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. 2021. Vol. 66. № 4. P. 42–50
Radiation-Hygienic Monitoring in Potentially Radon-Hazardous Territories
T.N. Lashchenova1,3, L.E. Karl1,2, A.M. Marennyy2
1A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia
2State Research and Technical Center of Radiation-Chemical Safety and Hygiene FMBA, Moscow, Russia
3Peoples’ Friendship University of Russia (RUDN University), Moscow, Russia
Contact person: Lydia Eduardovna Karl: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
Modern radioecological studies to assess the effect of natural radiation on the human body have shown that at the moment of development of society, the main contribution to the exposure of the population is made by natural sources of ionizing radiation, while from 50 to 90 % of the dose load are caused by the gas radon-222 (222Rn) and daughter products of its decay.
This paper presents the results of radiation-hygienic monitoring of the potentially radon-hazardous territory of the city of Baley, Trans-Baikal Territory. The measurement of the volumetric activity of radon (ОАRn) was carried out in the premises of residential and public buildings by the integral method using track exposure meters REI-4. According to the indicator of the equivalent equilibrium volumetric activity of radon (EROARn), a radiation-hygienic assessment of the premises and the calculation of potential dose loads on the population living in this territory were carried out.
Studies have shown that ОАRn in residential and public buildings depends on the geological characteristics of the territory, on the design and design of buildings and structures, and on the building materials used. It was found that the main criterion for assessing the potential radon hazard of territories is the value of ОАRn in rooms on the 1st floors of buildings. According to the degree of potential radon hazard, the territory of the city of Baley can be conditionally divided into 3 types: 1 type – the territory located on a geological fault; Type 2 – the southern part of the city, represented by sedimentary rocks; Type 3 – the northern part of the city, represented by rocks of the basic gabbroid group with a low content of natural radionuclides. The types of buildings and structures and the type of building materials affect the dose load, but do not determine it.
Key words: radon-222, volumetric activity, EEVA, potential radon hazard of territories, categorization of territories, residential and public buildings, nuclear legacy objects
For citation: Lashchenova TN, Karl LE, Marennyy AM. Radiation-Hygienic Monitoring in Potentially Radon-Hazardous Territories. Medical Radiology and Radiation Safety. 2021;66(4):42-50.
DOI: 10.12737/1024-6177-2021-66-4-42-50
References
1. UNSCEAR, 2008. Sources and Effects of Ionizing Radiation. UNSCEAR Report to the General Assembly United Nations: V. 1, Annex B, New York: United Nations Scientific Committee on the Effects of Atomic Radiation.
2. Zhukovskiy MV. Radon Safety of Buildings. Ekaterinburg: UrO RAN; 2000 (in Russian).
3. Gulabyants LA. Manual for the Design of Anti-radon Protection of Residential and Public Buildings. Moscow: NO «FEN-NAUKA», 2013 (In Russian).
4. Marennyy AM, Tsapalov AA, Miklyaev PS, Petrova TB Regularities of the Formation of the Radon Field in the Geological Environment. Moscow: PERO, 2016 (In Russian).
5. Stamat IP, Kormanovskaya TA, Gorskiy GA Russian Federation Population Radiation Protection During the Exposure From Natural Ionizing Irradiation Sources: Modern State and Directions for Development and Optimization. Radiation Hygiena. 2014:7(1): 54-62 (In Russian).
6. Marennyy AM The Problem of Public Exposure to Natural Sources of Ionizing Radiation. Nuclear and Radiation Safety of Russia. 2002.2(5):36-63. (In Russian).
7. Gubin A T, Marennyy AM, Sakovich VA, Astafurov VI, Nefedov NA, Penezev AV Survey of Territories Maintained by the Federal Medical and Biological Agency of Russia for radon Content in Premises. Meditsina Ekstremal'nykh Situatsiy. 2012.42(4):77-88 (In Russian).
8. Marennyy AM, Romanov VV, Astafurov VI, Gubin AT, Kiselev SM, Nefedov NA, Penezev AV Survey for Indoor Radon in Dwellings on the Territories Supervised by FMBA of Russia. Radiation Hygiena. 2015,8(1):23-29. (In Russian).
9. Tsapalov AA Principles of Radon control in the premises of buildings ANRI. Moscow Puplic 2015. 1: 6-15. (In Russian).
10. Marennyy AM Methodological Aspects of Measurements of Average Volumetric Activity of Radon in Rooms by Integral Track Method ANRI. Moscow Puplic 2012; 4: 13-19 (In Russian).
11. MVI 2.6.1.003–99. « Radon. Measurement of Volumetric Activity by Integral Track Method in Industrial, Residential and Public Premises»; MI «Radon. Measurement of Volumetric Activity in Indoor air by the Integral Track Method», Attestation Certificate № 40090.2I385 ot 16.07.2012. (In Russian).
12. Radiation Safety Standards (NRB-99/2009): Sanitarno-epidemiologicheskie Pravila i Normativy (SanPiN 2.6.1.2523-09): utv. i Vvedeny v Dejstvie ot 07.07.09 g. M.: Federalniy Centr Gigieny i Epidemiologii Rospotrebnadzora, 2009. 100 p. (In Russian).
13. MU 2.6.1. 037 – 2015. Determination of the Annual Average EEC Values of Radon Isotopes in Indoor air Based on the Results of Measurements of Different Durations. Moscow: FMBA; 2016. (In Russian).
14. MU 2.4.1.1088-02. Assessment of Individual Effective Doses to the Population Due to Natural Sources of Ionizing Radiation. Moscow: Minzdrav Rossia. 2002 (In Russian).
15. Ptitsyn AB Problems of Development of Technogenic Deposits in Trans-Baikal Region. Geology and Mineral Resourses of Siberia. 2014; 3: 128-130 (In Russian).
16. Venevskaya NN About the Environmental Situation in the Town of Balei (Trans-Baikal Region). Proc. of 20th Int. Symp. Tomsk, 2016. 109-110. (In Russian).
17. Abramov BN, Epova E.S., Manzyrev D.V. Geoecological problems of mining gold ore deposits in Eastern Trans-Baikal Region. Geografy and Natural Resourses. 2019; 2: 103-111 (In Russian).
18. MR 11-2/206-09. Random Survey of Residential Buildings to Assess Doses to the Population. 2000; N 11-2/206-09. (In Russian).
19. Arbuzov SI Geochemistry of Radioactive Elements: Textbook. Tomsk. 2010. (In Russian).
20. Kaprinsky AP. Russian Research Geological Institute Named after. Catalog of Rasters. Available at: http://webmapget.vsegei.ru/index.html
PDF (RUS) Full-text article (in Russian)
Conflict of interest. The authors declare no conflict of interest.
Financing. The reported study was funded by RFBR, project number 20-38-90291
at the State Research and Technical Center of Radiation-Chemical Safety and Hygiene FMBA.
Contribution. Research concept and design – T.N. Laschenova, L.E. Karl
Data collection and processing – Karl L.E.
Text writing – Karl L.E., Laschenova T.N.
Editing – T.N. Laschenova, A.M. Marennyi.
Article received: 18.03.2021.
Accepted for publication: 20.04.2021.
Medical Radiology and Radiation Safety. 2021. Vol. 66. № 4. P. 51–53
Analysis of the Experience of Participation in Interlaboratory Comparisons
of the Radiation Control Laboratory in National Accreditation System
A.M. Poleshchuk, O.A. Dorokhova, B.A. Kukhta, N.A. Bogdanenko
A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: : Alexandra Mikhailovna Poleshchuk : This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
Purpose: Formation of the idea of laboratories accredited by Accreditation System of Russian Federation, in particular radiation control laboratories, about the possibility of confirming technical competence by means of participation in interlaboratory comparison tests at international level.
Content: Description of the experience of successful passing the international comparisons by radiation control laboratories under up-to-date requirements.
Conclusion: The experience described in the article can be used by accredited laboratories in practice for conformity validation with accreditation criteria.
Key words: radiation control laboratory, interlaboratory comparison tests, competence
For citation: Poleshchuk AM, Dorokhova OA, Kukhta BA, Bogdanenko NA. Analysis of the Experience of Participation in Interlaboratory Comparisons of the Radiation Control Laboratory in National Accreditation System. Medical Radiology and Radiation Safety 2021;66(4):51-53.
DOI: 10.12737/1024-6177-2021-66-4-51-53
References
1. Federal Law No. 102-FZ of June 26, 2008 «On Ensuring the Uniformity of Measurements» (In Russian).
2. Uyba VV, Kotenko KV, Ilyin LA, Kvacheva YE, Abramov YV, Galstyan IA, et al. Polonium-210 Version of Arafat's Death: the Results of Russian Investigation. Medical Radiology and Radiation Safety. 2015; 60(3):41–49 (In Russian).
3. Methodological Guidelines 2.6.1.011-14 Procedure of Measurement the Activity of Uranium by Alpha-spectrometry After Extraction-chromatographic Isolation from Urine Samples. 2014 (In Russian).
4. Standard of the Organization of the State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency 4.21 / 01-2017 Procedure of Measurement the Activity of Americium and Plutonium Isotopes in Urine Samples by the Alpha-spectrometry After Radiochemical Preparation (In Russian).
5. State Standard 8.638-2013 Metrological ensuring of radiation control. General principles (In Russian).
6. State Standard ISO/IEC 17025-2019 General Requirements for the Competence of Testing and Calibration Laboratories (In Russian).
7. State Standard ISO/IEC 17043-2013 Conformity Assessment. General Requirements for Proficiency Testing (In Russian).
8. The Policy of RusAccreditation Regarding the Verification of Qualifications by Conducting Interlaboratory Comparison (Comparative) Tests of 02.04.2021.
9. Daka J, Kramer GH. The Canadian national Calibration and Reference Center for Bioassay and in Vivo Monitoring: an Update. Health Phys. 2009;97(6):590–594. DOI:01.hp.0000363839.78169.20
10. Li C, Bartizel C, Battisti P. et al. GHSI Emergency Radionuclide Bioassay Laboratory Network – Summary of the Second Exercise. Radiat. Protect Dosimetry. 2017;174(4):449-456. DOI:10.1093/rpd/ncw254.
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: 23.12.2020.
Accepted for publication: 20.01.2021.
Medical Radiology and Radiation Safety. 2021. Vol. 66. № 4. P. 58–61
Results of the Activities of Interdepartmental Expert Advice
on Establishing Communication Diseases, Disabilities and Death
with Impact Radiation Factors
A.Yu. Bushmanov, A.P. Biryukov, E.P. Korovkina, A.S. Kretov, I.V. Vlasova,
А.А. Lomteva, A.A. Gugina
A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: Irina Vladimirovna Vlasova: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
One of the systems of expert councils that exist on the territory of the Russian Federation is the Interdepartmental Expert Council (IEC), where citizens can apply to establish the cause of the connection between illness, disability and death with exposure to ionizing radiation.
The article discusses the normative documents and the legal framework governing the work of the IEC, to establish the causal relationship of diseases, disability and death of citizens exposed to radiation as a result of the Chernobyl disaster. The results of the activities of interdepartmental expert councils of the Russian Federation for 2010–2020 are presented.
The categories of citizens who have the right to submit documents for an examination to establish the causal relationship of illness, disability and death as a result of exposure to ionizing radiation in the IEC have been determined.
Key words: Interdepartmental Expert Councils (IEC), Chernobyl atomic power station (ChAPS), legislative base, organizational structure
For citation: Bushmanov AYu, Biryukov AP, Korovkina EP, Kretov AS, Vlasova IV, Lomteva АА, Gugina AA. Results of the Activities of Interdepartmental Expert Advice on Establishing Communication Diseases, Disabilities and Death with Impact Radiation Factors. Medical Radiology and Radiation Safety. 2021;66(4):58-61.
DOI: 10.12737/1024-6177-2021-66-4-58-61
References
1. Collection of Normative Documents of the Russian Federation Law «On Social Protection of Citizens Exposed to Radiation From the Chernobyl Accident». Moscow, Energoatomisdat Publ., 1993. 238 p. (In Russian).
2. Bushmanov AYu, Guskova AK, Krasnyuk VI, Galstyan IV. Methodological Manual for Establishing the Relationship of Diseases with Exposure to Ionizing Radiation. Moscow, A.I. Burnazyan FMBA of Russia Publ., 2009. 27 p. (In Russian).
3. Guskova AK. The Complexity of the Casual Relationship Expert Assessments for Radiation Exposure and Diseases at Late Terms after Irradiation and Overcome Measures. Medical Radiology and Radiation Safety. 2010. 55(1):81–85. (In Russian).
4. Guskova AK. Difficulties and errors in the interpretation of data on the relationship between morbidity and mortality of various categories of people with exposure to ionizing radiation. Medical Radiology and Radiation Safety. 2010. 55(6): 72–74. (In Russian).
5. Tukov АР, Guskova AK. Анализ опыта и источников ошибок в оценке состояния здоровья лиц, вовлеченных в радиационные аварии. Medical Radiology and Radiation Safety. 1997. 42(5): 5–10. (In Russian).
6. Bushmanov AYu, Biryukov AP, Korovkina EP, Kretov AS, Buhvostova NN. The Analysis of Documentary Regulatory Base and Results of Activity of Interdepartmental Advisory Councils on Establishment of the Causal Relationship of Diseases, Disability and Death of the Citizens of Russia Affected by Radiation Factors Owing to the Chernobyl Accident. Medical Radiology and Radiation Safety. 2016. 61. (3): 103–108. (In Russian).
7. Bushmanov AYu, Rozhko AV, Biryukov AP, Kretov AS, Nadyrov EA, Korovkina EP. Analysis of the Applied Regulatory and Legal Framework Used by the Advisory Councils in Establishment of the Causal Relationship in Cases of Morbidity, Disability and Mortality Among the Allied States Citizens Exposed to Radiation in Chernobyl Accident. Medicine of Extreme Situations. 2016. 58. (4): 8–17. (In Russian).
8. Sanitary rules 2.6.1.2523-09 "Radiation Safety Standards" (NRB-99/2009). (In Russian).
9. Sanitary rules 2.6.1.2612-10 "Basic sanitary rules for ensuring radiation safety" (OSPORB-99/2010). (In Russian).
10. ICRP Report on Tissue Reactions, Early and Long-Term Effects in Normal Tissues and Organs – Threshold Doses for Tissue Reactions in the Context of Radiation Protection.. ICRP; Pub. (118) / Stuart FA, et al., ed. Akleev AV, Kiselev MF. translat. English: Zhidkova EM, Kotova NS. Chelyabinsk, Kniga Publ., 2012. – 384 p. (In Russian).
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: 16.02.2021.
Accepted for publication: 20.04.2021.
Medical Radiology and Radiation Safety. 2021. Vol. 66. № 4. P. 54–57
Justification of Remediation Criteria of Uranium Legacy Sites
A.V. Titov, N.K. Shandala, Yu.S. Belskikh, D.V. Isaev, М.P. Semenova,
T.A. Doronieva, K.Yu. Oskina, Yu.V. Gushchina
A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: Alexey Viktorovich Titov: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
Purpose: To present approaches to establishing the criteria for remediation of sites contaminated due to past activities of uranium mining and milling facilities. These facilities are considered today as uranium legacy.
Results: This paper presents the justified reference levels expressed in terms of annual effective dose values, which are recommended for using as remediation criteria for sites contaminated due to past activities of uranium mining and milling facilities (uranium legacy sites).
Depending on further use of the sites after remediation, these criteria range from 1 µSv/year, in case of temporary presence of the population, to 10 µSv/year, in case of permanent residence of the population and conducting economic activities.
Conclusions: In accordance with the international basic safety standards, accepted more than 10 years ago, exposure situations from radioactive material retained from previous activities refer to the existing exposure situation.
Nevertheless, neither Federal Law “On Radiation Safety of the Population” nor Radiation Safety Standards have so far introduced terms “existing exposure situation” covering exposure at nuclear and uranium legacy sites and “reference level”, which is used to assure radiation safety of the population living at legacy sites or using these sites for the purpose of the economic activities.
Key words: uranium legacy, remediation criteria, site using areas, natural radionuclides, radioactive contamination, remediation, past activities, manmade radionuclides, specific activity
For citation: Titov AV, Shandala NK, Belskikh YuS, Isaev DV, Semenova МP, Doronieva TA, Oskina KYu, Gushchina YuV Justification of Remediation Criteria of Uranium Legacy Sites. Medical Radiology and Radiation Safety 2021;66(4):54-57.
DOI: 10.12737/1024-6177-2021-66-4-54-57
References
1. Decree of the President of the Russian Federation "On Approval of the Fundamentals of State Policy in the Field of Nuclear and Radiation Safety of the Russian Federation for the Period up to 2025 and Beyond" Moscow, Kremlin. October 13, 2018 N 585. (In Russian)].
2. Romanovich IK, Stamat IP, Sanzharova NI, Panov AV. Criteria for rehabilitation of facilities and territories contaminated with radionuclides as a result of past activities: Part 1. The choice of indicators for justification of the criteria for rehabilitation. Radiation Hygiene. 2016;9(4):6-14. (In Russian).
3. Titov AV, Shandala NK, Isaev DV, Semenova МP, Seregin VА, Belskikh YuS, Ostapchuk TV, Chernobaev AS. Assessment of the Public Radiation Protection and Economic Activity Safety in the Area of the Developed Uranium Deposit. Medical Radiology and Radiation Safety. 2020;65(2):11–16. DOI: 10.12737/1024-6177-2020-65-2-11-16. (In Russian).
4. Decision of the CIS Economic Council on the report "Remediation of the territories of the member states of the Commonwealth of Independent States affected by uranium production" (Together with the Working Group on the preparation of the Report) (Adopted in Moscow on December 27, 2006). (In Russian).
5. ICRP Publication 103. Translation from English / Kiselev MF, Shandala NK. general editors. M.: Publ. JCS PKF «Alana», 2009. (In Russian).
6. IAEA Safety Standards Series No. GSR Part 3. Radiation Protection and Safety of Radiation Sources: International Basic Safety Standards. General safety requirements, part 3. IAEA. Vienna, 2015. (In Russian).
7. Policy and strategies for environmental remediation. IAEA nuclear energy series no. NW-G-3.1 - Vienna: International Atomic Energy Agency. 2015:p. 48.
8. SanPiN 2.6.1.2819-10. Radiation Protection of the population living at the areas of peaceful nuclear explosions (1965 - 1988). Health rules and regulations. (In Russian).
9. SanPiN 2.6.1.2800-10 Health Physics Requirements to Limit Public Exposure due to Natural Radiation Sources. (In Russian).
10. SanPiN 2.3.2.1078-01 Health Physics Requirements for Safety and Nutritional Value of Food. (In Russian).
11. Stamat IP, Kormanovskaya TA, Gorskiy GA. Russian Federation population radiation protection during the exposure from natural ionizing irradiation sources: modern state and directions for development and optimization. Radiation hygiene. 2014;7(1):54-62. (In Russian).
12. Sources of radiation exposure for the Russian population (ibrae.ac.ru). www.ibrae.ac.ru/russian/chernobyl-3d/man/1.htm. (In Russian).
13. Shandala NK, Titov AV, Isaev DV, Semenova МP, Seregin VA, Ostapchuk TV, Shlygin VV, Starinsky VG, Starinskaya RA. The impact assessment of the heavy rain consequences on the radiation situation around the shaft-16 of the former ALMAZ enterprize. Medicine of Extreme Situations. 2017;2 (60):202-207. (In Russian).
14. Shandala NK, Isaev DV, Gimadova TI, Kiselev SM, Semenova MP, Seregin VA, Titov AV, Zolotukhina SB, Zhuravleva LA, Khohlova EA. Current Radiation Situation in Krasnokamensk. Medical Radiology and Radiation Safety. 2015;60(6):10–14. (In Russian)].
15. Release of sites from regulatory control on termination of practices. Safety guide no. WS-G-5.1.Vienna. International Atomic Energy Agency. 2006;42 р. (In Russian).
16. CARE.Final Report. Prepared by Hildegarde Vandenhove, Andrew Bousher, Per Hedemann Jensen,Duncan Jackson, Barbara Lambers, Theo Zeevaert. For European Commission DG XI Environment, Nuclear Safety and Civil Protection under contract 96-ET-006. September 1999.
17. Shandala NK, Kiselev SM, Titov AV, Semenova MP, Seregin VA. Enhancing the regulatory framework during the supervision of nuclear legacy sites. Ed.: Uiba V. and Samoilov A. http://фцп-ярб2030.рф/society/publications/ (In Russian)].
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: 16.02.2021.
Accepted for publication: 20.04.2021.
Medical Radiology and Radiation Safety. 2021. Vol. 66. № 4. P. 62–69
Subacute Course of Chronic Radiation Syndrome Caused External
Non-Uniform Radiation Exposure of Lost Source
I.A. Galstyan, A.Yu. Bushmanov, N.A. Metlyaeva, V.Yu. Soloviev, L.Yu. Mershin, M.V. Konchalovsky,
V.Yu. Nugis, O.V. Shcherbatykh, L.A. Yunanova, F.S. Torubarov, A.A. Davtian, E.E. Obuhova
A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: Irina Alekseevna Galstyan: This email address is being protected from spambots. You need JavaScript enabled to view it.
ABSTRACT
Purpose: To analyze the features of the clinical course of chronic radiation syndrome (CRS) due to external non-uniform chronic exposure to prolonged household contact with a lost source of ionizing radiation.
Material and methods: Analysis of 2 clinical observations of patients who developed subacutecourse of CRS and chronic radiation dermatitis due to external non-uniform exposure of the lost sources of ionizing radiation are presented.
Results: Boy A. K. from the age of 1 year for 7 years was external radiation exposed (for 1.5 years non-uniform exposure ) to the total dose according EPR tooth enamel about 6.3 Gy, according to the data of retrospective dose recovery on red bone marrow using voxel modeling – 26 (19–37) Gy.
F. V. V., male, 38 years, was external non-uniform radiation exposed for 5 months, the total dose according cytogenetic studies of 7.9 Gy (dose rate about 0.035 Gy/h).
During the examination in the hospital, the patients were diagnosed with CRS. Within the framework of the bone marrow syndrome, deep thrombocytopenia, moderate leuko- and neutropenia, and moderate anemic syndrome were observed. The latter is not typical for the typical course of CRS and is a criterion indicating a subacute course of the disease. In addition, signs of chronic radiation dermatitis were found in the projection of the action of the ionizing radiation beam. After stopping the radiation exposure, the patients did not recover their hematopoietic function, and in the period of immediate consequences, they developed myelodysplastic syndrome (MDS) with further transformation into acute leukemia.
Conclusion: 1. Accidental prolonged household or criminal contact with a source of ionizing radiation can lead to the formation of CRS with an atypical subacute course and the formation of MDS with transformation to acute leukemia in the outcome of the disease or in the period of its consequences.
2. It can be assumed that with external non-uniform radiation exposure, leading to the development of CRS and chronic radiation damage to the skin, agranulocytosis in the subacute course of CRS may be absent.
3. Adverse prognostic signs for the development of MDS and leukemia in the outcome or in the period of the consequences of subacute CRS with non-uniform exposure are long-lasting deep thrombocytopenia and anemic syndrome after the end of radiation exposure.
Keywords: chronic radiation syndrome, subacute course, non-uniform radiation exposure, lost radiation source, agranulocytosis, anemic syndrome, myelodysplastic syndrome, acute leukemia
For citation: Galstyan IA, Bushmanov AYu, Metlyaeva NA, Soloviev VYu, Mershin LYu, Konchalovsky MV, Nugis VYu, Shcherbatykh OV, Yunanova LA, Torubarov FS, Davtian AA, Obuhova EE. Subacute Course of Chronic Radiation Syndrome Caused External Non-Uniform Radiation Exposure of Lost Source. Medical Radiology and Radiation Safety. 2021;66(4):62-69.
DOI: 10.12737/1024-6177-2021-66-4-62-69
References
1. Galstyan IA, Metlyaeva NA, Konchalovsky MV, Nugis VYu, Shcherbatykh OV, Yunanova LA, et al. "Subacute” course of chronic radiation syndrome. Medical Radiology and Radiation Safety. Accepted for publication. (In Russian)].
2. Krasnyuk VI, Konchalovsky MV, Ustyugova AA. Clinical features of subacute course of radiation disease. Saratov Journal of Medical Scientific Research. 2014;10(4):858-862. (In Russian)].
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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: 16.02.2021.
Accepted for publication: 20.04.2021.