• Title/Summary/Keyword: intervention level for dose

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A Study on the Assessment of Derived Intervention Levels in Foodstuffs Using the Dynamic Ingestion Pathway Model (동적 섭식경로모델을 이용한 음식물에 대한 유도 방사능 개입준위의 산정에 관한 연구)

  • Hwang, Won-Tae;Han, Moon-Hee;Kim, Byung-Woo
    • Journal of Radiation Protection and Research
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    • v.19 no.3
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    • pp.199-208
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    • 1994
  • The derived intervention levels in Korean foodstuffs were estimated using the dynamic ingestion pathway model which was developed considering Korean environment. The derived intervention levels were estimated from the intervention level of dose based on the thyroid committed dose equivalent of infant in the case of I-131, and the whole body committed dose equivalent for age groups and 13 kinds foodstuffs in the cases of Cs-137 and Sr-90. The derived intervention levels were shown as a considerable variation with deposition time and radionuclide. The adult was the most important age group in the estimation of derived intervention levels for Cs-137 and Sr-90. In the adult, the derived intervention levels for rice were 2390 and 47 Bq/kg for Cs-137 and Sr-90 in the case of deposition in summer, respectively, and 198 and 79 Bq/kg in the case of deposition in winter, respectively.

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Comparison of Derived Intervention Levels Against Contamination of Foodstuffs Using the Different Procedures Suggested by the Recognized Organizations (상이한 국제기관의 방법론에 따른 음식물 중 방사능의 유도개입준위의 비교)

  • Hwang, Won-Tae;Kim, Eun-Han;Han, Moon-Hee
    • Journal of Radiation Protection and Research
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    • v.26 no.4
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    • pp.433-440
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    • 2001
  • Using the different procedures suggested by the recognized organizations including IAEA, FDA, WHO and CED, derived Intervention levels (DILs) against contamination of foodstuffs were evaluated for considerations in radiological emergency planning in Korea. Three radionuclides important in terms of the consequence due to accidents at a nuclear power plant, i.e., $^{137}Cs,\;^{90}Sr$ and $^{131}I$, were considered. Intervention level for dose based on new recommendation of the ICRP (ICRP-60) was applied. The DILs tot the same foodstuff differ by up to afactor of 10. In most cases, the DILs based on FDA and WHO approaches were more conservative than those based on IAEA and CEC approaches. A critical age group for milk was infant of 3 month for all radionuclides. In most foods except milk, a critical age group was adult, 15yr and 5yr for $^{137}Cs,\;^{90}Sr$ and $^{131}I$, respectively.

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Evaluation of Diagnostic Reference Level in Interventional Procedures (인터벤션시술 진단참고수준 평가)

  • Kang, Byung-Sam;Park, Hyung-Shin
    • Journal of radiological science and technology
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    • v.44 no.5
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    • pp.451-457
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    • 2021
  • Recently, the number of interventional procedures has increased dramatically as an alternative of invasive surgical procedure and patient radiation exposure is also increasing accordingly. In this study, we evaluated the patient dose of major interventional procedures nationwide and we established our Korean database. With these results, we tried to suggest the reference dose level for major interventional procedures. We evaluated patent dose data in the field of interventional radiology from foreign countries. Measurement of radiation dose exposure for 11 major interventional procedures was conducted using embedded DAP meters in 10,006 patients from 47 hospitals, and reference level of each interventional procedure was suggested. The DRLs of each intervenional procedure are as follows: TACE 206(Gy·cm2), AVF 12(Gy·cm2), LE intervention 43(Gy·cm2), TFCA 122(Gy·cm2), Cerebral aneurysm coil embolization 214(Gy·cm2), PTBD 22(Gy·cm2), Biliary stent 60(Gy·cm2), PCN 7(Gy·cm2), Hickman catheter 2.1(Gy·cm2), Chemoport 1.4(Gy·cm2), BAE 104(Gy·cm2). Compared with the previously established DRL in 2012, the radiation dose decreased in all 10 interventional procedures. In the future, continuous publicity and education on the radiation dose reduction will be needed.

Application for Limitation of Food Stuffs in a Radiological Emergency (방사선비상시 식품섭취제한 기준 및 적용성)

  • Lee, Jong-Tai;Lee, Goan-Yup;Khang, Byung-Oui;Oh, Ki-Hoon;Kim, Chang-Kyu
    • Journal of Radiation Protection and Research
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    • v.27 no.2
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    • pp.89-94
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    • 2002
  • Intervention levels for foodstuff restriction in a radiological emergency in Korea are suggested based on the justification and the optimization through the cost-benefit approach method from IAEA Safty Series 109 recommendation. Intervention levels are specified for three broad groups of radionuclides with similar values of committed effective dose per unit intake and specified for two broad categories of foodstuff grouped according to value per kg. It is also discussed on the applicability of revised intervention levels for foodstuff restriction.

A Study of Diagnostic Reference Levels for Coronary Angiography and Percutaneous Coronary Intervention in Gyeongsang Area (관상동맥 조영술 및 경피적 관상동맥 중재술에 대한 진단참고준위에 관한 연구; 경상도지역중심)

  • Si-Wang Lim;Jung-Su Kim;Pyong-Kon Cho
    • Journal of radiological science and technology
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    • v.46 no.2
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    • pp.123-129
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    • 2023
  • Interventional cardiology procedures can involve relatively high radiation doses compared to conventional radiography. During CAG, CAG + PCI and PCI the same area is exposed to radiation for a long period. In this study, radiation exposure data of 421 examinations in Gyeongsang area were collected, and the DRLs and ADs in actual medical practice for three types of interventional cardiology procedures in Korea were established. In CAG 286 case, 75th percentile DRLs and ADs of the total DAP were 55.89 Gy·cm2 and 37.47 Gy·cm2 , respectively. In CAG + PCI 92 case, those values were 222.84 Gy·cm2 and 117.51 Gy·cm2 respectively. In PCI 43 case, those values were 198.73 Gy·cm2 and 120.13 Gy·cm2 respectively. In this study, for the first time, the diagnostic reference level of interventional cardiology procedures in Gyeongsang area were established. Using the diagnostic reference level of interventional cardiology procedures derived from this study, it will help to identify and improve the level of exposure dose in the region and country.

A Practical Methodology for Determination of Derived Intervention Levels on Relocation Following a Nuclear Accident (원자력 사고후 주민의 이주를 위한 유도개입준위 산정의 실용적 방법론)

  • Hwang, Won-Tae;Kim, Eun-Han;Suh, Kyung-Suk;Jeong, Hyo-Joon;Han, Moon-Hee;Lee, Chang-Woo
    • Journal of Radiation Protection and Research
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    • v.29 no.2
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    • pp.91-96
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    • 2004
  • A practical methodology for the determination of derived intervention levels (DILs) on relocation following an accidental release of radionuclides was designed based on dose rate on the ground. The influence of DILs was investigated with respect to the change of parameter values, which are dependent on socio-environmental characteristics in distinction from temporary and permanent relocations. The DILs on relocation showed a distinct difference depending on effective removal half-life of radionuclides following a deposition, delay time in measurement and residential characteristics. In particular, the delay time. In measurement was an important factor in determination of DILs in the case of an assumption that dose rate on the ground declines in a power function, not in an exponential function. The DILs showed lower numerical values as longer effective half-life, longer delay time In measurement and longer exposure time.

Patient Radiation Dose Values During Interventional Cardiology Examinations in University Hospital, Korea (심장혈관 조영술과 심장혈관 인터벤션의 환자 선량 평가)

  • Kim, Jung-Su;Lee, Joun-Hyuk;Jung, Hae-Kyoung;Kim, Jung-Min;Cho, Byung Ryul
    • Journal of radiological science and technology
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    • v.39 no.1
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    • pp.27-33
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    • 2016
  • The use of cardiac angiography (CA) and the interventional procedures is rapidly increasing due to the increase in modern adult diseases. Cardiovascular intervention (CI) is an examination method where radiation is applied to the same area for a long period, and thus may cause skin injury. In this study, we investigate the diagnostic reference level (DRL) of the cardiovascular intervention (CI) carried out by medical institutions and use it as a tool to reduce patient exposure dose. In this study, the DRL was set by acquiring information about the cumulative fluoroscopy time, cumulative fluoroscopy dose-area product (DAP), radiography DAP, cumulative DAP, air kerma, number of video clips, and the total number of images from the cardiac angiography and interventional procedures performed on 147 patients. The DAPs corresponding to the DRL of cardiac angiography(CA) and that of the interventional procedures were shown to be $44.4Gy{\cdot}cm2$ and $298.6Gy{\cdot}cm2$, respectively; the corresponding DRLs of fluoroscopy time were shown to be 191.5s and 1935.3s, respectively. A DRL is not a strict upper bound for radiation exposure. However, the process of setting, enacting, and reviewing the DRLs for the dose by medical institutions will contribute to a reduction in the unnecessary exposure dose of patients.

The Effect of Vit-D Supplementation on the Side Effect of BioNTech, Pfizer Vaccination and Immunoglobulin G Response Against SARS-CoV-2 in the Individuals Tested Positive for COVID-19: A Randomized Control Trial

  • Hawal Lateef Fateh;Goran Kareem;Shahab Rezaeian;Jalal Moludi;Negin Kamari
    • Clinical Nutrition Research
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    • v.12 no.4
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    • pp.269-282
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    • 2023
  • Vitamin D participates in the biological function of the innate and adaptive immune system and inflammation. We aim to specify the effectiveness of the vitamin D supplementation on the side effects BioNTech, Pfizer vaccination, and immunoglobulin G response against severe acute respiratory syndrome coronavirus 2 in subjects tested positive for coronavirus disease 2019 (COVID-19). In this multi-center randomized clinical trial, 498 people tested positive for COVID-19 were divided into 2 groups, receiving vitamin D capsules or a placebo (1 capsule daily, each containing 600 IU of vitamin D) over 14-16 weeks. Anthropometric indices and biochemical parameters were measured before and after the second dose of vaccination. Fourteen to 16 weeks after supplementation, the intervention group had an immunoglobulin G (IgG) increase of 10.89 ± 1.2 g/L, while the control group had 8.89 ± 1.3 g/L, and the difference was significant between both groups (p = 0.001). After the second dose of vaccination, the supplement group significantly increased their 25-hydroxy vitamin D from initially 28.73 ± 15.6 ng/mL and increased to 46.48 ± 27.2 ng/mL, and the difference between them was significant. Those with a higher body mass index (BMI) had the most of symptoms, and the difference of side effects according to BMI level was significantly different. In 8 weeks after supplementation obese participants had the lowest IgG levels than overweight or normal subjects. The proportion of all types of side effects on the second dose was significantly diminished compared with the first dose in the intervention group. Supplementation of 600 IU of vitamin D3 can reduce post-vaccination side effects and increase IgG levels in participants who received BioNTech, Pfizer vaccine.

Derivation of Intervention levels for Protection of the Public in a Radiological Emergency in Korea (주민보호조치를 위한 국내 방사선비상 개입준위 산출)

  • Lee, Jong-Tai;Lee, Goan-Yup;Khang, Byung-Oui;Oh, Ki-Hoon;Kim, Chang-Kyu
    • Journal of Radiation Protection and Research
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    • v.26 no.4
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    • pp.357-365
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    • 2001
  • Intervention levels for protection of the public in a radiological emergency are theoretically derived by the cost-benefit approach with the concept of justification and optimization. Intervention levels on the sheltering, evacuation, temporary relocation and permanent resettlement for protection of the public are estimated with the cost to protective countermeasures and the value from dose averted which are the site specific parameters. As a result, it is confirmed that IAEA guidelines for intervention levels are applicable to the radiological emergency in Korea. Optimum ranges of 5 - 10 mSv/2days for sheltering, 25 - 130 mSv/week for evacuation, 15 - 90 mSv/month lot temporary relocation and 600 - 3,500 mSv/lifetime for permanent resettlement for intervention levels are also provided. The result can be applied as useful data to update intervention levels under the theoretical background in Korea.

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Environmental Radiation Protection in Medical Institutions

  • Han, Eun-Ok;Dong, Kyung-Rae
    • Journal of Radiation Protection and Research
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    • v.35 no.3
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    • pp.91-95
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    • 2010
  • The study aimed to measure the levels of radiation protection for radiologists in medical institutions in three environmental categories (physical, administrative and social) and to establish a data base which can be used to increase awareness of environmental radiation protection in medical institutions within Korea. The study surveyed 10% of radiologists working in radiology departments in medical institutions which are supervised by the National Dose Registry overseen by the Korean Food and Drug Administration(KFDA). This study found that the level of environmental radiation protection was higher in the capital area and in larger hospitals. On the other hand, the study shows environmental radiation protection was lower in the Youngnam area and in clinics. Results from the questionnaires indicate the level of environmental radiation protection was higher when radiologists were given an individual dosimeter but lowest when the radiation protection apron quality test was conducted. Environmental radiation protection is an important factor for radiologists to conduct activities in a safe and protected environment. However, this study shows there are differences in the level of environmental radiation protection in medical institutions and location within Korea. In particular, the level of environmental radiation protection was lower in clinics, appropriate intervention strategies befitting these conditions are needed based on medical institution classification and location in order to improve the level of environmental protection.