A Holistic Approach to Assessment of Population Exposure to Radiation: Challenges and Initiatives of a Regulatory Authority.

A regulatory authority for radiation safety should continuously evaluate and improve the national safety framework, in line with current requirements and standards. In this context, the Greek Atomic Energy Commission initiated a series of concerted actions. The radiation dose to the population due to public and medical exposures was assessed.

Establishment of diagnostic reference levels for dental panoramic radiography in Greece.

The purpose of the present study was to present the national diagnostic reference levels (DRL) established for panoramic dental examinations in Greece. The establishment of DRL, as a tool for the optimisation of radiological procedures, is a requirement of national regulations. Measurements performed by the Greek Atomic Energy Commission on 90 panoramic systems have been used for the derivation of DRL values.

Diagnostic reference levels and patient doses in computed tomography examinations in Greece.

The purpose of this study is to present a national survey that was performed in Greece for the establishment of national Dose Reference Levels (DRLs) for seven common adult Computed Tomography (CT) examinations. Volumetric computed tomography dose index and dose-length product values were collected from the post-data page of 65 'modern' systems that incorporate tube current modulation. Moreover, phantom dose measurements on 26 'older' systems were performed.

Prevention of and response to inadvertent exposure of embryo/fetus to ionizing radiation, due to medical exposure of the mother. The Greek regulatory authority initiatives.

Embryo/fetus (E/F) irradiation as a result of medical exposure of the mother should be avoided, unless there are strong clinical indications. Medical practitioners are assigned the primary task and obligation of ensuring overall patient protection and safety in the prescription of and during the delivery of medical exposure. In cases of unintended exposure of embryo/fetus (E/F), the risk analysis and communication is conducted by or under the supervision of medical physicists at local level.

Establishment of diagnostic reference levels for dental intraoral radiography.

Diagnostic reference levels (DRLs) is a tool for the optimisation of radiological procedures. Establishment of a DRL is a requirement of national regulations. Measurements performed by the Greek Atomic Energy Commission on 529 dental intraoral radiographic facilities have been used in order to define DRLs for digital and film imaging modalities, taking into account the region of the mouth to be imaged.

Reference levels and patient doses in interventional cardiology procedures in Greece.

Objectives: To present a national survey that was performed for the establishment of national reference levels (RLs) for interventional cardiology (IC) procedures and to estimate the effective dose (E) received by the patient during these procedures.

Methods: Data concerning the fluoroscopy time and air kerma-area product (P KA) during coronary angiography (CA), percutaneous coronary intervention (PCI), pacemaker implantation (PMI) and radiofrequency cardiac ablation (RFCA) from 26 centres were collected. Moreover, measurements concerning the performance of X-ray systems used in IC were performed in order to set system-related reference levels.

Comparison of full field digital (FFD) and computed radiography (CR) mammography systems in Greece.

The purpose of this study is to evaluate and compare the performance of 52 full field digital (FFD) and computed radiography (CR) mammography systems checked by the Greek Atomic Energy Commission with respect to dose and image quality. Entrance surface air kerma (ESAK) was measured and average glandular dose (AGD) was calculated according to the European protocol on dosimetry in mammography. The exposures were performed using the clinical protocol of each laboratory.

Pre- and post-irradiation fading effect for LiF:Mg,Ti and LiF:Mg,Cu,P materials used in routine monitoring.

LiF is a well-known thermoluminescent (TL) material used in individual monitoring, and its fading characteristics have been studied for years. In the present study, the fading characteristics (for a period of 150 d) of various commercial LiF materials with different dopants have been evaluated. The materials used in the study are those used in routine procedures by the Personal Dosimetry Department of Greek Atomic Energy Commission and in particular, LiF:Mg,Ti (MTS-N, TL Poland), LiF:Mg,Cu,P (MCP-N, TL Poland), LiF:Mg,Cu,P (MCP-Ns, thin active layer detector, TL Poland) and LiF:Mg,Cu,P (TLD100H, Harshaw).

The use of active personal dosemeters as a personal monitoring device: comparison with TL dosimetry.

The use of active personal dosemeters (APDs) not only as a warning device but also, in some cases, as an official and hence stand-alone dosemeter is rapidly increasing. A comparison in terms of dose, energy and angle dependence, among different types of APD and a routinely used whole-body thermoluminescence dosemeter (TLD) has been performed. Significant differences were found between the TLD readings and mainly some not commonly used APDs.

Education and training issues in individual monitoring of ionising radiation.

The present article deals with the education and training (E&T) issues of individual monitoring (IM) of ionising radiation, based on the requirements provided by the Basic Safety Standards Euratom Directive and the European Commission Technical Recommendations for IM of external radiation. The structure and the objectives of E&T programmes addressed to the staff of dosimetry services, in order to allow the recognition and ensure the continuity of expertise are discussed. The necessity for the establishment of a national strategy for building competence in IM through information, education, training and retraining programmes, addressed to the individually monitored personnel is underlined.

Educational and training activities in personal dosimetry in Greece.

An individual monitoring programme is one of the main components of any radiation protection programme since it constitutes the mean for assessing and thus optimising the doses of occupationally exposed workers. The Greek Atomic Energy Commission (GAEC) is the competent authority for radiation protection and nuclear safety in Greece. GAEC's educational and training activities in the field of occupational radiation protection at the national and regional (Eastern Europe) level are presented, along with the relevant activities of the University of Ioannina in the region of North-West Greece, as an example of a local education and training programme.

The new EC technical recommendations for monitoring individuals occupationally exposed to external radiation.

The purpose of the European Commission technical recommendations (TR) for monitoring individuals occupationally exposed to external radiation is to provide guidance on those aspects of the implementation of the European Union Parliament and Council Directives directly related to individual monitoring of external radiation, and to encourage harmonisation thereof. They are mainly aimed at the management and staff of IM services but also at manufacturers, laboratories supplying type-testing services, national authorities trying to harmonise approval procedures, and government bodies to harmonise regulations and guidance. The TR main topics are: objectives and aims of IM for external radiation; dosimetry concepts; accuracy requirements; calibration, type testing and performance testing; approval procedures; quality assurance and quality control; and dose record keeping.

Decommissioning a phosphoric acid production plant: a radiological protection case study.

During a preliminary survey at the area of an abandoned fertilizer plant, increased levels of radioactivity were measured at places, buildings, constructions and materials. The extent of the contamination was determined and the affected areas were characterized as controlled areas. After the quantitative and qualitative determination of the contaminated materials, the decontamination was planned and performed step by step: the contaminated materials were categorized according to their physical characteristics (scrap metals, plastic pipes, scales and residues, building materials, etc) and according to their level of radioactivity.

Radiation dose reduction in direct digital panoramic radiography.

Objectives: (a) To measure the absorbed radiation doses at 16 anatomical sites of a Rando phantom and (b) to calculate the effective doses including and excluding the salivary gland doses in panoramic radiography using a conventional and a digital panoramic device.

Study Design: Thermoluminescent dosimeters (TLD-100) were placed at 16 sites in a Rando phantom, using a conventional, Planmeca Promax and a digital, Planmeca PM2002CC Proline 2000 (Planmeca Oy, 00880 Helsinki, Finland) panoramic device for panoramic radiography. During conventional radiography the selected exposure settings were 66 kVp, 6 mA and 16s, while during digital radiography two combinations were selected 60 kVp, 4 mA, 18 s and 66 kVp, 8 mA, 18s with and without image processing function.

An MCNP-based model for the evaluation of the photoneutron dose in high energy medical electron accelerators.

The development of a computational model for the treatment head of a medical electron accelerator (Elekta/Philips SL-18) by the Monte Carlo code mcnp-4C2 is discussed. The model includes the major components of the accelerator head and a pmma phantom representing the patient body. Calculations were performed for a 14 MeV electron beam impinging on the accelerator target and a 10 cmx10 cm beam area at the isocentre.

Performance of medical radiographic X-ray systems in Greece for the time period 1998-2004.

This study presents the results of the on-site inspections performed by the Greek Atomic Energy Commission (GAEC) on conventional X-ray systems, both in public and private medical radiology departments. A part of the inspection concerns the assessment of important radiographic parameters obtained according to a specified quality control protocol and the comparison of the measured parameter values with the corresponding acceptance limits. A total number of 1011 radiographic systems were inspected by the GAEC during the period 1998-2004, with 63.

Image quality evaluation and patient dose assessment of medical fluoroscopic X-ray systems: a national study.

This study presents the results from a survey conducted by the Greek Atomic Energy Commission (GAEC), during the period 1998-2003, in 530 public and private owned fluoroscopic X-ray systems in Greece. Certain operational parameters for conventional and remote control systems were assessed, according to a quality control protocol developed by GAEC on the basis of the current literature. Public (91.

Optimization of doses received by the hospital staff and the members of the family of patients undergoing 111In-DTPA-D-Phe1-Octreotide therapy.

According to the Euratom Directives (96/29, 97/43), the doses received by the workers as well as the family of patients and third persons during medical exposures, should conform to the dose constraint levels (DCLs), established by the authorities for each group in the context of optimisation. This study deals with the implementation of a radiation protection protocol, concerning the aforementioned group members for patients undergoing treatment with 111In-DTPA-D-Phe1-Octreotide, after intra-arterial infusion. It is shown that by applying this protocol the annual doses to the medical and technical staff are considerably reduced and remain below the established DCLs.

Nuclear security and radiological preparedness for the olympic games, athens 2004: lessons learned for organizing major public events.

In light of the exceptional circumstances that arose from hosting the Olympic Games in Athens in 2004 and from recent terrorist events internationally, Greece attributes the highest priority to security issues. According to its statutory role, the Greek Atomic Energy Commission is responsible for emergency preparedness and response in case of nuclear and radiological events, and advises the Government on the measures and interventions necessary to protect the public. In this context, the Commission participated in the Nuclear, Radiological, Biological, and Chemical Threat National Emergency Plan, specially developed for the Olympic Games, and coordinated by the Olympic Games Security Division.

Radiation doses to patients undergoing standard radiographic examinations: a comparison between two methods.

The objective of the study was to derive a mathematical method for calculating the entrance surface dose (ESD) from exposure factors for all tube potentials used in clinical practice and to compare the calculated ESDs (ESD(C)) with those measured (ESD(TLD)) using thermoluminescent dosemeters (TLDs). The exposure parameters of 43 patients who underwent (a) posteroanterior (PA) and lateral (LAT) chest examination (13 patients), (b) supine abdomen (10 patients), (c) erectus abdomen (10 patients), or (d) urinary tract examination (10 patients) were recorded. Patient ESD was directly measured by TLDs and calculated from exposure factors.

Aspects of harmonisation of individual monitoring for external radiation in Europe: conclusions of a EURADOS action.

Following the publication of the EU Council Directive 96/29, EURADOS coordinated two working groups (WGs) for promoting the process of harmonisation on individual monitoring of occupationally exposed persons in Europe. An overview of the major findings of the second WG is presented. Information on the technical and quality standards and on the accreditation and approval procedures has been compiled.

Occupational exposure in Greek industrial radiography laboratories (1996-2003).

More than 40 industrial radiography laboratories are operating in Greece using X-ray or gamma-ray sources and more than 250 workers occupationally exposed to ionising radiation in these facilities are monitored on a regular basis. This study presents the evolution of individual doses received by radiographers during the past years. The mean annual dose (MAD) of all workers as well as of exposed workers is estimated, and correlated to the types of laboratories and practices applied.