Analyses of radiation and mesothelioma in the US Transuranium and Uranium Registries.

OBJECTIVES: We examined the relationship between radiation and excess deaths from mesothelioma among deceased nuclear workers who were part of the US Transuranium and Uranium Registries. METHODS: We performed univariate analysis with SAS Version 9.1 software. We conducted proportionate mortality ratio (PMR) and proportionate cancer mortality ratio (PCMR) analyses using the National Institute for Occupational Safety and Health Life Table Analysis System with the referent group being all deaths in the United States. RESULTS: We found a PMR of 62.40 (P < .05) and a PCMR of 46.92 (P < .05) for mesothelioma. PMRs for the 4 cumulative external radiation dose quartiles were 61.83, 57.43, 74.46, and 83.31. PCMRs were 36.16, 47.07, 51.35, and 67.73. The PMR and PCMR for trachea, bronchus, and lung cancer were not significantly elevated. CONCLUSIONS: The relationship between cumulative external radiation dose and the PMR and PCMR for mesothelioma suggests that external radiation at nuclear facilities is associated with an increased risk of mesothelioma. The lack of a significantly elevated PMR and PCMR for trachea, bronchus, and lung cancer suggests that asbestos did not confound this relationship.

An improved method for calibrating the gantry angles of linear accelerators.

Linear particle accelerators (linacs) are widely used in radiotherapy procedures; therefore, accurate calibrations of gantry angles must be performed to prevent the exposure of healthy tissue to excessive radiation. One of the common methods for calibrating these angles is the spirit level method. In this study, a new technique for calibrating the gantry angle of a linear accelerator was examined. A cubic phantom was constructed of Styrofoam with small lead balls, embedded at specific locations in this foam block. Several x-ray images were taken of this phantom at various gantry angles using an electronic portal imaging device on the linac. The deviation of the gantry angles were determined by analyzing the images using a customized computer program written in ImageJ (National Institutes of Health). Gantry angles of 0, 90, 180, and 270 degrees were chosen and the results of both calibration methods were compared for each of these angles. The results revealed that the image method was more precise than the spirit level method. For the image method, the average of the measured values for the selected angles of 0, 90, 180, and 270 degrees were found to be -0.086 ± 0.011, 90.018 ± 0.011, 180.178 ± 0.015, and 269.972 ± 0.006 degrees, respectively. The corresponding average values using the spirit level method were 0.2 ± 0.03, 90.2 ± 0.04, 180.1 ± 0.01, and 269.9 ± 0.05 degrees, respectively. Based on these findings, the new method was shown to be a reliable technique for calibrating the gantry angle.

Cancer deaths and occupational exposure in a group of plutonium workers.

An exploratory epidemiological study was conducted for 319 deceased nuclear workers who had intakes of transuranic radionuclides and histories of employment during the time period from 1943 to 1995. The workers were employed at various facilities throughout the United States, including the Department of Energy defense facilities and uranium mining and milling sites. The majority of individuals were involved in documented radiological incidents during their careers. All had voluntarily agreed to donate their organs or whole body to the United States Transuranium and Uranium Registries. External and internal dose assessments were performed using occupational exposure histories and postmortem concentrations of transuranic radionuclides in critical organs. Statistical data analyses were performed to investigate the potential relationship between radiation exposure and causes of death within this population due to cancers of the lungs, liver, and all sites combined while controlling for the effects of other confounders. No association was found between radiation exposure and death due to cancer (α = 0.05). However, statistically significant associations were found between death due to any type of cancer and smoking (yes or no) (odds ratio = 5.41; 95% CI: 1.42 to 20.67) and rate of cigarette smoking (packs per day) (odds ratio = 2.70; 95% CI: 1.37 to 5.30).