Reconstructive dosimetry for cutaneous radiation syndrome

According to the International Atomic Energy Agency (IAEA), a relatively significant number of radiological accidents have occurred in recent years mainly because of the practices referred to as potentially high-risk activities, such as radiotherapy, large irradiators and industrial radiography, especially in gammagraphy assays. In some instances, severe injuries have occurred in exposed persons due to high radiation doses. In industrial radiography, 80 cases involving a total of 120 radiation workers, 110 members of the public including 12 deaths have been recorded up to 2014. Radiological accidents in industrial practices in Brazil have mainly resulted in development of cutaneous radiation syndrome (CRS) in hands and fingers. Brazilian data include 5 serious cases related to industrial gammagraphy, affecting 7 radiation workers and 19 members of the public; however, none of them were fatal. Some methods of reconstructive dosimetry have been used to estimate the radiation dose to assist in prescribing medical treatment. The type and development of cutaneous manifestations in the exposed areas of a person is the first achievable gross dose estimation. This review article presents the state-of-the-art reconstructive dosimetry methods enabling estimation of local radiation doses and provides guidelines for medical handling of the exposed individuals. The review also presents the Chilean and Brazilian radiological accident cases to highlight the importance of reconstructive dosimetry.

Dose reconstruction of a Brazilian industrial gamma radiography partial-body overexposure case.

In May 2000, an operator of a (60)Co industrial gamma radiography apparatus, during a routine service, was involved in a partial-body radiological accident, which caused serious injuries to his left hand. Dose reconstruction was started aiming to assess the radiation doses, in order to assist the medical staff in the evaluation and prescription of suitable medical procedures for the patient's treatment and follow-up. This work presents the dose reconstruction used for assessment of the distribution of doses on the patient's left hand, which was made using two methods: physical and computational techniques. For the first technique a physical hand simulator was built. The computational method was performed using microcomputer software for external dose calculations, named 'Visual Monte-Carlo-VMC', together with a hand voxel simulator. The values obtained through both methods for the distribution of absorbed doses on the operator's left hand were compared. About half of them were similar within a range of uncertainty of 20%.

Radiological safety assessment of Brazilian industrial facilities with electron accelerators.

Industrial electron accelerators are used by eight installations in Brazil, with a total of 14 machines generating electron beams. These facilities are classified into categories I or II, according to the International Atomic Energy Agency (IAEA) system. In category I are included the facilities with an integrally shielded unit with interlocks, where human access during operation is not physically possible owing to the configuration of the shielding. In category II are included the facilities with a unit housed in a shielded room that is kept inaccessible during operation by an entry control system. Of the 14 accelerators operational in Brazil, 11 belong to category I and three to category II. In the present work a methodology for the assessment of the radiological safety of these accelerator facilities was developed and applied, mainly on the basis of specific recommendations from the IAEA. The main safety items were evaluated at those eight installations. According to the results obtained here, no inadequacies were observed at the three installations in category II, from the radiological safety and radioprotection points of view. Nevertheless, two out of the five installations in category I showed several deficiencies. Most of these inadequacies have been corrected during this work, and the rest are in the course of being corrected.

The validation of organ dose calculations using voxel phantoms and Monte Carlo methods applied to point and water immersion sources.

The Monte Carlo program 'Visual Monte Carlo-dose calculation' (VMC-dc) uses a voxel phantom to simulate the body organs and tissues, transports photons through this phantom and reports the absorbed dose received by each organ and tissue relevant to the calculation of effective dose as defined in ICRP Publication 60. This paper shows the validation of VMC-dc by comparison with EGSnrc and with a physical phantom containing TLDs. The validation of VMC-dc by comparison with EGSnrc was made for a collimated beam of 0.662 MeV photons irradiating a cube of water. For the validation by comparison with the physical phantom, the case considered was a whole body irradiation with a point 137Cs source placed at a distance of 1 m from the thorax of an Alderson-RANDO phantom. The validation results show good agreement for the doses obtained using VMC-dc and EGSnrc calculations, and from VMC-dc and TLD measurements. The program VMC-dc was then applied to the calculation of doses due to immersion in water containing gamma emitters. The dose conversion coefficients for water immersion are compared with their equivalents in the literature.