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At least 1,513 records · Page 84
All sourcesNASA NTRSDOE OSTI
DOE OSTI2016

Technical Report: Evaluation of peripheral dose for flattening filter free photon beams

Purpose: To develop a comprehensive peripheral dose (PD) dataset for the two unflattened beams of nominal energy 6 and 10 MV for use in clinical care. Methods: Measurements were made in a 40 × 120 × 20 cm{sup 3} (width × length × depth) stack of solid water using an ionization chamber at varying depths (dmax, 5, and 10 cm), field sizes (3 × 3 to 30 × 30 cm{sup 2}), and distances from the field edge (5–40 cm). The effects of the multileaf collimator (MLC) and collimator rotation were also evaluated for a 10 × 10 cm{sup 2} field. Using the same phantom geometry, the accuracy of the analytic anisotropic algorithm (AAA) and Acuros dose calculation algorithm was assessed and compared to the measured values. Results: The PDs for both the 6 flattening filter free (FFF) and 10 FFF photon beams were found to decrease with increasing distance from the radiation field edge and the decreasing field size. The measured PD was observed to be higher for the 6 FFF than for the 10 FFF for all field sizes and depths. The impact of collimator rotation was not found to be clinically significant when used in conjunction with MLCs. AAA and Acuros algorithms both underestimated the PD with average errors of −13.6% and −7.8%, respectively, for all field sizes and depths at distances of 5 and 10 cm from the field edge, but the average error was found to increase to nearly −69% at greater distances. Conclusions: Given the known inaccuracies of peripheral dose calculations, this comprehensive dataset can be used to estimate the out-of-field dose to regions of interest such as organs at risk, electronic implantable devices, and a fetus. While the impact of collimator rotation was not found to significantly decrease PD when used in conjunction with MLCs, results are expected to be machine model and beam energy dependent. It is not recommended to use a treatment planning system to estimate PD due to the underestimation of the out-of-field dose and the inability to calculate dose at extended distances due to the limits of the dose calculation matrix.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2016

Sci-Thur PM - Colourful Interactions: Highlights 06: Patient-specific calibration of cone-beam computed tomographic (CBCT) image sets for on-line dose tracking and plan assessment

Purpose: To develop a radiotherapy dose tracking and plan evaluation technique using cone-beam computed tomography (CBCT) images. Methods: We developed a patient-specific method of calibrating CBCT image sets for dose calculation. The planning CT was first registered with the CBCT using deformable image registration (DIR). A scatter plot was generated between the CT numbers of the planning CT and CBCT for each slice. The CBCT calibration curve was obtained by least-square fitting of the data, and applied to each CBCT slice. The calibrated CBCT was then merged with original planning CT to extend the small field of view of CBCT. Finally, the treatment plan was copied to the merged CT for dose tracking and plan evaluation. The proposed patient-specific calibration method was also compared to two methods proposed in literature. To evaluate the accuracy of each technique, 15 head-and-neck patients requiring plan adaptation were arbitrarily selected from our institution. The original plan was calculated on each method’s data set, including a second planning CT acquired within 48 hours of the CBCT (serving as gold standard). Clinically relevant dose metrics and 3D gamma analysis of dose distributions were compared between the different techniques. Results: Compared to the gold standard of using planning CTs, the patient-specific CBCT calibration method was shown to provide promising results with gamma pass rates above 95% and average dose metric agreement within 2.5%. Conclusions: The patient-specific CBCT calibration method could potentially be used for on-line dose tracking and plan evaluation, without requiring a re-planning CT session.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2016

Sci-Thur PM – Brachytherapy 05: Surface Collimation Applied to Superficial Flap High Dose-Rate Brachytherapy

Purpose: To apply surface collimation for superficial flap HDR skin brachytherapy utilizing common clinical resources and to demonstrate the potential for OAR dose reduction within a clinically relevant setting. Methods: Two phantom setups were used. 3 mm lead collimation was applied to a solid slab phantom to determine appropriate geometries relating to collimation and dwell activation. The same collimation was applied to the temple of an anthropomorphic head phantom to demonstrate lens dose reduction. Each setup was simulated and planned to deliver 400 cGy to a 3 cm circular target to 3 mm depth. The control and collimated irradiations were sequentially measured using calibrated radiochromic films. Results: Collimation for the slab phantom attenuated the dose beyond the collimator opening, decreasing the fall-off distances by half and reducing the area of healthy skin irradiated. Target coverage can be negatively impacted by a tight collimation margin, with the required margin approximated by the primary beam geometric penumbra. Surface collimation applied to the head phantom similarly attenuated the surrounding normal tissue dose while reducing the lens dose from 84 to 68 cGy. To ensure consistent setup between simulation and treatment, additional QA was performed including collimator markup, accounting for collimator placement uncertainties, standoff distance verification, and in vivo dosimetry. Conclusions: Surface collimation was shown to reduce normal tissue dose without compromising target coverage. Lens dose reduction was demonstrated on an anthropomorphic phantom within a clinical setting. Additional QA is proposed to ensure treatment fidelity.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2016

Sci-Sat AM: Radiation Dosimetry and Practical Therapy Solutions - 04: On 3D Fabrication of Phantoms and Experimental Verification of Patient Dose Computation Algorithms

Purpose: Transport based dose calculation algorithm Acuros XB (AXB) has been shown to accurately account for heterogeneities mostly through comparisons with Monte Carlo simulations. This study aims at providing additional experimental verification for AXB for flattened and unflattened clinical energies in low density phantoms of the same material. Materials and Methods: Polystyrene slabs were created using a bench-top 3D printer. Six slabs were printed at varying densities from 0.23 g/cm{sup 3} to 0.68 g/cm{sup 3}, corresponding to different density humanoid tissues. The slabs were used to form different single and multilayer geometries. Dose was calculated with AXB 11.0.31 for 6MV, 15MV flattened and 6FFF (flattening filter free) energies for field sizes of 2×2 cm{sup 2} and 5×5 cm{sup 2}. The phantoms containing radiochromic EBT3 films were irradiated. Absolute dose profiles and 2D gamma analyses were performed for 96 dose planes. Results: For all single slab, multislab configurations and energies, absolute dose differences between the AXB calculation and film measurements remained <3% for both fields, with slightly poor disagreement in penumbra. The gamma index at 2% / 2mm averaged 98% in all combinations of fields, phantoms and photon energies. Conclusions: The transport based dose algorithm AXB is in good agreement with the experimental measurements for small field sizes using 6MV, 6FFF and 15MV beams adjacent to low density heterogeneous media. This work provides sufficient experimental ground to support the use of AXB for heterogeneous dose calculation purposes.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2013

MCNP6 Dose Calculations for the Carousel in the LDRGIF

All calculated results are satisfactory. The 66% confidence intervals for all results are less than 5%. A comparison was made between a simple model and a detailed model. The simple model consists of the source, room walt the carousel AI disks, sample cans, and the samples. The detailed model includes the entire simple model along with the safe, and all of the details of the carousel. There was no difference between the two models for the dose absorbed by the samples. If these calculations are performed in the future, one should use the simple model. The simple model runs faster and the results are easier to understand. Dose rates to various polymers in the carousel assembly were calculated. The source of radiation is a 6.61 curie 137 Cs source. The experiments are planned for Bldg 6631. LK3626 absorbed the largest dose, 791000±554 rads/yr. The lowest absorbed dose is 696000±487 rads/yr. The lowest absorbed dose is for the gold disk #1 and TLDs 1a and 1b, Au disk 658000±3950 rads/yr and TLD 1a 481000±4450 rads/yr. The Au disk with the highest absorbed dose is #3 at 3640000±9460 rads/yr. The TLD with the highest absorbed dose is 6a at 1820000±106 rads/yr.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
DOE OSTI2020

EMP, Attachment 3: Dose Assessment Guidance

This Dose Assessment Guidance (DAG) describes methods used to comply with the reporting requirements for dose to an individual member of the public receptor, collective dose, and biota dose for radionuclide air emissions under the U.S. Department of Energy, Office of Science, Pacific Northwest National Laboratory (PNNL) Environmental Monitoring Plan (EMP). The National Emission Standards for Hazardous Air Pollutants (40 CFR 61), Subpart H, is the greatest driver for the requirements. This DAG applies to public dose from radioactive material releases to the air from PNNL Richland Campus and PNNL Sequim Campus. Dose determinations from Richland Campus surveillance of ambient external dose and ambient air particulates is also briefly discussed. This guidance is Attachment 3 to PNNL’s EMP (PNNL-20919) and addresses a discrete, vital subject area of the EMP that is subject to revision independent of the main text of the EMP document.

40 CFR 61 Subpart H↗
DOE OSTI2021

EMP Attachment 3: Dose Assessment Guidance (Rev.3)

This Dose Assessment Guidance (DAG) describes methods used to comply with the reporting requirements for dose to an individual member of the public receptor, collective dose, and biota dose for radionuclide air emissions under the U.S. Department of Energy, Office of Science, Pacific Northwest National Laboratory (PNNL) Environmental Monitoring Plan (EMP). The National Emission Standards for Hazardous Air Pollutants (40 CFR 61), Subpart H, is the greatest driver for the requirements. This DAG applies to public dose from radioactive material releases to the air from PNNL-Richland Campus and PNNL Marine and Coastal Research Laboratory. Dose determinations from Richland Campus surveillance of ambient external dose and ambient air particulates is also briefly discussed. This guidance is Attachment 3 to PNNL’s EMP (PNNL-20919) and addresses a discrete, vital subject area of the EMP that is subject to revision independent of the main text of the EMP document.

40 CFR 61 Subpart H↗
DOE OSTI2024

EMP, Attachment 3: Dose Assessment Guidance (Rev.4)

This Dose Assessment Guidance (DAG) describes methods used to comply with the reporting requirements for dose to an individual member of the public receptor, collective dose, and biota dose for radionuclide air emissions under the U.S. Department of Energy, Office of Science, Pacific Northwest National Laboratory (PNNL) Environmental Monitoring Plan (EMP). The National Emission Standards for Hazardous Air Pollutants (40 CFR 61), Subpart H, is the greatest driver for the requirements. This DAG applies to public dose from radioactive material releases to the air from PNNL-Richland campus and PNNL-Sequim campus. Dose determinations from Richland campus surveillance of ambient external dose and ambient air particulates is also discussed. This guidance is Attachment 3 to PNNL’s EMP (PNNL-20919) and addresses a discrete, vital subject area of the EMP that is subject to revision independent of the main text of the EMP document.

40 CFR 61 Subpart H↗
DOE OSTI2024

Pathway-based analyses of gene expression profiles at low doses of ionizing radiation

Radiation exposure poses a significant threat to human health. Emerging research indicates that even low-dose radiation once believed to be safe, may have harmful effects. This perception has spurred a growing interest in investigating the potential risks associated with low-dose radiation exposure across various scenarios. To comprehensively explore the health consequences of low-dose radiation, our study employs a robust statistical framework that examines whether specific groups of genes, belonging to known pathways, exhibit coordinated expression patterns that align with the radiation levels. Notably, our findings reveal the existence of intricate yet consistent signatures that reflect the molecular response to radiation exposure, distinguishing between low-dose and high-dose radiation. Moreover, we leverage a pathway-constrained variational autoencoder to capture the nonlinear interactions within gene expression data. By comparing these two analytical approaches, our study aims to gain valuable insights into the impact of low-dose radiation on gene expression patterns, identify pathways that are differentially affected, and harness the potential of machine learning to uncover hidden activity within biological networks. This comparative analysis contributes to a deeper understanding of the molecular consequences of low-dose radiation exposure.

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTAN↗
NASA NTRS2000

A comparison of depth dependence of dose and linear energy transfer spectra in aluminum and polyethylene

A set of four tissue-equivalent proportional counters (TEPCs), with their detector heads at the centers of 0 (bare), 3, 7 and 9-inch-diameter aluminum spheres, were flown on Shuttle flight STS-89. Five such detectors at the centers of polyethylene spheres were flown 1 year earlier on STS-81. The results of dose-depth dependence for the two materials convincingly show the merits of using material rich in hydrogen to decrease the radiation exposure to the crew. A comparison of the calculated galactic cosmic radiation (GCR) absorbed dose and dose-equivalent rates using the radiation transport code HZETRN with nuclear fragmentation model NUCFRG2 and the measured GCR absorbed dose rates and dose-equivalent rates shows that they agree within root mean square (rms) error of 12.5 and 8.2%, respectively. However, there are significant depth-dependent differences in the linear energy transfer (LET) spectra. A comparison for trapped protons using the proton transport code BRYNTRN and the AP-8 MIN trapped-proton model shows a systematic bias, with the model underpredicting dose and dose-equivalent rates. These results show the need for improvements in the radiation transport and/or fragmentation models.

manned↗
NASA NTRS2008

TID Effects in Space-like Variable Dose Rates

The degradation of the LM193 dual voltage comparator has been studied with different types of TID dose rates. These include several different constant dose rates and a variable dose rate that simulates the behavior of a solar flare. The varying dose rate of a solar flare is the type of real total dose exposure that a space mission might see in lunar or Martian orbit. A comparison of these types of dose rates is made to explore how well the constant dose rates used for typical part testing predicts the performance during a simulated space-like mission.

enhanced low dose rate sensitivity (ELDRS)↗
DOE OSTI2011

RADIATION DOSE ASSESSMENT FOR THE BIOTA OF TERRESTRIAL ECOSYSTEMS IN THE SHORELINE ZONE OF THE CHERNOBYL NUCLEAR POWER PLANT COOLING POND

Radiation exposure of the biota in the shoreline area of the Chernobyl Nuclear Power Plant Cooling Pond was assessed to evaluate radiological consequences from the decommissioning of the Cooling Pond. The article addresses studies of radioactive contamination of the terrestrial faunal complex and radionuclide concentration ratios in bodies of small birds, small mammals, amphibians, and reptiles living in the area. The data were used to calculate doses to biota using the ERICA Tool software. Doses from {sup 90}Sr and {sup 137}Cs were calculated using the default parameters of the ERICA Tool and were shown to be consistent with biota doses calculated from the field data. However, the ERICA dose calculations for plutonium isotopes were much higher (2-5 times for small mammals and 10-14 times for birds) than the doses calculated using the experimental data. Currently, the total doses for the terrestrial biota do not exceed maximum recommended levels. However, if the Cooling Pond is allowed to drawdown naturally and the contaminants of the bottom sediments are exposed and enter the biological cycle, the calculated doses to biota may exceed the maximum recommended values. The study is important in establishing the current exposure conditions such that a baseline exists from which changes can be documented following the lowering of the reservoir water. Additionally, the study provided useful radioecological data on biota concentration ratios for some species that are poorly represented in the literature.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗
DOE OSTI2018

Evaluation of Potential Dose to Off-site Receptors from On-site Removable Contamination - 18521

Calculations used in making corrective action decisions estimate the maximum potential dose to on-site receptors exposed to contamination from nuclear testing activities at U.S. Department of Energy, Environmental Management Nevada Program Soils Activity release sites. At many of these release sites, removable contamination is present at levels that require controls to be in place under Title 10 Code of Federal Regulations Part 835, 'Occupational Radiation Protection.' When significant levels of removable contamination are present at a release site, it may be necessary to evaluate the potential dose to off-site receptors from removable contamination that has the potential to be transported off the contaminated site. The protocols described herein could be used to evaluate the potential dose to off-site receptors to ensure that corrective action decisions consider both on-site and off-site potential receptors. The calculation of estimated dose to a receptor can be accomplished by establishing a scenario that describes the exposure (e.g., time and pathway) of the individual to the radiological contamination and by using the properties of the contaminants (e.g., dose conversion factors). Radiological contamination transported from the site has the potential to expose off-site receptors under a potentially large number of exposure scenarios that cannot be comprehensively defined. However, a scenario was developed to represent a maximally exposed off-site receptor. Because the estimated dose to the maximally exposed off-site receptor based on maximum post-closure release site activity levels is less than the on-site dose decision level, corrective action decisions at the Nevada National Security Site Soils Activity release sites are also protective of potential off-site receptors when significant levels of removable contamination are present. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2019

Optimizing Long-term Monitoring of Radiation Air Dose Rates - 19169

Radiation air dose rates near the Fukushima Daiichi Nuclear Power Plant (NPP) have been steadily decreasing over the past seven years since the accident in March 2011. After seven years, the radiation monitoring program is expected to transition from short-term emergency responses to long-term monitoring. The objectives of long-term monitoring are often different from early emergency responses, since extensive data accumulation has led to an understanding of contaminant distributions and mobility. The main long-term monitoring objectives are (1) to confirm system stability and the continuing reduction of contaminant and hazard levels, (2) to provide assurance for the public, (3) to accumulate the basic datasets for scientific knowledge and future preparation, and (4) to detect changes or anomalies in contaminant mobility (if they occur), or any unexpected processes or events. In this work, we have developed a methodology for optimizing the sampling locations of radiation air dose-rate monitoring. Three steps are taken in order to determine sampling locations in a systematic manner: (1) prioritizing the critical locations, such as schools or regulatory requirement locations, (2) diversifying locations across the key environmental controls that are known to influence contaminant mobility and distributions, and (3) capturing the heterogeneity of radiation air dose rates across the domain. In the second step, we use a Gaussian mixture model to identify the representative locations in multiple environmental variables, such as elevation and land-cover types. In the third step, we use a Gaussian process model to capture and estimate the heterogeneity of air dose rates across the domain. We use the integrated dose-rate map from the Bayesian geostatistical method as the reference map and distribute the sampling in such a way as to capture the heterogeneity of the reference map. Although we assume hypothetical sets of measurement locations to evaluate the performance of the methodology and algorithms, we have demonstrated this approach using real, spatially extensive datasets, including the integrated air-dose-rate map of 2016. Our results have shown that this approach allows us to add sampling locations in a systematic manner. Increasing the number of sampling locations can better capture the heterogeneity of dose rates, although the estimation error does not decrease further after a certain number of samples. We have also found that when there are restrictions such as pre-existing monitoring locations or the ones along roads, the spatial estimation becomes poor even with the same number of monitoring locations. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2019

Implementation of a Dose-based Compliance System for WCS - 19178

Waste Control Specialists LLC (WCS) operates a low-level radioactive waste (LLRW) disposal facility in Andrews, Texas. The site includes a compact waste facility (CWF) that began receiving waste in 2012, a federal waste facility (FWF) that started receiving waste in 2013, as well as a Resource Conservation and Recovery Act (RCRA) landfill and a byproduct facility. The current site license uses a complex system of concentration-based investigation levels and action levels (ILs and ALs) coupled with analytical decision levels (ADLs) that, when exceeded, require specific steps to be taken. These concentration-based ILs and ALs are media specific (i.e. air, soil, water), radionuclide specific, location specific, and disposal facility specific. This results in thousands of individual ILs, ALs, and ADLs that need to be managed and evaluated routinely in order to demonstrate compliance. Further, under the current system, each exceedance of an IL and AL can trigger comparisons to numerous additional isotopic ILs per sample, which is cumbersome, error prone, and costly. This paper describes implementation of a dose-based compliance system that has been developed to replace the existing system. The dose-based compliance system is implemented in RACER{sup C}, a cloud-based software developed by Risk Assessment Corporation (RAC). This system maintains all the analytical results related to the sampling and analysis conducted as part of the Radiological Environmental Monitoring Program (REMP) together with the geo-spatial data allowing instantaneous trending and analysis of the data. Further, the system contains the information needed to compare the analytical results to the new media-specific screening levels that have been developed, and the parameters and routines to compute doses using prescribed exposure scenarios and dose coefficients for compliance evaluation. Once measurement data are entered into RACER, the routines for continuous screening of air, soil, groundwater, and dosimeter data are triggered, and any sample result failing the screening step or exceeding the dose IL/AL is identified and flagged automatically for further review or action, as appropriate. Because RACER is cloud-based, the data, screening, and dose calculations can be accessed remotely at any time, providing a timely and efficient method for identifying any possible releases from the site to the environment as well as determining the potential dose consequences associated with a release. Furthermore, the system is accessible by the regulator providing transparency and ensuring they remain fully informed in an efficient manner. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2014

Measurements of Ionizing Radiation Doses Induced by High Irradiance Laser on Targets in LCLS MEC Instrument - Paper 75

High-power laser interaction with targets in vacuum at high laser irradiance levels can generate plasma and, consequently, create ionizing radiation hazards. The theory for ionizing radiation generation from laser-plasma interaction is complicated. The basics of theory and phenomenology are available qualitatively. However, the ionizing radiation yields associated with laser-plasma interaction have not been well quantified. Based on the theoretical analysis and review of the published reports and measurement data, SLAC National Accelerator Laboratory (SLAC) developed an analytic model to estimate conservatively the electron temperature and photon radiation yield (Sv/J) of a laser pulse hitting a solid target at 1 m as a function of laser irradiance between 10{sup 15} and 10{sup 21} W/cm{sup 2}. Ionizing radiation measurements from high-intensity laser-induced plasma interactions on solid targets inside the Al-walled vacuum chamber of the LCLS MEC instrument at SLAC were conducted using passive and active detectors at irradiance between 3x10{sup 16} and 6x10{sup 17} W/cm{sup 2}. Each run of the more than 20 runs had a unique set of laser, optic and target conditions with laser pulses rastering over the target surface mainly perpendicularly at a fixed irradiance. Significant effort was made in characterizing the laser irradiance values for each configuration of laser, focusing mirror, and target; four irradiances with targets of Au foils and copper plate were found to produce good measurement results. Electron doses inside the target chamber were highly anisotropic and peaked at backward direction by several orders of magnitude. Photon doses outside the target chamber were nearly isotropic (a factor of ∼2 higher in backward direction). When considering the large uncertainties of the irradiance (a factor of 2-3) and the potential shielding effects from detectors and target chamber, the measured photon dose rates at 1 m (150 mJ and 10 Hz) outside the target chamber (when averaged over different types of detectors) were in good agreement (a factor of ∼3) with the calculated values of the SLAC model, except at 3.0x10{sup 16} W/cm{sup 2}, which has an electron temperature of only 14 keV. At 6x10{sup 17} W/cm{sup 2}, a low level of ∼0.1 mrem/h from fast neutrons was measured (at 1 m, 150 mJ and 10 Hz) with a neutron-to-photon dose ratio of 0.2%. This is equivalent to a neutron dose yield of 2.8x10{sup -8} mSv/J (to be compared to the LULI measurements of 1x10{sup -4} mSv/J at 3x10{sup 19} W/cm{sup 2}). Both active and passive types of detectors performed well and the dose results were consistent, which is the same as the dose measurements in the Titan laser facility. Active detectors were not affected by the electromagnetic pulses associated with the MEC laser system; this was different from the Titan radiation measurements, in which all active detectors failed to respond, likely due to the high EMP in the Titan's high laser intensity fields. (authors)

43 PARTICLE ACCELERATORS↗
DOE OSTI2016

The effects of chronic, low doses of Ra-226 on cultured fish and human cells

Purpose: To determine the chronic low-dose radiation effects caused by α-particle radiation from {sup 226}Ra over multiple cell generations in CHSE/F fish cells and HaCaT human cells. Methods: CHSE/F cells and HaCaT cells were cultured in medium containing {sup 226}Ra to deliver the chronic low-dose α-particle radiation. Clonogenic assay was used to test the clonogenic survival fractions of cells with or without being exposed to radiation from {sup 226}Ra. Results: The chronic low-dose radiation from {sup 226}Ra does have effects on the clonogenic survival of CHSE/F cells and HaCaT cells. When CHSE/F cells were cultured in {sup 226}Ra-medium over 9 passages for about 134 days, the clonogenic surviving fractions for cells irradiated at dose rates ranging from 0.00066 to 0.66 mGy/d were significantly lower than that of cells sham irradiated. For HaCaT cells grown in medium containing the same range of {sup 226}Ra activity, the clonogenic surviving fraction decreased at first and reached the lowest value at about 42 days (8 passages). After that, the clonogenic survival began to increase, and was significantly higher than that of control cells by the end of the experimental period. Conclusion: The chronic, low-dose high LET radiation from {sup 226}Ra can influence the clonogenic survival of irradiated cells. CHSE/F cells were sensitized by the radiation, and HaCaT cells were initially sensitized but later appeared to be adapted. The results could have implications for determining risk from chronic versus acute exposures to radium. - Highlights: • Cells were exposed to chronic low-dose α-radiation from {sup 226}Ra in medium with {sup 226}Ra. • The clonogenic survival of CHSE/F cells decreased when exposed to {sup 226}Ra for 134 days. • The clonogenic survival of HaCaT cells decreased at first and then increased. • The doubling time of both cells were not affected by this kind of radiation.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2011

Pain and Mean Absorbed Dose to the Pubic Bone After Radiotherapy Among Gynecological Cancer Survivors

Purpose: To analyze the relationship between mean absorbed dose to the pubic bone after pelvic radiotherapy for gynecological cancer and occurrence of pubic bone pain among long-term survivors. Methods and Materials: In an unselected, population-based study, we identified 823 long-term gynecological cancer survivors treated with pelvic radiotherapy during 1991-2003. For comparison, we used a non-radiation-treated control population of 478 matched women from the Swedish Population Register. Pain, intensity of pain, and functional impairment due to pain in the pubic bone were assessed with a study-specific postal questionnaire. Results: We analyzed data from 650 survivors (participation rate 79%) with median follow-up of 6.3 years (range, 2.3-15.0 years) along with 344 control women (participation rate, 72 %). Ten percent of the survivors were treated with radiotherapy; ninety percent with surgery plus radiotherapy. Brachytherapy was added in 81%. Complete treatment records were recovered for 538/650 survivors, with dose distribution data including dose-volume histograms over the pubic bone. Pubic bone pain was reported by 73 survivors (11%); 59/517 (11%) had been exposed to mean absorbed external beam doses <52.5 Gy to the pubic bone and 5/12 (42%) to mean absorbed external beam doses {>=}52.5 Gy. Thirty-three survivors reported pain affecting sleep, a 13-fold increased prevalence compared with control women. Forty-nine survivors reported functional impairment measured as pain walking indoors, a 10-fold increased prevalence. Conclusions: Mean absorbed external beam dose above 52.5 Gy to the pubic bone increases the occurrence of pain in the pubic bone and may affect daily life of long-term survivors treated with radiotherapy for gynecological cancer.

62 RADIOLOGY AND NUCLEAR MEDICINE↗