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. 2023. Vol. 68. № 3
DOI: 10.33266/1024-6177-2023-68-3-16-20
F.S. Torubarov, Z.F. Zvereva, I.A. Galstyan, N.A. Metlyaeva
Features of Clinical Manifestations of the Primary Reaction
in Combined Radiation Injury (Radiation Exposure and Mechanical Head Injury)
A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: Z.F. Zvereva, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
Purpose: To describe, on the basis of literature data, the features of the primary reaction of a person with a combined radiation injury – radiation exposure and mechanical head injury – in order to substantiate the possibility of using the symptoms of the primary reaction to predict the severity of acute radiation sickness (ARS).
Material and methods: Analysis of literature data.
Results: Based on the literature data, the clinical symptoms of the primary reaction in human radiation damage in a different dose range, and traumatic brain injuries are described: – concussion of the brain; – mild brain injury; – moderate brain injury.
To characterize the clinical picture of the combined effects of radiation injury and mechanical head injury, the symptoms of the primary reaction were compared with the symptoms of traumatic brain injury. Such symptoms of the primary reaction as vomiting, nausea, headache, dizziness in the most severe form of traumatic brain injury – a moderate brain injury – are diagnosed somewhat more often than in acute radiation sickness. In less severe forms of traumatic brain injury – concussion, mild brain injury – the frequency and severity of these symptoms are close to ARS.
In the complex clinical picture of combined radiation exposure and traumatic brain injury, the most different symptoms of the two components of combined radiation damage are the state of consciousness and the characteristics of the skin.
Conclusion: Clinical symptoms of the primary reaction to radiation exposure in conditions of combined radiation damage in the presence of head trauma lose their diagnostic significance for the early prognosis of the severity of developing ARS. In the clinical picture of combined radiation exposure and mechanical head injury, the most pronounced leading components should be the state of consciousness and the characteristics of the skin.
Keywords: combined radiation injury, mechanical head injury, primary reaction
For citation: Torubarov FS, Zvereva ZF, Galstyan IA, Metlyaeva NA. Features of Clinical Manifestations of the Primary Reaction in Combined Radiation Injury (Radiation Exposure and Mechanical Head Injury). Medical Radiology and Radiation Safety. 2023;68(3):16–20. (In Russian). DOI: 10.33266/1024-6177-2023-68-3-16-20
References
1. Kombinirovannyye Radiatsionnyye Porazheniya: Patogenez, Klinika, Lechenie = Combined Radiation Damage: Pathogenesis, Clinic, Treatment. Ed. Tsyba A.F., Farshatov M.N. Moscow, Meditsina Publ., 1992. 288 p. (In Russ.).
2. Silyavin S.B. Kombinirovannyye Radiatsionnyye Cherepno-Mozgovyye Porazheniya: Eksperimentalnoye Issledovaniye = Combined Radiation Craniocerebral Lesions: An Experimental Study. Extended Abstract of Candidate’s thesis in Medicine. St. Petersburg Publ., 2002. 22 p.
(In Russ.).
3. Legeza V. I., Grebenyuk A. N., Boyarintsev V. V. Kombinirovannyye Radiacionnyye Porazheniya i ih Komponenty = Combined Radiation Damage and Their Components. St. Petersburg, Foliant Publ., 2015. 216 p. ISBN 978-5-93929-254-2 (In Russ.).
4. Khoruzhenko A.F. Combined Radiation Damage in Emergency Situations of Peacetime and Wartime. Strategiya Grazhdanskoy Zashchity: Problemy i Issledovaniya. 2014;4;1:310-23 (In Russ.).
5. Khromov B.M. Kombinirovannyye Luchevyye Porazheniya = Combined Radiation Lesions. Moscow, Medgiz Publ., 1959. 343 p. (In Russ.).
6. Grebenyuk A.N., Legeza V.I., Evdokimov V.I., Saluhov V.V., Timoshevskiy A.A. Clinic, Prevention and Treatment of Radiation Damage. Part 2. Radiatsionnaya Meditsina = Radiation Medicine. Studies. Manual. Ed. Aleksanin S.S., Grebenyuk A.N. St. Petersburg Publ., 2013. 156 p. (In Russ.).
7. Torubarov F.S., Zvereva Z.F. Nevrologicheskiye Aspekty Ostroy Luchevoy Bolezni Cheloveka (Klinicheskiye Nablyudeniya) = Neurological Aspects of Acute Human Radiation Sickness (Clinical Observations). Moscow, A.I. Burnasyan FMBC Publ., 2009. 208 p. (In Russ.).
8. Byvaltsev V.A. Cherepno-Mozgovaya Travma = Traumatic Brain Injury: Textbook. Ed. Byvaltsev V.A. Kalinin A.A., et al. Irkutsk Publ., 2018. 154 p. (In Russ.).
9. Yakovlev N.A., Kargapolov A.V., Fomichev V.V., Slyusar T.A. Sposob Differencialnoy Diagnostiki Sotryaseniya Golovnogo Mozga i Ushiba Golovnogo Mozga Lyogkoy Stepeni = Method of Differential Diagnosis of Concussion and Mild Brain Injury. Patent for the Invention RU 2207572 C1, 27.06.2003. Application No. 2001133578/14 dated 10.12.2001 (In Russ.).
10. Manzhurtsev A.V., Vasyukova O.R., Menshchikov P.E., Ublinskiy M.V., Melnikov I.A., Akhadov T.A., Semenova N.A. Preliminary study of the microstructure of the brain by diffusion tensor tomography in the acute period of brain concussion. Issledovaniya i Praktika v Meditsine = Research’n Practical Medicine Journal. 2019;6;4:102-108 (In Russ.).
11. Gayvoronskaya V.I., Persichkina N.V. Diagnostic Significance of Clinical and Morphological Manifestations of Traumatic Brain Injury of Varying Severity. Problemy Ekspertizy v Meditsine = Medical Examination Problems. 2001;1;4:17-19 (In Russ.).
12. Legkaya Cherepno-Mozgovaya Travma = Mild Traumatic Brain Injury. Clinical Recommendations. Moscow Publ., 2016. 23 p. (In Russ.).
13. Karakulova Yu.V., Selyanina N. V., Eroshina O.A. Quality of Life of Patients in the Acute Period of Traumatic Brain Injury Under the Influence of Neurotrophic Therapy. Byulleten Sibirskoy Meditsiny = Bulletin of Siberian Medicine. 2011;10;2:122-126 (In Russ.).
14. Drozdova E.A., Zakharov V. V. Comparative Assessment of Cognitive Impairment in the Acute Period of Traumatic Brain Injury of Mild and Moderate Severity. Nevrologicheskiy Zhurnal = Neurological Journal. 2012;6:12-18 (In Russ.).
15. Lebedev V.V., Krylov V.V., Martynenko A.V. Problems of Computed Tomographic Classification of Brain Contusions. Almanakh Klinicheskoy Meditsiny = Almanac of Clinical Medicine. 2001;4:90-92
(In Russ.).
16. Kitayev V.M. Kitayev S.V. Luchevaya Diagnostika Zabolevaniy Golovnogo Mozga = Radiation Diagnostics of Brain Diseases. Moscow MEDpress-Inform Publ., 2015. 136 p. (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: 20.01.2022. Accepted for publication: 25.02.2023.