Cost-risk-benefit analysis in diagnostic radiology with special reference to the application of referral guidelines.

Cost-risk-benefit analysis has been applied to protection of the patient in diagnostic radiology with special reference to the application of referral guidelines. The analysis presented has extended previous work in this field to provide a theoretical framework that encompasses key factors that need to be considered in the optimisation of patient protection from both diagnostic and radiation risks. The fraction of patients whose symptoms do not meet criteria contained in the referral guidelines and, therefore, for whom an X-ray examination is not indicated has been termed the selectivity of the guidelines. Also included are the detriments arising from rejected or repeated examinations as well as the levels of patient dose employed in order to achieve given levels of true and false diagnostic outcomes. A comprehensive framework for optimisation is outlined and its relationship to justification discussed.

Design, manufacture and deployment of a low-cost area radiation monitoring system using Raspberry Pi computers and open-source software.

Monitoring of background radiation levels in radiopharmaceutical laboratories is a key tool in minimising dose to workers. Retrofitting area monitoring systems in an existing laboratory can be disruptive and prohibitively expensive. We set out to develop a flexible low-cost area monitoring system utilising the power of inexpensive single board computers and open-source software. A complete system has been developed which includes local and remote real-time display with local warning, dose rate logging and automated plotting and backup of results from over 20 individual monitors connected via wifi.

Dose rate estimates and spatial interpolation maps of outdoor gamma dose rate with geostatistical methods; A case study from Artvin, Turkey.

In this study, compliance of geostatistical estimation methods is compared to ensure investigation and imaging natural Fon radiation using the minimum number of data. Artvin province, which has a quite hilly terrain and wide variety of soil and located in the north-east of Turkey, is selected as the study area. Outdoor gamma dose rate (OGDR), which is an important determinant of environmental radioactivity level, is measured in 204 stations. Spatial structure of OGDR is determined by anisotropic, isotropic and residual variograms. Ordinary kriging (OK) and universal kriging (UK) interpolation estimations were calculated with the help of model parameters obtained from these variograms. In OK, although calculations are made based on positions of points where samples are taken, in the UK technique, general soil groups and altitude values directly affecting OGDR are included in the calculations. When two methods are evaluated based on their performances, it has been determined that UK model (r = 0.88, p < 0.001) gives quite better results than OK model (r = 0.64, p < 0.001). In addition, as a result of the maps created at the end of the study, it was illustrated that local changes are better reflected by UK method compared to OK method and its error variance is found to be lower.

A simple methodology for characterization of germanium coaxial detectors by using Monte Carlo simulation and evolutionary algorithms.

The determination in a sample of the activity concentration of a specific radionuclide by gamma spectrometry needs to know the full energy peak efficiency (FEPE) for the energy of interest. The difficulties related to the experimental calibration make it advisable to have alternative methods for FEPE determination, such as the simulation of the transport of photons in the crystal by the Monte Carlo method, which requires an accurate knowledge of the characteristics and geometry of the detector. The characterization process is mainly carried out by Canberra Industries Inc. using proprietary techniques and methodologies developed by that company. It is a costly procedure (due to shipping and to the cost of the process itself) and for some research laboratories an alternative in situ procedure can be very useful. The main goal of this paper is to find an alternative to this costly characterization process, by establishing a method for optimizing the parameters of characterizing the detector, through a computational procedure which could be reproduced at a standard research lab. This method consists in the determination of the detector geometric parameters by using Monte Carlo simulation in parallel with an optimization process, based on evolutionary algorithms, starting from a set of reference FEPEs determined experimentally or computationally. The proposed method has proven to be effective and simple to implement. It provides a set of characterization parameters which it has been successfully validated for different source-detector geometries, and also for a wide range of environmental samples and certified materials.

Modelling of nuclear power plant decommissioning financing.

Costs related to the decommissioning of nuclear power plants create a significant financial burden for nuclear power plant operators. This article discusses the various methodologies employed by selected European countries for financing of the liabilities related to the nuclear power plant decommissioning. The article also presents methodology of allocation of future decommissioning costs to the running costs of nuclear power plant in the form of fee imposed on each megawatt hour generated. The application of the methodology is presented in the form of a case study on a new nuclear power plant with installed capacity 1000 MW.

Low-priced, time-saving, reliable and stable LR-115 counting system.

Nuclear alpha particles leave etches (tracks) when they hit the surface of a LR-115 detector. The density of these tracks is used to measure radon concentration. Counting these tracks by human sense is tedious and time-consuming procedure and may introduce counting error, whereas most available automatic and semiautomatic counting systems are expensive or complex. An uncomplicated, robust, reliable and stable counting system using freely available on the Internet software as Digimizer™ and PhotoScape was developed and proposed. The effectiveness of the proposed procedure was evaluated by comparing the amount of tracks counted by software with the amount of tracks counted manually for 223 detectors. The percentage error for each analysed detector was obtained as a difference between automatic and manual counts divided by manual count. For more than 97% of detectors, the percentage errors oscillated between -3% and 3%.

Cost-effective sampling of (137)Cs-derived net soil redistribution: part 2 - estimating the spatial mean change over time.

The caesium-137 ((137)Cs) technique for estimating net, time-integrated soil redistribution by the processes of wind, water and tillage is increasingly being used with repeated sampling to form a baseline to evaluate change over small (years to decades) timeframes. This interest stems from knowledge that since the 1950s soil redistribution has responded dynamically to different phases of land use change and management. Currently, there is no standard approach to detect change in (137)Cs-derived net soil redistribution and thereby identify the driving forces responsible for change. We outline recent advances in space-time sampling in the soil monitoring literature which provide a rigorous statistical and pragmatic approach to estimating the change over time in the spatial mean of environmental properties. We apply the space-time sampling framework, estimate the minimum detectable change of net soil redistribution and consider the information content and cost implications of different sampling designs for a study area in the Chinese Loess Plateau. Three phases (1954-1996, 1954-2012 and 1996-2012) of net soil erosion were detectable and attributed to well-documented historical change in land use and management practices in the study area and across the region. We recommend that the design for space-time sampling is considered carefully alongside cost-effective use of the spatial mean to detect and correctly attribute cause of change over time particularly across spatial scales of variation.

Cost-effective sampling of ¹³7Cs-derived net soil redistribution: part 1--estimating the spatial mean across scales of variation.

The (137)Cs technique for estimating net time-integrated soil redistribution is valuable for understanding the factors controlling soil redistribution by all processes. The literature on this technique is dominated by studies of individual fields and describes its typically time-consuming nature. We contend that the community making these studies has inappropriately assumed that many (137)Cs measurements are required and hence estimates of net soil redistribution can only be made at the field scale. Here, we support future studies of (137)Cs-derived net soil redistribution to apply their often limited resources across scales of variation (field, catchment, region etc.) without compromising the quality of the estimates at any scale. We describe a hybrid, design-based and model-based, stratified random sampling design with composites to estimate the sampling variance and a cost model for fieldwork and laboratory measurements. Geostatistical mapping of net (1954-2012) soil redistribution as a case study on the Chinese Loess Plateau is compared with estimates for several other sampling designs popular in the literature. We demonstrate the cost-effectiveness of the hybrid design for spatial estimation of net soil redistribution. To demonstrate the limitations of current sampling approaches to cut across scales of variation, we extrapolate our estimate of net soil redistribution across the region, show that for the same resources, estimates from many fields could have been provided and would elucidate the cause of differences within and between regional estimates. We recommend that future studies evaluate carefully the sampling design to consider the opportunity to investigate (137)Cs-derived net soil redistribution across scales of variation.

Use of health economics in the development of a national radon control strategy in Ireland.

A health economics evaluation of different radon intervention strategies was undertaken including the incorporation of prevention into new buildings, the incorporation of potential remedial measures into new buildings and remediation of existing buildings. The analysis shows that (1) the incorporation of prevention into new houses at the time of construction is generally more cost effective than remediation of existing houses and (2) that the cost effectiveness of programmes aimed at encouraging householders to test and remediate their houses may be poor if they are not undertaken within the context of coherent radon reduction strategy. The results of this evaluation were used to identify the most cost-effective radon interventions in an Irish context in support of the development of a National Radon Control Strategy.

A complete low cost radon detection system.

Monitoring the (222)Rn activity through the 1200 km long Northern Anatolian fault line, for the purpose of earthquake precursory, requires large number of cost effective radon detectors. We have designed, produced and successfully tested a low cost radon detection system (a radon monitor). In the detector circuit of this monitor, First Sensor PS100-7-CER-2 windowless PIN photodiode and a custom made transempedence/shaping amplifier were used. In order to collect the naturally ionized radon progeny to the surface of the PIN photodiode, a potential of 3500 V was applied between the conductive hemi-spherical shell and the PIN photodiode. In addition to the count rate of the radon progeny, absolute pressure, humidity and temperature were logged during the measurements. A GSM modem was integrated to the system for transferring the measurements from the remote locations to the data process center.

Radiology stewardship and quality improvement: the process and costs of implementing a CT radiation dose optimization committee in a medium-sized community hospital system.

PURPOSE: The aims of this study were to measure the effectiveness of a multidisciplinary CT dose optimization committee and estimate its costs and to describe a radiation stewardship quality improvement initiative in one CT department at a medium-sized community hospital system that used a participatory design committee methodology. METHODS: A CT dose optimization committee was conceived, funded, and formed, consisting of the following stakeholders: radiologists, technologists, consultant medical physicists, and an administrator. Volume CT dose index (CTDIvol) and repeat rate were monitored for 1 month, for one scan type, during which iterative protocol adjustments were made through committee interaction. Effects on repeat rate and CTDIvol were quantified and benchmarked against national diagnostic reference levels after retrospective medical record review of 100 consecutive patients before and after the intervention. Labor hours were reported and wage resources estimated. RESULTS: Over 3 months, the committee met in person twice and exchanged 128 e-mails in establishing a process for protocol improvement and measurement of success. Repeat rate was reduced from 13% (13 of 100) to 0% (0 of 100). Scans meeting the ACR reference level for CTDIvol (75 mGy) improved by 34% (38 of 100 before, 51 of 100 after; Fisher's exact 2-tailed P = .09), and those meeting ACR pass/fail criterion (80 mGy) improved by 29% (58 of 100 before, 75 of 100 after; Fisher's exact 2-tailed P = .01). Committee evolution and work, and protocol development and implementation, required 57 person-hours, at an estimated labor cost of $12,488. CONCLUSIONS: An efficient process was established as a proof of concept for the use of a multidisciplinary committee to reduce patient radiation dose, repeat rate, and variability in image quality. The committee and process ultimately improved the quality of patient care, fostered a culture of safety and ongoing quality improvement, and calculated costs for such an endeavor.

Evaluating airborne and ground based gamma spectrometry methods for detecting particulate radioactivity in the environment: a case study of Irish Sea beaches.

In several places, programmes are in place to locate and recover radioactive particles that have the potential to cause detrimental health effects in any member of the public who may encounter them. A model has been developed to evaluate the use of mobile gamma spectrometry systems within such programmes, with particular emphasis on large volume (16l) NaI(Tl) detectors mounted in low flying helicopters. This model uses a validated Monte Carlo code with assessment of local geochemistry and natural and anthropogenic background radiation concentrations and distributions. The results of the model, applied to the example of particles recovered from beaches in the vicinity of Sellafield, clearly show the ability of rapid airborne surveys conducted at 75 m ground clearance and 120 kph speeds to demonstrate the absence of sources greater than 5 MBq (137)Cs within large areas (10-20 km(2)h(-1)), and identify areas requiring further ground based investigation. Lowering ground clearance for airborne surveys to 15m whilst maintaining speeds covering 1-2 km(2) h(-1) can detect buried (137)Cs sources of 0.5MBq or greater activity. A survey design to detect 100 kBq (137)Cs sources at 10 cm depth has also been defined, requiring surveys at <15m ground clearance and <2 ms(-1) ground speed. The response of airborne systems to the Sellafield particles recovered to date has also been simulated, and the proportion of the existing radiocaesium background in the vicinity of the nuclear site has been established. Finally the rates of area coverage and sensitivities of both airborne and ground based approaches are compared, demonstrating the ability of airborne systems to increase the rate of particle recovery in a cost effective manner. The potential for equipment and methodological developments to improve performance are discussed.

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.

[Ecological and economic approaches to removing radioactively dangerous objects from service].

The paper considers major ecological and economic problems when removing radiation dangerous objects from service and rehabilitating the areas, which require their solution: the absence of specific guidelines for ranking the contaminated lands exposed to radioactive and chemical pollution from the potential risk to the population and environment; no clear criteria for ceasing area rehabilitation works; radiation exposure levels for the population living in the areas after rehabilitation; allowable levels of residual specific activity, and levels of heavy metals in soil, surface and underground water and bed sediment. The cost such works is the most important and decisive problem. A decision-making algorithm consisting of three main blocks: organizational-technical, engineering, geological and medicoecological measures is proposed to solve managerial, economic, and scientific problems.

Commercial devices measuring UV radiation: a good choice for the public?

Commercial devices measuring UV radiation are available on the market at affordable prices. This work presents the response of six commercial devices in comparison to UV index measurements and in relation to the guidelines provided by the INTERSUN programme. Taking everything into account, overestimated or non-standard data, and ambiguous or incomplete information was found. Instead of using these gadgets, people should refer to official information and advice provided by health and weather services.

Comparison between UV index measurements performed by research-grade and consumer-products instruments.

Ultraviolet radiation (UVR) exposure, skin cancer and other related diseases are not just subjects of scientific literature. Nowadays, these themes are also discussed on television, newspapers and magazines for the general public. Consequently, the interest in prevention of sun overexposure is increasing, as the knowledge of photoprotection methods and UVR levels. The ultraviolet index (UVI) is a well-known tool recommended by the World Health Organization to avoid harmful effects of UV sunlight. UVI forecasts are provided by many national meteorological services, but local UVI measurements can provide a more realistic and appropriate evaluation of UVR levels. Indeed, as scientific instruments are very expensive and difficult to manipulate, several manufacturers and retail shops offer cheap and simple non-scientific instruments for UVI measurements, sometimes included in objects of everyday life, such as watches, outfits and hand-held instruments. In this work, we compare measurements provided by several commercial non-scientific instruments with data provided by a Bentham spectrometer, a very accurate sensor used for UV measurements. Results show that only a few of the instruments analyzed provide trustworthy UVI measurements.

Measurement of thermal neutron fluence distribution with use of 23Na radioactivation around a medical compact cyclotron.

A medical compact cyclotron produces about 10(15) neutrons per day along with 100 GBq of (18)F. Therefore, it is important to establish radiation safety guidelines on residual radioactivity for routine operation, maintenance work, and decommissioning. Thus, we developed a simple method for measuring the thermal neutrons in a cyclotron room. In order to verify the feasibility of our proposed method, we measured the thermal neutron distribution around a cyclotron by using the activation of (23)Na in salt. We installed 78 salt dosimeters in the cyclotron room with a 50 cm mesh. The photopeak of (24)Na was measured, and the neutron flux distribution was estimated. Monitoring the neutron flux distribution in a cyclotron room appears to be useful for not only obtaining an accurate estimate of the distribution of induced radioactivity, but also optimizing the shield design for radiation safety in preparation for the decommissioning process.

Cost-effectiveness of countermeasures against radon in the Czech Republic: preliminary report.

The cost-effectiveness of remedial and preventive countermeasures against indoor radon in the frame of the Czech Radon Programme is preliminarily estimated, resulting in 72 700 CZK and 194 000 CZK per y of life gained by remediation and prevention, respectively, (exchange rate approximately 28 CZK/EUR).

Application of low-cost Gallium Arsenide light-emitting-diodes as kerma dosemeter and fluence monitor for high-energy neutrons.

Displacement damage (DD) caused by fast neutrons in unbiased Gallium Arsenide (GaAs) light emitting diodes (LED) resulted in a reduction of the light output. On the other hand, a similar type of LED irradiated with gamma rays from a (60)Co source up to a dose level in excess of 1.0 kGy (1.0 x 10(5) rad) was found to show no significant drop of the light emission. This phenomenon was used to develop a low cost passive fluence monitor and kinetic energy released per unit mass dosemeter for accelerator-produced neutrons. These LED-dosemeters were used to assess the integrated fluence of photoneutrons, which were contaminated with a strong bremsstrahlung gamma-background generated by the 730 MeV superconducting electron linac driving the free electron laser in Hamburg (FLASH) at Deutsches Elektronen-Synchrotron. The applications of GaAs LED as a routine neutron fluence monitor and DD precursor for the electronic components located in high-energy accelerator environment are highlighted.