ASSESSMENT OF MEASUREMENT UNCERTAINTY FOR THE MEASUREMENT OF THE QUANTITY PERSONAL DOSE EQUIVALENT HP (10) IN PHOTON FIELDS USING THE GUM FRAMEWORK AND THE MONTE CARLO METHODS: APPLICATION TO GABON RESULTS OBTAINED DURING THE 2018 IAEA REGIONAL INTERCOMPARISON EXERCISE.

This paper describes the essential of the "Guide to the expression of Uncertainty in Measurement" Framework (GUMF) Method and Monte Carlo Method (MCM) for propagating uncertainties, with an application to Gabon results obtained during the 2018 International Atomic Energy Agency (IAEA) regional intercomparison exercise. The work has shown that the output quantity Hp (10) follows a lognormal distribution. The study has also shown that although the normal distribution does not best approximate the distribution of the output quantity Hp (10), it has been observed that its estimate, the associated standard uncertainty and the coverage interval determined by GUMF and MCM were close, meaning that the application of the GUMF could still be seen as valid. Finally, the results obtained by the two methods are in agreement with International Commission on Radiological Protection and IAEA requirements for overall accuracy.

INTERCOMPARISON ON THE MEASUREMENT OF THE QUANTITY PERSONAL DOSE EQUIVALENT HP(10) IN PHOTON FIELDS. LINEARITY DEPENDENCE, LOWER LIMIT OF DETECTION AND UNCERTAINTY IN MEASUREMENT OF DOSIMETRY SYSTEMS OF INDIVIDUAL MONITORING SERVICES IN GABON AND GHANA.

An inter-comparison study was conducted to assess the capability of dosimetry systems of individual monitoring services (IMSs) in Gabon and Ghana to measure personal dose equivalent Hp(10) in photon fields. The performance indicators assessed were the lower limit of detection, linearity and uncertainty in measurement. Monthly and quarterly recording levels were proposed with corresponding values of 0.08 and 0.025 mSv, and 0.05 and 0.15 mSv for the TLD and OSL systems, respectively. The linearity dependence of the dosimetry systems was performed following the requirement given in the Standard IEC 62387 of the International Electrotechnical Commission (IEC). The results obtained for the two systems were satisfactory. The procedure followed for the uncertainty assessment is the one given in the IEC technical report TR62461. The maximum relative overall uncertainties, in absolute value, expressed in terms of Hp(10), for the TL dosimetry system Harshaw 6600, are 44. 35% for true doses below 0.40 mSv and 36.33% for true doses ≥0.40 mSv. For the OSL dosimetry system microStar, the maximum relative overall uncertainties, in absolute value, are 52.17% for true doses below 0.40 mSv and 37.43% for true doses ≥0.40 mSv. These results are in good agreement with the requirements for accuracy of the International Commission on Radiological protection. When expressing the uncertainties in terms of response, comparison with the IAEA requirements for overall accuracy showed that the uncertainty results were also acceptable. The values of Hp(10) directly measured by the two dosimetry systems showed a significant underestimation for the Harshaw 6600 system, and a slight overestimation for the microStar system. After correction for linearity of the measured doses, the two dosimetry systems gave better and comparable results.

Assessment of the integrity of structural shielding of four computed tomography facilities in the greater Accra region of Ghana.

The structural shielding thicknesses of the walls of four computed tomography (CT) facilities in Ghana were re-evaluated to verify the shielding integrity using the new shielding design methods recommended by the National Council on Radiological Protection and Measurements (NCRP). The shielding thickness obtained ranged from 120 to 155 mm using default DLP values proposed by the European Commission and 110 to 168 mm using derived DLP values from the four CT manufacturers. These values are within the accepted standard concrete wall thickness ranging from 102 to 152 mm prescribed by the NCRP. The ultrasonic pulse testing of all walls indicated that these are of good quality and free of voids since pulse velocities estimated were within the range of 3.496±0.005 km s(-1). An average dose equivalent rate estimated for supervised areas is 3.4±0.27 µSv week(-1) and that for the controlled area is 18.0±0.15 µSv week(-1), which are within acceptable values.

Personal dose analysis of TLD glow curve data from individual monitoring records.

Radiation exposure of workers in Ghana have been estimated on the basis of personal dose records of the occupationally exposed in medical, industrial and research/teaching practices for the period 2008-09. The estimated effective doses for 2008 are 0.400, 0.495 and 0.426 mSv for medical, industrial and research/teaching practices, respectively. The corresponding collective effective doses are 0.128, 0.044 and 0.017 person-Sv, respectively. Similarly, the effective doses recorded in 2009 are 0.448, 0.545 and 0.388 mSv, respectively with corresponding collective effective doses of 0.108, 0.032 and 0.012 person-Sv, respectively. The study shows that occupational exposure in Ghana is skewed to the lower doses (between 0.001 and 0.500 mSv). A statistical analysis of the effective doses showed no significant difference at p < 0.05 among the means of the effective doses recorded in various practices.

Radiation doses and hazards from processing of crude oil at the Tema oil refinery in Ghana.

Processing of crude oil has been carried out in Ghana for more than four decades without measures to assess the hazards associated with the naturally occurring radionuclides in the raw and processed materials. This study investigates the exposure of the public to (226)Ra, (232)Th and (40)K in crude oil, petroleum products and wastes at the Tema oil refinery in Ghana using gamma-ray spectrometry. The study shows higher activity concentrations of the natural radionuclides in the wastes than the crude oil and the products with estimated hazard indices less than unity. The values obtained in the study are within recommended limits for public exposure indicating that radiation exposure from processing of the crude oil at the refinery does not pose any significant radiological hazard but may require monitoring to establish long-term effect on both public and workers.

Investigation of the environmental impacts of naturally occurring radionuclides in the processing of sulfide ores for gold using gamma spectrometry.

The possible environmental impacts of naturally occurring radionuclides on workers and a critical community, as a result of milling and processing sulfide ores for gold by a mining company at Bogoso in the western region of Ghana, have been investigated using gamma spectroscopy. Indicative doses for the workers during sulfide ore processing were calculated from the activity concentrations measured at both physical and chemical processing stages. The dose rate, annual effective dose equivalent, radium equivalent activity, external and internal hazard indices, and radioactivity level index for tailings, for the de-silted sediments of run-off from the vicinity of the tailings dam through the critical community, and for the soils of the critical community's basic schools were calculated and found to be lower than their respective permissible limits. The environmental impact of the radionuclides is therefore expected to be low in this mining environment.

Optimization of radiation protection for the control of occupational exposure in Ghana.

Investigation of the optimization of protection of occupational exposed workers (OEWs) in Ghana had been carried out on the three practices in the country, namely medical applications, industrial radioisotope applications and research and education from 2002 to 2007. Mean annual effective dose and collective effective dose were estimated from dosimetry records from the Radiation Protection Institute of those occupationally exposed from 2002 to 2007. The mean annual effective dose estimated for about 650 OEWs per year ranged from 0.42 to 0.68 mSv compared with a global value of 0.5 mSv estimated by the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR 2008 Report). This implies that efforts should still be made to institute as low as reasonably achievable culture in most practices in Ghana even though trend of doses incurred was low. The collective effective dose for this same period estimated ranged from 0.26 to 0.47 man Sv. A reference monetary value of the man sievert was estimated using the human capital approach for each year from 2002 to 2009; it ranged from 172 to 22 US $ per man Sv, which provided a basis for estimating the cost of averting a unit collective effective dose of 1 man Sv. This value could not be used for quantitative optimization since the range of mean annual effective dose estimated was below 1 mSv.

Inter-comparison of safety culture within selected practices in Ghana utilising ionising radiation.

The safety culture of selected practices and facilities in Ghana utilising radiation sources or radiation emitting devices has been assessed using a performance indicator, which provided status information on management and operating staff commitment to safety. The questionnaire was based on the following broad areas: general safety considerations, safety policy at the facility level, safety practices at the facility level, definition of responsibility, staff training, safety of the physical structure of the facility and the emergency plans. The analysis showed that the percentage levels of commitment to safety for the respective practices are as follows: conventional radiography, 23.3-90.0%; research reactor, 73.3%; gamma irradiation facility, 53.3%; radiotherapy, 76.7%; X-ray scanner, 80.0%; gamma scanner, 76.7%; industrial radiography 86.7% and nuclear density practice, 78%. None of the practices or facilities was able to satisfy all the requirements that will ensure a 100% level of safety culture.

Determination of activity concentration levels of (238)U, (232)Th, and (40)K in drinking water in a gold mine in Ghana.

The study of the activity concentration levels of uranium, thorium and potassium in drinking water from different locations in a gold mine in the Ashanti Region of Ghana was conducted using gamma spectrometry. The mean outdoor absorbed gamma dose rates at 1 m from the water were 0.524 nGy h, 0.422 nGy h, and 0.252 nGy h for groundwater, surface water, and treated water, respectively. The results obtained for the activity concentration levels of U and Th are found to be within the maximum acceptable concentration levels of 3.0 Bq L and 0.6 Bq L, respectively, recommended by the World Health Organization. The overall mean outdoor gamma dose rate is 0.41 nGy h and the corresponding outdoor annual effective dose obtained for adult members of the public for drinking water from the mines is 3.58 muSv y. This value is found to be within the 10.0 muSv per annum (0.01 mSv per annum) for public exposure control set by the World Health Organization. Therefore, the mining activities on drinking water studied did not show any significant radiological health implications on the public.

Radiation exposure control from the application of nuclear gauges in the mining industry in Ghana.

The use of nuclear gauges for process control and elemental analysis in the mining industry in Ghana, West Africa, is wide spread and on the increase in recent times. The Ghana Radiation Protection Board regulates nuclear gauges through a system of notification and authorization by registration or licensing, inspection, and enforcement. Safety assessments for authorization and enforcement have been established to ensure the safety and security of radiation sources as well as protection of workers and the general public. Appropriate training of mine staff is part of the efforts to develop the necessary awareness about the safety and security of radiation sources. The knowledge and skills acquired will ensure the required protection and safety at the workplaces. Doses received by workers monitored over a period between 1998 and 2007 are well below the annual dose limit of 20 mSv recommended by the International Commission on Radiological Protection.

Shielding design of a brachytherapy unit at the Korle Bu teaching hospital in Ghana: comparison of theoretical calculations and experimental study.

A theoretical study was carried out to re-evaluate the integrity of the biological shielding of (137)Cs brachytherapy unit at the Korle Bu Teaching Hospital, Ghana, and the results were verified by measurement of the dose rates at selected locations. The primary objective was to determine the current state of protection and safety of staff and the general public. Shielding design of the brachytherapy unit at the hospital was based on postulated workload and occupancy factors of the facility. The facility has been in existence for 12 y and has accumulated operational workload data that differs from the postulated one. The results show that despite the variation in actual and postulated workloads, the dose rates were below the reference values 0.5 microSv h(-1) for public areas and 7.5 microSv h(-1) for controlled areas. These values were in the range of 0.10-0.12 microSv h(-1) for public areas and of 0.50-2.10 microSv h(-1) for controlled areas.

Paediatric CT examinations in 19 developing countries: frequency and radiation dose.

The aims of this study were to investigate the frequency of computed tomography (CT) examinations for paediatric patients below 15 y of age in 128 CT facilities in 28 developing countries of Africa, Asia and Eastern Europe and to assess the magnitude of CT doses. Radiation dose data were available from 101 CT facilities in 19 countries. The dose assessment was performed in terms of weighted CT dose index (CTDI(w)), volume CT index and dose length product (DLP) for chest, chest (high resolution), lumbar spine, abdomen and pelvis CT examinations using standard methods. The results show that on average the frequency of paediatric CT examinations was 20, 16 and 5 % of all CT examinations in participating centres in Africa, Asia and Eastern Europe, respectively. Eleven CT facilities in six countries were found to use adult CT exposure parameters for paediatric patients, thus indicating limited awareness and the need for optimisation. CT images were of adequate quality for diagnosis. The CTDI(w) variations ranged up to a factor of 55 (Africa), 16.3 (Asia) and 6.6 (Eastern Europe). The corresponding DLP variations ranged by a factor of 10, 20 and 8, respectively. Generally, the CTDI(w) and DLP values in Japan are lower than the corresponding values in the three regions in this study. The study has indicated a stronger need in many developing countries to justify CT examinations in children and their optimisation. Awareness, training and monitoring of radiation doses is needed as a way forwards.

Patient dose assessment due to fluoroscopic exposure for some selected fluoroscopic procedures in Ghana.

Organ and effective doses to 90 patients undergoing some selected fluoroscopic examinations at the Korle-Bu Teaching Hospital were estimated using the Monte Carlo-based program (PCXMC version 1.5). Radiation dose was estimated from free-in-air measurements. The mean effective doses were found to be 0.29 +/- 0.07, 0.84 +/- 0.13, 3.15 +/- 0.44, 6.24 +/- 0.70 and 0.38 +/- 0.05 mSv for urethrogram, barium swallow, barium meal, barium enema and myelogram examinations, respectively. The dose area product was estimated to be 3.55 +/- 0.95, 16.44 +/- 2.60, 50.81 +/- 7.04, 99.69 +/- 10.85 and 9.32 +/- 0.99 Gy cm(2) for urethrogram, barium swallow, barium meal, barium enema and myelogram examinations, respectively. Optimisation of procedures is required for barium enema and barium meal examinations.

Optimisation of patient radiation protection in conventional X-ray imaging procedures using film reject analysis: a demonstration of the importance of rare earth screen-film systems.

The optimisation of patient protection was studied using a conventional film screen of speed class 200 and a rare earth film screen of speed class 400. The entrance surface dose (ESD) for the two film-screen systems was determined for patients undergoing some common diagnostic procedures (chest, lumbar spine and pelvis series). The ESD was the optimising parameter and its trade off with the image quality assessment of the radiographs. The estimated ESDs were compared with reference levels set by the Commission of the European Communities for a typical standard adult patient. A mean dose reduction of 17-33 % was achieved upon adoption of a rare earth film screen of speed class 400. Regular assessment of patient dose, quality control (QC) of parameters that affect the patient dose and image quality, adoption of faster rare earth screens and optimum radiographic technique are recommended in order to achieve optimisation goals.

Patient doses in CT examinations in 18 countries: initial results from International Atomic Energy Agency projects.

The purpose of this prospective study at 73 facilities in 18 countries in Africa, Asia and Eastern Europe was to investigate if the CT doses to adult patients in developing countries are higher than international standards. The dose assessment was performed in terms of weighted computed tomography dose index (CTDIw) and dose length product (DLP) for chest, chest (high resolution), lumbar spine, abdomen and pelvis CT examinations using standard methods. Except in one case, the mean CTDIw values were below diagnostic reference level (DRL) while for DLP, 17 % of situations were above DRLs. The resulting CT images were of adequate quality for diagnosis. The CTDIw and DLP data presented herein are largely similar to those from two recent national surveys. The study has shown a stronger need to create awareness and training of radiology personnel as well as monitoring of radiation doses in many developing countries so as to conform to the ALARA principle.

Analysis of the status of X-ray diagnosis in Ghana.

In Ghana's healthcare system there are about 4200 people to each physician. The annual frequency of X-ray examinations during the period 1990 to 1996 ranges from six to 11 per thousand population. Chest radiograph examinations account for 46.5% of the annual frequency. The survey revealed that there are no established acceptance testing procedures for newly installed X-ray equipment. Neither institutional level performance checks following major repairs of faulty equipment, nor routine checks at regular intervals to ensure self-consistency of equipment performance are conducted. The results of the film retake analysis undertaken indicates a need for quality assurance programmes to be taken seriously to avert considerable cost and high patient doses. Radiographers and X-ray-technical officers who physically perform X-ray examinations should receive adequate training in the selection of procedures so as to ensure that doses to patients are as low as reasonably practicable in order to achieve the desired diagnostic objective.

Risk ranking by perception.

The study of people's perception and acceptability of risk is important in understanding the public reaction to technology and its environmental and health impact. The perception of risk depends on several factors, including early experiences, education, controllability of the risk, the type of consequence, and the type of person(s) who makes the judgment. This paper reviews some of the main factors influencing people's perception and acceptability of risk. Knowledge about which factors influence the perception of risk may enhance the understanding of different points of view brought into risk controversies, improve risk communication, and facilitate policy making. Results from a risk ranking by perception survey conducted in Ghana are also presented.

Occupational radiation monitoring and quality assurance in hospital X-ray departments

Quality assurance is essential to any programme of diagnostic radiology; to prevent undue exposure of x-ray personnel and patients to radiation. This paper reports observations from a survey of some hospital x-ray facilities in Accra and Kumasi in Ghana; to find out about steps taken by x-ray workers to ensure quality control and administration in diagnostic radiology. The grid point method has been used to do a detailed study of scatter radiation levels of two x-ray departments in Accra. The iso-dose rate contours have been analysed; and results show the importance of good design of x-ray rooms and provision of protective structures