Eduardo B. Farfán

Acute radiation syndrome: assessment and management.

Primary care physicians may be unprepared to diagnose and treat rare, yet potentially fatal, illnesses such as acute radiation syndrome (ARS). ARS, also known as radiation sickness, is caused by exposure to a high dose of penetrating, ionizing radiation over a short period of time. The time to onset of ARS is dependent on the dose received, but even at the lowest doses capable of causing illness, this will occur within a matter of hours to days. This article describes the clinical manifestations of ARS, provides guidelines for assessing its severity, and makes recommendations for managing ARS victims.

Individual variations in mucosa and total wall thickness in the stomach and rectum assessed via endoscopic ultrasound

Endoscopic ultrasound is a unique tool to acquire in vivo data on alimentary tract wall thicknesses of sufficient resolution needed in radiation dosimetry studies. Through their different echo texture and intensity, five layers of differing echo patterns for superficial mucosa, deep mucosa, submucosa, muscularis externa and serosa/adventitia exist within the walls of organs composing the alimentary tract. In this study, retrospective image analyses of patient video data were made for ten examinations of the stomach and eight examinations of the rectum covering a range of patient ages. Thicknesses for stomach mucosa ranged from 1030 +/- 130 microm to 1640 +/- 80 microm (total stomach wall thicknesses from 2.80 +/- 0.12 to 4.23 +/- 0.03 mm). Measurements made for the rectal images revealed rectal mucosal thicknesses from 660 +/- 50 microm to 1130 +/- 250 microm (total rectal wall thicknesses from 2.28 +/- 0.05 to 3.55 +/- 0.43 mm). The mucosa accounted for approximately 32 +/- 7% and approximately 32 +/- 8% of the total thickness of the stomach and rectal wall, respectively. These values can thus be utilized to investigate uncertainties in alimentary tract dosimetry that are based upon fixed reference individual definitions of organ wall structure.

Influences of parameter uncertainties within the ICRP-66 respiratory tract model: Particle clearance

Risk assessment associated with the inhalation of radioactive aerosols requires as an initial step the determination of particle deposition within the various anatomic regions of the respiratory tract. The model outlined in ICRP Publication 66 represents to date one of the most complete overall descriptions of not only particle deposition, but of particle clearance and local radiation dosimetry of lung tissues. In this study, a systematic review of the deposition component within the ICRP 66 respiratory tract model was conducted in which probability density functions were assigned to all input parameters. These distributions were subsequently incorporated within a computer code LUDUC (LUng Dose Uncertainty Code) in which Latin hypercube sampling techniques are used to generate multiple (e.g., 1,000) sets of input vectors (i.e., trials) for all of the model parameters needed to assess particle deposition within the extrathoracic (anterior and posterior), bronchial, bronchiolar, and alveolar-interstitial regions of the ICRP 66 respiratory tract model. Particle deposition values for the various trial simulations were shown to be well described by lognormal probability distributions. Geometric mean deposition fractions from LUDUC were found to be within approximately +/- 10% of the single-value estimates from the LUDEP computer code for each anatomic region and for particle diameters ranging from 0.001 to 50 microm. In all regions of the respiratory tract, LUDUC simulations for an adult male at light exertion show that uncertainties in particle deposition fractions are distributed only over a range of about a factor of approximately 2-4 for particle sizes between 0.005 to 0.2 microm. Below 0.005 microm, uncertainties increase only for deposition within the alveolar region. At particle sizes exceeding 1 microm, uncertainties in the deposition fraction within the extrathoracic regions are relatively small, but approach a factor of 20 for deposition in the bronchial region. Deposition fractions for particles above 1 microm become very uncertain within the deeper regions of the lungs (bronchiolar and alveolar-interstitial).

Influences of parameter uncertainties within the ICRP-66 respiratory tract model: regional tissue doses for 239PuO2 and 238UO2/238U3O8.

Abstract— This paper extends an examination of the influence of parameter uncertainties on regional doses to respiratory tract tissues for short-ranged alpha particles using the ICRP-66 respiratory tract model. Previous papers examined uncertainties in the deposition and clearance aspects of the model. The critical parameters examined in this study included target tissue depths, thicknesses, and masses, particularly within the thoracic or lung regions of the respiratory tract. Probability density functions were assigned for the parameters based on published data. The probabilistic computer code LUDUC (Lung Dose Uncertainty Code) was used to assess regional and total lung doses from inhaled aerosols of 239PuO2 and 238UO2/238U3O8. Dose uncertainty was noted to depend on the particle aerodynamic diameter. Additionally, dose distributions were found to follow a lognormal distribution pattern. For 239PuO2 and 238UO2/238U3O8, this study showed that the uncertainty in lung dose increases by factors of ∼50 and ∼70 for plutonium and uranium oxides, respectively, over the particle size range from 0.1 to 20 &mgr;m. For typical exposure scenarios involving both radionuclides, the ratio of the 95% dose fractile to the 5% dose fractile ranged from ∼8–10 (corresponding to a geometric standard deviation, or GSD, of about 1.7–2) for particle diameters of 0.1 to 1 &mgr;m. This ratio increased to about 370 for plutonium oxide (GSD ∼4.5) and to about 600 for uranium oxide (GSD ∼5) as the particle diameter approached 20 &mgr;m. However, thoracic tissue doses were quite low at larger particle sizes because most of the deposition occurred in the extrathoracic airways. For 239PuO2, median doses from LUDUC were found be in general agreement with those for Reference Man (via deterministic LUDEP 2.0 calculations) in the particle range of 0.1 to 5 &mgr;m. However, median doses to the basal cell nuclei of the bronchial airways (BBbas) calculated by LUDUC were found to be approximately 6 times higher than LUDEP reference doses. The higher BBbas doses were directly attributed to discrepancies between the ICRP default thickness for the bronchial epithelium (55 &mgr;m) and the probability density function assumed within LUDUC (uniform distribution from 20 to 60 &mgr;m based upon detailed literature reviews).

Chronic irradiation of Scots pine trees (Pinus sylvestris) in the Chernobyl exclusion zone: dosimetry and radiobiological effects.

To identify effects of chronic internal and external radiation exposure for components of terrestrial ecosystems, a comprehensive study of Scots pine trees in the Chernobyl Exclusion Zone was performed. The experimental plan included over 1,100 young trees (up to 20 y old) selected from areas with varying levels of radioactive contamination. These pine trees were planted after the 1986 Chernobyl Nuclear Power Plant accident mainly to prevent radionuclide resuspension and soil erosion. For each tree, the major morphological parameters and radioactive contamination values were identified. Cytological analyses were performed for selected trees representing all dose rate ranges. A specially developed dosimetric model capable of taking into account radiation from the incorporated radionuclides in the trees was developed for the apical meristem. The calculated dose rates for the trees in the study varied within three orders of magnitude, from close to background values in the control area (about 5 mGy y−1) to approximately 7 Gy y−1 in the Red Forest area located in the immediate vicinity of the Chernobyl Nuclear Power Plant site. Dose rate/effect relationships for morphological changes and cytogenetic defects were identified, and correlations for radiation effects occurring on the morphological and cellular level were established.

Prenatal radiation exposure: background material for counseling pregnant patients following exposure to radiation.

Fetal sensitivity to radiation-induced health effects is related to gestational age, and it is highly dependent on fetal dose. Typical fetal doses from diagnostic radiology are usually below any level of concern. Although rare, significant fetal radiation doses can result from interventional medical exposures (fluoroscopically guided techniques), radiation therapy, or radiological or nuclear incidents, including terrorism. The potential health effects from these large radiation doses (possibly large enough to result in acute radiation syndrome in the expectant mother) include growth retardation, malformations, impaired brain function, and neoplasia. If exposure occurs during blastogenesis (and the embryo survives), there is a low risk for congenital abnormalities. (In all stages of gestation, radiation-induced noncancer health effects have not been reported for fetal doses below about 0.05 Gy [5 rad].) The additional risk for childhood cancer from prenatal radiation exposure is about 12% per Gy (0.12%/rad) above the background incidence.

ENVIRONMENTAL RADIATION MONITORING IN THE CHERNOBYL EXCLUSION ZONE - HISTORY AND RESULTS 25 YEARS AFTER

This paper describes results of the radiation environmental monitoring performed in the Chernobyl Exclusion Zone (ChEZ) during the period following the 1986 Chernobyl Nuclear Power Plant accident. This article presents a brief overview of five comprehensive reports generated under Contract No. DE-AC09-96SR18500 (Washington Savannah River Company LLC, Subcontract No. AC55559N, SOW No. ON8778) and summarizes characteristics of the ChEZ and its post-accident status. The history of development of the radiation monitoring research in the ChEZ is described also. This paper addresses the characteristics of radiation monitoring in the ChEZ, its major goals and objectives, and changes in these goals and objectives in the course of time, depending on the tasks associated with the phase of mitigation of the ChNPP accident consequences. The results of the radiation monitoring in the ChEZ during the last 25 years are also provided.

Effects Of Ionizing Radiation On The Antioxidant System Of Microscopic Fungi With Radioadaptive Properties Found In The Chernobyl Exclusion Zone

Some microscopic fungi found in the area of the Chernobyl Exclusion Zone appear to have unique radioadaptive properties associated with their capability to respond positively to the effects of ionizing irradiation. On the one hand, this capability can be used potentially in bio-remediation technologies, and on the other hand, it requires additional, more thorough studies to identify its underlying mechanisms. Practically, no data are currently available on mechanisms for implementation of these radioadaptive properties by microscopic fungi. The objective of the completed study was to evaluate the functioning of the antioxidant system of a microscopic fungus as one of potential mechanisms for implementation of its radioadaptive properties. The study was performed using a model system simulating the soil radioactivity in the 5-km zone around the Chernobyl Nuclear Power Plant, with the ratio of the radioactive isotopes matching the radionuclide content in the fuel component of the Chernobyl fallout. The completed study was the first ever performed to identify a comprehensive response of the major components of the antioxidant system of the microscopic fungi to ionizing radiation, resulting in an induced melanin synthesis and increased activity of the known enzymes of antioxidant protection. Their response to ionizing radiation depended on the presence or absence of radioadaptive properties and phase of the fungal growth. Fungi with radioadaptive properties have a much higher susceptibility for inducing synthesis of melanin and antioxidant enzymes than fungi without radioadaptive properties (hereinafter referred to as the reference species or strains), which illustrates the contribution of these processes to “radiophilia” of the fungi.

RADIATION ECOLOGY ISSUES ASSOCIATED WITH MURINE RODENTS AND SHREWS IN THE CHERNOBYL EXCLUSION ZONE

This article describes major studies performed by the Chernobyl Centers International Radioecology Laboratory (Slavutich, Ukraine) on radioecology of murine rodents and shrews inhabiting the Chernobyl Exclusion Zone. The article addresses the long-term (1986–2005) and seasonal dynamics of radioactive contamination of animals and reviews interspecies differences in radionuclide accumulations and factors affecting the radionuclide accumulations. It is shown that bioavailability of radionuclides in the “soil-to-plant” chain and a trophic specialization of animals play key roles in determining their actual contamination levels. The total absorbed dose rates in small mammals significantly reduced during the years following the Chernobyl Nuclear Power Plant accident. In 1986, the absorbed dose rate reached 1.3–6.0 Gy h−1 in the central areas of the Chernobyl Exclusion Zone (the “Red Forest”). In 1988 and 1990, the total absorbed dose rates were 1.3 and 0.42 Gy h−1, respectively. In 1995, 2000, and 2005, according to the present study, the total absorbed dose rates rarely exceeded 0.00023, 0.00018, and 0.00015 Gy h−1, respectively. Contributions of individual radiation sources into the total absorbed dose are described.

RadBall™ Technology Testing in the Savannah River Site’s Health Physics Instrument Calibration Laboratory

The United Kingdoms National Nuclear Laboratory (NNL) has developed a radiation-mapping device that can locate and quantify radioactive hazards within contaminated areas of the nuclear industry. The device, known as RadBall(™), consists of a colander-like outer collimator that houses a radiation-sensitive polymer sphere. The collimator has over two hundred small holes; thus, specific areas of the polymer sphere are exposed to radiation becoming increasingly more opaque in proportion to the absorbed dose. The polymer sphere is imaged in an optical-CT scanner that produces a high resolution 3D map of optical attenuation coefficients. Subsequent analysis of the optical attenuation data provides information on the spatial distribution of sources in a given area forming a 3D characterization of the area of interest. The RadBall(™) technology has been deployed in a number of technology trials in nuclear waste reprocessing plants at Sellafield in the United Kingdom and facilities of the Savannah River National Laboratory (SRNL). This paper summarizes the tests completed at SRNL Health Physics Instrument Calibration Laboratory (HPICL).