Practical learning through radiation physics problem solving.

INTRODUCTION: The identification of unknown radionuclides is an authentic practical activity for students that provides the foundations for clinical problem solving, especially in the storage and management of radioactive waste. As different radionuclides have different half-lives, some of which are quite long, the storage of waste material has to accommodate the longest of these. Cross contamination requires a method of identifying the radionuclide samples in a mixed sample to safely and appropriately manage disposal. Similarly, identifying a single unknown sample of a radionuclide allows correct handling and disposal. METHODS: Performing a systematic investigation of the physical properties of unknown radioactive samples is a rich learning opportunity to instil understanding of important physics principles among students in nuclear medicine. RESULTS: This manuscript outlines an investigation developed that would allow students to identify single unknown radionuclides based on physical properties and identify the constituent radionuclides of a mixed sample using some additional mathematical curve stripping. CONCLUSION: The processes and solutions are provided with real data and this practical activity can be replicated by students generating their own data. IMPLICATIONS FOR PRACTICE: This paper provides a template and analysis/interpretation guideline for educators and clinicians to deepen understanding of foundation physics. Enhanced and deeper understanding are a vehicle for improved problem solving in clinical and research practice.

History of standards, certification, and licensure in medical health physics.

Immediately following the discovery of x rays they were applied to medical diagnosis and therapy. These early medical applications were soon shown to be accompanied by rather severe biologic responses and injuries. This resulted in the development of standards. Radiation standards were developed to properly control the application of x rays in medicine by controlling equipment and how it was used. Control of personnel occurred later with first certification and then licensure.

Exposure rates during special procedures with C-arm type fluoroscopic systems.

PURPOSE: To test for regulatory compliance of free-in-air entrance air kerma rates (EAKR) in C-arm type fluoroscopic equipment, measurements are frequently made under minimum source-to-image receptor distance (SID) and at 300 mm from the image intensifier. However, this is not representative of normal patient geometry, and the automatic brightness controls on these units frequently increase tube output as SID increases. This study investigated effects of these circumstances on actual EAKRs. MATERIALS AND METHODS: Typical patient geometries were observed and recorded for 23 consecutive body vascular procedures. EAKRs were measured under compliance and normal patient geometries with use of five modern C-arm type systems for special procedures. RESULTS: SIDs of 1 m were typical when rapid film changers were employed and the patient's entrance skin surface was typically 500 mm from the image receptor. Actual EAKRs were found to be up to 2.5 times those measured under compliance geometry. CONCLUSION: Actual patient geometries should be used to ensure correct estimates of EAKRs.

Butyltin and copper monitoring in a Northern Chesapeake Bay marina and river system in 1989: An assessment of tributyltin legislation.

This study was designed to: (1) evaluate dibutyltin (DBT) and tributyltin (TBT) bi-weekly in the water column for four months during the peak boating season (June-September, 1989) at seven stations in the Back Creek and Severn River area of Maryland waters of Chesapeake Bay; (2) compare butyltin values from the 1989 study with values obtained from a similar butyltin monitoring study conducted in 1988 (after Maryland TBT legislation) and 1986 (before Maryland TBT legislation); (3) determine the extent of TBT paint use in the Back Creek area by surveying boat owners; (4) determine dissolved copper concentrations from three of the seven stations bi-weekly during the four-month study; and (5) compare dissolved copper concentrations at these stations with previous copper data collected in 1988.Mean four-month DBT concentrations ranged from 10 to 73 ng/L at the seven stations. Highest DBT concentrations occurred at Station 1 in a marina; lowest concentrations occurred at Station 7 in the Severn River. Mean four-month TBT concentrations ranged from 177 ng/L at Station 1 (marina) to 21 ng/L at Station 7 (Severn River). Maximum TBT concentrations of 361 and 570 ng/L occurred at marina SDtations 1 and 3, respectively. Temporal trends in both DBT and TBT (station mean concentrations by date) showed that peak concentrations occurred during the early part of the boating season followed by reductions in late summer and early fall. Spike concentrations of both DBT (117 and 62 ng/L) and TBT (308 and 366 ng/L) were reported on two sampling dates near a boat maintenance facility in Back Creek.There was a significant reduction in DBT concentrations from 1986 to 1989 when date was treated as a fixed effect. However, TBT concentrations were not significantly reduced between 1986 and 1989 when mean concentrations of TBT were averaged across stations and dates for each year. A significant reduction was reported at Station 1 (marina station) when each station was examined for differences between years. TBT was also reported to significantly decrease (p=0.0442) at Station 7 between 1988 and 1989. A boat owner survey in the study area showed that 6% of the recreational boats that were surveyed were painted with TBT paint in 1989. This was a significant decrease in TBT paint use from the previous year when 31% of recreational boat owners surveyed used TBT paints.An evaluation of dissolved copper concentrations at three stations in the study area in 1989 showed that mean concentrations from bi-weekly sampling for four months was 10 µg/L at Station 1, 7.8 µg/L at Station 4 and 2.7 µg/L at Station 7. Copper concentrations decreased with distance away from the Back Creek marinas. Copper concentrations at all three stations were significantly lower in 1989 than in 1988.

Spatial and temporal distribution of butyltin compounds in a Northern Chesapeake Bay Marina and river system.

This study was designed to: determine dibutyltin (DBT), tributyltin (TBT) and tetrabutyltin (TTBT) bi-weekly for a four month period (June-September 1986) in the Port Annapolis Marina, Mears Marina, Back Creek and Severn River area of Northern Chesapeake Bay; measure DBT, TBT and TTBT for five successive days (Thursday-Monday) to determine possible daily effects (weekday versus weekend) and determine DBT, TBT and TTBT every two hours for one full tidal cycle in the study area. Maximum concentrations of TBT were reported at both Port Annapolis Marina (1801 ng L(-1)) and Mears Marina (1171 ng L(-1)) during early June followed by significant reductions in TBT during late summer and early fall. All 4 Back Creek Stations also had highest concentrations of TBT in early June; significant reductions occurred during the next three months. The highest concentration of TBT reported in the Severn River (48 ng L(-1)) occurred in September. The lowest TBT value (5 ng L(-1)) at this station occurred in June. TTBT was not detected in any of the samples. The day of week sampled (Thursday-Monday) during the daily experiments was not found to significantly affect TBT concentrations. TBT evaluations every two hours during the tidal cycle demonstrated that values peaked at 1400 and 1600 hr time intervals. Peak concentrations of TBT occurred during a rising tide. The possible consequence of the measured TBT concentrations for aquatic biota are discussed.

Monitoring dissolved copper concentrations in Chesapeake Bay, U.S.A.

Dissolved copper and selected water chemistry parameters were monitored for 11 months in Chesapeake Bay, U.S.A. Dissolved copper concentrations in four recreational marinas, a large harbor, two major river systems, and a heavily used shipping canal ranged from below detectable levels to 80 µg L(-1) (\-X=11.7 µg L(-1)). Dissolved copper was detected >91% of the time at five locations. Lowest copper concentrations were found in Potomac River, Baltimore Harbor, Pier One Marina, and C & D Canal (\-X=6-10 µg L(-1); slightly higher levels of dissolved copper were found in Choptank River (\-X=12 µg L(-1)). Highest levels of copper were detected in Port Annapolis, Hartge, and Piney Narrows Marinas (\-X=13-18 µg L(-1)), with the highest values observed in the study (70 and 80 µg L(-1)) found in two of these marinas. Copper in the three marinas with highest dissolved copper levels could have been toxic to some of the more sensitive aquatic species. Intensive study of one marina indicated that a likely source of dissolved copper was the recreational boats housed in the marina.

Patient and personnel exposure during extracorporeal lithotripsy.

Extracorporeal shock wave lithotripsy (ESWL) has provided a nonsurgical approach to treatment of renal stones. The Dornier lithotripter uses dual image intensified x-ray systems to center the stone before treatment. Three imaging modes are offered: a fluoroscopic mode and two video spot filming modes. The average entrance exposure to the stone side of the typical patient at our facility is 2.6 X 10(-3) C kg-1 (10 R) [range: 0.5-7.7 X 10(-3) C kg-1 (2-30 R)] which is comparable and often much less than that reported for percutaneous lithotripsy. Recommendations are made for minimizing patient exposure. Scattered radiation levels in the lithotripter room are presented. We have determined that Pb protective apparel is not required during this procedure provided x-ray operation is temporarily halted should personnel be required to lean directly over the tub to attend to the patient. If the walls of the ESWL room are greater than 1.83 m (6 feet) from the tub, shielding in addition to conventional construction is not required.

Effects of MR imaging on murine natural killer cell cytotoxicity.

To determine the effect of MR imaging on the immune system, 21 male C57BL/6 X DBA/2 F1 mice were exposed to MR imaging at a field strength of 0.15 T for 2 hr. Another nine mice (controls) were sham exposed for the same amount of time. Mice were sacrificed and their spleens removed 24, 72, and 144 hr after the exposure (MR or sham). Spleen cell suspensions were passed over nylon wool columns and then used as effector cells in a short-term natural killer cell cytotoxicity assay with 51Cr-labeled YAC-1 cells as target cells. The results showed no evidence of decreased cytotoxicity due to exposure to MR. On the contrary, at all three times after exposure and for all target-to-effector cell ratios, mean cytotoxicity was greater for MR-exposed groups than for sham-exposed groups. The results show that MR exposure has no adverse effect on the immune system, as evidenced by natural killer cell activity.

Defects in new protective aprons.

Upon careful examination, several defects have been detected in new protective aprons . The nature of the defects is identified and described. Although the occurrence of such defects has not exceeded 5%, they are significant enough to warrant return of the lead apron to the supplier. It is recommended that the integrity of all new protective aprons be verified upon receipt as well as at yearly intervals.

Effect of nuclear magnetic resonance on chromosomes of mouse bone marrow cells.

Three groups of six male Balb/c mice, subjected to 30 MHz continuous wave NMR exposure in a static magnetic field of 7.05 K Gauss for one hour, were each compared to another group of ten unexposed mice with respect to chromatid and chromosomal aberrations. The exposed groups were sacrificed at two hours, 24 hours and 48 hours following NMR exposure respectively. Control mice were sacrificed 24 hours after sham-exposure. All groups had approximately 0.02 apparent aberrations per cell. These apparent aberrations were in the form of metacentric chromosomes, possibly resulting from a union of chromosomes at their centromeres or possibly simply chromosomes in association. The results are consistent with earlier in vitro findings that NMR exposure causes no adverse cytogenetic effects.