OCCUPATIONAL EXPOSURE ASSESSMENT AT A THERAPEUTIC RADON SPA FACILITY IN HUNGARY.

In order to estimate occupational exposure of workers in a therapeutic radon spa facility, radon concentration in the workplace air was investigated at Markhot Ferenc Hospital, Eger, Hungary. The investigated balneotherapeutic facility and its natural hot spa water are used for treatments and rehabilitations of rheumatic patients. Radon concentration, radon decay products at a bathhouse, treatment rooms and a consultation room were continuously measured in August and September 2018. In the present study, different levels of radon concentration among the observation sites and its clear temporal variations were found, though radon concentrations in the investigated sites were below 300 Bq m-3. Regarding such radon fluctuation and low equilibrium factor level (0.1), the annual effective doses of workers are estimated to be around 0.5 mSv year-1.

18F-choline PET/CT for parathyroid scintigraphy: significantly lower radiation exposure of patients in comparison to conventional nuclear medicine imaging approaches.

BACKGROUND: Parathyroid subtraction scintigraphy (PSS) is the most commonly used imaging method for localisation of hyperfunctioning parathyroid glands (HPGs) in primary hyperparathyroidism (PHP), a common endocrine disorder. Hybrid (SPECT/CT) imaging with 99mTc-sestaMIBI (MIBI) at an early and delayed phase (dual-phase imaging) may be the most accurate conventional imaging approach, but includes additional radiation exposure due to added CT imaging. Recently, 18F-choline (FCH) PET/CT was introduced for HPG imaging, which can also be performed using the dual-phase approach. To date, no studies have compared organ doses and the effective dose (ED) from conventional subtraction scintigraphy, dual-phase MIBI SPECT/CT, and FCH PET/CT in the localisation of HPGs. AIM: In addition to the comparison of the diagnostic performance of FCH PET/CT and conventional scintigraphic imaging methods, the aim of the study was to measure the organ doses and the ED for conventional subtraction parathyroid imaging protocols, using dual-phase MIBI SPECT/CT as a potential conventional imaging method of choice and FCH dual-phase PET/CT as a potential future imaging method of choice for the localisation of HPGs. Materials, methods. Thirty-six patients referred for parathyroid imaging with a clinical indication of PHP underwent preoperative PSS and dual-phase SPECT/CT imaging with the addition of FCH PET/CT. The diagnostic performance of the imaging modalities was assessed by using histology results as a gold standard. Radiation exposure was calculated for the administered activities of radiopharmaceuticals using ICRP80 weighting factors and for CT exposure at hybrid imaging using dose-length products and the ImPACT CT Patient Dosimetry Calculator. RESULTS: The diagnostic performance of FCH PET/CT was significantly better than that of conventional imaging modalities (sensitivity of 97% vs 64% and 46% for MIBI SPECT/CT and PSS, respectively, with comparable specificity of over 95% for all modalities). The highest radiation exposure was caused by conventional PSS (7.4 mSv), followed by dual-phase MIBI SPECT/CT (6.8 mSv). The radiation exposure was the lowest for dual-phase FCH PET/CT imaging (2.8 mSv). The added CT imaging for both hybrid approaches did not cause significant additional radiation exposure (1.4 mSv for MIBI SPECT/CT, additional 26.4% to overall exposure; 0.8 mSv for FCH PET/CT, additional 42.4% to overall exposure). CONCLUSION: In comparison to conventional scintigraphic imaging of HPGs, emerging hybrid (SPECT/CT, PET/CT) imaging techniques combine superior diagnostic performance with lower radiation exposure to patients.

Levels of nanosize radon decay products in indoor air: a comparison for different environments.

The fraction of unattached (fun) nanosized 222Rn short-lived decay products in indoor air has been measured in different environments and the following ranges obtained: 0.03-0.25 in kindergartens, 0.03-0.18 in schools, 0.08-0.20 in wineries, and 0.12-0.68 in a karst cave. The dependence of fun on the environmental conditions (air temperature, relative humidity and pressure), as well as on the working regime has been studied and will be discussed. Applying the dosimetric approach, dose conversion factors were calculated, based on the measured fun values, and compared to the values, obtained from epidemiological studies and currently recommended to be used in radon dosimetry.

Meteorological parameters contributing to variability in 222Rn activity concentrations in soil gas at a site in Sapporo, Japan.

Continuous (222)Rn monitoring in soil gas since November 22, 2004 has revealed variability in activity concentration with time in the semi-natural woods on the campus of Hokkaido University in Sapporo, Japan. Among various factors affecting soil radon levels and variability, temperature was found to be dominant during three seasons when activity concentrations of (222)Rn showed a diurnal high and nocturnal low with a boundary around 10 o'clock in the morning. This pattern was disturbed by low pressure fronts with occasional rain. The activity gradually decreased as soil temperatures decreased from late November to mid-December. After the ground surface was completely covered with snow, soil radon levels became low with a small fluctuation. There were several peaks of (222)Rn on the time-series chart in winter. Those peaks appearing in early winter and early spring may be interpreted by considering meteorological parameters. In a few cases, the radon activity suddenly increased with increasing pressure in the soil at a depth of 10 cm, which may be associated with subsurface events such as seismic activity in the area.