Ukrainian nuclear facilities was selected in accordance with the IAEA Emergency Preparedness Category I. Such an event may cause significant impacts beyond the boundary of the monitoring zone and enables the assessment of how actual meteorological conditions influence the atmospheric dispersion of radionuclides. Meteorological data from a five year period were used for statistical calculations. Preliminary monitoring quantities were based on the data requirements of the JRODOS decision support system, which provided the necessary statistical outputs. The paper highlights the role of the radiation monitoring network during an emergency as well as the problem of its potential development in view of the challenges with regard to civil protection, analysis of radiological situations, dispersion modelling, and dose projection. An overview of the existing networks and hierarchy of monitoring data providers among the Ukrainian organisations is presented. Based on the Ukrainian experience, in particular the results of the RESTORATION project, a methodological approach and recommendations for expansion of the radiation monitoring network are presented.

俄罗斯对乌克兰的持续侵略导致对扩大乌克兰辐射监测网络的复杂需求和挑战。战争时期的准备和反应问题,特别是在占领核电站场址期间,极大地加剧了制定应对策略的问题,该策略不仅基于专家对可能情况的意见,而且还基于潜在泄漏的最初几个小时的实际测量。在这种情况下,辐射监测站的短缺已经成为运营商和监管机构以及各种其他利益相关者(包括乌克兰以外的国际和其他组织)的一个重大问题。为了解决这一问题,已经提出了建议,以确定安装额外自动辐射监测系统的合适地点,以补充现有系统。解决这一问题的主要环境是在2023-2024年与挪威辐射和核安全局、乌克兰国家核监管监察局和国家核与辐射安全科学技术中心合作进行的修复项目。活动的主要目标是确定使用欧洲决策支助系统JRODOS为辐射监测站选择适当地点所需的数据。在本研究中,乌克兰核设施的参考严重事故情景被选择为国际原子能机构应急准备类别I,因为它可能在监测区边界之外造成重大影响,并有助于跟踪真实气象条件如何影响放射性核素的大气扩散。统计计算使用了五年期的气象资料。初步监测数量是根据JRODOS决策支持系统的数据需求确定的,该系统提供了必要的统计输出。该文件强调了紧急情况下辐射监测网的作用,以及鉴于武装冲突期间民事保护、辐射状况分析、扩散建模和剂量预测方面的挑战,辐射监测网的潜在发展问题。概述了乌克兰各组织之间现有的网络和监测数据提供者的层次结构。根据乌克兰的经验,特别是恢复项目的成果,提出了关于扩大辐射监测网的方法方法和建议。该出版物还提出了替代监测数据提供者(公共和非政府)的地位和可靠性问题。
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引用次数: 0
Reconstructing strontium-90 intake in beagles using neural networks: a data-driven assessment of historical inhalation records. 用神经网络重建小猎犬的锶-90摄入量:历史吸入记录的数据驱动评估。
IF 1.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2025-11-06 DOI: 10.1088/1361-6498/ae0e7f
David Carpio Gonzalez, Alexander D Glasco, Gayle E Woloschak, Shaheen Azim Dewji

Dose estimation in response to internal radionuclide exposures requires reconstruction of the initial intake activity, which is frequently unknown due to the absence ofa prioridata. In such scenarios, intake is inferred from bioassay measurements obtained at one or more time points post-exposure. Reconstructing an initial intake from bioassay relies on biokinetic models that describe the body distribution and clearance of the toxicant. These models typically employ first-order differential equations with generalised population parameters, which do not capture individual variation in metabolism or anatomy. Thus, reconstruction of initial intakes is affected by multiple sources of stochasticity, including physical deposition of the inhaled radionuclide, detection system uncertainty, and inter-individual physiological variability. The capacity of machine learning (ML) algorithms to model highly non-linear and often stochastic processes makes them appropriate for augmenting intake reconstruction. This study applies artificial neural networks to estimate the initial intake activity of90Sr inhaled by beagles. Model performance and sensitivity to input data quality were assessed through inclusion of individual-specific features, such as age, weight, and sex. Three data regimens were systematically designed, each with distinct pre-processing pipelines and model complexity. The first regimen demonstrates feasibility of intake reconstruction using bioassay measurements taken within 14 days post-exposure. The second regimen demonstrates that summary statistics of retention functions in historical records lack sufficient resolution for individualised ML modelling. The third regimen shows that historical dose estimates, despite limitations in resolution and methodology, can be used as surrogate features when multiple post-exposure time points are available. Root mean squared error was used to evaluate prediction error, while a custom metric, the variance relative difference, quantified model bias. In addition to evaluating predictive performance, this study assesses the integrity and usability of historical data from90Sr beagle inhalation experiments conducted at the Inhalation Toxicology Research Institute between 1966 and 1987.

对内部放射性核素照射的剂量估计需要重建最初的摄入活动,由于缺乏先验数据,这往往是未知的。在这种情况下,摄入量是根据接触后一个或多个时间点的生物测定结果推断的。从生物测定中恢复最初的摄入量依赖于描述体内分布和毒物清除的生物动力学模型。这些模型通常采用具有广义总体参数的一阶微分方程,不能捕捉新陈代谢或解剖结构中的个体差异。因此,初始摄入量的重建受到多种随机性来源的影响,包括吸入放射性核素的物理沉积、检测系统的不确定性和个体间的生理变异性。机器学习(ML)算法对高度非线性和通常是随机过程建模的能力使它们适合于增强摄取重建。本研究应用人工神经网络估算小猎犬吸入90Sr的初始摄入活性。通过纳入个人特定特征(如年龄、体重和性别)来评估模型性能和对输入数据质量的敏感性。系统地设计了三种数据方案,每种方案都具有不同的预处理流程和模型复杂性。第一种方案通过暴露后14天内进行的生物测定,证明了摄入量重建的可行性。第二种方案表明,历史记录中保留函数的汇总统计数据缺乏个性化ML建模的足够分辨率。第三种方案表明,尽管在分辨率和方法学上存在局限性,但当存在多个暴露后时间点时,历史剂量估计值可作为替代特征。采用均方根误差(RMSE)评价预测误差,采用自定义指标方差相对差(VarRD)量化模型偏差。本研究还回顾了1966年至1987年间由吸入毒理学研究所(ITRI)进行的90Sr比格犬吸入实验的历史数据的完整性。
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引用次数: 0
Long-term impact of the Fukushima Daiichi Nuclear Power Plant disaster on confidence in giving birth or caring for a child: a stratified analysis by family structure and prefecture. 福岛第一核电站灾难对生育和照顾孩子信心的长期影响:家庭结构和县的分层分析。
IF 1.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2025-11-06 DOI: 10.1088/1361-6498/ae13b6
Nancy Jiang, Shinya Ito, Aya Goto

In March 2011, the Great East Japan Earthquake triggered the release of radionuclides from the Fukushima Daiichi Nuclear Power Plant. This event impacted residents in Fukushima prefecture and surrounding areas and caused significant public health concerns. This study aims to determine whether current reproductive intentions among Japanese parents are related to long-term perceptions of health risks from radiation. The analysis uses data from an online survey conducted in 2018 among 620 Japanese adults, 310 of whom were living in Fukushima prefecture at the time of the 2011 disaster. We investigated levels of confidence in giving birth and caring for a child by categorising survey respondents based on their current family structure and reproductive intentions. We also examined how radiation risk perception mediates the relationship between place of residence and confidence in giving birth or caring for a child. Among the four subgroups, those who neither had children nor intended to have children were most concerned about caring for a child, regardless of place of residence. Conversely, among those who had children and also had further reproductive intentions, those living in Fukushima at the time of the disaster reported the highest confidence in both giving birth and caring for a child. Additionally, we found that the association between place of residence and parental confidence in giving birth was mediated by perceived genetic health risk. This finding implies the need to tailor radiation risk-related information to address concerns about genetic health effects for couples preparing for parenthood in regions not directly impacted by the disaster in the long term.

2011年3月,东日本大地震引发了福岛第一核电站的放射性核素释放。这一事件影响了福岛县及周边地区的居民,并引起了重大的公共卫生问题。这项研究旨在确定日本父母目前的生育意愿是否与对辐射健康风险的长期认知有关。该分析使用了2018年对620名日本成年人进行的一项在线调查的数据,其中310人在2011年灾难发生时居住在福岛县。我们根据调查对象目前的家庭结构和生育意图对其进行分类,调查了生育和照顾孩子的信心水平。我们还研究了辐射风险感知如何调节居住地与生育或照顾孩子的信心之间的关系。在这四个小组中,那些既没有孩子也不打算要孩子的人最关心照顾孩子,而不管他们住在哪里。相反,在那些有孩子并有进一步生育意图的人中,灾难发生时居住在福岛的人对生育和照顾孩子的信心最高。此外,我们发现居住地与父母分娩信心之间的关联是由感知遗传健康风险介导的。这一发现表明,有必要对辐射风险相关信息进行定制,以解决在没有直接受灾难影响的地区准备生育的夫妇在长期内对遗传健康影响的担忧。
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引用次数: 0
Benchmarking point-kernel method against Monte Carlo simulations for an ALARA case study in occupational radiation protection. 基于蒙特卡罗模拟的基准点核法在职业性辐射防护中的应用。
IF 1.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2025-11-04 DOI: 10.1088/1361-6498/ae16b5
Federica Roberto, Mahmoud Abdelrahman, Lombardo Pasquale, Filip Vanhavere, John A Lee

The principle of as low as reasonably achievable (ALARA) is of paramount importance for the radiation protection of workers, and more specifically in the context of the decommissioning of nuclear facilities. For that purpose, several tools have been developed to measure and assess radiation doses to workers, to plan radiological work, and to ensure that safety protocols are followed. Most of these planning tools are based on the well-established point-kernel (PK) method, while others rely on Monte Carlo (MC) simulations. The scope of this paper is to compare, for some case studies, the performance and accuracy of VISIPLAN 4.0, a PK-based tool developed at SCK CEN, with MC simulations, to highlight the advantages and limitations of both methods. The major advantage of PK methods is usually related to their lower computational burden, at the cost of a less accurate assessment of dose values. However, depending on the number of source points chosen for the PK method, the simulation time could be comparable to MC simulations: in the scenarios presented in this paper, the simulation time was comparable to MC simulations when a high number of source points was considered. Moreover, VISIPLAN, on average, overestimated the dose assessment by approximately 50% compared to MC results.

尽可能低的原则对于工人的辐射防护,特别是在核设施退役的情况下,具有极其重要的意义。为此目的,已经开发了几种工具来测量和评估对工作人员的辐射剂量,规划辐射工作,并确保遵守安全规程。这些规划工具大多基于成熟的点核方法,而其他工具则依赖于蒙特卡罗模拟。本文的范围是通过一些案例研究,比较SCK CEN开发的基于点核的工具VISIPLAN 4.0与蒙特卡罗模拟的性能和准确性,以突出这两种方法的优点和局限性。点核方法的主要优点通常与计算量较低有关,但代价是对剂量值的评估较不准确。然而,根据为点核法选择的源点的数量,模拟时间可以与蒙特卡罗模拟相当:在本文给出的场景中,当考虑大量源点时,模拟时间与蒙特卡罗模拟相当。此外,与蒙特卡罗结果相比,VISIPLAN平均高估了剂量评估约50%。
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引用次数: 0
Radiation safety -it's in our hands: a practical video supplement to improve radiation safety in hand surgery. “辐射安全——在我们手中:一个实用的视频补充,以提高手部手术的辐射安全”。
IF 1.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2025-10-30 DOI: 10.1088/1361-6498/ae1596
Ferdia Browne, Adrian Murphy, Roisin T Dolan

Intra-operative radiographic imaging is indispensable in modern hand surgery but exposes surgeons' hands to significant ionising radiation. In theSHIELDmulticentre audit performed across all Irish Plastic Surgery units, non-patient anatomy appeared in 51.7% of saved intra-operative images, highlighting a persistent gap between ALARA ('As Low As Reasonably Achievable') principles and real-world practice. To address this problem, we developed a professionally-produced, educational video demonstrating simple, low-cost techniques that maintain working distances during x-ray acquisition. Using common instruments like artery clips, skin hooks, long forceps, and radiolucent syringe barrels, the video provides step-by-step demonstrations tailored to hand surgery. Feedback from national dissemination has been positive, with trainees and consultants circulating the video-based tool. In parallel,Spark Innovation Seedfunding was secured to help design a purpose-built operative tool that allows precise manipulation while keeping the surgeon's hands outside the x-ray field. This article introduces the video as a practical training resource and highlights its potential as a standardised, low-barrier intervention to improve radiation safety in hand surgery.

术中放射成像在现代手外科手术中是必不可少的,但使外科医生的手暴露在显著的电离辐射中。在所有爱尔兰整形外科单位进行的SHIELD多中心审计中,非患者解剖出现在51.7%保存的术中图像中,突出了ALARA(“尽可能低的合理可实现”)原则与现实世界实践之间的持续差距。为了解决这个问题,我们开发了一个专业制作的教育视频,展示了在x射线采集过程中保持工作距离的简单、低成本技术。使用常见的工具,如动脉夹,皮肤钩,长钳,和透光注射器桶,视频提供了一步一步的示范量身定制的手部手术。国家传播的反馈是积极的,有早期证据表明日常实践中手部接触减少。与此同时,Spark创新种子基金获得了设计一种专用手术工具的资金,该工具可以在不让外科医生的手接触x射线的情况下进行精确操作。这篇文章介绍了视频作为一种实用的培训资源,并强调了它作为一种标准化的、低屏障的干预措施来提高手部手术的辐射安全性的潜力。
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引用次数: 0
Significant dose reduction in diagnostic cerebral angiography using the ALARA principle and state-of-the-art medical equipment. 使用ALARA原理和最先进的医疗设备诊断脑血管造影的显著剂量减少。
IF 1.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2025-10-30 DOI: 10.1088/1361-6498/ae1403
Mariusz Sowa, Joanna Sowa, Kamil Węglarz, Maciej Budzanowski

Operator experience, the use of low frame rates during both fluoroscopy and DSA, and the application of modern medical equipment are crucial for ensuring optimal image quality while maintaining minimal exposure to ionising radiation during cerebral angiography. Our centre achieves this by using the lowest possible fluoroscopy frame rate (3.125 frames per second), a the operator set the nominal acquisition parameters at 2 fps for digital subtraction angiography (DSA), three-dimensional (3D) rotational angiography, two-dimensional /3D mapping, and roadmapping, without compromising the quality of the images obtained. A total of 213 diagnostic procedures for intracranial aneurysms, performed at a single medical centre between 2018 and 2024, were analyzed. Key exposure parameters were collected and analyzed for each procedure, including dose area product (DAP), air kerma (Ka,r), fluoroscopy time (FT), and the total number of DSA frames. The local diagnostic reference level (DRL) and typical values for cerebral angiography were determined and compared with data available in the relevant literature. The 75th percentile (P75) values, assumed to be the DRL, were 23.57 Gy · cm2for DAP (literature range: 90-209), 153 mGy for Ka,r (literature range: 711.3-1401 mGy), 10 min and 46 s for FT, and 257 for the number of DSA frames during diagnostic procedures. Typical values (50th percentile [P50]) were 13.4 Gy · cm2for DAP (literature range: 43.1-157), 92 mGy for Ka,r (literature range: 312-598 mGy), six minutes and 20 s for FT, and 182 for the number of DSA frames during diagnostic procedures. The P50 dose DRLs, measured via DAP, Ka,r, FT, and the number of DSA frames, were at least three times lower at our facility than those reported in studies on cerebral angiography published between 2013 and 2023. The use of low frame rates during both fluoroscopy and DSA has a significant impact on the radiation dose measured by DAP, Ka,r, FT, and the number of DSA frames. The proposed DRLs could be used to ensure quality and patient safety in diagnostic procedures.

背景 ;操作人员的经验,在透视和DSA期间使用低帧率,以及现代医疗设备的应用,对于确保最佳图像质量,同时在脑血管造影期间保持最小的电离辐射暴露至关重要。我们的中心通过使用尽可能低的透视帧率(每秒3125帧)来实现这一目标,操作员将数字减影血管造影(DSA)、三维(3D)旋转血管造影、二维(2D)/3D测绘和道路测绘的标称采集参数设置为每秒2帧,而不会影响所获得图像的质量。 ;材料和方法 ;对2018年至2024年间在单个医疗中心进行的213例颅内动脉瘤诊断手术进行了分析。收集并分析每个程序的关键暴露参数,包括剂量面积积(DAP)、空气温度(Ka,r)、透视时间(FT)和DSA帧总数。确定局部诊断参考水平(DRL)和脑血管造影的典型值,并与相关文献的数据进行比较。结果:假定DRL为第75个百分点(P75)值,DAP为2357 Gy·cm²(文献范围:90-209),Ka为153 mGy,r(文献范围:711,3-1401 mGy), FT为10分46秒,诊断过程中DSA帧数为257帧。典型值(50百分位(P50)) 13日,4 Gy·cm²DAP(文学范围:43岁,1 - 157),92年mGy Ka, r(文学范围:312 - 598 mGy), 6分20秒对英国《金融时报》,和182年的DSA帧在诊断过程中# xD公司;& # xD;结论# xD; P50剂量drl,测量通过DAP、Ka, r,英国《金融时报》,和DSA帧的数量,至少三次降低我们的设施比在脑血管造影术的研究报告发表在2013年和2023年之间。在透视和DSA期间使用低帧率对DAP、Ka、r测量的辐射剂量、透视时间(FT)和DSA帧数有显著影响。建议的drl可用于确保诊断过程的质量和患者安全。
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引用次数: 0
Regulation the medical uses of ionising radiation during the full-scale Russian invasion to Ukraine. 管制在俄罗斯全面入侵乌克兰期间电离辐射的医疗用途。
IF 1.8 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2025-10-27 DOI: 10.1088/1361-6498/ae10c4
Tetiana Lytvynska, Olga Bezzabava, Oleksandr Viskov, Antonina Myshkovska, Ielyzaveta Kulich, Ievgen Nikolaiev, Oleksandra Slepchenko, Yuliia Yesypenko

Since the beginning of the full-scale war of the Russian federation against Ukraine, there have been serious problems for the Ukrainian healthcare system associated with the substantial loss of medical equipment, evacuation of the public to safer regions, increasing numbers of injuries (military and civilian) due to military activities as well as indiscriminate shelling, etc. Under the special legal regime of martial law, the system of state regulation of nuclear and radiation safety encountered new and unforeseen challenges given the lack of international regulatory experience in the context of full-scale war and the subsequent postwar period. The objective of the work described here is to analyse the current situation in the regulation of medical uses of ionsing radiation, taking into account the decisions taken by the regulatory body, to identify the main risks to the national regulatory system and to suggest ways to improve its robustness and resilience.

自俄罗斯联邦对乌克兰的全面战争开始以来,医疗保健系统出现了严重的问题,包括大量医疗放射设备的损失、公众撤离到更安全的地区、由于军事活动和不分青红皂白的炮击而受伤的士兵和公众人数不断增加等。在特殊的戒严法律制度下,由于国际上在辐射和核设施运行以及包括辐射源在内的核能利用监管方面缺乏经验,核与辐射安全国家监管制度面临新的挑战。此外,在全面战争和战后时期的监管经验非常有限。它的系统分析根本不存在。自目前的军事时期以来,乌克兰的管制活动受到了重大影响。本文考虑到管制机构作出的决定,分析了电离辐射医疗用途管制领域的现状。目标是确定国家监管系统的主要风险,并提出优化方法。
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引用次数: 0
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Journal of Radiological Protection
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