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European astronaut radiation related cancer risk assessment using dosimetric calculations of organ dose equivalents 欧洲宇航员辐射相关癌症风险评估,使用器官剂量当量的剂量计算。
IF 2 4区 医学 Q1 Medicine Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2023.10.003
Linda Walsh , Luana Hafner , Thomas Berger , Daniel Matthiä , Uwe Schneider , Ulrich Straube

An illustrative sample mission of a Mars swing-by mission lasting one calendar year was chosen to highlight the application of European risk assessment software to cancer (all solid cancer plus leukaemia) risks from radiation exposures in space quantified with organ dose equivalent rates from model calculations based on the quantity Radiation Attributed Decrease of Survival (RADS). The relevant dose equivalent to the colon for radiation exposures from this Mars swing-by mission were found to vary between 198 and 482 mSv. These doses depend on sex and the two other factors investigated here of: solar activity phase (maximum or minimum); and the choice of space radiation quality factor used in the calculations of dose equivalent. Such doses received at typical astronaut ages around 40 years old will result in: the probability of surviving until retirement age (65 years) being reduced by a range from 0.38% (95%CI: 0.29; 0.49) to 1.29% (95%CI: 1.06; 1.56); and the probability of surviving cancer free until retirement age being reduced by a range from 0.78% (95%CI: 0.59; 0.99) to 2.63% (95%CI: 2.16; 3.18). As expected from the features of the models applied to quantify the general dosimetric and radiation epidemiology parameters, the cancer incidence risks in terms of surviving cancer free, are higher than the cancer mortality risks in terms of surviving, the risks for females are higher than for males, and the risks at solar minimum are higher than at solar maximum.

选择了一个为期一个日历年的火星摇摆任务的示例性样本任务,以强调欧洲风险评估软件对癌症(所有固体癌症加白血病)太空辐射暴露风险的应用,该风险通过基于辐射导致生存率下降(RADS)量的模型计算得出的器官剂量当量率进行量化。此次火星飞行任务辐射暴露的相关剂量相当于结肠,发现在198至482 mSv之间变化。这些剂量取决于性别和本文研究的其他两个因素:太阳活动阶段(最大或最小);以及剂量当量计算中使用的空间辐射质量因子的选择。在40岁左右的典型宇航员年龄接受的这种剂量将导致:存活到退休年龄(65岁)的概率降低0.38%(95%CI:0.29;0.49)至1.29%(95%CI:1.06;1.56);在退休年龄前无癌症存活的概率降低了0.78%(95%CI:0.59;0.99)至2.63%(95%CI:2.16;3.18),在存活方面高于癌症死亡率风险,女性的风险高于男性,太阳极小期的风险高于太阳极大期的风险。
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引用次数: 0
Comparison of dose and risk estimates between ISS Partner Agencies for a 30-day lunar mission 国际空间站伙伴机构对30天月球任务的剂量和风险评估比较。
IF 2 4区 医学 Q1 Medicine Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2023.10.005
Mark R. Shavers , Edward J. Semones , Vyacheslav Shurshakov , Mikhail Dobynde , Tatsuhiko Sato , Tatsuto Komiyama , Leena Tomi , Jing Chen , Samy El-Jaby , Ulrich Straube , Chunsheng Li , Werner Rühm

The International Partner Agencies of the International Space Station (ISS) present a comparison of the ionizing radiation absorbed dose and risk quantities used to characterize example missions in lunar space. This effort builds on previous collaborative work that characterizes radiation environments in space to support radiation protection for human spaceflight on ISS in low-Earth orbit (LEO) and exploration missions beyond (BLEO). A “shielded” ubiquitous galactic cosmic radiation (GCR) environment combined with––and separate from––the transient challenge of a solar particle event (SPE) was modelled for a simulated 30-day mission period. Simple geometries of relatively thin and uniform shields were chosen to represent the space vehicle and other available shielding, and male or female phantoms were used to represent the body’s self-shielding. Absorbed dose in organs and tissues and the effective dose were calculated for males and females. Risk parameters for cancer and other outcomes are presented for selected organs. The results of this intracomparison between ISS Partner Agencies itself provide insights to the level of agreement with which space agencies can perform organ dosimetry and calculate effective dose. This work was performed in collaboration with the advisory and guidance efforts of the International Commission on Radiological Protection (ICRP) Task Group 115 and will be presented in an ICRP Report

国际空间站(国际空间站)的国际伙伴机构提供了电离辐射吸收剂量和风险量的比较,这些电离辐射被用来作为月球空间任务实例的特征。这项工作建立在先前的协作工作的基础上,该工作描述了空间辐射环境的特征,以支持在近地轨道(LEO)的国际空间站上的人类航天飞行和在更远的探索任务(BLEO)上的辐射防护。“屏蔽”无处不在的银河宇宙辐射(GCR)环境与太阳粒子事件(SPE)的瞬态挑战相结合,并与之分离,模拟了30天的模拟任务周期。选择相对薄而均匀的简单几何形状的盾牌来表示空间飞行器和其他可用的屏蔽,并使用男性或女性幽灵来表示身体的自我屏蔽。计算了男性和女性在器官和组织中的吸收剂量和有效剂量。所选器官的癌症和其他结果的风险参数。国际空间站伙伴机构之间的这种内部比较的结果本身提供了对空间机构可以进行器官剂量测定和计算有效剂量的协议水平的见解。这项工作是与国际放射防护委员会(放射防护委员会)第115工作队的咨询和指导工作合作进行的,并将在放射防护委员会报告中提出。
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引用次数: 0
Time-integrated radiation risk metrics and interpopulation variability of survival 时间积分辐射风险度量和种群间存活率变异性。
IF 2 4区 医学 Q1 Medicine Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2023.08.002
Alexander Ulanowski , Nobuhiko Ban , Kotaro Ozasa , Werner Rühm , Edward Semones , Mark Shavers , Ludovic Vaillant

Task Group 115 of the International Commission on Radiological Protection is focusing on mission-related exposures to space radiation and concomitant health risks for space crew members including, among others, risk of cancer development. Uncertainties in cumulative radiation risk estimates come from the stochastic nature of the considered health outcome (i.e., cancer), uncertainties of statistical inference and model parameters, unknown secular trends used for projections of population statistics and unknown variability of survival properties between individuals or population groups. The variability of survival is usually ignored when dealing with large groups, which can be assumed well represented by the statistical data for the contemporary general population, either in a specific country or world averaged. Space crew members differ in many aspects from individuals represented by the general population, including, for example, their lifestyle and health status, nutrition, medical care, training and education. The individuality of response to radiation and lifespan is explored in this modelling study. Task Group 115 is currently evaluating applicability and robustness of various risk metrics for quantification of radiation-attributed risks of cancer for space crew members. This paper demonstrates the impact of interpopulation variability of survival curves on values and uncertainty of the estimates of the time-integrated radiation risk of cancer.

国际辐射防护委员会第 115 工作组正在重点研究与飞行任务有关的空间辐 射照射以及随之而来的空间乘员健康风险,其中包括癌症发病风险。累积辐射风险估算中的不确定性来自于所考虑的健康结果(即癌症)的随机性、统计推断和模型参数的不确定性、用于预测人口统计数据的未知世俗趋势以及个人或人口群体之间生存属性的未知变异性。在处理大群体时,通常会忽略存活率的变异性,因为可以假定当代一般人口的统计数据很好地代表了特定国家或世界平均水平。航天员在许多方面都不同于普通人,例如他们的生活方式和健康状况、营养、医疗保健、培训和教育。本建模研究探讨了对辐射和寿命反应的个体性。第 115 号任务组目前正在评估各种风险度量的适用性和稳健性,以量化空间乘员的辐射致癌风险。本文论证了生存曲线的人群间变异性对癌症时间积分辐射风险估计值和不确定性的影响。
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引用次数: 0
Ground-based passive generation of Solar Particle Event spectra: Planning and manufacturing of a 3D-printed modulator 太阳能粒子事件光谱的地面无源生成:3D打印调制器的规划和制造。
IF 2 4区 医学 Q1 Medicine Pub Date : 2024-02-01 DOI: 10.1016/j.zemedi.2023.10.002
Tabea Pfuhl , Uli Weber , Felix Horst , Marco Durante , Christoph Schuy

The generation of space radiation on Earth is essential to study and predict the effects of radiation on space travelers, electronics, or materials during future long-term space missions. Next to the heavy ions of the galactic cosmic rays, solar particle events play a major role concerning the radiation risk in space, which consist of intermediate-energy protons with broad spectra and energies up to a few hundred MeV. This work describes an approach for the ground-based generation of solar particle events. As a proof of principle, a passive beam modulator with a specific funnel-shaped periodic structure was designed and is used to convert a monoenergetic proton beam into a spectral proton energy distribution, mimicking a solar particle event from August 1972, which is known as one of the strongest recorded SPE events. The required proton beam of 220 MeV can be generated at many existing particle accelerators at research or particle therapy facilities. The planning, manufacturing and testing of the modulator is described step by step. Its correct manufacturing and the characteristics of the solar particle event simulator are tested experimentally and by means of Monte Carlo simulations. Future modulators will follow the same concept with minor adjustments such as a larger lateral extension. As of now, the presented beam modulator is available to the research community to conduct experiments at GSI for exposure under solar particle event conditions. In addition, researchers can use and apply the described concept to design and print their individualized modulator to reproduce any desired solar particle event spectrum or request the presented modulator geometry from the authors.

在未来的长期太空任务中,地球上空间辐射的产生对于研究和预测辐射对太空旅行者、电子产品或材料的影响至关重要。除了银河系宇宙射线的重离子之外,太阳粒子事件在太空辐射风险方面发挥着重要作用,太空辐射风险由光谱宽、能量高达几百兆电子伏的中等能量质子组成。这项工作描述了一种基于地面产生太阳粒子事件的方法。作为原理证明,设计了一种具有特定漏斗形周期结构的无源光束调制器,用于将单能质子束转换为光谱质子能量分布,模拟1972年8月的太阳粒子事件,这被称为有记录以来最强的SPE事件之一。所需质子束220 MeV可以在研究或粒子治疗设施中的许多现有粒子加速器中产生。调制器的规划、制造和测试是逐步描述的。通过实验和蒙特卡罗模拟测试了它的正确制造和太阳粒子事件模拟器的特性。未来的调制器将遵循相同的概念,进行较小的调整,例如更大的横向扩展。到目前为止,所提出的光束调制器可供研究界在GSI进行太阳粒子事件条件下暴露的实验。此外,研究人员可以使用并应用所描述的概念来设计和打印他们的个性化调制器,以再现任何所需的太阳粒子事件光谱,或者向作者请求所提供的调制器几何结构。
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引用次数: 0
Quo Vadis Hyperpolarized 13C MRI? 超极化 13C 核磁共振成像的现状如何?
IF 2 4区 医学 Q1 Medicine Pub Date : 2023-12-29 DOI: 10.1016/j.zemedi.2023.10.004
Pascal Wodtke, Martin Grashei, Franz Schilling

Over the last two decades, hyperpolarized 13C MRI has gained significance in both preclinical and clinical studies, hereby relying on technologies like PHIP-SAH (ParaHydrogen-Induced Polarization-Side Arm Hydrogenation), SABRE (Signal Amplification by Reversible Exchange), and dDNP (dissolution Dynamic Nuclear Polarization), with dDNP being applied in humans. A clinical dDNP polarizer has enabled studies across 24 sites, despite challenges like high cost and slow polarization. Parahydrogen-based techniques like SABRE and PHIP offer faster, more cost-efficient alternatives but require molecule-specific optimization. The focus has been on imaging metabolism of hyperpolarized probes, which requires long T1, high polarization and rapid contrast generation. Efforts to establish novel probes, improve acquisition techniques and enhance data analysis methods including artificial intelligence are ongoing. Potential clinical value of hyperpolarized 13C MRI was demonstrated primarily for treatment response assessment in oncology, but also in cardiology, nephrology, hepatology and CNS characterization. In this review on biomedical hyperpolarized 13C MRI, we summarize important and recent advances in polarization techniques, probe development, acquisition and analysis methods as well as clinical trials. Starting from those we try to sketch a trajectory where the field of biomedical hyperpolarized 13C MRI might go.

在过去的二十年里,超极化 13C MRI 在临床前和临床研究中都获得了重要的地位,这依赖于 PHIP-SAH(副氢诱导极化-侧臂氢化)、SABRE(可逆交换信号放大)和 dDNP(溶解动态核极化)等技术,其中 dDNP 已应用于人体。尽管存在成本高、极化速度慢等挑战,但临床 dDNP 极化器已在 24 个地点开展了研究。SABRE 和 PHIP 等基于对氢的技术提供了更快、更具成本效益的替代方法,但需要针对特定分子进行优化。重点一直放在超极化探针的成像代谢上,这需要长 T1、高极化和快速生成对比度。目前正在努力建立新型探针、改进采集技术和增强数据分析方法(包括人工智能)。超极化 13C 磁共振成像的潜在临床价值主要体现在肿瘤学的治疗反应评估上,同时也体现在心脏病学、肾脏病学、肝脏病学和中枢神经系统特征描述上。在这篇关于生物医学超极化 13C MRI 的综述中,我们总结了极化技术、探针开发、采集和分析方法以及临床试验方面的重要最新进展。从这些进展出发,我们试图勾勒出生物医学超极化 13C MRI 领域的发展轨迹。
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引用次数: 0
Pilot study on high-resolution radiological methods for the analysis of cerebrospinal fluid (CSF) shunt valves 用于分析脑脊液(CSF)分流阀的高分辨率放射学方法试点研究
IF 2 4区 医学 Q1 Medicine Pub Date : 2023-12-15 DOI: 10.1016/j.zemedi.2023.11.001
Martin P. Pichotka, Moritz Weigt, Mukesch J. Shah, Maximilian F. Russe, Thomas Stein, T. Billoud, Jürgen Beck, Jakob Straehle, Christopher L. Schlett, Dominik v. Elverfeldt, Marco Reisert

Objectives

Despite their life-saving capabilities, cerebrospinal fluid (CSF) shunts exhibit high failure rates, with a large fraction of failures attributed to the regulating valve. Due to a lack of methods for the detailed analysis of valve malfunctions, failure mechanisms are not well understood, and valves often have to be surgically explanted on the mere suspicion of malfunction.

The presented pilot study aims to demonstrate radiological methods for comprehensive analysis of CSF shunt valves, considering both the potential for failure analysis in design optimization, and for future clinical in-vivo application to reduce the number of required shunt revision surgeries. The proposed method could also be utilized to develop and support in situ repair methods (e.g. by lysis or ultrasound) of malfunctioning CSF shunt valves.

Materials and methods

The primary methods described are contrast-enhanced radiographic time series of CSF shunt valves, taken in a favorable projection geometry at low radiation dose, and the machine-learning-based diagnosis of CSF shunt valve obstructions. Complimentarily, we investigate CT-based methods capable of providing accurate ground truth for the training of such diagnostic tools. Using simulated test and training data, the performance of the machine-learning diagnostics in identifying and localizing obstructions within a shunt valve is evaluated regarding per-pixel sensitivity and specificity, the Dice similarity coefficient, and the false positive rate in the case of obstruction free test samples.

Results

Contrast enhanced subtraction radiography allows high-resolution, time-resolved, low-dose analysis of fluid transport in CSF shunt valves. Complementarily, photon-counting micro-CT allows to investigate valve obstruction mechanisms in detail, and to generate valid ground truth for machine learning-based diagnostics.

Machine-learning-based detection of valve obstructions in simulated radiographies shows promising results, with a per-pixel sensitivity >70%, per-pixel specificity >90%, a median Dice coefficient >0.8 and <10% false positives at a detection threshold of 0.5.

Conclusions

This ex-vivo study demonstrates obstruction detection in cerebro-spinal fluid shunt valves, combining radiological methods with machine learning under conditions compatible to future in-vivo application.

Results indicate that high-resolution contrast-enhanced subtraction radiography, possibly including time-series data, combined with machine-learning image analysis, has the potential to strongly improve the diagnostics of CSF shunt valve failures. The presented method is in principle suitable for in-vivo application, considering both measurement geometry and radiological dose. Further research is needed to validate these results on real-world data and to refine the employed methods.

In combination, the presented methods enable comprehensive analysis

目的尽管脑脊液(CSF)分流器具有挽救生命的功能,但其故障率很高,其中很大一部分故障归咎于调节阀。本试验研究旨在展示全面分析脑脊液分流瓣膜的放射学方法,既考虑到在优化设计中进行故障分析的潜力,也考虑到未来在临床活体应用中减少所需分流改造手术的数量。所提出的方法还可用于开发和支持故障 CSF 分流瓣膜的原位修复方法(如通过裂解或超声波)。此外,我们还研究了基于 CT 的方法,这些方法能够为此类诊断工具的训练提供准确的地面实况。使用模拟测试和训练数据,评估了机器学习诊断在识别和定位分流瓣内阻塞方面的性能,包括每像素灵敏度和特异性、Dice 相似系数以及无阻塞测试样本的假阳性率。作为补充,光子计数微型计算机断层扫描可以详细研究瓣膜阻塞机制,并为基于机器学习的诊断生成有效的基本事实。基于机器学习的瓣膜阻塞检测在模拟射线照片中显示出良好的结果,每像素灵敏度为 70%,每像素特异度为 90%,中位 Dice 系数为 0.8,在检测阈值为 0.5 时,假阳性率为 10%。结果表明,高分辨率对比度增强减影射线摄影(可能包括时间序列数据)与机器学习图像分析相结合,有可能极大地改善脑脊液分流瓣膜故障的诊断。考虑到测量的几何形状和放射剂量,所介绍的方法原则上适用于体内应用。需要开展进一步的研究,以便在真实世界的数据上验证这些结果,并完善所采用的方法。结合这些方法,可以对瓣膜故障机制进行全面分析,为改进脑脊液分流瓣膜的产品开发和临床诊断铺平道路。
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引用次数: 0
Bandinhaltsverzeichnis 2023 2023 年目录
IF 2 4区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/S0939-3889(23)00132-0
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引用次数: 0
Acknowledgements to the Consulting Editorial Board and the Reviewers 向顾问编委会和审稿人致谢
IF 2 4区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.zemedi.2023.09.003
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引用次数: 0
Mitteilungen der Deutschen Gesellschaft für Medizinische Physik e.V. 德国医学物理学协会
IF 2 4区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.zemedi.2023.10.006
Aus dem Vorstand
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引用次数: 0
SSRMP Recommendations No 9: Reference dosimetry in low and medium energy x-ray beams SSRMP 建议 9:中低能量 X 射线束的参考剂量测定
IF 2 4区 医学 Q1 Medicine Pub Date : 2023-11-01 DOI: 10.1016/j.zemedi.2022.12.003
Maria M Aspradakis , Thierry Buchillier , Götz Kohler , Christian Kottler , Jérôme Krayenbühl

The SSRMP recommendations on reference dosimetry in kilovolt beams as used in radiation therapy were revised to establish current practice in Switzerland.

The recommendations specify the dosimetry formalism, reference class dosimeter systems and conditions used for the calibration of low and medium energy x-ray beams. Practical guidance is provided on the determination of the beam quality specifier and all corrections required for converting instrument readings to absorbed dose to water. Guidance is also provided on the determination of relative dose under non-reference conditions and on the cross calibration of instruments.

The effect of lack of electron equilibrium and influence of contaminant electrons when using thin window plane parallel chambers at x-ray tube potentials higher than 50 kV is elaborated in an appendix. In Switzerland the calibration of the reference system used for dosimetry is regulated by law. METAS and IRA are the authorities providing this calibration service to the radiotherapy departments. The last appendix of these recommendations summarise this calibration chain.

SSRMP 对放射治疗中使用的千伏光束参考剂量测定建议进行了修订,以确立瑞士的现行做法。该建议规定了剂量测定形式、参考类剂量计系统以及用于校准低能量和中等能量 X 射线光束的条件。该建议书提供了实用指南,指导如何确定光束质量规格,以及将仪器读数转换为水吸收剂量所需的所有修正。附录中详细阐述了在 X 射线管电位高于 50 千伏的情况下使用薄窗平面平行腔时缺乏电子平衡的影响和杂质电子的影响。在瑞士,用于剂量测定的参考系统的校准受法律约束。METAS 和 IRA 是为放射治疗部门提供校准服务的机构。本建议书的最后一个附录总结了这一校准链。
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引用次数: 0
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Zeitschrift fur Medizinische Physik
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