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. 2022. Vol. 67. № 6

DOI:10.33266/1024-6177-2022-67-6-30-35

N.A. Metlyaeva, A.Yu. Bushmanov, I.A. Galstyan, O.V. Shcherbatykh, M.V. Konchalovsky, F.S. Torubarov

Clinical Observation of a Severe Chronic Radiation Sickness Due to External Relatively Uniform Gamma Exposure and Inhalation Intake of Aerosols of Plutonium-239 and its Long-Term Consequences in a Former Worker

A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia

Contact person: N.A. Metlyaeva, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

ABSTRACT

Purpose: To describe the clinical observation of chronic radiation sickness (CRS) of severe course, caused by relatively uniform external gamma exposure and inhalation intake of plutonium-239 aerosols, and its long-term consequences.

Material and methods: A clinical description of the observation of CRS, which developed from the combined effect of external gamma radiation and inhalation of plutonium-239 aerosols, was given in a former employee of the Mayak Production Association, who was treated for 45 years in a specialized clinic of the Institute of Biophysics of the Ministry.

Conclusion: The clinical picture of CRS in the patient was determined by manifestations of plutonium pneumosclerosis II degree, emphysema, respiratory failure II degree, liver cirrhosis in the active phase, organic changes in the brain in the form of stem vestibular manifestations, osteoalgic syndrome. Significant amounts of plutonium-239 were noted. She was an invalid of group II due to the underlying disease. The disease progressed with damage to the main critical organs (lungs, liver). In the period of long-term consequences, the patient developed peripheral cancer of the lower lobe of the right lung (poorly differentiated adenocarcinoma).

Keywords: chronic radiation sickness, plutonium pneumosclerosis, carriage of plutonium-239, external gamma exposure, peripheral lung cancer

For citation: Metlyaeva NA, Bushmanov AYu, Galstyan IA, Shcherbatykh OV, Konchalovsky MV, Torubarov FS. Clinical Observation of a Severe Chronic Radiation Sickness Due to External Relatively Uniform Gamma Exposure and Inhalation Intake of Aerosols of Plutonium-239 and its Long-Term Consequences in a Former Worker. Medical Radiology and Radiation Safety. 2022;67(6):30–35. (In Russian). DOI:10.33266/1024-6177-2022-67-6-30-35

 

References

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2.Radiation Damage to Humans. Volume 2. Radiacionnaya Medicina = Radiation Medicine. A Guide for Physicians-Researchers and Organizers of Public Health. Ed. Ilin L.A. Moscow, IzdAT Publ., 2001. 432 p. (In Russ.).

3.Okladnikova N.D., Kudryavceva T.I., Belyayeva Z.D. Occupational (Plutonium) Aneurosclerosis in Workers of the First Nuclear Enterprise (Results of a 40-Year Follow-up). IV Nac. Kongress po Boleznyam Organov Dykhaniya = IV National Congress on Respiratory Diseases. Moscow, March 15-19, 1994. Moscow Publ., 1994. P. 832 (In Russ.).

4.Okladnikova N.D., Pesternikova V.S., Sumina M.V., Doshchenko V.N. Occupational Radiation Diseases at the First Enterprise of the Nuclear Industry. Meditsinskaya Radiologiya. 1993;38;12:24-28 (In Russ.).

5.Okladnikova N.D., Pesternikova V.S., Sumina M.V., et al. Clinical Effects of Plutonium-239. Chronic Radiation Exposure: Risk of Long-Term Effects. 1st Intern. Symposium. Chelyabinsk, Jan. 9-13. 1996. Chelyabinsk Publ., Р. 110-112 (In Russ.).

6.Okladnikova N.D., Pesternikova V.S., Sumina M.V., Doshchenko V.N. Occupational Diseases from Radiation Esposure at the First Nuclear Plant in the USSR. Science Total Environment. 1994;142:9-17.

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8.Tokarskaya Z.B., Okladnikova N.D., Belyayeva Z.D. Evaluation of the Contribution of Radiation and Non-Radiation Factors to the Development of Lung Cancer in Radiochemical Production Workers. Voprosy Onkologii = Problems in Oncology. 1994;4-5-6:165-170 (In Russ.).

9.Volkova L.G. Pneumosclerosis as an Outcome of Radiation Sickness Caused by Prolonged Intoxication of Plutonium-239. Byulleten Radiacionnoy Mediciny. 1961;2a:82-91 (In Russ.).

10.Baysogolov G.D. Some Questions of the Pathogenesis of the Clinical Syndrome that Develops in Persons in Contact with Plutonium-239 Compounds. Byulleten Radiacionnoy Mediciny. 1969;1:10-17 (In Russ.).

11.Severin S.F., Boykov M.P. Ventilation Disorders in Patients with Plutonium Pneumosclerosis. Byulleten Radiacionnoy Mediciny. 1968;2:54-60 (In Russ.).

12.Parfenova M.P. Limfaticheskaya Sistema Legkogo v Norme i pri Tuberkuleze = The Lymphatic System of the Lung Is Normal and with Tuberculosis. Moscow Publ., 1960 (In Russ.).

 

 PDF (RUS) Full-text article (in Russian)

 Conflict of interest. The authors declare no conflict of interest.

Financing. The study had no sponsorship.

Contribution. Article was prepared with equal participation of the authors.

Article received: 20.07.2022. Accepted for publication: 25.09.2022.

 

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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.

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