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Editorial Board + Consulting Editorial Board 编辑委员会 + 咨询编辑委员会
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-05-01 DOI: 10.1016/S0939-3889(24)00034-5
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引用次数: 0
Application of multi-method-multi-model inference to radiation related solid cancer excess risks models for astronaut risk assessment 将多方法-多模型推论应用于宇航员风险评估中与辐射相关的实体癌超额风险模型。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2023.06.003
Luana Hafner , Linda Walsh

The impact of including model-averaged excess radiation risks (ER) into a measure of radiation attributed decrease of survival (RADS) for the outcome all solid cancer incidence and the impact on the uncertainties is demonstrated. It is shown that RADS applying weighted model averaged ER based on AIC weights result in smaller risk estimates with narrower 95% CI than RADS using ER based on BIC weights. Further a multi-method-multi-model inference approach is introduced that allows calculating one general RADS estimate providing a weighted average risk estimate for a lunar and a Mars mission. For males the general RADS estimate is found to be 0.42% (95% CI: 0.38%; 0.45%) and for females 0.67% (95% CI: 0.59%; 0.75%) for a lunar mission and 2.45% (95% CI: 2.23%; 2.67%) for males and 3.91% (95% CI: 3.44%; 4.39%) for females for a Mars mission considering an age at exposure of 40 years and an attained age of 65 years. It is recommended to include these types of uncertainties and to include model-averaged excess risks in astronaut risk assessment.

将模型平均超量辐射风险(ER)纳入所有实体癌发病率结果的辐射导致生存率下降(RADS)测量中的影响以及对不确定性的影响得到了证实。结果表明,采用基于 AIC 权重的加权模型平均超额辐射风险 RADS 比采用基于 BIC 权重的超额辐射风险 RADS 得出的风险估计值更小,95% CI 更窄。此外,还介绍了一种多方法-多模型推理方法,可以计算出一个通用的 RADS 估计值,为月球和火星任务提供加权平均风险估计值。在月球任务中,男性的一般 RADS 估计值为 0.42% (95% CI: 0.38%; 0.45%),女性为 0.67% (95% CI: 0.59%; 0.75%);在火星任务中,考虑到暴露年龄为 40 岁和达到年龄为 65 岁,男性为 2.45% (95% CI: 2.23%; 2.67%),女性为 3.91% (95% CI: 3.44%; 4.39%)。建议在宇航员风险评估中纳入这类不确定性,并纳入模型平均超额风险。
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引用次数: 0
Radium deposition in human brain tissue: A Geant4-DNA Monte Carlo toolkit study 人体脑组织中的镭沉积:Geant4-DNA 蒙特卡洛工具包研究
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2023.09.004
S.M.J. Mortazavi , Payman Rafiepour , S.A.R. Mortazavi , S.M.T. Razavi Toosi , Parya Roshan Shomal , Lembit Sihver

NASA has encouraged studies on 226Ra deposition in the human brain to investigate the effects of exposure to alpha particles with high linear energy transfer, which could mimic some of the exposure astronauts face during space travel. However, this approach was criticized, noting that radium is a bone-seeker and accumulates in the skull, which means that the radiation dose from alpha particles emitted by 226Ra would be heavily concentrated in areas close to cranial bones rather than uniformly distributed throughout the brain. In the high background radiation areas of Ramsar, Iran, extremely high levels of 226Ra in soil contribute to a large proportion of the inhabitants' radiation exposure. A prospective study on Ramsar residents with a calcium-rich diet was conducted to improve the dose uniformity due to 226Ra throughout the cerebral and cerebellar parenchyma. The study found that exposure of the human brain to alpha particles did not significantly affect working memory but was significantly associated with increased reaction times. This finding is crucial because astronauts on deep space missions may face similar cognitive impairments due to exposure to high charge and energy particles. The current study was aimed to evaluate the validity of the terrestrial model using the Geant4 Monte Carlo toolkit to simulate the interactions of alpha particles and representative cosmic ray particles, acknowledging that these radiation types are only a subset of the complete space radiation environment.

美国航天局鼓励对 226Ra 在人脑中的沉积进行研究,以调查暴露于高线性能量转移的 α 粒子的影响,这可以模拟宇航员在太空旅行期间所面临的某些暴露。然而,这种方法受到了批评,因为镭是一种骨寻觅器,会在头骨中积聚,这意味着 226Ra 发出的阿尔法粒子的辐射剂量会大量集中在靠近颅骨的区域,而不是均匀地分布在整个大脑中。在伊朗拉姆萨尔的高本底辐射地区,土壤中极高的 226Ra 含量占居民辐射量的很大比例。为了改善 226Ra 在整个大脑和小脑实质中的剂量均匀性,对拉姆萨尔居民进行了一项富含钙饮食的前瞻性研究。研究发现,人脑暴露于α粒子不会对工作记忆产生显著影响,但与反应时间的增加有明显关联。这一发现至关重要,因为执行深空任务的宇航员可能会因暴露于高电荷和高能量粒子而面临类似的认知障碍。目前的研究旨在评估使用 Geant4 蒙特卡洛工具包模拟α粒子和代表性宇宙射线粒子相互作用的地面模型的有效性,同时承认这些辐射类型只是完整空间辐射环境的一个子集。
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引用次数: 0
Enhanced direct joint attenuation and scatter correction of whole-body PET images via context-aware deep networks 通过情境感知深度网络增强全身 PET 图像的直接联合衰减和散射校正
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2024.01.002
Saeed Izadi, Isaac Shiri, Carlos F. Uribe, Parham Geramifar, Habib Zaidi, Arman Rahmim, Ghassan Hamarneh

In positron emission tomography (PET), attenuation and scatter corrections are necessary steps toward accurate quantitative reconstruction of the radiopharmaceutical distribution. Inspired by recent advances in deep learning, many algorithms based on convolutional neural networks have been proposed for automatic attenuation and scatter correction, enabling applications to CT-less or MR-less PET scanners to improve performance in the presence of CT-related artifacts. A known characteristic of PET imaging is to have varying tracer uptakes for various patients and/or anatomical regions. However, existing deep learning-based algorithms utilize a fixed model across different subjects and/or anatomical regions during inference, which could result in spurious outputs. In this work, we present a novel deep learning-based framework for the direct reconstruction of attenuation and scatter-corrected PET from non-attenuation-corrected images in the absence of structural information in the inference. To deal with inter-subject and intra-subject uptake variations in PET imaging, we propose a novel model to perform subject- and region-specific filtering through modulating the convolution kernels in accordance to the contextual coherency within the neighboring slices. This way, the context-aware convolution can guide the composition of intermediate features in favor of regressing input-conditioned and/or region-specific tracer uptakes. We also utilized a large cohort of 910 whole-body studies for training and evaluation purposes, which is more than one order of magnitude larger than previous works. In our experimental studies, qualitative assessments showed that our proposed CT-free method is capable of producing corrected PET images that accurately resemble ground truth images corrected with the aid of CT scans. For quantitative assessments, we evaluated our proposed method over 112 held-out subjects and achieved an absolute relative error of 14.30±3.88% and a relative error of -2.11%±2.73% in whole-body.

在正电子发射断层扫描(PET)中,衰减和散射校正是精确定量重建放射性药物分布的必要步骤。受深度学习最新进展的启发,许多基于卷积神经网络的算法已被提出用于自动衰减和散射校正,使其能够应用于无 CT 或无磁共振 PET 扫描仪,从而在存在 CT 相关伪影的情况下提高性能。PET 成像的一个已知特征是不同患者和/或解剖区域的示踪剂摄取量不同。然而,现有的基于深度学习的算法在推理过程中对不同受试者和/或解剖区域使用固定的模型,这可能会导致虚假输出。在这项工作中,我们提出了一种新颖的基于深度学习的框架,用于在推理中没有结构信息的情况下,从非衰减校正图像直接重建衰减和散射校正 PET。为了处理 PET 成像中的受试者间和受试者内摄取量变化,我们提出了一种新型模型,通过根据相邻切片内的上下文一致性调制卷积核来执行受试者和区域特定滤波。这样,情境感知卷积就能指导中间特征的组成,从而有利于回归输入条件和/或特定区域的示踪剂摄取量。我们还利用了一个包含 910 个全身研究数据的大型队列来进行训练和评估,其规模比之前的研究要大一个数量级以上。在实验研究中,定性评估结果表明,我们提出的无 CT 方法能够生成校正后的 PET 图像,这些图像与借助 CT 扫描校正的地面实况图像非常相似。在定量评估方面,我们对 112 名受试者进行了评估,结果表明我们提出的方法在全身的绝对相对误差为 14.30%±3.88%,相对误差为 -2.11%±2.73%。
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引用次数: 0
Light flashes and other sensory illusions perceived in space travel and on ground, including proton and heavy ion therapies 在太空旅行和地面上感知到的闪光和其他感官幻觉,包括质子和重离子疗法。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2023.06.004
Livio Narici

Most of the astronauts experience visual illusions, apparent flashes of light (LF) in absence of light. The first reported observation of this phenomenon was in July 1969 by Buzz Aldrin, in the debriefing following the Apollo 11 mission. Several ground-based experiments in the 1970s tried to clarify the mechanisms behind these light flashes and to evaluate possible related risks. These works were supported by dedicated experiments in space on the following Apollo flights and in Low Earth Orbit (LEO). It was soon demonstrated that the LF could be caused by charged particles (present in the space radiation) traveling through the eye, and, possibly, some other visual cortical areas. In the 1990s the interest in these phenomena increased again and additional experiments in Low Earth Orbit and others ground-based were started. Recently patients undergoing proton and heavy ion therapy for eye or head and neck tumors have reported the perception of light flashes, opening a new channel to investigate these phenomena.

In this paper the many LF studies will be reviewed, presenting an historical and scientific perspective consistent with the combined set of observations, offering a single comprehensive summary aimed to provide further insights on these phenomena.

While the light flashes appear not to be a risk by themselves, they might provide information on the amount of radiation induced radicals in the astronauts’ eyes. Understanding their generation mechanisms might also support radiation countermeasures development. However, even given the substantial progress outlined in this paper, many questions related to their generation are still under debate, so additional studies are suggested. Finally, it is also conceivable that further LF investigations could provide evidence about the possible interaction of single particles in space with brain function, impacting with the crew ability to optimally perform a mission.

大多数宇航员都会出现视觉错觉,即在没有光的情况下出现明显的闪光(LF)。1969 年 7 月,巴兹-奥尔德林(Buzz Aldrin)在阿波罗 11 号任务结束后的汇报中首次报告了对这一现象的观察结果。20 世纪 70 年代的一些地面实验试图阐明这些光闪背后的机制,并评估可能存在的相关风险。在随后的阿波罗飞行和低地轨道(LEO)上进行的专门太空实验为这些工作提供了支持。实验很快证明,低地闪光可能是由穿过眼睛的带电粒子(存在于空间辐射中)引起的,也可能是由其他一些视觉皮层区域引起的。20 世纪 90 年代,人们对这些现象的兴趣再次增加,并开始在低地球轨道和其他地面上进行更多的实验。最近,接受质子和重离子治疗眼部或头颈部肿瘤的病人报告说,他们能感觉到闪光,这为研究这些现象开辟了新的渠道。本文将对众多 LF 研究进行综述,从历史和科学角度阐述与综合观察结果一致的观点,提供一份全面的总结,旨在为这些现象提供进一步的见解。虽然光闪本身似乎并不危险,但它们可以提供宇航员眼睛中辐射诱导自由基数量的信息。了解它们的产生机制也可能有助于辐射防护措施的开发。不过,即使本文概述的研究取得了实质性进展,与自由基生成有关的许多问题仍在争论之中,因此建议开展更多研究。最后,可以想象,进一步的低频研究还能提供证据,证明太空中的单粒子可能与大脑功能产生相互作用,从而影响宇航员以最佳状态执行任务的能力。
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引用次数: 0
The ESA Active Dosimeter (EAD) system onboard the International Space Station (ISS) 国际空间站(ISS)上的欧空局主动剂量计(EAD)系统。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2023.03.001
Ulrich Straube , Thomas Berger , Matthias Dieckmann

Ionizing radiation in general and mixed fields of space radiation in particular pose a risk of serious harm to human health. The risk of such adverse effects increases with the duration of the mission, and for all missions outside the protective properties of the Earth’s magnetic field and atmosphere. Accordingly, radiation protection is of central importance for all human spaceflight, which is recognized by all international space agencies. To date various systems, analyze and determine the exposure to ionizing radiation within the environment and to the crew onboard the International Space Station (ISS). In addition to this operational monitoring, experiments and technology demonstrations are carried out. This to further enhance systems capabilities, to prepare for exploratory missions, to the Deep Space Gateway and/or to enable for human presence at other celestial bodies. Subsequently the European Space Agency (ESA) decided early to support the development of an active personal dosimeter. Under the auspices of the European Space Research and Technology Center (ESTEC) together with the European Astronaut Center's (EAC) Medical Operations and Space Medicine (HRE-OM) team, a European industrial consortium was formed to develop, build, and test this system. To complete the ESA Active Dosimeter (EAD) Technology Demonstration in space, EAD components were delivered to ISS with the ESA’s space missions ‘iriss’ and ‘proxima’ in 2015 and 2016. This marked Phase 1 (2015) and 2 (2016–2017) of the EAD Technology Demonstration to which focus is given in this publication. All EAD systems and their functionalities, the different radiation detector, their properties, and calibrations procedures are described. Emphasis is first on the “iriss” mission of September 2015, that provided a complete set of data for an entire space mission from launch to landing, for the first time. Data obtained during Phase 2 in 2016–2017 are discussed thereafter. Measurements with the active radiation detectors of the EAD system provided data of the absorbed dose, dose equivalent, quality factor as well as the various dose contributions during the crossings of the South Atlantic Anomaly (SAA) and/or resulting from galactic cosmic radiation (GCR). Results of the in-flight cross-calibrations among the internal sensors of the EAD systems are discussed and alternative usage of the EAD Mobile Units as area monitors at various different locations inside the ISS is described.

一般电离辐射,特别是混合空间辐射场对人类健康构成严重危害的风险。这种不利影响的风险随着飞行任务的持续时间以及在地球磁场和大气层保护特性之外的所有飞行任务的持续时间而增加。因此,辐射防护对所有载人航天飞行都至关重要,这一点已得到所有国际空间机构的认可。迄今为止,国际空间站(ISS)上的各种系统都在分析和确定环境中和机组人员所受的电离辐射。除此之外,还进行了业务监测、实验和技术演示。这样做是为了进一步提高系统能力,为探索任务、深空网关和/或人类进入其他天体做好准备。随后,欧洲航天局(ESA)很早就决定支持主动式个人剂量计的开发。在欧洲空间研究和技术中心(ESTEC)以及欧洲宇航员中心(EAC)医疗操作和空间医学(ERE-OM)小组的支持下,成立了一个欧洲工业联合体,负责开发、制造和测试该系统。为了完成欧空局主动剂量计(EAD)的太空技术演示,EAD组件已于2015年和2016年随欧空局的太空任务 "iriss "和 "proxima "运送到国际空间站。这标志着 EAD 技术示范的第一阶段(2015 年)和第二阶段(2016-2017 年),本出版物将重点介绍这两个阶段。文中介绍了所有 EAD 系统及其功能、不同的辐射探测器、其特性和校准程序。重点首先放在2015年9月的 "iriss "任务上,该任务首次提供了整个空间任务从发射到着陆的全套数据。随后讨论 2016-2017 年第二阶段获得的数据。利用 EAD 系统的有源辐射探测器进行的测量提供了吸收剂量、剂量当量、质量因子以及穿越南大西洋异常点(SAA)期间和/或银河宇宙辐射(GCR)造成的各种剂量贡献的数据。讨论了 EAD 系统内部传感器之间的飞行交叉校准结果,并介绍了将 EAD 移动装置用作国际空间站内不同位置的区域监测器的替代用途。
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引用次数: 0
Monte Carlo model for ion mobility and diffusion for characteristic electric fields in nanodosimetry 纳米模拟测量中特征电场的离子迁移率和扩散的蒙特卡洛模型。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2022.12.006
Irina Kempf , Uwe Schneider

The quantification of the effects of space radiation for manned spaceflight can be approximated by nanodosimetric measurements. For the development of nanodosimetric detectors, a Monte Carlo model for ion mobility and diffusion for characteristic electric fields is presented.

This model can be used to describe the interactions of ions in their parent gas based solely on commonly known input parameters, such as the ionization potential, kinetic diameter, molar mass, and polarizability of the gas. A model for approximating the resonant charge exchange cross section has been proposed, requiring only the ionization energy and mass of the parent gas as input parameters. The method proposed in this work was tested against experimental drift velocity data for a wide range of gases (helium, neon, nitrogen, argon, krypton, carbon monoxide, carbon dioxide, oxygen, propane). The transverse diffusion coefficients were compared to experimental values for helium, nitrogen, neon, argon, and propane gas.

With the Monte Carlo code and resonant charge exchange cross section approximation model presented in this work, it is now possible to calculate an estimate of the drift velocities, transverse diffusion, and thus the ion mobility of ions in their parent gas. This is essential for further nanodosimetric detector development, as those parameters are often not well known for the gas mixtures used in nanodosimetry.

空间辐射对载人航天影响的量化可以通过纳米计量测量来近似实现。为开发纳米计量探测器,介绍了一种针对特征电场的离子迁移率和扩散的蒙特卡罗模型。该模型可用于描述离子在其母体气体中的相互作用,只需基于通常已知的输入参数,如气体的电离势、动力学直径、摩尔质量和极化性。我们提出了一个近似共振电荷交换截面的模型,只需将母体气体的电离能和质量作为输入参数。这项工作中提出的方法针对多种气体(氦气、氖气、氮气、氩气、氪气、一氧化碳、二氧化碳、氧气、丙烷)的实验漂移速度数据进行了测试。横向扩散系数与氦气、氮气、氖气、氩气和丙烷气体的实验值进行了比较。利用本研究中介绍的蒙特卡罗代码和共振电荷交换截面近似模型,现在可以计算出漂移速度、横向扩散的估计值,从而计算出离子在其母体气体中的离子迁移率。这对于进一步开发纳米定量检测器至关重要,因为纳米定量检测中使用的混合气体中的这些参数通常并不为人所知。
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引用次数: 0
Back to the future: Spaceflight – Radiation and new horizons 回到未来:太空飞行--辐射与新视野。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2024.01.003
Ulrich Straube, Matthias Maurer
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引用次数: 0
System of radiological protection: Towards a consistent framework on Earth and in space 辐射防护系统:建立地球和太空一致的框架。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2024.01.004
Werner Rühm, Nobuhiko Ban, Jing Chen, Chunsheng Li, Mikhail Dobynde, Marco Durante, Samy El-Jaby, Tatsuto Komiyama, Kotaro Ozasa, Tatsuhiko Sato, Edward J Semones, Mark Shavers, Vyacheslav Shurshakov, Ulrich Straube, Leena Tomi, Alexander Ulanowski, Ludovic Vaillant, Zhenhua Xu, Constantinos Zervides, Guangming Zhou
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引用次数: 0
Moon, Mars and Minds: Evaluating Parkinson’s disease mortality among U.S. radiation workers and veterans in the million person study of low-dose effects 月亮、火星和心灵:在百万人低剂量效应研究中评估美国辐射工作者和退伍军人的帕金森病死亡率。
IF 2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2023.07.002
Lawrence T. Dauer , Linda Walsh , Michael T. Mumma , Sarah S. Cohen , Ashley P. Golden , Sara C. Howard , Grace E. Roemer , John D. Boice Jr

Background

Radiation is one of the most important stressors related to missions in space beyond Earth’s orbit. Epidemiologic studies of exposed workers have reported elevated rates of Parkinson’s disease. The importance of cognitive dysfunction related to low-dose rate radiation in humans is not defined. A meta-analysis was conducted of six cohorts in the Million Person Study (MPS) of low-dose health effects to learn whether there is consistent evidence that Parkinson’s disease is associated with radiation dose to brain.

Materials and methods

The MPS evaluates all causes of death among U.S. radiation workers and veterans, including Parkinson’s disease. Systematic and consistent methods are applied to study all categories of workers including medical radiation workers, industrial radiographers, nuclear power plant workers, atomic veterans, and Manhattan Projects workers at the Los Alamos National Laboratory and at Rocky Flats. Consistent methods for all cohorts are used to estimate organ-specific doses and to obtain vital status and cause of death.

Results

The meta-analysis include 6 cohorts within the MPS, consisting of 517,608 workers and 17,219,001 person-years of observation. The mean dose to brain ranged from 6.9 to 47.6 mGy and the maximum dose from 0.76 to 2.7 Gy. Five of the 6 cohorts revealed positive associations with Parkinson’s disease. The overall summary estimate from the meta-analysis was statistically significant based on 1573 deaths due to Parkinson’s disease. The summary excess relative risk at 100 mGy was 0.17 (95% CI: 0.05; 0.29).

Conclusions

Parkinson’s disease was positively associated with radiation in the MPS cohorts indicating the need for careful evaluation as to causality in other studies, delineation of possible mechanisms, and assessing possible implications for space travel as well as radiation protection guidance for terrestrial workers.

背景:辐射是与地球轨道以外的太空任务有关的最重要的压力源之一。对受到辐射的工作人员进行的流行病学研究报告了帕金森病的高发率。与低剂量辐射率有关的认知功能障碍对人类的重要性尚不明确。我们对低剂量健康影响的百万人研究(MPS)中的六个队列进行了荟萃分析,以了解是否有一致的证据表明帕金森病与大脑受到的辐射剂量有关:MPS 评估了美国辐射工作者和退伍军人的所有死因,包括帕金森病。采用系统和一致的方法对所有类别的工作人员进行研究,包括医疗辐射工作人员、工业放射技师、核电厂工作人员、原子弹退伍军人以及洛斯阿拉莫斯国家实验室和洛基弗拉特斯的曼哈顿项目工作人员。所有队列都采用了一致的方法来估算器官特异性剂量,并获得生命状态和死亡原因:荟萃分析包括 MPS 中的 6 个队列,其中包括 517,608 名工人和 17,219,001 人年的观察。脑部的平均剂量为 6.9 至 47.6 mGy,最大剂量为 0.76 至 2.7 Gy。在 6 个队列中,有 5 个队列显示与帕金森病呈正相关。根据帕金森病导致的 1573 例死亡,荟萃分析得出的总体估计值具有统计学意义。100毫戈瑞的超额相对风险总值为0.17(95% CI:0.05;0.29):帕金森病与 MPS 队列中的辐射呈正相关,这表明有必要在其他研究中仔细评估因果关系,确定可能的机制,并评估对太空旅行的可能影响以及对地面工作人员的辐射防护指导。
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引用次数: 0
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