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.
Issues journals
Medical Radiology and Radiation Safety. 2023. Vol. 68. № 1
DOI: 10.33266/1024-6177-2023-68-1-19-24
V.V. Petrova, P.A. Shulepov, T.D. Simagova, A.A. Petrov
The Concept of the Digital Twin of the Radiation and Nuclear Facilities’ Worker
A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: V.V. Petrova, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
Purpose: Analysis of the possibilities of a predictive model for assessing the risks of pathology of the cardiovascular, cerebrovascular systems and psychophysiological state in workers of radiation and nuclear hazardous enterprises and industries as part of the development of the concept of a digital twin.
Material and methods: The study involved employees of one of the leading radiation and nuclear hazardous enterprises, who underwent periodic medical examinations at comprehensive medical health center of the A.I. Burnazyan Federal Medical and Biological Center in September–October 2022. In total 154 patients (115 men and 39 women) were questioned, examined, and analyzed medical records. Diagnostic criteria for risk factors and other pathological conditions and diseases that increase the likelihood of developing chronic non-communicable diseases were evaluated both in accordance with the orders of the Ministry of Health and using the AI-HIPPOCRAT digital prognostic model developed by the Computer Science and Management Federal Research Center.
Results: In accordance with the criteria specified in the orders of the Ministry of Health, it was revealed that high or very high risks of developing diseases such as heart attack, stroke, hypertension and depression are observed in 120 people (77.9 %), and according to the analysis in the AI-HIPPOCRAT system, these risks occur in 131 people (85.1 %).
Conclusion: As a result of the study, the capabilities of the AI-HIPPOCRATE system were analyzed and the following recommendations were given for its use by workers of radiation and nuclear hazardous enterprises and industries: to integrate the AI-HIPPOCRAT system into the medical information system used at the enterprise; to divide the presented risk factors into three groups: manageable (on which the doctor or patient can influence), conditionally manageable (which can be influenced by the use of drugs) and uncontrollable, which the doctor and the patient cannot manage (for example, gender, age, etc.); to raise the threshold for setting the risk of a particular disease to “high and above”.
Keywords: predictive model, digital twin, risk assessment, periodic medical examination, radiation and nuclear facilities, staff
For citation: Petrova VV, Shulepov PA, Simagova TD, Petrov AA.The Concept of the Digital Twin of the Radiation and Nuclear Facilities’ Worker. Medical Radiology and Radiation Safety. 2023;68(1):19–24. (In Russian). DOI: 10.33266/1024-6177-2023-68-1-19-24
References
1. Bruynseels K., Santoni de Sio F., van den Hoven J. Digital Twins in Health Care: Ethical Implications of an Emerging Engineering Paradigm. Front. Genet. 2018;9:31. DOI: 10.3389/fgene.2018.00031.
2. Torkamani A., et al. High-Definition Medicine. Cell. 2017;170;5:828-843. DOI: 10.1016/j.cell.2017.08.007.
3. Sahal R., Alsamhi S.H., Brown K.N. Personal Digital Twin: A Close Look into the Present and a Step towards the Future of Personalised Healthcare Industry. Sensors. 2022;22;15:5918. DOI: 10.3390/s22155918.
4. Bobrov A. F., Ivanov V. V., Kalinina M. YU., Novikova T. M., Ratayeva V. V., Sedin V. I., et al. Innovative Technologies of Pre-Shift Psychophysiological Control of Personnel as Means of Increasing Safety of Radiation and Nuclear Enterprises and Objects of the State Atomic Energy Corporation ROSATOM. Meditsinskaya Radiologiya i Radiatsionnaya Bezopasnost = Medical Radiology and Radiation Safety. 2018;63;5:5-10. DOI: 10.12737/article_5bc895f377f578.86526226.
5. Torubarov F.S., Bushmanov A.Yu., Zvereva Z.F., Kretov A.S., Lukyanova S.N., Denisova Ye.A. Concept of Medical Psychophysiological Examination of Personnel of Nuclear Facilities. Meditsina Ekstremalnykh Situatsiy = Extreme Medicine. 2021;23;1:12-17. DOI: 10.47183/mes.2021.008.
PDF (RUS) Full-text article (in Russian)
Conflict of interest. The authors declare no conflict of interest.
Financing. FITZ IU RAS.
Contribution. Article was prepared with equal participation of the authors.
Article received: 20.09.2022. Accepted for publication: 25.11.2022.
Medical Radiology and Radiation Safety. 2023. Vol. 68. № 1
DOI: 10.33266/1024-6177-2023-68-1-25-33
V.G. Barchukov, O.A. Kochetkov, V.N. Klochkov, N.A. Eremina, P.P. Surin,
A.A. Maximov, D.I. Kabanov, V.K. Velichko, N.A. Bogdanenko, Zh.I. Alsagaev
Distribution of Radiocarbon in the Environment
under Normal Conditions of Operating of Kurskaya Nuclear Power Plant
A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: V.G. Barchukov, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
Introduction: 14C is one of the fifteen radionuclides that account for at least 99 % of the radiation dose to the critical group of the population from NPP emission sources. The continuous growth of the total capacity of operating NPPs leads to a significant increase in the amount of 14С emitted into the environment during NPP operation. Efficient capture and disposal of 14C, which has a half-life of 5760 years, is a very laborious undertaking. At the same time, due to the high mobility of this radionuclide, local foci of contamination with 14C can appear both near the NPP at a distance of 1–2 km from its ventilation pipe, and in soil and plants located at a distance of 20–30 km from the NPP due to the transfer of air masses. Therefore, the control of the formation of 14C during the operation of nuclear power plants, its content in emissions and discharges of nuclear power plants, as well as distribution in the environment is an urgent problem today.
Purpose: Analysis of the environmental pollution due to emissions and discharges of radiocarbon from the Kurskaya nuclear power plant.
Material and methods: During the research, a method being developed by specialists of the Laboratory for Radiation Safety of Personnel was used to determine the specific activity of 14C in soil and vegetation. To explore the 14C content in the air, the method of bubbling air through a TASC-HT-HTO-C-14 flow meter-sampler (Overhoff technology, USA) and the method of air conditioning through a Ballu BDH-15L air dryer (Ballu, Russia) were used. To prepare counting samples from selected soil and food samples, a method based on the combustion of selected samples in a Pyrolyser-6 Trio catalytic decomposition system was used. All prepared counting samples, including samples from surface water and biosubstrate of the personnel of the Kursk NPP and the population, were measured by liquid scintillation spectrometry on a Tri-Carb 3180 TR/SL alpha, beta spectrometer.
Results: On the basis of an integrated approach to assessing the content of 14C in air, water, soil and food, an analysis of the formation of environmental pollution due to emissions and discharges 14C from the Kurskaya NPP was carried out.
Conclusions: An increased content of the 14C radionuclide in soil samples, food products and vegetation in the area of the Kursk NPP with RBMK-1000 nuclear reactors is shown, both in comparison with the content of natural 14C and NPPs operating BN-600,800 and VVER-1000 nuclear reactors. The necessity of taking into account radiocarbon emissions from NPPs into the environment in the problem of optimizing the radiation protection of the population under the conditions of normal operation of NPPs is confirmed.
Keywords: radiocarbon, radiocarbon in soil, radiocarbon in vegetation, emission of radiocarbon, nuclear power plant
For citation: Barchukov VG, Kochetkov OA, Klochkov VN, Eremina NA, Surin PP, Maximov AA, Kabanov DI, Velichko VK, Bogdanenko NA, Alsagaev ZhI. Distribution of Radiocarbon in the Environment under Normal Conditions of Operating of Kurskaya Nuclear Power Plant. Medical Radiology and Radiation Safety. 2023;68(1):25–33. (In Russian). DOI: 10.33266/1024-6177-2023-68-1-25-33
References
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2. Rublevskiy V.P., Yatsenko V.N., Chanyshev E. Rol Ugleroda-14 v Tekhnogennom Obluchenii Cheloveka = The Role of Carbon-14 in Human Technogenic Exposure. Ed. Kochetkov O.A. Moscow, IzdAT Publ., 2004. 197 p. ISBN 5-86656-160-3.14 (In Russ.).
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14. Vypolneniye Izmereniy pri Radiatsionnom Kontrole Tritiya i Ugleroda-14 v Pomeshcheniyakh Aes s Primeneniyem Raskhodomera-Probootbornika Tasc-Ht-Hto-C14 (Mvk) = Carrying Out Measurements During Radiation Monitoring of Tritium and Carbon-14 in NPP Premises Using a TASC-HT-HTO-C14 (MVK) Flow Meter-Sampler. Technique МТ 1.2.1.15.002. 0238-2014 (In Russ.).
15. Manual Tri-Carb 3180 TR/SL (In Russ.).
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va E.F. Reserves of organic carbon in the soils of Russia // Pochvovedenie. 2013. № 2, Р.125.
PDF (RUS) Full-text article (in Russian)
Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Research concept – Barchukov V.G., Kochetkov O.A.
Data collection and processing – Eremina A.A., Surin P.P., Alsagaev Zh.I., Valery G. Barchukov, Valerya K.Velichko, Dmitryi I. Kabanov.
Text writing and editing – Eremina N.A., Klochkov V.N., Aleksei A. Maximov, Natalya A.Bogdanenko.
Article received: 20.09.2022. Accepted for publication: 25.11.2022.
Medical Radiology and Radiation Safety. 2023. Vol. 68. № 1
DOI: 10.33266/1024-6177-2023-68-1-41-47
N.A. Metlyaeva, A.Yu. Bushmanov, I.A. Galstyan, O.V. Shcherbatykh,
M.V. Konchalovsky, F.S. Torubarov, V.V. Korenykov
Toxic Pneumosclerosis as a Consequence of Chronic Plutonium Exposure
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 assess toxic pneumosclerosis caused by inhalation intake of plutonium aerosols in a patient who worked in contact with plutonium at the Mayak Production Association from 1948–1954.
Material and methods: Patient Sh., born in 1924, higher education, at the age of 24, began working as a chemical engineer at MPO Mayak from 1948 to 1954 under conditions of increased occupational hazard of ionizing radiation (exposure to gamma rays and ingestion of plutonium aerosols). During her work, she received 389, 624 R: (1950 ‒ 83, 57; 1951 ‒ 187, 29; 1952 ‒ 70, 24; 1953 ‒ 48, 14). Carrying plutonium.
Results: А clinical description of toxic pneumosclerosis of a severe degree of a progressive course, caused by the intake of mainly transportable plutonium aerosols against the background of a combined effect of external relatively uniform gamma radiation, is given. The carriage of plutonium and its removal from the body were established and confirmed. For diagnostic and therapeutic purposes, the patient underwent pentacin inhalations in 2 stages for 3 days. The excretion of plutonium-239 in the urine increased to a maximum of 940 units / min ‒ 1150 units / min (06.04.1957‒06.06.1957) and 464 units / min (06.14.1957), in feces ‒ 308 units / min ‒ 252 units / min (06.07.1957‒ 06.11.1957) and 236 units / min (18.06.1957). The assessment of the amount and alpha activity of the received in the lungs, liver, bones, and other organs was carried out according to the biophysical study of the organs of the corpse of the patient Sh.
Conclusion: The clinical picture of the patient was determined by toxic plutonium pneumosclerosis of a severe degree of progressive course as a consequence of chronic exposure to plutonium. Hypoxia (hypoxemic and tissue). Pulmonary heart. Focal pneumonia. Upex lungs. Violation of the vasomotor and respiratory centers. Moderate oppression of hematopoiesis and asthenic syndrome as a consequence of chronic radiation sickness II degree. The disease progressed with damage to the main critical organs (lungs, liver, bones). The patient died from heart failure, which developed as a result of pneumosclerosis with symptoms of asphyxia.
Keywords: chronic radiation sickness, plutonium pneumosclerosis, carriage of plutonium-239, aerosols, hypoxia, hypoxemia
For citation: Metlyaeva NA, Bushmanov AYu, Galstyan IA, Shcherbatykh OV, Konchalovsky MV, Torubarov FS, Korenykov VV. Toxic Pneumosclerosis as a Consequence of Chronic Plutonium Exposure. Medical Radiology and Radiation Safety. 2023;68(1):41–47.
(In Russian). DOI: 10.33266/1024-6177-2023-68-1-41-47
References
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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: 20.09.2022. Accepted for publication: 25.11.2022.
Medical Radiology and Radiation Safety. 2023. Vol. 68. № 1
DOI: 10.33266/1024-6177-2023-68-1-34-40
I.A. Galstian, A.Yu. Bushmanov, M.V. Konchalovsky, V.Yu. Nugis,
N.A. Metlyaeva, F.S. Torubarov, V.V. Korenkov, A.A. Davtian, D.A. Dubovoy
Features of the Dynamics of the Peripheral Blood Lymphocytes
during the First Week in Combined Radiation-Mechanical Lesions
A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: I.A. Galstian, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
For a long time, the attention of researchers studying combined radiation-mechanical injuries (CRMI) has been focused on the study of individual syndromes: mechanical trauma and acute radiation syndrome. To diagnose and assess the severity of each syndrome, tests used for isolated injuries are recommended. However, the results of tests based on counting the number of different peripheral blood cells in an initially healthy person and in an injured patient who has experienced severe bleeding will be different. Accordingly, the assessment of the severity of developing acute radiation disease these patients will differ.
The possibility of predicting the severity of developing radiation injury in CRMI using a lymphatic test during the first week after exposure is also being evaluated. In this report, based on the literature data, the dynamics of the absolute number of lymphocytes in patients with multiple mechanical injuries is considered.
The results of numerous clinical and experimental studies indicate that severe and multiple injuries, starting from the first hours and during the first week of observation, are characterized by instability of the number of lymphocytes in peripheral blood with significant absolute lymphopenia on the first day. It is shown that the depth of lymphopenia and the rate of recovery of the number of lymphocytes to normal values depends on the severity of the mechanical injury. In addition, the deepening of lymphopenia is also caused by urgent medical measures that are standard in the provision of medical care for severe trauma with blood loss: massive infusion therapy and the appointment of corticosteroids.
Thus, the use of a lymphocytic test in CRMI to assess the radiation dose without taking into account the significance of the trauma suffered will lead to a false prognosis of the degree of developing acute radiation damage, as well as to the lack of differentiation between the effects of radiation and non-radiation factors, and, consequently, to errors in patient management tactics.
Keywords: combined radiation-mechanical lesions, acute radiation sickness, biodosimetry, lymphocytes, lymphocyte test
For citation: Galstian IA, Bushmanov AYu, Konchalovsky MV, Nugis VYu, Metlyaeva NA, Torubarov FS, Korenkov VV, Davtian AA, Dubovoy DA. Features of the Dynamics of the Peripheral Blood Lymphocytes during the First Week in Combined Radiation-Mechanical Lesions. Medical Radiology and Radiation Safety. 2023;68(1):34–40. (In Russian). DOI: 10.33266/1024-6177-2023-68-1-34-40
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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: 20.09.2022. Accepted for publication: 25.11.2022.
Medical Radiology and Radiation Safety. 2023. Vol. 68. № 1
DOI: 10.33266/1024-6177-2023-68-1-48-57
M.V. Osipov1, F. Ria2, P.S. Druzhinina3, M.E. Sokolnikov1
Comparative Assessment of the Absorbed Doses Resulted
from Occupational Exposure and Computed Tomography
1Southern Urals Biophysics Institute, Ozyorsk, Russia
2Duke University, North Caroline, Durham, US
3P.V. Ramzaev Saint Petersburg Research Institute of Radiation Hygiene, Saint Petersburg, Russia
Contact person: M.V. Osipov, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract
A comparative assessment of the absorbed doses resulted from computed tomography (CT) examinations, and the dose resulted from occupational external gamma exposure of the “Mayak” workers was carried out. The patients’ diagnostic radiation dose was reconstructed using Monte-Carlo simulation on a population of 58 virtual adult phantoms across 13 CT protocol categories. Archival records of CT examinations of patients were used for the dose reconstruction. Information on technical parameters of scanning was extracted from DICOM files. The study sample has been linked to the Mayak worker register database to identify persons who had professional contact with ionizing radiation. Annual occupational dose records for the Mayak workers were obtained from the Dose-2013 dosimetry system.
In this study, information on 212 patients was collected from 303 records. Among them, 42 Mayak employees were identified, including 24 persons who had non-zero dose of external gamma radiation, and 16 persons with internal alpha radiation dose due to occupational intake of 239Pu. Individual doses absorbed in the organs resulted from exposure to computed tomography and occupational activities has been compared.
The results showed significant variability of the absorbed organ dose depending on the area of CT examination. The brain and lens were subjected to the highest radiation exposure during head CT. The average absorbed dose in brain was 24.5 mGy per single examination (the maximum brain dose accumulated over the entire study period was 82.3 mGy), and 27.7 mGy for the lens of the eye (the maximum lens dose reached 92.9 mGy).
Relevant comparison of the absorbed dose of diagnostic and occupational exposure, accumulated during one year, has been performed. The average estimate of cumulative radiation dose absorbed in the organs during computed tomography was an order of magnitude lower than the one from occupational external gamma exposure of Mayak personnel, except brain dose. Annual CT dose equivalent of external gamma radiation was 2.82.
Keywords: computed tomography, X-ray, occupational exposure, absorbed dose, “Mayak” PA, employees
For citation: Osipov MV, Ria F, Druzhinina PS, Sokolnikov ME. Comparative Assessment of the Absorbed Doses Resulted from Occupational Exposure and Computed Tomography. Medical Radiology and Radiation Safety. 2023;68(1):48–57. (In Russian). DOI: 10.33266/1024-6177-2023-68-1-48-57
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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: 20.09.2022. Accepted for publication: 25.11.2022.