Practical guidance on the assessment of radiation risks for diagnostic radiological examinations.

Patient doses cannot be limited; instead, radiological examinations should be justified and optimised to ensure the necessary diagnostic or therapeutic effect with the lowest patient dose achievable. Assessment of the radiation risks from patient exposure is important part of the justification process. Hence, medical staff within the framework of their professional activities should possess necessary information on the data on radiation risk from different types of radiological procedures.

Distribution and appearance of myosin, dystrophin, and collagen IV in strabismus-affected extraocular muscle tissue compared with control tissue.

Objective: Extraocular muscles have complex development processes. The present study aimed to analyze the presence of myosin, dystrophin, and collagen IV in the strabismus-affected extraocular muscle.

Methods: This research was an observational case-control study.

Ambient dose equivalent rates of gamma radiation from natural radionuclides and 137Cs at grasslands and forests in the area of the Belarusian NPP in the pre-commissioning period (2019).

In situ gamma-spectrometric measurements were performed at grasslands (45 plots) and forests (6 plots) in the vicinity of the Belarusian nuclear power plant in September-October 2019. The aim of the study was to evaluate the baseline level of ambient dose equivalent rates of gamma radiation from natural radionuclides and 137Cs in the period preceding the commissioning of the NPP. The study revealed more than a 2-fold variability in values of the total ambient dose equivalent rate: from 29 to 72 nSv/h.

Air kerma rate from radionuclides distributed in forest ecosystem.

This study evaluates the air kerma rate in radioactively contaminated forests. The air kerma rates created by plane sources of monoenergetic photons in the energy range 0.02-3 MeV located at different depths in soil up to 50 g cm and at different heights in the forest medium from 0.

Temporomandibular Joint Ankylosis in a Girl Child: Immunochemical Evaluation of Tissue Material Obtained from Repeated Arthroplasty Surgeries.

Temporomandibular joint ankylosis (TMJA) is a rare, but debilitating, condition that leads to TMJ joint hypomobility. Surgery is the mainstay for treatment, which is accompanied by rehabilitative and psychological support. Despite the advances in surgical techniques, the recurrence of TMJA post-surgery has been reported as a common complication.

Glycosaminoglycan, Antimicrobial Defence Molecule and Cytokine Appearance in Tracheal Hyaline Cartilage of Healthy Humans.

Hyaline cartilage is an important tracheal structure, yet little is known about its molecular composition, complicating investigation of pathologies and replacement options. Our aim was to research tracheal hyaline cartilage structure, protective tissue factors and variations in healthy humans. The tissue material was obtained from 10 cadavers obtained from the Riga Stradins University Institute of Anatomy and Anthropology archive.

Fate and future of the medical students in Ukraine: A silently bubbling educational crisis.

Jain et al. reflect on the Russia‐Ukraine war and argue that although there is a broad consensus on the need for intervention, focus should be on providing immediate accommodative measures.

Evaluation of the Accuracy of Standardized Uptake Values of F-fluorodeoxyglucose in Lung Lesions Based on Phantom Studies.

Unlabelled: was to estimate the accuracy of standardized uptake values of F-fluorodeoxyglucose (F-FDG) in lung lesions during positron emission tomography combined with computed tomography (PET/CT) imaging, based on phantom studies performed for different PET/CT scanners.

Materials And Methods: The analysis of the PET/CT with F-FDG data was performed for 86 patients newly diagnosed with the lung lesions: malignant tumors (n=37), benign tumors and inflammatory diseases (n=49). The criteria for inclusion in the study were developed considering the recommendations of the Fleischner Society (2017).

COMPARISON OF ORGAN ABSORBED DOSES IN WHOLE-BODY COMPUTED TOMOGRAPHY SCANS OF PAEDIATRIC AND ADULT PATIENT MODELS ESTIMATED BY DIFFERENT METHODS.

This study aimed to identify the uncertainty in estimations of organ absorbed dose using dedicated software by comparing with corresponding doses measured in physical phantoms. The comparison was performed for whole-body computed tomography (CT) obtained as part of positron emission tomography. Whole-body CT scans provide an advantage in terms of comparison because all organs are in the primary beam of the irradiated area.

EFFECTIVE DOSES AND RADIATION RISKS FROM COMMON DENTAL RADIOGRAPHIC, PANORAMIC AND CBCT EXAMINATIONS.

This study was aimed at the estimation of the effective doses and radiation risks from dental X-ray examinations based on the data collection in St. Petersburg and the Leningrad Region. The range of mean values of effective doses for intraoral examinations on the X-ray units with film detectors was from 3.

ESTIMATION OF THE EFFECTIVE DOSES FROM TYPICAL FLUOROSCOPIC EXAMINATIONS WITH BARIUM CONTRAST.

The current study aimed to estimate the effective doses and conversion coefficients (CCs) for typical barium swallow (BS), barium meal (BM) and barium enema (BE) protocols and to evaluate the impact of different examination parameters on the resulting CCs. Data were collected in surgical and therapy departments in St. Petersburg Urban Mariinsky Hospital.

Radiation-related genomic profile of papillary thyroid carcinoma after the Chernobyl accident.

The 1986 Chernobyl nuclear power plant accident increased papillary thyroid carcinoma (PTC) incidence in surrounding regions, particularly for radioactive iodine (I)-exposed children. We analyzed genomic, transcriptomic, and epigenomic characteristics of 440 PTCs from Ukraine (from 359 individuals with estimated childhood I exposure and 81 unexposed children born after 1986). PTCs displayed radiation dose-dependent enrichment of fusion drivers, nearly all in the mitogen-activated protein kinase pathway, and increases in small deletions and simple/balanced structural variants that were clonal and bore hallmarks of nonhomologous end-joining repair.

EFFECTIVE DOSE IN PEDIATRIC INTERVENTIONAL CARDIOLOGY.

The aim of this study was to estimate the effective doses (EDs) to children undergoing pediatric interventional cardiology examinations in hospitals of St.-Petersburg, to calculate associated dose conversion coefficients (DCCs) and to investigate their dependence of different parameters of the various procedures. Basic parameters of pediatric cardiology examinations and patient doses were studied in three main pediatric city hospitals.

In situ determination of Cs inventory in soil using a field-portable scintillation gamma spectrometer-dosimeter.

A new empirical method for in situ determination of the inventory of Cs in soil (A, kBq m) at grasslands and forests using a field-portable NaI(Tl) scintillation spectrometer-dosimeter was developed. The method is based on evaluation of the ambient dose equivalent build-up factor. The practical implementation of the new method with the spectrometer-dosimeter does not require a priori knowledge of the vertical distribution of Cs in soil.

The use of dose quantities in radiological protection: ICRP publication 147 Ann ICRP 50(1) 2021.

The International Commission on Radiological Protection has recently published a report (ICRP Publication 147;, 2021) on the use of dose quantities in radiological protection, under the same authorship as this Memorandum. Here, we present a brief summary of the main elements of the report. ICRP Publication 147 consolidates and clarifies the explanations provided in the 2007 ICRP Recommendations (Publication 103) but reaches conclusions that go beyond those presented in Publication 103.

Technical Note: Patient-weight dependence of the effective dose conversion coefficients for diagnostic x-ray imaging procedures.

Purpose: The aim of this study was to provide a method and reference data for the evaluation of the weight dependence of the conversion coefficients from air collision kerma integrated over beam area to the effective dose for patients undergoing diagnostic x-ray examinations.

Method: A simple physics-based analytical model was developed in order to calculate the weight dependence of the effective dose conversion coefficients based on existing values of the conversion coefficients between patient effective dose and air collision kerma integrated over beam area calculated by the Monte Carlo method on the base of computational MIRD-5-type stylized models.

Results: The analytical expressions that make possible taking into account a patient's weight when assessing the effective dose were presented.

Calculation of the effective external dose rate to a person staying in the resettlement zone of the Vetka district of the Gomel region of Belarus based on in situ and ex situ assessments in 2016-2018.

The aim of this study was to perform a preliminary assessment of the expected effective dose rate from external exposure to an adult individual staying at that part of the radioactively contaminated territory of the Vetka district of the Gomel region of the Republic of Belarus, from where residents had been resettled after the Chernobyl accident. For this assessment, in summer 2016 and 2018 soil samples were taken from 19 sites located in forests (7 plots), virgin meadows (4 plots), cultivated meadows (6 plots) and vegetable gardens (2 plots), with the subsequent estimation of the inventory and vertical distribution of Cs in the soil. The values of Cs inventory in the soil ranged from 452 to 1620 kBq m (mean = 904 kBq m, median = 964 kBq m).

Influence of the external and internal radioactive contamination of the body and the clothes on the results of the thyroidal I measurements conducted in Belarus after the Chernobyl accident. Part 1: Estimation of the external and internal radioactive contamination.

The estimation of the thyroid doses received in Belarus after the Chernobyl accident is based on the analysis of exposure-rate measurements performed with radiation detectors placed against the necks of about 130,000 residents. The purpose of these measurements was to estimate the I activity contents of the thyroids of the subjects. However, because the radiation detectors were not equipped with collimators and because the subjects usually wore contaminated clothes, among other factors, the radiation signal included, in addition to the gamma rays emitted during the decay of the I activity present in the thyroid, contributions from external contamination of the skin and clothes and internal contamination of organs other than the thyroid by various radionuclides.

ASSESSMENT OF THE ABSORBED DOSES IN THE ORGANS IN CASE OF RADIATION EMERGENCY WITH THE SEALED GAMMA-SOURCES.

The majority of the radiation accidents with early acute clinical effects were associated with the orphan sources used in industrial and medical facilities. These accidents involved members of general public, who were entirely unaware of the exposure to the radiation. In such situations, the exposure commonly occurs when the source is in contact with a body of a victim, primarily located in pockets of clothing or in hands.

Optimisation of environmental remediation: how to select and use the reference levels.

A number of past industrial activities and accidents have resulted in the radioactive contamination of large areas at many sites around the world, giving rise to a need for remediation. According to the International Commission on Radiological Protection (ICRP) and International Atomic Energy Agency (IAEA), such situations should be managed as existing exposure situations (ExESs). Control of exposure to the public in ExESs is based on the application of appropriate reference levels (RLs) for residual doses.

Harmonisation of standards for permissible radionuclide activity concentrations in foodstuffs in the long term after the Chernobyl accident.

The article critically examines the practice of post-Chernobyl standardisation of radionuclide concentrations (mainly Cs and Sr) in food products (FPs) in the USSR and the successor countries of Belarus, Russia and Ukraine. Recommendations are given on potential harmonisation of these standards of radionuclide concentrations in FPs among the three countries, taking into account substantial international experience. We propose to reduce the number of product groups for standardisation purposes from the current amount of several dozens to three to five groups to optimise radiation control and increase the transparency of the process.

Vertical distribution of Cs in grassland soils disturbed by moles (Talpa europaea L.).

Activity of biota is one of the factors influencing vertical migration of radionuclides deposited from the atmosphere onto the ground surface. The goal of this work was to study the vertical distribution of Cs in grassland soils disturbed by moles (Talpa europaea L.) in comparison with undisturbed grassland soils.

Patient doses from medical examinations in Russia: 2009-2015.

The aim of this study was to evaluate adult patient doses in Russia in the context of patient protection. Effective doses from x-ray and nuclear medicine examinations were assessed using two approaches. The first was based on data collection performed by the authors in hospitals in St.

A COMPARATIVE STUDY OF ORGAN DOSES ASSESSMENT FOR PATIENTS UNDERGOING CONVENTIONAL X-RAY EXAMINATIONS: PHANTOM EXPERIMENTS VS. CALCULATIONS.

A series of phantom experiments were performed with the aim of estimating organ doses for patients undergoing conventional X-ray chest and pelvis examinations. The experiments were performed using physical phantoms corresponding to an adult and a 5-year-old child. Mean organ doses and entrance surface dose were measured using TL-dosemeters.