Dose and secondary cancer-risk estimation of patients undergoing high dose rate intracavitary gynaecological brachytherapy.

Dose and secondary cancer risk of the breast and thyroid during high dose rate (HDR) brachytherapy for 100 gynaecological cancer patients have been estimated. The organ doses were measured using LiF thermoluminescence dosimeters LiF (TLD-100). Patient demographic data (i.e. age and body mass index (BMI)) were also collected and analyzed. Statistical significance (p-value = 0.04; 0.01; 0.01) was observed for the correlation between age and breast dose; body mass index (BMI) and breast dose as well as BMI and thyroid dose. The average breast dose for cervical, vaginal and endometrial cancers were 7.44, 8.03 and 10.72 mGy, respectively. The average thyroid dose for cervical, vaginal and endometrial cancers were 2.32, 2.95 and 3.02 mGy, respectively. Excess absolute risk of the breast increased with attainable age and excess relative risk of the thyroid decreased with age at exposure. It is recommended to intensify post-treatment follow-ups and optimize the doses to the breast and thyroid.

Radiation Protection, Safety and Security Issues in Ghana.

Although the use of radioisotopes in Ghana began in 1952, the Radiation Protection Board of Ghana was established in 1993 and served as the national competent authority for authorization and inspection of practices and activities involving radiation sources until 2015. The law has been superseded by an Act of Parliament, Act 895 of 2015, mandating the Nuclear Regulatory Authority of Ghana to take charge of the regulation of radiation sources and their applications. The Radiation Protection Institute in Ghana provided technical support to the regulatory authority. Regulatory and service activities that were undertaken by the Institute include issuance of permits for handling of a radiation sources, authorization and inspection of radiation sources, radiation safety assessment, safety assessment of cellular signal towers, and calibration of radiation-emitting equipment. Practices and activities involving application of radiation are brought under regulatory control in the country through supervision by the national competent authority.

Retrospective patient dose analysis of Ghana's first direct digital radiography system.

The log file generated in the flat panel detector of a direct digital x-ray machine (General Electric, Haulun Medical Systems, Serial Number 8M0392) after x-ray exposure was used to acquire data regarding the entrance surface air kerma (ESAK) for some routine x-ray examinations. The data were collected for a minimum of 10 standard adult patients undergoing each examination considered. The mean ESAK were found to be 0.25, 0.33, 0.14, 7.33, 9.76, 7.38, and 6.86 mGy for skull AP and LAT, chest AP, lumbar spine AP and LAT, pelvis AP and abdomen AP series, respectively. The mean ESAK values recorded from this study show wide variations but were below diagnostic reference levels (DRLs) of the Commission of European Communities and also compare with other recommendations. The comparisons of this study's dose levels with DRLs were undertaken as an approach to dose optimization. The study revealed that a dose audit of digital radiography systems is necessary because of the potential high doses one is likely to receive. Continuous dose evaluation in digital radiography is therefore encouraged in order to optimize doses to patients.

Cancer incidence risks to patients due to hysterosalpingography.

Cancer incidence estimates and dosimetry of 120 patients undergoing hysterosalpingography (HSG) without screening at five rural hospitals and with screening using image intensifier-TV at an urban hospital have been studied. Free in air kerma measurements were taken for patient dosimetry. Using PCXMC version 1.5, organ and effective doses to patients were estimated. Incidence of cancer of the ovary, colon, bladder and uterus due to radiation exposure were estimated using biological effects of ionising radiation committee VII excess relative risk models. The effective dose to patients was estimated to be 0.20 ± 0.03 mSv and 0.06 ± 0.01 mSv for procedures with and without screening, respectively. The average number of exposures for both procedures, 2.5, and screening time of 48.1 s were recorded. Screening time contributed majority of the patient doses due to HSG; therefore, it should be optimised as much as possible. Of all the cancers considered, the incidence of cancer of the bladder for patients undergoing HSG procedures is more probable.

Status of radiation protection of medical x-ray facilities in Greater Accra region, Ghana.

The status of radiation protection and safety of diagnostic medical x-ray facilities in the Greater Accra region in Ghana have been evaluated. In all, 62 medical facilities with 86 diagnostic x-ray units were considered for the survey. Out of the 86 diagnostic units, there were 56 general radiograph, 13 dental radiography, 9 fluoroscopy, 5 computed tomography, and 3 mammography machines. The parameters evaluated include the tube voltage, type of film processor, and the required protective measures in an x-ray department. It was observed that none of the protective measures or equipment were fully present in the diagnostic units except lead aprons. The radiation protection and safety measures in the medical facilities need to be strengthened to protect patients, staff, and the general public.

Radiological assessment of the structural shielding adequacy of the radiotherapy facility at Korle-Bu Teaching Hospital, Accra, Ghana.

A (60)Co radiotherapy source with an initial activity of 185 TBq has exhausted its useful half-life and has been replaced with a 222 TBq (60)Co source at the Korle-Bu Teaching Hospital; a radiological assessment was performed to ascertain the shielding integrity of the facility. Dose rate at selected critical positions were calculated for the old and new sources. Dose rate measurements were also performed at these critical locations for the new source. The dose rates at all the critical locations of the public and staff access areas were within the recommended dose rate limit of 0.5 and 7.5 µSv h(-1) for the public and controlled area, respectively. The concrete biological shielding at the facility at the moment is adequate enough to attenuate the gamma photons from the new 222 TBq (60)Co source. High dose rates were recorded at the entrance to the treatment room, it is therefore recommended that optimisation of procedures should be encouraged to restrict activities in this area.

Systematic approach to training occupationally exposed workers in Ghana and the rest of Africa.

The International Basic Safety Standards requires that all personnel on whom protection and safety depends be trained and qualified. The Radiation Protection Institute of the Ghana Atomic Energy Commission has adopted a systematic approach to training those occupationally exposed to ionizing radiation in the course of their work. In collaboration with the International Atomic Energy Agency several training courses have been implemented at the national level and in the African region. From 1993 to 2008, more than 400 occupationally exposed workers in Ghana were trained on radiation safety. Several African regional training events on radiation safety have also been executed with a total participation number of 583 individuals. The training events have contributed towards upgrading the safety culture within institutions that have participated.