JOURNAL DESCRIPTION

The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.

Members of the editorial board are scientists specializing in the field of radiation biology and medicine, radiation protection, radiation epidemiology, radiation oncology, radiation diagnostics and therapy, nuclear medicine and medical physics. The editorial board consists of academicians (members of the Russian Academy of Science (RAS)), the full member of Academy of Medical Sciences of the Republic of Armenia, corresponding members of the RAS, Doctors of Medicine, professor, candidates and doctors of biological, physical mathematics and engineering sciences. The editorial board is constantly replenished by experts who work in the CIS and foreign countries.

Six issues of the journal are published per year, the volume is 13.5 conventional printed sheets, 88 printer’s sheets, 1.000 copies. The journal has an identical full-text electronic version, which, simultaneously with the printed version and color drawings, is posted on the sites of the Scientific Electronic Library (SEL) and the journal's website. The journal is distributed through the Rospechat Agency under the contract № 7407 of June 16, 2006, through individual buyers and commercial structures. The publication of articles is free.

The journal is included in the List of Russian Reviewed Scientific Journals of the Higher Attestation Commission. Since 2008 the journal has been available on the Internet and indexed in the RISC database which is placed on Web of Science. Since February 2nd, 2018, the journal "Medical Radiology and Radiation Safety" has been indexed in the SCOPUS abstract and citation database.

Brief electronic versions of the Journal have been publicly available since 2005 on the website of the Medical Radiology and Radiation Safety Journal: http://www.medradiol.ru. Since 2011, all issues of the journal as a whole are publicly available, and since 2016 - full-text versions of scientific articles. Since 2005, subscribers can purchase full versions of other articles of any issue only through the National Electronic Library. The editor of the Medical Radiology and Radiation Safety Journal in accordance with the National Electronic Library agreement has been providing the Library with all its production since 2005 until now.

The main working language of the journal is Russian, an additional language is English, which is used to write titles of articles, information about authors, annotations, key words, a list of literature.

Since 2017 the journal Medical Radiology and Radiation Safety has switched to digital identification of publications, assigning to each article the identifier of the digital object (DOI), which greatly accelerated the search for the location of the article on the Internet. In future it is planned to publish the English-language version of the journal Medical Radiology and Radiation Safety for its development. In order to obtain information about the publication activity of the journal in March 2015, a counter of readers' references to the materials posted on the site from 2005 to the present which is placed on the journal's website. During 2015 - 2016 years on average there were no more than 100-170 handlings per day. Publication of a number of articles, as well as electronic versions of profile monographs and collections in the public domain, dramatically increased the number of handlings to the journal's website to 500 - 800 per day, and the total number of visits to the site at the end of 2017 was more than 230.000.

The two-year impact factor of RISC, according to data for 2017, was 0.439, taking into account citation from all sources - 0.570, and the five-year impact factor of RISC - 0.352.

Medical Radiology and Radiation Safety. 2020. Vol. 65. No. 4. P. 48–57

T.V. Azizova1, N. Hamada2, E.S. Grigoryeva1, E.V. Bragin1

Risk of Various Types of Cataracts in a Cohort of Mayak Workers Following Chronic Occupational Exposure to Ionizing Radiation

1 Southern Urals Biophysics Institute, Ozyorsk, Chelyabinsk region, Russia
2 Radiation Safety Research Center, Nuclear Technology Research Laboratory,
Central Research Institute of Electric Power Industry, Tokyo, Japan
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

Purpose: To assess cataract type specific risks in a cohort of workers occupationally exposed to ionizing radiation over prolonged periods.

Material and methods: The present retrospective cohort study included 22,377 workers first employed at a nuclear production facility in 1948–1982 and followed up till the end of 2008. By the end of the follow-up period in the study worker cohort 3123 cases of cortical cataract, 1239 cases of posterior subcapsular cataract (PSC) and 2033 cases of nuclear cataracts were registered over 486,245, 489,162, 492,004 person-years of follow-up, respectively.

Results: The incidence of PSC, cortical and nuclear cataracts was significantly linearly associated with the cumulative radiation dose. The excess relative risk per unit dose of external gamma-ray exposure (ERR/Sv) was 0.91 (95 % CI: 0.67–1.20) for PSC, 0.63 (95 % CI: 0.49–0.76) for cortical cataracts and 0.47 (95 % CI: 0.35–0.60) for nuclear cataracts. Exclusion of an adjustment for neutron dose and inclusion of additional adjustments for body mass index and smoking index reduced ERRs/Sv for all types of cataracts. However, an additional adjustment for glaucoma increased the incidence risks of cortical and nuclear cataracts just modestly (but not for PSC). Inclusion of an adjustment for diabetes mellitus reduced the ERR/Sv of external gamma-ray exposure only for PSC incidence. Increased incidence risks of all cataract types were observed in both males and females of the study cohort, but ERR/Sv was significantly higher in females (p < 0.001), especially for PSC.

Conclusion: The incidence of various types of cataracts in the cohort of workers occupationally chronically exposed to ionizing radiation was associated with the cumulative dose of external gamma-ray exposure.

Key words: ionizing radiation, chronic exposure, Mayak PA workers, posterior subcapsular cataract, cortical cataract, nuclear cataract, sex differences

For citation: Azizova TV, Hamada N, Grigoryeva ES, Bragin EV. Risk of Various Types of Cataracts in a Cohort of Mayak Workers Following Chronic Occupational Exposure to Ionizing Radiation. Medical Radiology and Radiation Safety. 2020;65(4):48-57 (In Russ.).

DOI: 10.12737/1024-6177-2020-65-4-48-57

Список литературы / References

  1. Цыб АФ, Абакушина ЕВ, Абакушин ДН, Романко ЮС. Ионизирующее излучение как фактор риска развития лучевой катаракты. Медико-биологические проблемы жизнедеятельности. 2013;(1):34-41. [Tsyb AF, Abakushina EV, Abakushin DN, Romanko YuS. Radiation as risk factor of Development the Radiation-induced Cataract (In Russ.)].
  2. Туков АР, Шафранский ИЛ, Прохорова ОН, Зиятдинов МН. Риск развития радиационной катаракты у работников атомной промышленности — участников ликвидации последствий аварии на ЧАЭС. Радиация и риск. 2019;28(1):37-46. [Tukov AR, Shafransky IL, Prohorova ON, Ziyatdinov MN. The incidence of cataracts and the radiation risk of their occurrence in liquidators of the Chernobyl accident, workers in the nuclear industry. Radiation and Risk. 2019;28(1):37-46. (In Russ.)].
  3. Ainsbury EA, Barnard S, Bright S, Dalke C, Jarrin M, Kunze S, et al. Ionizing radiation induced cataracts: Recent biological and mechanistic developments and perspectives for future research. Mutat Res. 2016;770(Pt B):238-61. DOI: 10.1016/j.mrrev.2016.07.010.
  4. ICRP Publication 118. ICRP Statement on Tissue Reactions / Early and Late Effects of Radiation in Normal Tissues and Organs — Threshold Doses for Tissue Reactions in a Radiation Protection Context. Ann. ICRP. 2012;41(1/2):322.
  5. Микрюкова ЛД, Крестинина ЛЮ, Епифанова СБ. Изучение послойных изменений хрусталика в процессе формирования катаракты у лиц, подвергшихся облучению в результате радиационных инцидентов на Южном Урале. Радиационная гигиена. 2018;11(4):51-63. [Mikryukova LD, Krestinina L Yu, Epiphanova SB. A study of layered lens change in the process of cataract formation in persons exposed to radiation as a result of radiation accidents in the Southern Urals. Rdiation Hygiene. 2018;11(4):51-63. (In Russ.)].
  6. Hamada N, Fujimichi Y. Classification of radiation effects for dose limitation purposes: history, current situation and future prospects. J Radiat Res. 2014;55(4):629-40. DOI: 10.1093/jrr/rru019.
  7. Shore RE. Radiation and cataract risk: Impact of recent epidemiologic studies on ICRP judgments. Mutat Res. 2016;770(Pt B):231-7. DOI: 10.1016/j.mrrev.2016.06.006.
  8. Minamoto A, Taniguchi H, Yoshitani N, Mukai S, Yokoyama T, Kumagami T, et al. Cataract in atomic bomb survivors. Int J Radiat Biol. 2004;80(5):339-45. DOI: 10.1080/09553000410001680332.
  9. Neriishi K, Nakashima E, Minamoto A, Fujiwara S, Akahoshi M, Mishima HK, et al. Postoperative cataract cases among atomic bomb survivors, radiation dose response and threshold. Radiat Res. 2007;168(4):404-8. DOI: 10.1667/RR0928.1.
  10. NCRP. Guidance on Radiation Dose Limits for the Lens of the Eye. NCRP Commentary No. 26. Bethesda, MD: National Council on Radiation Protection and Measurements. 2016.
  11. Azizova TV, Grigoryeva ES, Haylock RGE, Pikulina MV, Moseeva MB. Ischeamic heart disease incidence and mortality in an extended cohort of Mayak workers first employed in 1948-1982. Br J Radiol. 2015;88(1054):20150169. DOI: 10.1259/bjr.20150169.
  12. Azizova TV, Haylock RGE, Moseeva MB, Bannikova MV, Grigoryeva ES. Cerebrovascular diseases incidence and mortality in an extended Mayak worker cohort 1948-1982. Radiat Res. 2014;182(5):529-44. DOI: 10.1667/RR13680.1.
  13. Azizova TV, Zhuntova GV, Haylock RGE, Grigoryeva ES, Moseeva MB, Pikulina MV, et al. Chronic bronchitis in the extended Mayak worker cohort: workers first employed between 1948-1982. Occupational and Environmental Medicine. 2017;74(2):105-13. DOI: 10.1136/oemed-2015-103283.
  14. Azizova TV, Briks KV, Bannikova MV, Grigorieva ES. Hypertension Incidence Risk in a Cohort of Russian Workers Exposed to Radiation at the Mayak Production Association Over Prolonged Periods. Hypertension. 2019;73(6):1174-84. DOI: 10.1161/HYPERTENSIONAHA.118.11719.
  15. Azizova TV, Bannikova MV, Grigoryeva ES, Rybkiba VL, Hamada N. Occupational exposure to chronic ionizing radiation increases risk of Parkinson’s disease incidence in Russian Mayak workers. Int J Epidemiol. 2020;49(2):435-47. DOI: 10.1093/ije/dyz230.
  16. Hill B. The environment and disease: association or causation? J Roy Soc Med. 2015;108(1):32-7. DOI: 10.1177/0141076814562718.
  17. Sources, effects and risks of ionizing radiation. United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). 2017 Report to the General Assembly, with Scientific Annexes. New York: United Nations. 2018. 194 p.
  18. Azizova TV, Bragin EV, Hamada N, Bannikova MV. Risk of Cataract Incidence in a Cohort of Mayak PA Workers following Chronic Occupational Radiation Exposure. PLoS ONE. 2016;11(10):e0164357. DOI: 10.1371/journal.pone.0164357.
  19. Руководство по Международной статистической классификации болезней, травм и причин смерти. 9 пересмотр. 1975. Женева: ВОЗ, 1980. [Guide to the international statistical classification of diseases, injuries and causes of death. 9 Revision. 1975. Geneva: (In Russ.)].
  20. Азизова ТВ, Тепляков ИИ, Григорьева ЕС, Власенко ЕВ, Сумина МВ, Дружинина МБ, и др. Медико-дозимет­рическая база данных «Клиника» работников ПО «Маяк» и их семей. Мед. радиология и радиационная безопасность. 2009;54(5):26-35. [Azizova TV, Teplyakov II, Grigorieva EU, Vlasenko EV, Sumina MV, Druzhinina MB, etc. Medical dosimetric database «Clinic» of employees OF PA «Mayak» and their families. Medical Radiology аnd Radiation Safety. 2009;54(5):26-35. (In Russ.)].
  21. Vasilenko EK, Scherpelz RI, Gorelov MV, Stram DJ, Smetanin MY. External dosimetry reconstruction for Mayak workers. 2010. AAHP Special Session Health Physics Society Annual Meeting. Available from: http://www.hpsl.org/aahp/public/AAHP_Special_Session/ 2010_Salt_Lake_City/pm-1.pdf
  22. Khokhryakov VV, Khokhryakov VF, Suslova KG, Vostrotin VV, Vvedensky VE, Sokolova AB, et al. Mayak Worker Dosimetry System 2008 (MWDS-2008): Assessment of internal alpha-dose from measurement results of plutonium activity in urine. Health Phys. 2013;104(4):366-78. DOI: 10.1097/HP.0b013e31827dbf60.
  23. ICRP Publication 103. 2007 Recommendations of the International Commission on Radiological Protection. Ann. ICRP. 2007;37(2-4):332.
  24. Preston D, Lubin J, Pierce D, McConney M. Epicure Users Guide. Seattle, WA: Hirosoft. 1993.
  25. Комаровских ЕН, Полапина АА. Возрастная катаракта: эпидемиология, факторы риска, аспекты катарактогенеза (Постановка проблемы). Medicus. 2016(2):66-70. [Komarovskikh EN, Polapina AA. Age-Related Cataract: Epidemiology, Risk Factors, Cataractogenesis Aspects (Problem Statement). Medicus. 2016(2):66-7. (In Russ.)].
  26. Klein BE, Klein R, Linton KL. Prevalence of age-related lens opacities in 3669 a population. The Beaver Dam eye study. Ophthalmol. 1992;99(4):546-52. DOI: 10.1016/s0161-6420(92)31934-7.
  27. Vavvas D, Azar NF, Azar DT. Mechanisms of disease: Cataracts. Ophthalmol. Clin. North Am. 2002;15(1):49-60. DOI: 10.1016/s0896-1549(01)00015-3.
  28. Henderson MA, Valluri S, DesRosiers C, Lopez JT, Batuello CN, Caperell-Grant A, et al. Effect of gender on radiation-induced cataractogenesis. Radiat Res. 2009;172(1):129-33. DOI: 10.1667/RR1589.1.
  29. Henderson MA, Valluri S, Garrett J, Lopez J.T, Caperell-Grant A, Mendonca MS, et al. Effects of estrogen and gender on cataractogenesis induced by high-LET radiation. Radiat Res. 2010;173(2):191-6. DOI: 10.1667/RR1917.1.
  30. Dynlacht JR. The role of age, sex and steroid sex hormones in radiation cataractogenesis. Radiat Res. 2013;180(6):559-66. DOI: 10.1667/RR13549.1.
  31. Белый ЮА, Терещенко АВ, Романко ЮС, Абакушина ЕВ, Гречанинов ВБ. Молекулярные механизмы формирования радиационно-индуцированной катаракты. Катарактальная и рефракционная хирургия. 2014;14(4):4-9. [Belyy YuA, Tereshchenko AV, Romanko Yu S,  Abakushina EV, Gretchaninov VB. The Molecular Mechanisms Involved in Radiation-Induced Cataract Formation. Cataral and Refraction Surgery. 2014;14(4):4-9. (In Russ.)].
  32. Hamada N. Ionizing radiation sensitivity of the ocular lens and its dose rate dependence. Int J Radiat Biol. 2017;93(10):1024-34. DOI: 10.1080/09553002.2016.1266407.
  33. Dynlacht JR, Vallury S, Garrett J, Mendonca MS, Lopez JT, Caperell-Grant A, et al. Age and hormonal status as determinants of cataractogenesis induced by ionizing radiation. I. Densely ionizing (high-LET) radiation. Radiat Res. 2011;175(1):37-43. DOI: 10.1667/RR2319.1.
  34. Dynlacht JR, Tyree C, Valluri S, DesRosiers C, Caperell-Grant A, Mendonca MS, et al. Effect of estrogen on radiation-induced cataractogenesis. Radiat Res. 2006;165(1):9-15. DOI: 10.1667/rr3481.1.
  35. Dynlacht JR, Valluri S, Lopez J, Greer F, DesRosiers C, Caperell-Grant A, et al. Estrogen protects against radiation-induced cataractogenesis. Radiat Res. 2008;170(6):758-64. DOI: 10.1667/RR1416.1.
  36. Rahman A, Yahya K, Shaikh A, Fasih U, Zuberi BF. Risk factors associated with pre-senile cataract. Pak J Med Sci. 2011(27):145-8.
  37. Nakashima E, Neriishi K, Minamoto A. A reanalysis of atomic-bomb cataract data, 2000-2002, a threshold analysis. Health Phys. 2006;90(2):154-60. DOI: 10.1097/01.hp.0000175442.03596.63.
  38. Chylack LT Jr, Peterson LE, Feiveson AH, Wear ML, Manuel FK, Tung WH, et al. NASA study 3288 of cataracts in astronauts (NASCA). Report 1: Cross-sectional study of the relationship of exposure to space radiation and risk of lens opacity. Radiat Res. 2009;172(1):10-20. DOI: 10.1667/RR1580.1.
  39. Worgul BV, Kundiyev YI, Sergiyenko NM, Chumak VV, Vitte PM, Medvedovsky C, et al. Cataracts among Chernobyl clean-up workers, implications regarding permissible eye exposures. Radiat Res. 2007;167(2):233-43. DOI: 10.1667/rr0298.1.
  40. Rafnsson V, Olafsdottir E, Hrafnkelsson J, Sasaki H, Amarsson A, Jonasson F. Cosmic radiation increases the risk of nuclear cataract in 3984 airline pilots: A population-based case-control study. Arch Ophthalmol. 2005;123(8):1102-3985. DOI: 10.1001/archopht.123.8.1102.
  41. Hamada N, Sato T. Cataractogenesis following high-LET radiation exposure. Mutat Res. 2016;770(Pt B):262-91. DOI: 10.1016/j.mrrev.2016.08.005.
  42. Azizova TV, Hamada N, Grigoryeva ES, Bragin EV. Risk of various types of cataracts in a cohort of Mayak workers following chronic occupational exposure to ionizing radiation. Eur J Epidemiol. 2018;33(12):1193-204. DOI: 10/1007/s10654-018-0450-4.
  43. Hamada N, Azizova T, Little M. An update on effects of ionizing radiation exposure on the eye. Br J Radiol. 2020;93:20190829. DOI: 10.1259/bjr.20190829.

PDF (RUS) Полная версия статьи

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.
Conflict of interest. The authors declare no conflict of interest.
Финансирование. Исследование не имело спонсорской поддержки.
Financing. The study had no sponsorship.
Участие авторов. Cтатья подготовлена с равным участием авторов.
Contribution. Article was prepared with equal participation of the authors.
Поступила: 29.07.2020. Принята к публикации: 10.09.2020.
Article received: 29.07.2020. Accepted for publication: 10.09.2020.

Information about the autors

Azizova T.V. http://orcid.org/0000-0001-6954-2674
Grigoryeva E.S. http://orcid.org/0000-0003-1806-9922
Bragin E.V. http://orcid.org/0000-0003-0410-5048


Contact Information

 

46, Zhivopisnaya st., 123098, Moscow, Russia Phone: +7 (499) 190-95-51. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Journal location

Attendance

2016078
Today
Yesterday
This week
Last week
This month
Last month
For all time
1415
1917
7352
11499
32830
29761
2016078

Forecast today
2016


Your IP:18.191.240.243