Responsible Radionuclide Cancer Care.

The landscape of nuclear oncology is rapidly changing. The advent of molecular radionuclide theranostics, multidisciplinary tumor board decision making, artificial intelligence and radiomics interpretation of diagnostic imaging, evolution of pharmacogenomics prediction of tumor response, and regulatory requirements for prospective individual dosimetry are just some of the elements which are broadening the essence of physician responsibility. The burgeoning knowledge base essential for mastering the emergent technologies, and their profound effect on moral philosophic aspects of provision of cancer care, are challenging. The new relationship of the theranostic nuclear physician with respect to shared care of the individual patient, particularly with regard to transparency, accountability, and responsibility for targeted radionuclide diagnosis and therapy of cancer, will be explored in this update.

Temporal Trends in X-Ray Exposure during Coronary Angiography and Percutaneous Coronary Intervention.

BACKGROUND: Percutaneous coronary intervention exposes patient and staff to ionizing radiation. Although staff only receive a small fraction of patient dose through scatter radiation, there are concerns about the potential health effects of repeated exposure. Minimizing both patient and occupational exposure is needed. OBJECTIVE: This article investigates patient and operator X-ray exposure over time in coronary intervention in relation to upgraded X-ray equipment, improved shielding, and enhanced operator awareness. MATERIALS AND METHODS: Data regarding irradiation time, patient dose, and patient characteristics were extracted from the Norwegian Registry for Invasive Cardiology (NORIC) for procedures performed from 2013 to mid-2019. Personal operator dosimetry records were provided by the Norwegian Radiation and Nuclear Safety Authority. Improved operator shielding and awareness measures were introduced in 2018. RESULTS: In the period 2013 through June 2019, 21499 procedures were recorded in our institution. Mean dose area product (DAP) for coronary angiography decreased 37% from 2981 µGy·m2 in 2013 to 1891 µGy·m2 in 2019 (p < 0.001). For coronary intervention, DAP decreased 39% from 8358 µGy·m2 to 5055 µGy·m2. Personal dosimetry data indicate a 70% reduction in operator dose per procedure in 2019 compared to 2013. The most pronounced reduction occurred after improved radiation protection measures were implemented in 2018 (-48%). CONCLUSIONS: This study shows a temporal trend towards considerable reduction in X-ray doses received by the patient and operator during cardiac catheterization. Upgraded X-ray equipment, improved shielding, and enhanced operator awareness are likely contributors to this development.

[Prospects of systemic radioecology in solving innovative tasks of nuclear power engineering].

A need of systemic radioecological studies in the strategy developed by the atomic industry in Russia in the XXI century has been justified. The priorities in the radioecology of nuclear power engineering of natural safety associated with the development of the radiation-migration equivalence concept, comparative evaluation of innovative nuclear technologies and forecasting methods of various emergencies have been identified. Also described is an algorithm for the integrated solution of these tasks that includes elaboration of methodological approaches, methods and software allowing dose burdens to humans and biota to be estimated. The rationale of using radioecological risks for the analysis of uncertainties in the environmental contamination impacts,at different stages of the existing and innovative nuclear fuel cycles is shown.

[Status and development prospects of radiological health in the Navy].

More than 7.5 thousands of people work as military and civilian personnel and have an access to a lot of sources of ionizing radiation on ships and vessels, at coastal units and institutions of the Navy. This fact determines the importance of radiation safety and medical preventive measures on naval fleets. The article analyses the state of radiation-hygienic measures, outlines the conceptual basis for the development of radiation hygiene in the Navy. Substantiated reconstruction tasks effectiveness of health control and state sanitary and epidemiological supervision of radiation safety, provides information about the optimal set of instruments for radiation monitoring equipment radiobiological laboratories and centres of state sanitary and epidemiological supervision at various levels.

[Radioecology as a branch of natural science: some thoughts on the interesting past, intricate and vital present and future prospects].

The paper describes more than a century-old history of radioecology, science which studies radionuclide migration in the environment and ionizing radiation effects on biota. The main stages are identified in the development of this branch of natural science associated with the study of problems of radioactive contamination of the biosphere (global radionuclide fallout after nuclear weapons tests, radiation accidents with the release of radioactive substances to the environment). Currently, the basic imperative of radioecological investigations is the analysis of radioecological aspects of nuclear power engineering (mainly problems of radioactive waste management). Issues are discussed of radiation protection of biota (environment)--the anthropocentric (sanitary-hygienic) and ecocentric approaches. The importance of radioecology is indicated as the most advanced field of ecology in studying anthropogenic effects on the nature.

[Demographic situation in Chernigiv area and its connection with Chernobyl catastrophe]. / Demohrafichna sytuatsiia v Chernihivs'kii oblasti ta ïï zv'iazok z Chornobyl's'koiu katastrofoiu.

The article presents statistics concerning demographic "crisis" in the regions of Chernigiv area and in Ukraine, as a whole with connection to consequences resulted from Chernobyl catastrophe. The crisis is characterized by increase in population mortality and birth rate reduction, that caused negative natural growth tendency of population. The factors causing reduction in population number of Chernigiv Oblast and in Ukraine as a whole are the following: the effect of ionizing radiation, social-economic indices (the reduction of population profits, unemployment, worsening of medical care, psychoemotional stress caused by the crisis situation in Ukraine, migration of the considerable number of population abroad).

Influence of various factors on individual radiation exposure from the Chernobyl disaster.

BACKGROUND: The explosion at the Chernobyl Nuclear Power Plant was one of the greatest known nuclear disasters of the 20th century. To reduce individual exposure to ionizing radiation the Soviet Union government introduced a number of counter-measures. This article presents a description of how historical events conspired to disrupt these efforts and affect residents in exposed areas. METHODS: This study employed an extensive review of data on radionuclide deposition, contamination patterns and lifestyle characteristics. Data were obtained from the Ukraine Ministry of Health and the Ukraine Research Center for Radiation Medicine. RESULTS: Data are presented on annual contamination rates in selected locales as well as data on local food consumption patterns. Historical factors including economic and political circumstances are also highlighted. Results show the diminution of individual doses between 1987 and 1991 and then an increase between 1991 and 1994 and the relationship between this increase and changes in the lifestyle of the local population. CONCLUSION: A number of factors played direct and indirect roles in contributing to the populace's cumulative radiation exposure. Future post-contamination studies need to consider these factors when estimating individual exposures.

[Trends in activities of ICRP].

International Commission for Radiological Protection (ICRP) consists of main commission (MC) and 4 committees. Committee 3 (C3) deals with radiological protection in medicine, which is chaired by Prof. Fred Mettler. The C3 has been actively producing reports and recommendations applying ICRP recommendation 1990 (Pub.90) to daily practices of radiology. Those publications include "pregnancy and medical radiation", "avoidance of radiation injuries in IVR", etc.. The main commission has been dealing with two important subjects. The one is "new recommendation at the start of the 21st century" the other is "protection of environments and ecology". Two task groups are preparing drafts recommendations for those subjects, which will be discussed in MC to be held in October 2002.

Humanity and radiation: the good, the bad, and the unusual.

Radiation has permeated the universe since time began. People disagree widely about the merits and dangers of nuclear technology. Radiation is often associated in the minds of people with bombs, fallout, destruction, and death rather than with the many benefits of nuclear technology that are present in our daily lives. Rarely do individuals focus on the medical applications of radiation and the fact that nuclear technology saves lives. Over the years, accidents have happened in the nuclear industry; some have produced fatalities, but most proved to be a major source of concern only to the local populace. Since the discovery of naturally occurring radium and uranium and the advent of synthetic radionuclides, a number of consumer products have used radiation, some of which were beneficial and some which were of no benefit at all.