Radioactive Waste Management Complex performance assessment: Draft

Energy Technology Data Exchange (ETDEWEB)

Case, M.J.; Maheras, S.J.; McKenzie-Carter, M.A.; Sussman, M.E.; Voilleque, P.

1990-06-01

A radiological performance assessment of the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory was conducted to demonstrate compliance with appropriate radiological criteria of the US Department of Energy and the US Environmental Protection Agency for protection of the general public. The calculations involved modeling the transport of radionuclides from buried waste, to surface soil and subsurface media, and eventually to members of the general public via air, ground water, and food chain pathways. Projections of doses were made for both offsite receptors and individuals intruding onto the site after closure. In addition, uncertainty analyses were performed. Results of calculations made using nominal data indicate that the radiological doses will be below appropriate radiological criteria throughout operations and after closure of the facility. Recommendations were made for future performance assessment calculations.

Radioactive Waste Management Complex performance assessment: Draft

International Nuclear Information System (INIS)

Case, M.J.; Maheras, S.J.; McKenzie-Carter, M.A.; Sussman, M.E.; Voilleque, P.

1990-06-01

A radiological performance assessment of the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory was conducted to demonstrate compliance with appropriate radiological criteria of the US Department of Energy and the US Environmental Protection Agency for protection of the general public. The calculations involved modeling the transport of radionuclides from buried waste, to surface soil and subsurface media, and eventually to members of the general public via air, ground water, and food chain pathways. Projections of doses were made for both offsite receptors and individuals intruding onto the site after closure. In addition, uncertainty analyses were performed. Results of calculations made using nominal data indicate that the radiological doses will be below appropriate radiological criteria throughout operations and after closure of the facility. Recommendations were made for future performance assessment calculations

Radiological safety and risk assessment

International Nuclear Information System (INIS)

Hunter, P.H.; Barg, D.C.; Baird, R.D.; Card, D.H.; de Souza, F.; Elder, J.; Felthauser, K.; Jensen, C.; Winkler, V.

1982-02-01

A brief radiological safety and risk assessment of a nuclear power generation center with an adjacent on-site waste disposal facility at a specific site in the State of Utah is presented. The assessment was conducted to assist in determining the feasibility and practicality of developing a nuclear energy center (NEC) in Utah consisting of nine 1250 MWe nuclear pressurized water reactor (PWR) electrical generating units arranged in 3 clusters of 3 units each known as triads. The site selected for this conceptual study is in the Horse Bench area about 15 miles directly south of the town of Green River, Utah. The radiological issues included direct radiation exposures to on-site workers and the off-site population, release of radioactive material, and effects of these releases for both normal operations and accidental occurrences. The basic finding of this study is that the concept of an NEC in the Green River area, specifically at the Horse Bench site, is radiologically feasible

Assessment of radiological properties of wastes from urban decontamination procedures

International Nuclear Information System (INIS)

Da Silva, D.N.G.; Guimarães, J.R.D.; Rochedo, E.R.R.; Rochedo, P.R.R.; De Luca, C.

2015-01-01

One important activity associated to urban areas contaminated from accidental releases to the atmosphere of nuclear power plants is the management of radioactive wastes generated from decontamination procedures. This include the collection, conditioning, packing, transport and temporary/final disposition. The final destination is defined usually through a political decision. Thus, transport of packed radioactive wastes shall depend on decisions not just under the scope of radiological protection issues. However, the simulations performed to assess doses for the public and decontamination workers allows the estimate of radiological aspects related to the waste generated and these characteristics may be included in a multi-criteria decision tool aiming to support, under the radiological protection point of view, the decision-making process on post-emergency procedures. Important information to decision makers are the type, amount and activity concentration of wastes. This work describes the procedures to be included in the urban area model to account for the assessment of qualitative and quantitative description of wastes. The results will allow the classification of different procedures according to predefined criteria that shall then feed the multi-criteria assessment tool, currently under development, considering basic radiological protection aspects of wastes generated by the different available cleanup procedures on typical tropical urban environments. (authors)

Emergency radiological monitoring and analysis United States Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Thome, D.J.

1994-01-01

The United States Federal Radiological Emergency Response Plan (FRERP) provides the framework for integrating the various Federal agencies responding to a major radiological emergency. Following a major radiological incident the FRERP authorizes the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC). The FRMAC is established to coordinate all Federal agencies involved in the monitoring and assessment of the off-site radiological conditions in support of the impacted states and the Lead Federal Agency (LFA). Within the FRMAC, the Monitoring and Analysis Division is responsible for coordinating all FRMAC assets involved in conducting a comprehensive program of environmental monitoring, sampling, radioanalysis and quality assurance. This program includes: (1) Aerial Radiological Monitoring - Fixed Wing and Helicopter, (2) Field Monitoring and Sampling, (3) Radioanalysis - Mobile and Fixed Laboratories, (4) Radiation Detection Instrumentation - Calibration and Maintenance, (5) Environmental Dosimetry, and (6) An integrated program of Quality Assurance. To assure consistency, completeness and the quality of the data produced, a methodology and procedures handbook is being developed. This paper discusses the structure, assets and operations of FRMAC monitoring and analysis and the content and preparation of this handbook

Environmental Tools and Radiological Assessment

Science.gov (United States)

This presentation details two tools (SADA and FRAMES) available for use in environmental assessments of chemicals that can also be used for radiological assessments of the environment. Spatial Analysis and Decision Assistance (SADA) is a Windows freeware program that incorporate...

Radiological assessement of Crohn's disease

International Nuclear Information System (INIS)

Florio, F.; Palladino, M.; Stella, P.; Barbi, E.

1987-01-01

Fifty-eight consecutive cases of patients affected by Crohn's disease, with ileum (23/58), colon (10/58) and ileo-colic (25/58) involvement were studied. A good overall sensitivity was reached by the radiological procedures employed (barium meal, barium enema, enterclysis). Enterclysis is proposed as a second-step method for the study of ileum involvement, because it provides a quite precise assessement of disease stage and extent. Some criteria for a rational use of current radiological procedures in follow-up of both surgically and medically treated patients are proposed. Moreover it is suggested that better coordination of anatomo-radiological and clinical aspects could improve the therapeutic approach and prognostic judgement in such cases

Availability and use of medical isotopes in Canada : performed as part of a radiological terrorism risk assessment. Technical memorandum

International Nuclear Information System (INIS)

Larsson, C.L.

2004-12-01

An assessment of the availability of radioactive material used for medical applications in Canada has been performed as part of the CBRN Research and Technology Initiative (CRTI) Project CRTI-02-0024RD (Probabilistic Risk Assessment Tool for Radiological Dispersal Devices). A general list of medical radioisotopes used worldwide was compiled via literature searches and Internet investigations. This list was then compared to all isotopes licenced to healthcare facilities in Canada. Sources of lesser concern for this study, such as noble gases, short-lived isotopes, and radioisotopes not licenced for medical applications in Canada, were eliminated. The remaining sources were then analysed for frequency of use and maximum licenced activity to assess which materials would be of highest concern in relation to radiological terrorism. A detailed description of the application, typical administered activity, and other relevant information for these most common and highest licenced activity medical sources was assembled to feed directly into the risk assessment database. A general discussion of security in healthcare facilities is also given. Due to the constant advances made in medicine, the information relating to licenced isotopes is dynamic and thus requires updating to ensure the database is kept current. (author)

Radiological assessment. A textbook on environmental dose analysis

Energy Technology Data Exchange (ETDEWEB)

Till, J.E.; Meyer, H.R. (eds.)

1983-09-01

Radiological assessment is the quantitative process of estimating the consequences to humans resulting from the release of radionuclides to the biosphere. It is a multidisciplinary subject requiring the expertise of a number of individuals in order to predict source terms, describe environmental transport, calculate internal and external dose, and extrapolate dose to health effects. Up to this time there has been available no comprehensive book describing, on a uniform and comprehensive level, the techniques and models used in radiological assessment. Radiological Assessment is based on material presented at the 1980 Health Physics Society Summer School held in Seattle, Washington. The material has been expanded and edited to make it comprehensive in scope and useful as a text. Topics covered include (1) source terms for nuclear facilities and Medical and Industrial sites; (2) transport of radionuclides in the atmosphere; (3) transport of radionuclides in surface waters; (4) transport of radionuclides in groundwater; (5) terrestrial and aquatic food chain pathways; (6) reference man; a system for internal dose calculations; (7) internal dosimetry; (8) external dosimetry; (9) models for special-case radionuclides; (10) calculation of health effects in irradiated populations; (11) evaluation of uncertainties in environmental radiological assessment models; (12) regulatory standards for environmental releases of radionuclides; (13) development of computer codes for radiological assessment; and (14) assessment of accidental releases of radionuclides.

Radiological assessment. A textbook on environmental dose analysis

International Nuclear Information System (INIS)

Till, J.E.; Meyer, H.R.

1983-09-01

Radiological assessment is the quantitative process of estimating the consequences to humans resulting from the release of radionuclides to the biosphere. It is a multidisciplinary subject requiring the expertise of a number of individuals in order to predict source terms, describe environmental transport, calculate internal and external dose, and extrapolate dose to health effects. Up to this time there has been available no comprehensive book describing, on a uniform and comprehensive level, the techniques and models used in radiological assessment. Radiological Assessment is based on material presented at the 1980 Health Physics Society Summer School held in Seattle, Washington. The material has been expanded and edited to make it comprehensive in scope and useful as a text. Topics covered include (1) source terms for nuclear facilities and Medical and Industrial sites; (2) transport of radionuclides in the atmosphere; (3) transport of radionuclides in surface waters; (4) transport of radionuclides in groundwater; (5) terrestrial and aquatic food chain pathways; (6) reference man; a system for internal dose calculations; (7) internal dosimetry; (8) external dosimetry; (9) models for special-case radionuclides; (10) calculation of health effects in irradiated populations; (11) evaluation of uncertainties in environmental radiological assessment models; (12) regulatory standards for environmental releases of radionuclides; (13) development of computer codes for radiological assessment; and (14) assessment of accidental releases of radionuclides

Work in support of biosphere assessments for solid radioactive waste disposal. 1. performance assessments, requirements and methodology; criteria for radiological environmental protection

International Nuclear Information System (INIS)

Egan, M.J.; Loose, M.; Smith, G.M.; Watkins, B.M.

2001-10-01

The first part of this report is intended to assess how the recent Swedish regulatory developments and resulting criteria impose requirements on what should be included in a performance assessment (PA) for the SFR low and medium level waste repository and for a potential deep repository for high level waste. The second part of the report has been prepared by QuantiSci as an input to the development of SSI's PA review methodology. The aim of the third part is to provide research input to the development of radiological protection framework for the environment, for use in Sweden. This is achieved through a review of various approaches used in other fields

Assessing Expertise in Radiology : Evaluating and Improving the Assessment of Knowledge and Image Interpretation Skill

NARCIS (Netherlands)

Ravesloot, C.J.

2016-01-01

Aim: Expert radiologists are excellent image interpreters. Unfortunately, image interpretation errors are frequent even among experienced radiologists and not much is known about which factors lead to expertise. Increasing assessment quality can improve radiological performance. Progress tests can

Application of the ICRP approach for radiological protection of the marine environment in generic impact assessments

Energy Technology Data Exchange (ETDEWEB)

Kliaus, Viktoryia [Republican Scientific-Practical Centre of Hygiene, Laboratory of Radiation Safety, Akademicheskaya str. 8, 220012, Minsk (Belarus); Telleria, Diego M. [IAEA-Assessment and Management of Environmental Releases Unit, Wagramer Strasse 5 - PO Box 100, A-1400, Vienna (Austria); Cabianca, Tiberio [Centre for Radiation, Chemical and Environmental Hazards, PHE, Chilton, Didcot, Oxfordshire OX11 0RQ (United Kingdom)

2014-07-01

This paper presents a way to use the ICRP approach for protection of the environment in generic assessments of the radiological impact of radioactive releases to the marine environment. Generic assessments of radiological impact to the environment are needed in certain circumstances, for example, when input data are limited or when the likely radiological consequences are expected to be not significant. Under these circumstances the effort in performing the assessment must be commensurate with the potential radiological consequences. The generic assessment described in this paper is a simple tool which provides reasonable and cautious results and is applicable to multiple exposure scenarios associated with the assessment of the radiological impact of releases to the marine the environment. This generic assessment can be also used to provide preliminary results which, when compared to radiological criteria, may determine the need of further specific assessments. The ICRP based its approach to protect the environment in the definition of a set of reference animals and plants and the use of related radiological criteria, in the form of derived consideration reference levels. The paper discusses selection and exposure conditions of the reference animals and plants, methods to estimate their doses and the use of the radiological criteria, for the purpose of a generic assessment. The IAEA is elaborating applications of these generic impact assessments presented in the paper to be included in international guidance under development. (authors)

Dose assessment in radiological accidents

International Nuclear Information System (INIS)

Donkor, S.

2013-04-01

The applications of ionizing radiation bring many benefits to humankind, ranging from power generation to uses in medicine, industry and agriculture. Facilities that use radiation source require special care in the design and operation of equipment to prevent radiation injury to workers or to the public. Despite considerable development of radiation safety, radiation accidents do happen. The purpose of this study is therefore to discuss how to assess doses to people who will be exposed to a range of internal and external radiation sources in the event of radiological accidents. This will go a long way to complement their medical assessment thereby helping to plan their treatment. Three radiological accidents were reviewed to learn about the causes of those accidents and the recommendations that were put in place to prevent recurrence of such accidents. Various types of dose assessment methods were discussed.(au)

Generic performance assessment for a deep repository for low and intermediate level waste in the UK - a case study in assessing radiological impacts on the natural environment

International Nuclear Information System (INIS)

Jones, S.R.; Patton, D.; Copplestone D.; Norris, S.; O'Sullivan, P.

2003-01-01

Concentrations of radionuclides in soil and surface water, taken from a generic performance assessment of a repository for low and intermediate level radioactive waste, assumed to be located in the UK, have been used as the basis for a case study in assessing radiological impacts on the natural environment. Simplified descriptions of the terrestrial and aquatic ecosystem types likely to be impacted have been developed. A scoping assessment has identified 226 Ra, 210 Po, 234 U, 230 Th and 238 U as having the highest potential for impact, with doses from internally incorporated alpha emitters as being potentially of particular importance. These nuclides, together with 36 Cl and 129 I (which have proved to be of importance in radiological risk assessments for humans) were included in a more detailed dose assessment. A basic methodology for dose assessment of ecosystems is described, and has been applied for the defined impacted ecosystems. Paucity of published data on concentration factors prevented a more detailed assessment for terrestrial ecosystems. For the aquatic ecosystem, a more detailed assessment was possible and highest calculated absorbed dose rates (weighted for the likely higher biological effectiveness of alpha radiation were about 6.5 μGy h -1 . We conclude that harm to the impacted ecosystems is unlikely and make the observation that the lack of concentration factor or transfer factor data for a sufficiently wide range of species, ecosystems and nuclides appears to be the principal obstacle to establishing a comprehensive framework for the application of radiological protection to ecosystems

Malaysian experiences in radiological safety assessment on norm wastes

International Nuclear Information System (INIS)

Syed Hakimi Sakuma Syed Ahmad; Khairuddin Mohamad Kontol

2000-01-01

Radiological Impact Assessments (RIAs) on proposed disposal sites for NORM wastes were performed in Malaysia. Analysis results were used to derive site specific guidelines for allowable residual concentrations of radionuclides in soil, calculation of doses and risks. Appropriate use scenarios and site specific parameters were used as much as possible so as to be realistic so that will reasonably ensure that individual dose limits and or constraints will be achieved. Disposals were performed to fulfil Atomic Energy Licensing Board of Malaysia (AELB) requirements for which the operator must carry out a radiological impact assessment. This is to demonstrate that no member of public will be exposed to more than 1 mSv/year from all activities. Fatal cancer risk factor is 5x10 -2 per man.Sv. Radionuclides of main concern are radium-226 and radium-228 which are considered as toxic. Sensitivity and uncertainty analyses were performed to show that the parameters used as input into the computer model were justified so as to improve confidence of the public and the AELB in respect of the results of the analysis. Case study to determine a proposed near surface disposal site for treated oil sludge was described. (author)

Federal Radiological Monitoring and Assessment Center: Phase I Response

International Nuclear Information System (INIS)

Riland, C.; Bowman, D.R.; Lambert, R.; Tighe, R.

1999-01-01

A Federal Radiological Monitoring and Assessment Center (FRMAC) is established in response to a Lead Federal Agency (LFA) or State request when a radiological emergency is anticipated or has occurred. The FRMAC coordinates the off-site monitoring, assessment, and analysis activities during such an emergency. The FRMAC response is divided into three phases. FRMAC Phase 1 is a rapid, initial-response capability that can interface with Federal or State officials and is designed for a quick response time and rapid radiological data collection and assessment. FRMAC Phase 1 products provide an initial characterization of the radiological situation and information on early health effects to officials responsible for making and implementing protective action decisions

Development of mobile radiological assessment laboratory

International Nuclear Information System (INIS)

Pujari, R.N.; Saindane, Shashank S.; Jain, Amit; Parmar, Jayesh; Narsaiah, M.V.R.; Pote, M.B.; Murali, S.; Chaudhury, Probal

2018-01-01

During any emergency situations real-time radiation measurements and the fast analysis of the measured radiological data are of crucial importance. The newly developed mobile vehicle based laboratory known as 'Radiological Assessment Laboratory' (RAL) can be used for real time measurements in different radiation emergency scenarios, such as the release of radioactive materials from a radiological/nuclear incident, during search of an orphan source or during radioisotope transportation. RAL is equipped with several high sensitive detectors/systems such as NaI(Tl) gamma spectrometers, large size plastic scintillators and air-sampler, along with GPS and data transfer capability through GSM modem

Radiological risk assessment of a radioactively contaminated site

International Nuclear Information System (INIS)

Devgun, J.S.

1990-01-01

A limited-scope preliminary assessment of radiological risk has been conducted at a radioactively contaminated site under current site use conditions and based on the available preliminary radiological characterization data for the site. The assessment provides useful input to the remedial action planning for the site. 8 refs., 1 fig., 2 tabs

Teaching and Assessing Professionalism in Radiology Resident Education.

Science.gov (United States)

Kelly, Aine Marie; Gruppen, Larry D; Mullan, Patricia B

2017-05-01

Radiologists in teaching hospitals and in practices with residents rotating through are involved in the education of their residents. The Accreditation Council for Graduate Medical Education requires evidence that trainees are taught and demonstrate competency not only in medical knowledge and in patient care-the historic focus of radiology education-but also in the so-called non-interpretative core competencies, which include professionalism and interpersonal skills. In addition to accreditation agencies, the prominent assessment practices represented by the American Board of Radiology core and certifying examinations for trainees, as well as Maintenance of Certification for practitioners, are planning to feature more non-interpretative competency assessment, including professionalism to a greater extent. Because professionalism was incorporated as a required competency in medical education as a whole, more clarity about the justification and expected content for teaching about competence in professionalism, as well as greater understanding and evidence about appropriate and effective teaching and assessment methods, have emerged. This article summarizes justifications and expectations for teaching and assessing professionalism in radiology residents and best practices on how to teach and evaluate professionalism that can be used by busy radiology faculty in their everyday practice supervising radiology residents. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Determining procedures for simulation-based training in radiology: a nationwide needs assessment.

Science.gov (United States)

Nayahangan, Leizl Joy; Nielsen, Kristina Rue; Albrecht-Beste, Elisabeth; Bachmann Nielsen, Michael; Paltved, Charlotte; Lindorff-Larsen, Karen Gilboe; Nielsen, Bjørn Ulrik; Konge, Lars

2018-01-09

New training modalities such as simulation are widely accepted in radiology; however, development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The study objective was to perform a nationwide needs assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum. A needs assessment using the Delphi method was completed among 91 key leaders in radiology. Round 1 identified technical procedures that radiologists should learn. Round 2 explored frequency of procedure, number of radiologists performing the procedure, risk and/or discomfort for patients, and feasibility for simulation. Round 3 was elimination and prioritization of procedures. Response rates were 67 %, 70 % and 66 %, respectively. In Round 1, 22 technical procedures were included. Round 2 resulted in pre-prioritization of procedures. In round 3, 13 procedures were included in the final prioritized list. The three highly prioritized procedures were ultrasound-guided (US) histological biopsy and fine-needle aspiration, US-guided needle puncture and catheter drainage, and basic abdominal ultrasound. A needs assessment identified and prioritized 13 technical procedures to include in a simulation-based curriculum. The list may be used as guide for development of training programs. • Simulation-based training can supplement training on patients in radiology. • Development of simulation-based training should follow a structured approach. • The CAMES Needs Assessment Formula explores needs for simulation training. • A national Delphi study identified and prioritized procedures suitable for simulation training. • The prioritized list serves as guide for development of courses in radiology.

Federal Radiological Monitoring and Assessment Center Phased Response Operations

International Nuclear Information System (INIS)

Riland, C.A.; Bowman, D.R.

1999-01-01

A Federal Radiological Monitoring and Assessment Center (FRMAC) is established in response to the Lead Federal Agency (LFA) or state request when a major radiological emergency is anticipated of has occurred. The FRMAC becomes a coalition of federal off-site monitoring and assessment activities to assist the LFA, state(s), local, and tribal authorities. State, local, and tribal authorities are invited to co-locate and prioritize monitoring and assessment efforts in the FRMAC. The Department of Energy is tasked by the Federal Radiological Emergency Response Plan to coordinate the FRMAC

Work in support of biosphere assessments for solid radioactive waste disposal. 1. performance assessments, requirements and methodology; criteria for radiological environmental protection

Energy Technology Data Exchange (ETDEWEB)

Egan, M.J.; Loose, M.; Smith, G.M.; Watkins, B.M. [QuantiSci Ltd., Henley-on-Thames (United Kingdom)

2001-10-01

The first part of this report is intended to assess how the recent Swedish regulatory developments and resulting criteria impose requirements on what should be included in a performance assessment (PA) for the SFR low and medium level waste repository and for a potential deep repository for high level waste. The second part of the report has been prepared by QuantiSci as an input to the development of SSI's PA review methodology. The aim of the third part is to provide research input to the development of radiological protection framework for the environment, for use in Sweden. This is achieved through a review of various approaches used in other fields.

Assessment of the radiological control at the IPEN radioisotope production facility

International Nuclear Information System (INIS)

Carneiro, Janete C.G.G.; Sanches, Matias P.; Rodrigues, Demerval L.; Campos, Daniela; Nogueira, Paulo R.; Damato, Sandra R.; Pecequilo, Brigitte R.

2014-01-01

The main objective of this work is to evaluate the 2013 annual radiological control results in the radiopharmaceuticals areas of the Instituto de Pesquisas Energeticas e Nucleares, IPEN/SP, and the environmental radiological impact, resulting from the practices there performed. The current evaluation was performed through the analysis of the results obtained from occupational and environmental monitoring with air samplers and TL dosimeters. All monitoring results were compared with the limits established by national standards. The radionuclides detected by air sampling (in charcoal and paper filters) at the workplace during radioisotope production were 131 I, 99m Tc and 99 Mo, with activities concentrations values below the annual limits values. For the radioactive gaseous releases (Bq/m 3 ), the activities concentrations also remained below the maximum permissible values, excepting to 125 I release due to an unusual event occurred in a researcher laboratory, but the radiological impact to environmental was no significant. The occupational monitoring assessment was confirmed by the Environmental Radiological Monitoring Program results with air samplers and TL dosimeters. The mean annual background radiation at IPEN in 2013, according to the Environmental Radiological Monitoring Program results was 1.06 mSv. y -1 , below the ICRP 103 recommended limit of 20 mSv.y -1 for workers. (author)

Federal Radiological Monitoring and Assessment Center Overview of FRMAC Operations

International Nuclear Information System (INIS)

1998-01-01

In the event of a major radiological emergency, 17 federal agencies with various statutory responsibilities have agreed to coordinate their efforts at the emergency scene under the umbrella of the Federal Radiological Emergency Response Plan. This cooperative effort will ensure that all federal radiological assistance fully supports their efforts to protect the public. the mandated federal cooperation ensures that each agency can obtain the data critical to its specific responsibilities. This Overview of Federal Radiological Monitoring and Assessment Center (FRMAC) describes the FRMAC response activities to a major radiological emergency. It also describes the federal assets and subsequent operational activities which provide federal radiological monitoring and assessment of the off-site areas

Improving Site-Specific Radiological Performance Assessments - 13431

Energy Technology Data Exchange (ETDEWEB)

Tauxe, John; Black, Paul; Catlett, Kate; Lee, Robert; Perona, Ralph; Stockton, Tom; Sully, Mike [Neptune and Company, Inc., Los Alamos, New Mexico 87544 (United States)

2013-07-01

An improved approach is presented for conducting complete and defensible radiological site-specific performance assessments (PAs) to support radioactive waste disposal decisions. The basic tenets of PA were initiated some thirty years ago, focusing on geologic disposals and evaluating compliance with regulations. Some of these regulations were inherently probabilistic (i.e., addressing uncertainty in a quantitative fashion), such as the containment requirements of the U.S. Environmental Protection Agency's (EPA's) 40 CFR 191, Environmental Radiation Protection Standards for Management and Disposal of Spent Nuclear Fuel, High-Level and Transuranic Radioactive Wastes, Chap. 191.13 [1]. Methods of analysis were developed to meet those requirements, but at their core early PAs used 'conservative' parameter values and modeling approaches. This limited the utility of such PAs to compliance evaluation, and did little to inform decisions about optimizing disposal, closure and long-term monitoring and maintenance, or, in general, maintaining doses 'as low as reasonably achievable' (ALARA). This basic approach to PA development in the United States was employed essentially unchanged through the end of the 20. century, principally by the U.S. Department of Energy (DOE). Performance assessments developed in support of private radioactive waste disposal operations, regulated by the U.S. Nuclear Regulatory Commission (NRC) and its agreement states, were typically not as sophisticated. Discussion of new approaches to PA is timely, since at the time of this writing, the DOE is in the midst of revising its Order 435.1, Radioactive Waste Management [2], and the NRC is revising 10 CFR 61, Licensing Requirements for Land Disposal of Radioactive Waste [3]. Over the previous decade, theoretical developments and improved computational technology have provided the foundation for integrating decision analysis (DA) concepts and objective-focused thinking, plus

Improving Site-Specific Radiological Performance Assessments - 13431

International Nuclear Information System (INIS)

Tauxe, John; Black, Paul; Catlett, Kate; Lee, Robert; Perona, Ralph; Stockton, Tom; Sully, Mike

2013-01-01

An improved approach is presented for conducting complete and defensible radiological site-specific performance assessments (PAs) to support radioactive waste disposal decisions. The basic tenets of PA were initiated some thirty years ago, focusing on geologic disposals and evaluating compliance with regulations. Some of these regulations were inherently probabilistic (i.e., addressing uncertainty in a quantitative fashion), such as the containment requirements of the U.S. Environmental Protection Agency's (EPA's) 40 CFR 191, Environmental Radiation Protection Standards for Management and Disposal of Spent Nuclear Fuel, High-Level and Transuranic Radioactive Wastes, Chap. 191.13 [1]. Methods of analysis were developed to meet those requirements, but at their core early PAs used 'conservative' parameter values and modeling approaches. This limited the utility of such PAs to compliance evaluation, and did little to inform decisions about optimizing disposal, closure and long-term monitoring and maintenance, or, in general, maintaining doses 'as low as reasonably achievable' (ALARA). This basic approach to PA development in the United States was employed essentially unchanged through the end of the 20. century, principally by the U.S. Department of Energy (DOE). Performance assessments developed in support of private radioactive waste disposal operations, regulated by the U.S. Nuclear Regulatory Commission (NRC) and its agreement states, were typically not as sophisticated. Discussion of new approaches to PA is timely, since at the time of this writing, the DOE is in the midst of revising its Order 435.1, Radioactive Waste Management [2], and the NRC is revising 10 CFR 61, Licensing Requirements for Land Disposal of Radioactive Waste [3]. Over the previous decade, theoretical developments and improved computational technology have provided the foundation for integrating decision analysis (DA) concepts and objective-focused thinking, plus a Bayesian approach to

Predictions of models for environmental radiological assessment

International Nuclear Information System (INIS)

Peres, Sueli da Silva; Lauria, Dejanira da Costa; Mahler, Claudio Fernando

2011-01-01

In the field of environmental impact assessment, models are used for estimating source term, environmental dispersion and transfer of radionuclides, exposure pathway, radiation dose and the risk for human beings Although it is recognized that the specific information of local data are important to improve the quality of the dose assessment results, in fact obtaining it can be very difficult and expensive. Sources of uncertainties are numerous, among which we can cite: the subjectivity of modelers, exposure scenarios and pathways, used codes and general parameters. The various models available utilize different mathematical approaches with different complexities that can result in different predictions. Thus, for the same inputs different models can produce very different outputs. This paper presents briefly the main advances in the field of environmental radiological assessment that aim to improve the reliability of the models used in the assessment of environmental radiological impact. The intercomparison exercise of model supplied incompatible results for 137 Cs and 60 Co, enhancing the need for developing reference methodologies for environmental radiological assessment that allow to confront dose estimations in a common comparison base. The results of the intercomparison exercise are present briefly. (author)

BNL ALARA Center's development of a computerized radiological assessment and design system (RADS)

International Nuclear Information System (INIS)

Dionne, B.J.; Masciulli, S.; Connelly, J.M.

1993-01-01

The US Department of Energy's (DOE) Office of Health Physics and Industrial Hygiene sponsored a study of Radiological Engineering Programs at selected DOE contractor facilities. This study was conducted to review, evaluate, and summarize techniques and practices that should be considered in the design phase that reduce dose and the spread of radioactive materials during subsequent construction and operation of DOE radiological facilities. As in a previous study on operational ALARA programs, a variety of good-practice documents will be generated. It is envisioned that these documents will serve as a resource to assist radiological engineers in the process of designing radiological facilities, and in performing radiological safety/ALARA design reviews. This paper presents the features for three good-practice documents and related software applications that are being developed based on the findings of this study. The proposed software called Radiological Assessment and Design System (RADS) will be a menu-driven database and spreadsheet program. It will be designed to provide easy, consistent, and effective implementation of the methodologies described in the three good-practice documents. These documents and the associated RADS software will provide the user with the following three functions: (1) enter dose assessment information and data into computer worksheets and provide printed tables of the results which can then be inserted into safety analysis reports or cost-benefit analyses, (2) perform a wide variety of sorts of radiological design criteria from DOE Orders and produce a checklist of the desired design criteria, and (3) enter cost/benefit data and qualitative rating of attributes for various design alternatives which reduce dose into computer worksheets and provide printed reports of cost-effectiveness results

The Importance of Curriculum-Based Training and Assessment in Interventional Radiology

Energy Technology Data Exchange (ETDEWEB)

Belli, Anna-Maria, E-mail: anna.belli@stgeorges.nhs.uk [St. George’s Hospital, Department of Radiology (United Kingdom); Reekers, Jim A., E-mail: j.a.reekers@amc.uva.nl [Academic Medical Centre, Department of Radiology (Netherlands); Lee, Michael, E-mail: mlee@rcsi.ie [Beaumont Hospital, Department of Radiology (Ireland)

2013-10-30

Physician performance and outcomes are being scrutinised by health care providers to improve patient safety and cost efficiency. Patients are best served by physicians who have undergone appropriate specialist training and assessment and perform large numbers of cases to maintain their skills. The Cardiovascular and Interventional Radiological Society of Europe has put into place a curriculum for training in interventional radiology (IR) and a syllabus with an examination, the European Board of Interventional Radiology, providing evidence of attainment of an appropriate and satisfactory skill set for the safe practice of IR. This curriculum is appropriate for IR where there is a high volume of image-guided procedures in vascular and nonvascular organ systems with cross-use of minimally invasive techniques in patients with a variety of disease processes. Other specialties may require different, longer, and more focused training if their experience is “diluted” by the need to master a different skill set.

The Importance of Curriculum-Based Training and Assessment in Interventional Radiology

International Nuclear Information System (INIS)

Belli, Anna-Maria; Reekers, Jim A.; Lee, Michael

2014-01-01

Physician performance and outcomes are being scrutinised by health care providers to improve patient safety and cost efficiency. Patients are best served by physicians who have undergone appropriate specialist training and assessment and perform large numbers of cases to maintain their skills. The Cardiovascular and Interventional Radiological Society of Europe has put into place a curriculum for training in interventional radiology (IR) and a syllabus with an examination, the European Board of Interventional Radiology, providing evidence of attainment of an appropriate and satisfactory skill set for the safe practice of IR. This curriculum is appropriate for IR where there is a high volume of image-guided procedures in vascular and nonvascular organ systems with cross-use of minimally invasive techniques in patients with a variety of disease processes. Other specialties may require different, longer, and more focused training if their experience is “diluted” by the need to master a different skill set

Assessment of the radiological control at the IPEN radioisotope production facility

Energy Technology Data Exchange (ETDEWEB)

Carneiro, J.C.G.G.; Sanches, M.P.; Rodrigues, D.L.; Campos, D.; Nogueira, P.R.; Damatto, S.R.; Pecequilo, B.R.S. [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

2015-07-01

The main objective of this work is to evaluate the 2013 annual radiological control results in the radiopharmaceuticals areas of the Nuclear and Energy Research Institute, IPEN/SP, Brazil and the environmental radiological impact, resulting from the practices there performed. The current evaluation was performed through the analysis of the results obtained from occupational and environmental monitoring with air samplers and TL dosimeters. All monitoring results were compared with the limits established by national standards. The radionuclides detected by air sampling (in activated carbon cartridges and filter paper) at the workplace during radioisotope production were {sup 131}I, {sup 99m}Tc and {sup 99}Mo, with activities concentrations values below the annual limits values. For the radioactive gaseous releases (Bq/m{sup 3} ), the activities concentrations also remained below the maximum admissible values, excepting to {sup 125}I release due to an unusual event occurred in a researcher laboratory, but the radiological impact to environmental was no significant. The occupational monitoring assessment was confirmed by the Environmental Radiological Monitoring Program results with air samplers and TL dosimeters. The mean annual background radiation at IPEN in 2013, according to the Environmental Radiological Monitoring Program results was 1.06 mSv. y{sup -1} , below the ICRP 103 recommended limit of 20 mSv.y{sup -1} for workers. (author)

BNL ALARA center's development of a computerized Radiological Assessment and Design System (RADS)

International Nuclear Information System (INIS)

Dionne, B.J.; Connelly, J.M.

1993-01-01

The US Department of Energy's (DOE) Office of Health Physics and Industrial Hygiene sponsored a study of Radiological Engineering Programs at selected DOE contractor facilities. This study was conducted to review, evaluate, and summarize techniques and practices that should be considered in the design phase that reduce dose and the spread of radioactive materials during subsequent construction and operation at DOE radiological facilities. As in a previous study on operational ALARA programs, a variety of open-quotes good-practice documentsclose quotes will be generated. It is envisioned that these documents will serve as a resource to assist radiological engineers in the process of designing radiological facilities, and in performing radiological safety/ALARA design reviews. This paper presents the features for three good-practice documents and related software applications that are being developed based on the findings of this study. The proposed software called open-quotes Radiological Assessment and Design Systemclose quotes (RADS) will be a menu-driven database and spreadsheet program. It will be designed to provide easy, consistent, and effective implementation of the methodologies described in the three good-practice documents. These documents and the associated RADS software will provide the user with the following three functions: (1) enter dose assessment information and data into computer worksheets and provide printed tables of the results which can then be inserted into safety analysis reports or cost-benefit analysis, (2) perform a wide variety of sorts of radiological design criteria from DOE Orders and produce a checklist of the desired design criteria, and (3) enter cost/benefit data and qualitative ratings of attributes for various design alternatives which reduce dose into computer worksheets and provide printed reports of cost-effectiveness results

Documentation of in-training assessment for radiology trainees

International Nuclear Information System (INIS)

Long, Gillian

2001-01-01

AIM: To determine if the assessment of radiology trainees can be improved by modifying the in-training assessment form issued by the Royal College of Radiologists (RCR). MATERIALS AND METHODS: A qualitative study comparing the RCR assessment form with other alternative forms in use in the U.K. Individual semi-structured interviews were conducted with trainees (21) and trainers (18) in Sheffield to collect their views on the RCR form and an alternative form introduced on the North Trent Training Scheme. A postal questionnaire was sent to Heads of Training (24) to find out what assessment forms were in use at other centres and collect their views on the different forms. RESULTS: Trainees and trainers in Sheffield were virtually unanimous in their support of the new North Trent assessment form. The main advantages perceived were the encouragement of appraisal, setting of objectives and feedback from the trainees. Six other radiology training centres were using alternative assessment forms and all believed their forms had advantages over the RCR in-training assessment form. CONCLUSION: The results of this study suggest that the assessment process for radiology trainees can be improved by modifications to the RCR in-training assessment form and allows various recommendations to be made. Long, G. (2001)

Federal Radiological Monitoring and Assessment Center Analytical Response

International Nuclear Information System (INIS)

Nielsen, E.C.

2003-01-01

The Federal Radiological Monitoring and Assessment Center (FR-MAC) is authorized by the Federal Radiological Emergency Response Plan to coordinate all off-site radiological response assistance to state and local government s, in the event of a major radiological emergency in the United States. The FR-MAC is established by the U.S. Department of Energy, National Nuclear Security Administration, to coordinate all Federal assets involved in conducting a comprehensive program of radiological environmental monitoring, sampling, radioanalysis, quality assurance, and dose assessment. During an emergency response, the initial analytical data is provided by portable field instrumentation. As incident responders scale up their response based on the seriousness of the incident, local analytical assets and mobile laboratories add additional capability and capacity. During the intermediate phase of the response, data quality objectives and measurement quality objectives are more rigorous. These higher objectives will require the use of larger laboratories, with greater capacity and enhanced capabilities. These labs may be geographically distant FR-om the incident, which will increase sample management challenges. This paper addresses emergency radioanalytical capability and capacity and its utilization during FR-MAC operations

Multicentre Assessment of Radiology Request Form Completion in ...

African Journals Online (AJOL)

An important element in the multidisciplinary approach to patient management is communications among clinicians. As most of the patients attending any hospital have to go through the department of radiology, the pattern and attitude of clinicians to the completion of radiology request forms was assessed in three teaching ...

Radiological safety assessment of transporting radioactive waste to the Gyeongju disposal facility in Korea

Energy Technology Data Exchange (ETDEWEB)

Jeong, Jong Tae; Baik, Min Hoon; Kang, Mun Ja; Ahn, Hong Joo; Hwang, Doo Seong; Hong, Dae Seok; Jeong, Yong Hwan; Kim, Kyung Su [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2016-12-15

A radiological safety assessment study was performed for the transportation of low level radioactive wastes which are temporarily stored in Korea Atomic Energy Research Institute (KAERI), Daejeon, Korea. We considered two kinds of wastes: (1) operation wastes generated from the routine operation of facilities; and (2) decommissioning wastes generated from the decommissioning of a research reactor in KAERI. The important part of the radiological safety assessment is related to the exposure dose assessment for the incident-free (normal) transportation of wastes, i.e., the radiation exposure of transport personnel, radiation workers for loading and unloading of radioactive waste drums, and the general public. The effective doses were estimated based on the detailed information on the transportation plan and on the radiological characteristics of waste packages. We also estimated radiological risks and the effective doses for the general public resulting from accidents such as an impact and a fire caused by the impact during the transportation. According to the results, the effective doses for transport personnel, radiation workers, and the general public are far below the regulatory limits. Therefore, we can secure safety from the viewpoint of radiological safety for all situations during the transportation of radioactive wastes which have been stored temporarily in KAERI.

Radiological Safety Assessment of Transporting Radioactive Wastes to the Gyeongju Disposal Facility in Korea

Directory of Open Access Journals (Sweden)

Jongtae Jeong

2016-12-01

Full Text Available A radiological safety assessment study was performed for the transportation of low level radioactive wastes which are temporarily stored in Korea Atomic Energy Research Institute (KAERI, Daejeon, Korea. We considered two kinds of wastes: (1 operation wastes generated from the routine operation of facilities; and (2 decommissioning wastes generated from the decommissioning of a research reactor in KAERI. The important part of the radiological safety assessment is related to the exposure dose assessment for the incident-free (normal transportation of wastes, i.e., the radiation exposure of transport personnel, radiation workers for loading and unloading of radioactive waste drums, and the general public. The effective doses were estimated based on the detailed information on the transportation plan and on the radiological characteristics of waste packages. We also estimated radiological risks and the effective doses for the general public resulting from accidents such as an impact and a fire caused by the impact during the transportation. According to the results, the effective doses for transport personnel, radiation workers, and the general public are far below the regulatory limits. Therefore, we can secure safety from the viewpoint of radiological safety for all situations during the transportation of radioactive wastes which have been stored temporarily in KAERI.

Texas' performance assessment work

International Nuclear Information System (INIS)

Charbeneau, R.J.; Hertel, N.E.; Pollard, C.G.

1990-01-01

The Texas Low-Level Radioactive Waste Disposal Authority is completing two years of detailed on-site suitability studies of a potential low-level radioactive waste disposal site in Hudspeth County, Texas. The data from these studies have been used to estimate site specific parameters needed to do a performance assessment of the site. The radiological impacts of the site have been analyzed as required for a license application. The approach adopted for the performance assessment was to use simplified and yet conservative assumptions with regard to releases, radionuclide transport, and dose calculations. The methodologies employed in the performance assessment are reviewed in the paper. Rather than rely on a single computer code, a modular approach to the performance assessment was selected. The HELP code was used to calculate the infiltration rate through the trench covers and the amount of leachate released from this arid site. Individual pathway analyses used spreadsheet calculations. These calculations were compared with those from other computer models including CRRIS, INGDOS, PATHRAE, and MICROSHIELD copyright, and found to yield conservative estimates of the effective whole body dose. The greatest difficulty in performing the radiological assessment of the site was the selection of reasonable source terms for release into the environment. A surface water pathway is unreasonable for the site. Though also unlikely, the groundwater pathway with exposure through a site boundary well was found to yield the largest calculated dose. The more likely pathway including transport of leachate from the facility through the unsaturated zone and returning to the ground surface yields small doses. All calculated doses associated with normal releases of radioactivity are below the regulatory limits

Radiological assessment of 36Cl in the disposal of used CANDU fuel

International Nuclear Information System (INIS)

Johnson, L.H.; Goodwin, B.W.; Sheppard, S.C.; Tait, J.C.; Wuschke, D.M.; Davison, C.C.

1995-06-01

An assessment of the potential radiological impact of 36 Cl in the disposal of used CANDU fuel has been performed. The assessment was based on new data on chlorine impurity levels in used fuel. Data bases for the vault, geosphere, and biosphere models used in the EIS postclosure assessment case study (Goodwin et al. 1994) were modified to include the necessary 36 Cl data. The resulting safety analysis shows that estimated radiological risks from 36 Cl are forty times lower than from 129 I at 10 4 a; this, incorporation of 36 Cl into the models does not change the overall conclusions of the study of Goodwin et al. (1994a). For human intrusion scenarios, an analysis using the methodology of Wuschke (1992) showed that the maximum risk is unaffected by the inclusion of 36 Cl. (author). 51 refs., 5 tabs., 15 figs

An assessment of the radiological impact of uranium mining in northern Saskatchewan

International Nuclear Information System (INIS)

1986-06-01

This report presents the findings of a study which investigated the regional radiological impact of uranium mining in northern Saskatchewan. The study was performed by IEC Beak Consultants Ltd. under a contract awarded by Environment Canada in partnership with the Atomic Energy Control Board. This preliminary assessment suggests there is a negligible combined regional radiological impact from simultaneous operation of the three operating mines investigated as part of the present study. The mines are spaced too far apart for any superposition of emissions to be significantly greater than a small fraction of background levels. The most exposed individual not directly associated with any of the mining operations is estimated to receive a total radiation dose equal to about 3% of the dose due to natural background radiations. This increment is equivalent to the increment in natural background that would be received by an individual moving from Vancouver to Wollaston Post, before mining began in the area, as a result of reduced atmospheric shielding from cosmic radiation. Radiological impacts on biota are estimated to have insignficant effects on natural populations in all cases. However, since the study only investigates the effects of operational releases of radionuclides, the results do not imply that uranium mining developments will or will not have significant long-term radiological impact on northern Saskatchewan. Radiological impact assessments described in this report are estimates only. There are some uncertainties in the available data and modelling methodology. The radiological impact of abandoned tailings areas was not included in this study

Assessment of radiological protection systems among diagnostic radiology facilities in North East India.

Science.gov (United States)

Singh, Thokchom Dewan; Jayaraman, T; Arunkumar Sharma, B

2017-03-01

This study aims to assess the adequacy level of radiological protection systems available in the diagnostic radiology facilities located in three capital cities of North East (NE) India. It further attempts to understand, using a multi-disciplinary approach, how the safety codes/standards in diagnostic radiology framed by the Atomic Energy Regulatory Board (AERB) and the International Atomic Energy Agency (IAEA) to achieve adequate radiological protection in facilities, have been perceived, conceptualized, and applied accordingly in these facilities. About 30 diagnostic radiology facilities were randomly selected from three capitals of states in NE India; namely Imphal (Manipur), Shillong (Meghalaya) and Guwahati (Assam). A semi-structured questionnaire developed based on a multi-disciplinary approach was used for this study. It was observed that radiological practices undertaken in these facilities were not exactly in line with safety codes/standards in diagnostic radiology of the AERB and the IAEA. About 50% of the facilities had registered/licensed x-ray equipment with the AERB. More than 80% of the workers did not use radiation protective devices, although these devices were available in the facilities. About 85% of facilities had no institutional risk management system. About 70% of the facilities did not carry out periodic quality assurance testing of their x-ray equipment or surveys of radiation leakage around the x-ray room, and did not display radiation safety indicators in the x-ray rooms. Workers in these facilities exhibited low risk perception about the risks associated with these practices. The majority of diagnostic radiology facilities in NE India did not comply with the radiological safety codes/standards framed by the AERB and IAEA. The study found inadequate levels of radiological protection systems in the majority of facilities. This study suggests a need to establish firm measures that comply with the radiological safety codes/standards of the

Federal Radiological Monitoring and Assessment Center. The analytical response

International Nuclear Information System (INIS)

Nielsen, E.C.

2005-01-01

The Federal Radiological Monitoring and Assessment Center (FRMAC) is authorized by the Federal Radiological Emergency Response Plan to coordinate all off-site radiological response assistance to state and local governments, in the event of a major radiological emergency in the United States. The FRMAC is established by the U.S. Department of Energy, National Nuclear Security Administration, to coordinate all Federal assets involved in conducting a comprehensive program of radiological environmental monitoring, sampling, radioanalysis, quality assurance, and dose assessment. During an emergency response, the initial analytical data is provided by portable field instrumentation. As incident responders scale up their response based on the seriousness of the incident, local analytical assets and mobile laboratories add additional capability and capacity. During the intermediate phase of the response, data quality objectives and measurement quality objectives are more rigorous. These higher objectives will require the use of larger laboratories, with greater capacity and enhanced capabilities. These labs may be geographically distant from the incident, which will increase sample management challenges. Emergency radioanalytical capability and capacity and its utilization during FRMAC operations are discussed. (author)

Radiation protection - Performance criteria for laboratories performing cytogenetic triage for assessment of mass casualties in radiological or nuclear emergencies - General principles and application to dicentric assay

International Nuclear Information System (INIS)

2008-01-01

The potential for nuclear and radiological emergencies involving mass casualties from accidental or malicious acts or terrorism requires generic procedures for emergency dose assessment to help the development of medical response capabilities. A mass-casualties incident is defined here as an event that exceeds the local medical resources. Biological dosimetry, based on cytogenetic analysis using the dicentric assay, typically applied for accidental dose assessment, has been defined in ISO 19238. Cytogenetic triage is the use of chromosome damage to evaluate and assess approximately and rapidly radiation doses received by individuals in order to supplement the clinical categorization of casualties. This International Standard focuses on the use of the dicentric assay for rapid cytogenetic triage involving mass-casualty incidents. The primary purpose of this International Standard is to provide a guideline to all laboratories in order to perform the dicentric-bioassay - cytogenetic triage for dose assessment using documented and validated procedures. Secondly, it can facilitate the application of cytogenetic biodosimetry networks to permit comparison of results obtained in different laboratories. Finally, it is expected that laboratories newly commissioned to carry out the cytogenetic triage conform to this International Standard in order to perform the triage reproducibly and accurately. This International Standard is written in the form of procedures to adopt for dicentric-bioassay - cytogenetic triage biological dosimetry for overexposures involving mass radiological casualties. The criteria required for such measurements usually depend on the application of the results: medical management when appropriate, radiation-protection management, record keeping and medical/legal requirements. For example, selected cases can be analysed to produce a more accurate evaluation of high partial-body exposure; secondly, doses can be estimated for persons exposed below the

Methodology for assessing the radiological impact on environment

International Nuclear Information System (INIS)

Zhang Yongxing

1988-01-01

During the 1940s, the early stages of nuclear programmes, the assessment of the radionuclides released to the environment was first initiated for the large nuclear facilities, with emphasis placed on environmental monitoring. The radiological assessment is a quantitative process of estimating the impact on human, resulting from the releases of the radionuclides to the environment. It is a multidisciplinary subject including identification of source terms, environmental transport and dispersion, health effect evaluation and so on. This paper briefly, but comprehensively, describes the methodology for the assessment of the environmental radiological consequence, and discusses the trend of various research fields related to the subject

Consequence Assessment for Potential Scenarios of Radiological Terrorists Events

International Nuclear Information System (INIS)

Shin, Hyeongki; Kim, Juyoul

2007-01-01

Radiological dispersal device (RDD) means any method used to deliberately disperse radioactive material to create terror or harm. Dirty bomb is an example of RDD, which usually consists of radioactive material and unconventional explosive. Dirty bomb was a problem long before September 11, 2001. In 1987, the Iraqi government tested a one-ton radiological bomb. The Iraqi tests confirmed that a dirty bomb is not effective as weapons of mass destruction (WMD) and that its main value is as a psychological weapon. In 1995, Chechen rebels buried a dirty bomb in a park in Moscow threatening to detonate one in the future if their demands were not met. Another good example of potential dirty bomb effects was an incident in Goiania, Brazil on September 18, 1987, where an orphaned medical source containing 1,375 Ci of Cs-137 resulted the death of four people and extensive environmental contamination. The purposes of radiological terrorists events are not to destroy or damage the target but to disperse radioactivity in the environment. They inflict panic on a public and economic damage by disruption of business. They also have influence on enormous clean-up costs by spreading radioactive contamination including secondary impacts on water supply reservoirs. Generally, two major long-term concerns following a RDD are human health and economic impacts. In this study, we developed potential scenarios of radiological terrorists events and performed their radiological consequence assessments in terms of total effective dose equivalent (TEDE), projected cumulative external and internal dose, and ground deposition of radioactivity

Consequence Assessment for Potential Scenarios of Radiological Terrorists Events

Energy Technology Data Exchange (ETDEWEB)

Shin, Hyeongki [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of); Kim, Juyoul [Seoul National University, Seoul (Korea, Republic of)

2007-07-01

Radiological dispersal device (RDD) means any method used to deliberately disperse radioactive material to create terror or harm. Dirty bomb is an example of RDD, which usually consists of radioactive material and unconventional explosive. Dirty bomb was a problem long before September 11, 2001. In 1987, the Iraqi government tested a one-ton radiological bomb. The Iraqi tests confirmed that a dirty bomb is not effective as weapons of mass destruction (WMD) and that its main value is as a psychological weapon. In 1995, Chechen rebels buried a dirty bomb in a park in Moscow threatening to detonate one in the future if their demands were not met. Another good example of potential dirty bomb effects was an incident in Goiania, Brazil on September 18, 1987, where an orphaned medical source containing 1,375 Ci of Cs-137 resulted the death of four people and extensive environmental contamination. The purposes of radiological terrorists events are not to destroy or damage the target but to disperse radioactivity in the environment. They inflict panic on a public and economic damage by disruption of business. They also have influence on enormous clean-up costs by spreading radioactive contamination including secondary impacts on water supply reservoirs. Generally, two major long-term concerns following a RDD are human health and economic impacts. In this study, we developed potential scenarios of radiological terrorists events and performed their radiological consequence assessments in terms of total effective dose equivalent (TEDE), projected cumulative external and internal dose, and ground deposition of radioactivity.

Patients as partners in radiology education: an innovative approach to teaching and assessing patient-centered communication.

Science.gov (United States)

Lown, Beth A; Sasson, J Pierre; Hinrichs, Peg

2008-04-01

Effective communication is essential for high quality care, yet little is known about radiologists' communication with patients, what constitutes "best communication practices," and how best to teach and evaluate it. We piloted educational strategies and an assessment instrument to teach and evaluate radiologists' communication skills. We focused on communication in the diagnostic mammography suite, where patient-radiologist interactions are often intense and stressful. We adapted existing instruments to create a Radiology Communication Skills Assessment Tool (RCSAT). We piloted an educational program that included patients as teachers and raters of interpersonal and communication skills, and implemented a radiology objective structured clinical examination (OSCE). We measured radiology residents' self-assessed skills, confidence and stress, as well as patient-rated communication skills using the RCSAT. Residents' baseline self-assessed communication skills regarding abnormal mammograms were fair, confidence in their communication was minimal, and they found this communication stressful. Overall baseline communication skills, rated by patient-teachers using the RCSAT, were 3.62 on a 5-point scale (1 = poor to 5 = excellent). Analysis of post-OSCE debriefing comments yielded nine themes regarding effective radiology communication, as well as residents' reflections on the communication challenges they experience. The themes were integrated into subsequent RCSAT revisions. Residents' reflections were used to inform teaching workshops. Educational curricula on communication about difficult information can be implemented in radiology training programs. Radiology residents' performance can be assessed using a communication skills assessment tool during standardized patient-teacher encounters. Further research is necessary in this important domain.

Radiology education. The evaluation and assessment of clinical competence

International Nuclear Information System (INIS)

Hibbert, Kathryn M.; Van Deven, Teresa; Chhem, Rethy K.; Nagasaki Univ.; Wang, Shih-chang; Royal Australian and New Zealand College of Radiologists, Sydney

2012-01-01

Third volume of a trilogy devoted to radiology education and improvement of medical imaging students' learning, teaching, and scholarship. Reviews the philosophies, theories, and principles that underpin assessment and evaluation in radiology education. Includes a series of rich case studies. Written by an international group of experienced educators and medical professionals. This book reviews the philosophies, theories, and principles that underpin assessment and evaluation in radiology education, highlighting emerging practices and work done in the field. The sometimes conflicting assessment and evaluation needs of accreditation bodies, academic programs, trainees, and patients are carefully considered. The final section of the book examines assessment and evaluation in practice, through the development of rich case studies reflecting the implementation of a variety of approaches. This is the third book in a trilogy devoted to the scholarship of radiology education and is the culmination of an important initiative to improve medical imaging students' learning, teaching, and scholarship by bringing together experienced educators and medical professionals. The previous two books focused on the culture and the learning organizations in which our future radiologists are educated and on the application of educational principles in the education of radiologists. Here, the trilogy comes full circle: attending to the assessment and evaluation of the education of its members has much to offer back to the learning of the organization.

Federal Radiological Monitoring and Assessment Center (FRMAC) overview of FRMAC operations

International Nuclear Information System (INIS)

1996-02-01

In the event of a major radiological emergency, 17 federal agencies with various statutory responsibilities have agreed to coordinate their efforts at the emergency scene under the umbrella of the Federal Radiological Emergency Response plan (FRERP). This cooperative effort will assure the designated Lead Federal Agency (LFA) and the state(s) that all federal radiological assistance fully supports their efforts to protect the public. The mandated federal cooperation ensures that each agency can obtain the data critical to its specific responsibilities. This Overview of the Federal Radiological Monitoring and Assessment Center (FRMAC) Operations describes the FRMAC response activities to a major radiological emergency. It also describes the federal assets and subsequent operational activities which provide federal radiological monitoring and assessment of the off-site areas. These off-site areas may include one or more affected states

Radiological impact assessment within the IAEA Arctic Assessment Project (IASAP)

DEFF Research Database (Denmark)

Scott, E.M.; Gurbutt, P.; Harmes, I.

1998-01-01

As part of the International Arctic Seas Assessment Project (IASAP) of IAEA, a working group was created to model the dispersal and transfer of radionuclides released from radioactive waste disposed of in the Kara Sea and bays of Novaya Zemlya and to assess the radiological impact. Existing models...

The Emergency Radiological Monitoring and Analysis Division of the United States Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Thome, D.J.

2000-01-01

The U.S. Federal Radiological Emergency Response Plan (FRERP) provides the framework for integrating the various Federal agencies responding to a major radiological emergency. The FRERP authorises the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC), which is established to co-ordinate all Federal agencies involved in the monitoring and assessment of the off-site radiological conditions in support of the impacted States and the Lead Federal Agency (LFA). Within the FRMAC, the Monitoring and Analysis Division is responsible for co-ordinating all FRMAC assets involved in conducting a comprehensive program of environmental monitoring, sampling, radioanalysis, and quality assurance. This program includes: 1. Aerial Radiological Monitoring - Fixed-Wing and Helicopter; 2. Field Monitoring and Sampling; 3. Radioanalysis - Mobile and Fixed Laboratories; 4. Radiation Detection Instrumentation - Calibration and Maintenance; 5. Environmental Dosimetry; 6. Integrated program of Quality Assurance. To assure consistency, completeness, and the quality of the data produced, a methodology and procedures manual is being developed. This paper discusses the structure, assets, and operations of the FRMAC Monitoring and Analysis Division and the content and preparation of the manual. (author)

Radiological optimization

International Nuclear Information System (INIS)

Zeevaert, T.

1998-01-01

Radiological optimization is one of the basic principles in each radiation-protection system and it is a basic requirement in the safety standards for radiation protection in the European Communities. The objectives of the research, performed in this field at the Belgian Nuclear Research Centre SCK-CEN, are: (1) to implement the ALARA principles in activities with radiological consequences; (2) to develop methodologies for optimization techniques in decision-aiding; (3) to optimize radiological assessment models by validation and intercomparison; (4) to improve methods to assess in real time the radiological hazards in the environment in case of an accident; (5) to develop methods and programmes to assist decision-makers during a nuclear emergency; (6) to support the policy of radioactive waste management authorities in the field of radiation protection; (7) to investigate existing software programmes in the domain of multi criteria analysis. The main achievements for 1997 are given

Palliative Airway Stenting Performed Under Radiological Guidance and Local Anesthesia

International Nuclear Information System (INIS)

Profili, Stefano; Manca, Antonio; Feo, Claudio F.; Padua, Guglielmo; Ortu, Riccardo; Canalis, Giulio C.; Meloni, Giovanni B.

2007-01-01

Purpose. To assess the effectiveness of airway stenting performed exclusively under radiological guidance for the palliation of malignant tracheobronchial strictures. Methods. We report our experience in 16 patients with malignant tracheobronchial stricture treated by insertion of 20 Ultraflex self-expandable metal stents performed under fluoroscopic guidance only. Three patients presented dysphagia grade IV due to esophageal malignant infiltration; they therefore underwent combined airway and esophageal stenting. All the procedures were performed under conscious sedation in the radiological room; average procedure time was around 10 min, but the airway impediment never lasted more than 40 sec. Results. We obtained an overall technical success in 16 cases (100%) and clinical success in 14 patients (88%). All prostheses were successfully placed without procedural complications. Rapid clinical improvement with symptom relief and normalization of respiratory function was obtained in 14 cases. Two patients died within 48 hr from causes unrelated to stent placement. Two cases (13%) of migration were observed; they were successfully treated with another stent. Tumor overgrowth developed in other 2 patients (13%); however, no further treatment was possible because of extensive laryngeal infiltration. Conclusions. Tracheobronchial recanalization with self-expandable metal stents is a safe and effective palliative treatment for malignant strictures. Airway stenting performed exclusively under fluoroscopic view was rapid and well tolerated

TSD-DOSE : a radiological dose assessment model for treatment, storage, and disposal facilities

International Nuclear Information System (INIS)

Pfingston, M.

1998-01-01

In May 1991, the U.S. Department of Energy (DOE), Office of Waste Operations, issued a nationwide moratorium on shipping slightly radioactive mixed waste from DOE facilities to commercial treatment, storage, and disposal (TSD) facilities. Studies were subsequently conducted to evaluate the radiological impacts associated with DOE's prior shipments through DOE's authorized release process under DOE Order 5400.5. To support this endeavor, a radiological assessment computer code--TSD-DOSE (Version 1.1)--was developed and issued by DOE in 1997. The code was developed on the basis of detailed radiological assessments performed for eight commercial hazardous waste TSD facilities. It was designed to utilize waste-specific and site-specific data to estimate potential radiological doses to on-site workers and the off-site public from waste handling operations at a TSD facility. The code has since been released for use by DOE field offices and was recently used by DOE to evaluate the release of septic waste containing residual radioactive material to a TSD facility licensed under the Resource Conservation and Recovery Act. Revisions to the code were initiated in 1997 to incorporate comments received from users and to increase TSD-DOSE's capability, accuracy, and flexibility. These updates included incorporation of the method used to estimate external radiation doses from DOE's RESRAD model and expansion of the source term to include 85 radionuclides. In addition, a detailed verification and benchmarking analysis was performed

Radiological assessment of dam water and sediments for natural ...

African Journals Online (AJOL)

Radiological assessment of dam water and sediments for natural radioactivity and its overall health detriments. ... No artificial gamma emitting radionuclide was detected in the samples. The projected ... However, the chances of radiological hazard to the health of human from radioactivity in the soil were generally low.

Radiological Risk Assessment and Survey of Radioactive Contamination for Foodstuffs

International Nuclear Information System (INIS)

Lee, W.R.; Lee, C.W.; Choi, K.S.

2007-11-01

After the Chernobyl nuclear accident in 1986, a radiological dose assessment and a survey of a radioactive contamination for foodstuffs have been investigated by many countries such as EU, Japan, USA. In the case of Japan which is similar to our country for the imported regions of foodstuffs, there were some instances of the excess for regulation on the maximum permitted levels of radioactive contamination among some imported foodstuffs. Concerns about the radioactive contamination of foodstuffs are increased because of the recently special situation (Nuclear test of North Korea). The purpose of this study is a radiological dose assessment and a survey of a radioactive contamination for foodstuffs in order to reduce the probability of intake of contaminated foodstuffs. Analytical results of the collected samples are below MDA. In this project, the model of radiological dose assessment via the food chain was also developed and radiological dose assessment was conducted based on surveys results of a radioactive contamination for foodstuffs in the Korean open markets since 2002. The results of radiological dose assessment are far below international reference level. It shows that public radiation exposure via food chain is well controlled within the international guide level. However, the radioactive contamination research of imported foodstuffs should be continuous considering the special situation(nuclear test of North Korea). These results are used to manage the radioactive contamination of the imported foodstuffs and also amend the regulation on the maximum permitted levels of radioactive contamination of foodstuffs

A probabilistic approach to Radiological Environmental Impact Assessment

International Nuclear Information System (INIS)

Avila, Rodolfo; Larsson, Carl-Magnus

2001-01-01

Since a radiological environmental impact assessment typically relies on limited data and poorly based extrapolation methods, point estimations, as implied by a deterministic approach, do not suffice. To be of practical use for risk management, it is necessary to quantify the uncertainty margins of the estimates as well. In this paper we discuss how to work out a probabilistic approach for dealing with uncertainties in assessments of the radiological risks to non-human biota of a radioactive contamination. Possible strategies for deriving the relevant probability distribution functions from available empirical data and theoretical knowledge are outlined

Workplace-based assessment in radiology-where to now?

Energy Technology Data Exchange (ETDEWEB)

Augustine, K. [Department of Radiology, Southmead Hospital, North Bristol NHS Trust, Bristol BS10 5NB (United Kingdom); McCoubrie, P., E-mail: paul.mccoubrie@nbt.nhs.u [Department of Radiology, Southmead Hospital, North Bristol NHS Trust, Bristol BS10 5NB (United Kingdom); Wilkinson, J.R. [Department of Cardiology, St Bartholomew' s Hospital, London (United Kingdom); McKnight, L. [Department of Radiology, Morriston Hospital, Swansea (United Kingdom)

2010-04-15

Assessment of doctors is in a state of flux. Traditional methods of assessment have been critically examined and found inherently limited. The wholesale shift towards outcome-orientated education in the last 10 years has led to the relatively rapid development of a radically different method of assessment. This method focuses on assessing what doctors do in everyday practice rather than written or practical simulations. Known collectively as 'workplace-based assessment' tools, these have been embraced in North America, whereas they have been more cautiously adopted in the UK. However, many of these assessment tools have not been rigorously studied and, moreover, few have been specifically developed for assessing radiologists. However, they are likely to be incorporated into radiology training in the near future. This paper critically analyses both the underpinning assumptions behind this method and the evidence behind existing tools, and looks at the work that is required to develop, adopt or adapt such tools for use in radiology.

Workplace-based assessment in radiology-where to now?

International Nuclear Information System (INIS)

Augustine, K.; McCoubrie, P.; Wilkinson, J.R.; McKnight, L.

2010-01-01

Assessment of doctors is in a state of flux. Traditional methods of assessment have been critically examined and found inherently limited. The wholesale shift towards outcome-orientated education in the last 10 years has led to the relatively rapid development of a radically different method of assessment. This method focuses on assessing what doctors do in everyday practice rather than written or practical simulations. Known collectively as 'workplace-based assessment' tools, these have been embraced in North America, whereas they have been more cautiously adopted in the UK. However, many of these assessment tools have not been rigorously studied and, moreover, few have been specifically developed for assessing radiologists. However, they are likely to be incorporated into radiology training in the near future. This paper critically analyses both the underpinning assumptions behind this method and the evidence behind existing tools, and looks at the work that is required to develop, adopt or adapt such tools for use in radiology.

Development of a real-time radiological dose assessment system

Energy Technology Data Exchange (ETDEWEB)

Han, Moon Hee; Lee, Young Bok; Kim, Eun Han; Suh, Kyung Suk; Hwang, Won Tae; Choi, Young Gil

1997-07-01

A radiological dose assessment system named FADAS has been developed. This system is necessary to estimated the radiological consequences against a nuclear accident. Mass-consistent wind field module was adopted for the generation of wind field over the whole domain using the several measured wind data. Random-walk dispersion module is used for the calculation of the distribution of radionuclides in the atmosphere. And volume-equivalent numerical integration method has been developed for the assessment of external gamma exposure given from a randomly distributed radioactive materials and a dose data library has been made for rapid calculation. Field tracer experiments have been carried out for the purpose of analyzing the site-specific meteorological characteristics and increasing the accuracy of wind field generation and atmospheric dispersion module of FADAS. At first, field tracer experiment was carried out over flat terrain covered with rice fields using the gas samplers which were designed and manufactured by the staffs of KAERI. The sampled gas was analyzed using gas chromatograph. SODAR and airsonde were used to measure the upper wind. Korean emergency preparedness system CARE was integrated at Kori 4 nuclear power plants in 1995. One of the main functions of CARE is to estimate the radiological dose. The developed real-time dose assessment system FADAS was adopted in CARE as a tool for the radiological dose assessment. (author). 79 refs., 52 tabs., 94 figs.

Federal Radiological Monitoring and Assessment Center (FRMAC): Overview of FRMAC operations

International Nuclear Information System (INIS)

1993-09-01

The purpose of this Management Overview of the Federal Radiological Monitoring and Assessment Center (FRMAC) is to explain the federal preparation for a radiological accident and to describe the subsequent response activities which provide radiological monitoring and assessment outside the boundaries of the monitoring which support the radiological accident site. In the event of a radiological accident, federal agencies with various statutory responsibilities have agreed to coordinate their efforts at the accident scene under the umbrella of the Federal Radiological Emergency Response Plan (FRERP). This cooperative effort will assure the state(s) and the Lead Federal Agency (LFA) that all federal technical assistance is fully supporting their efforts to protect the public and will provide these monitoring results in a working data center for immediate use by the state(s) and LFA decision makers. The federal agencies do not relinquish their statutory responsibilities. However, the mandated federal cooperation ensures that each agency can obtain the data critical to its specific responsibility

Assessment of the radiological impact of the transport of radioactive materials

International Nuclear Information System (INIS)

1986-12-01

In order to facilitate the assessment of the radiological impact of transport, and to guide the collection of data for future assessments, the IAEA convened a technical committee (The Technical Committee on the Assessment of the Radiological Impact from the Transport of Radioactive Materials; TC-556) in Vienna, Austria on 21-25 October 1985. The Terms of Reference called for this committee ''to collect and assess data on the radiation exposure of workers and the public during the transport of radioactive material, and to develop a summary statement, reflecting current practice and current state of knowledge, on the radiological impact of transport.'' This technical document provides the summary statement developed by TC-556. The statement should be viewed as an interim assessment since it utilized only data then available, or made available, to the committee. This document consists of three Sections: Section I - Background Information to the Summary Statement (prepared by the Secretariat); Section II - The Summary Statement on the Radiological Impact of the Transport of Radioactive Materials (developed by TC-556); and Section III - Recommendations for Future Assessments (a summary of statements and conclusions provided in the TC-556 Chairman's Report)

Assessment of the radiological quality of tap waters 2008-2009

International Nuclear Information System (INIS)

Caamano, Delphine; Tracol, Raphael; Guillotin, Laetitia; Jedor, Beatrice; Davezac, Henri; Loyen, Jeanne

2011-06-01

After a recall of the context (radioactivity, origin of natural radioactivity in waters, exposure of population to natural radioactivity and health impact, indicators of water radiological quality, presence of uranium in water), this document reports a study which is based on the health control of water radiological quality by regional health agencies, on the analysis of natural and artificial radionuclides, on a survey on tap water radiological quality performed in 2009 by regional health agencies, and on an inventory of results related to the presence of radon in water performed by the IRSN and these agencies. The obtained results are presented and discussed in terms of factors impacting the result representativeness, of generalisation of the implementation of a health control, of tap water radiological quality. It is outlined that the uranium-related chemical risk is higher than the radiological risk

Radiological Impacts Assessment during Normal Decommissioning Operation for EU-APR

Energy Technology Data Exchange (ETDEWEB)

Hwang, Do Hyun; Lee, Keun Sung [KHNP CRI, Daejeon (Korea, Republic of); Lee, ChongHui [KEPCO Engineering and Construction, Gimcheon (Korea, Republic of)

2016-10-15

In this paper, radiological impacts on human beings during normal execution of the decommissioning operations from the current standard design of EU-APR which has been modified and improved from its original design of APR1400 to comply with EUR, are evaluated. Decommissioning is the final phase in the life cycle of a nuclear installation, covering all activities from shutdown and removal of fissile material to environmental restoration of the site. According to article 5.4 specified in chapter 2.20 of European Utility Requirements (EUR), all relevant radiological impacts on human being should be considered during the environmental assessment of decommissioning, including external exposure from direct radiation of plant and other radiation sources, and internal exposure due to inhalation and ingestion. In this paper, radiological impacts on human beings during normal circumstances of the decommissioning operation were evaluated from the current standard design of EU-APR based on the simple transport model and practical generic methodology for assessing the radiological impact provided by IAEA. The results of dose assessment fulfilled the dose limit for all scenarios.

The Symbiose project: an integrated framework for performing environmental radiological risk assessment

International Nuclear Information System (INIS)

Gonze, M.A.; Mourlon, C.; Garcia-Sanchez, L.; Beaugelin, K.; Chen, T.; Le Dizes, S.

2004-01-01

Human health and ecological risk assessments usually require the integration of a wide range of environmental data and modelling approaches, with a varying level of detail dependent on the management objectives, the complexity of the site and the level of ignorance about the pollutant behaviour/toxicity. Like most scientists and assessors did it recently, we recognized the need for developing comprehensive, integrated and flexible approaches to risk assessment. To meet these needs, IRSN launched the Symbiose project (2002-2006) which aims first, at designing a framework for integrating and managing data, methods and knowledge of some relevance in radiological risk to humans/biota assessment studies, and second, at implementing this framework in an information management, modelling and calculation platform. Feasibility developments (currently completed) led to the specification of a fully integrated, object-oriented and hierarchical approach for describing the fate, transport and effect of radionuclides in spatially-distributed environmental systems. This innovative approach has then been implemented in a platform prototype, main components of which are a user-friendly and modular simulation environment (e.g. using GoldSim toolbox), and a hierarchical object-oriented biosphere database. Both conceptual and technical developments will be presented here. (author)

Models and parameters for environmental radiological assessments

International Nuclear Information System (INIS)

Miller, C.W.

1983-01-01

This article reviews the forthcoming book Models and Parameters for Environmental Radiological Assessments, which presents a unified compilation of models and parameters for assessing the impact on man of radioactive discharges, both routine and accidental, into the environment. Models presented in this book include those developed for the prediction of atmospheric and hydrologic transport and deposition, for terrestrial and aquatic food-chain bioaccumulation, and for internal and external dosimetry. Summaries are presented for each of the transport and dosimetry areas previously for each of the transport and dosimetry areas previously mentioned, and details are available in the literature cited. A chapter of example problems illustrates many of the methodologies presented throughout the text. Models and parameters presented are based on the results of extensive literature reviews and evaluations performed primarily by the staff of the Health and Safety Research Division of Oak Ridge National Laboratory

Generic procedures for assessment and response during a radiological emergency

International Nuclear Information System (INIS)

2000-08-01

One of the most important aspects of managing a radiological emergency is the ability to promptly and adequately determine and take actions to protect members of the public and emergency workers. Radiological accident assessment must take account of all critical information available at any time and must be an iterative and dynamic process aimed at reviewing the response as more detailed and complete information becomes available. This manual provides the tools, generic procedures and data needed for an initial response to a non-reactor radiological accident. This manual is one out of a set of IAEA publications on emergency preparedness and response, including Method for the Development of Emergency Response Preparedness for Nuclear or Radiological Accidents (IAEA-TECDOC-953), Generic Assessment Procedures for Determining Protective Actions During a Reactor Accident (IAEA-TECDOC-955) and Intervention Criteria in a Nuclear or Radiation Emergency (Safety Series No. 109)

A Transparent Framework for guiding Radiological and Non-Radiological Contaminated Land Risk Assessments

International Nuclear Information System (INIS)

Lee, Alex; Mathers, Dan

2003-01-01

A framework is presented that may be used as a transparent guidance to both radiological and non-radiological risk assessments. This framework has been developed by BNFL, with external consultation, to provide a systematic approach for identifying key system drivers and to guide associated research packages in light of data deficiencies and sources of model uncertainty. The process presented represents an advance on existing working practices yet combines regulator philosophy to produce a robust, comprehensive, cost-effective and transparent work package. It aims at lending added confidence to risk models thereby adding value to the decision process

Radiological assessment of {sup 36}Cl in the disposal of used CANDU fuel

Energy Technology Data Exchange (ETDEWEB)

Johnson, L H; Goodwin, B W; Sheppard, S C; Tait, J C; Wuschke, D M; Davison, C C

1995-06-01

An assessment of the potential radiological impact of {sup 36}Cl in the disposal of used CANDU fuel has been performed. The assessment was based on new data on chlorine impurity levels in used fuel. Data bases for the vault, geosphere, and biosphere models used in the EIS postclosure assessment case study (Goodwin et al. 1994) were modified to include the necessary {sup 36}Cl data. The resulting safety analysis shows that estimated radiological risks from {sup 36}Cl are forty times lower than from {sup 129}I at 10{sup 4} a; this, incorporation of {sup 36}Cl into the models does not change the overall conclusions of the study of Goodwin et al. (1994a). For human intrusion scenarios, an analysis using the methodology of Wuschke (1992) showed that the maximum risk is unaffected by the inclusion of {sup 36}Cl. (author). 51 refs., 5 tabs., 15 figs.

Methodology to assess the radiological sensitivity of soils: Application to Spanish soils

International Nuclear Information System (INIS)

Trueba Alonso, C.

2005-01-01

A methodology, based on standard physical and chemical soil properties, has been developed to estimate the radiological sensitivity of soils to a 137 C s and 90 S r contamination. In this framework, the soil radiological sensitivity is defined as the soil capability to mobilise or to retain these radionuclides. The purpose of this methodology is to assess, in terms of radiological sensitivity indexes, the behaviour of 137 C s and 90 S r in soils and their fluxes to man, considering two exposure pathways, the external irradiation exposure and the internal exposure from ingestion. The methodology is applied to the great variety of soil types found in Spain, where the soil profile is the reference unit for the assessment. The results for these soil types show, that their basic soil properties are the key to categorise the radiological sensitivity according to the risks considered. The final categorisation allows to identify soils specially sensible and improves the radiological impact assessment predictions. (Author)

Cursory radiological assessment: Battelle Columbus Laboratory Decommissioning and Decontamination Project

International Nuclear Information System (INIS)

Smith, W.H.; Munyon, W.J.; Mosho, G.D.; Robinet, M.J.; Wynveen, R.A.

1988-10-01

This document reports on the results obtained from a cursory radiological assessment of various properties at the Battelle Columbus Laboratory, Columbia, Ohio. The cursory radiological assessment is part of a preliminary investigation for the Battelle Columbus Laboratory Decommissioning and Decontamination Project. The radiological assessment of Battelle Columbus Laboratory's two sites included conducting interior and exterior building surveys and collecting and analyzing air, sewer system, and soil samples. Direct radiological surveys were made of floor, wall, and overhead areas. Smear surveys were made on various interior building surfaces as well as the exterior building vents. Air samples were collected in select areas to determine concentrations of Rn-222, Rn-220, and Rn-219 daughters, in addition to any long-lived radioactive particulates. Radon-222 concentrations were continuously monitored over a 24-hr period at several building locations using a radon gas monitoring system. The sanitary sewer systems at King Avenue, West Jefferson-North, and West Jefferson-South were each sampled at select locations. All samples were submitted to the Argonne Analytical Chemistry Laboratory for various radiological and chemical analyses. Environmental soil corings were taken at both the King Avenue and West Jefferson sites to investigate the potential for soil contamination within the first 12-inches below grade. Further subsurface investigations at the West Jefferson-North and West Jefferson-South areas were conducted using soil boring techniques. 4 refs., 10 figs., 10 tabs

Preoperative radiological assessment of children with pectus excavatum

International Nuclear Information System (INIS)

Kilda, A.; Barauskas, V.; Basevicius, A.; Lukosevicius, S.

2005-01-01

Objective: The degree of the pediatric chest deformation that should be subjected to corrective surgical treatment or conservative treatment remains poorly defined as recognized. In the present study, using preoperative and postoperative radiological examination data, we aim to assess what degree of chest wall deformation changes statistically reliably after surgery. Materials and methods: Radiological chest examinations were performed for 88 children before and after remedial operations. Chest X-ray and CT scans were done to measure transversal chest width; sagittal left chest side depth, sagittal right chest side depth, sternovertebral distance, and vertebral body length. Derivative indices were also estimated: the Vertebral Index, the Frontosagittal Index, the Haller index, and the asymmetry index. Computerized assessment of data was used. For statistical analysis, the software 'STATISTICA 6.0' was used. Results: Postoperatively, the Vertebral Index increased approximately by 2.37±2.72; the Frontosagittal Index decreased by 4.60±4.34, and the Haller index value increased approximately up by 0.45±0.49. Statistically reliable deformation index difference before and after surgery was not detected when the Vertebral Index was below 26.2, p=0.08; the Frontosagittal Index was above 32.9, p=0.079; and the Haller Index was less than 3.12, p=0.098. Conclusions: Preoperative CT scanning, coupled with assessment of the chest wall shape and the deformation degree, would be necessary for pediatric patients. The following deformation indices are indications for surgical treatment: VI > 26, FSI 3.1. (author)

Calculating the radiological parameters used in non-human biota dose assessment tools using ERICA Tool and site-specific data

Energy Technology Data Exchange (ETDEWEB)

Sotiropoulou, Maria [INRASTES, NCSR ' ' Demokritos' ' , Environmental Radioactivity Laboratory, Athens (Greece); Aristotle University of Thessaloniki, Atomic and Nuclear Physics Laboratory, Thessaloniki (Greece); Florou, Heleny [INRASTES, NCSR ' ' Demokritos' ' , Environmental Radioactivity Laboratory, Athens (Greece); Kitis, Georgios [Aristotle University of Thessaloniki, Atomic and Nuclear Physics Laboratory, Thessaloniki (Greece)

2017-11-15

The substantial complexity in ecosystem-radionuclide interactions is difficult to be represented in terms of radiological doses. Thus, radiological dose assessment tools use typical exposure situations for generalized organisms and ecosystems. In the present study, site-specific data and radioactivity measurements of terrestrial organisms (grass and herbivore mammals) and abiotic components (soil) are provided. The retrieved data are used in combination with the ERICA Assessment Tool for calculation of radiological parameters. The process of radionuclide transfer within ecosystem components is represented using concentration ratios (CRs), while for the calculation of dose rates the dose conversion coefficient (DCC) methodology is applied. Comparative assessments are performed between the generic and assessment-specific radiological parameters and between the resulting dose rates. Significant differences were observed between CRs calculated in this study and those reported in the literature for cesium and thorium, which can easily be explained. On the other hand, CRs calculated for radium are in very good agreement with those reported in the literature. The DCCs exhibited some small differences between the reference and the assessment-specific organism due to mass differences. The differences were observed for internal and external dose rates, but they were less pronounced for total dose rates which are typically used in the assessment of radiological impact. The results of the current work can serve as a basis for further studies of the radiological parameters in environments that have not been studied yet. (orig.)

Radiological performance assessment for the E-Area Vaults Disposal Facility

International Nuclear Information System (INIS)

Cook, J.R.

1994-01-01

These document contains appendices A-M for the performance assessment. They are A: details of models and assumptions, B: computer codes, C: data tabulation, D: geochemical interactions, E: hydrogeology of the Savannah River Site, F: software QA plans, G: completeness review guide, H: performance assessment peer review panel recommendations, I: suspect soil performance analysis, J: sensitivity/uncertainty analysis, K: vault degradation study, L: description of naval reactor waste disposal, M: porflow input file

Assessment of radiological risk in vicinity of former uranium mining areas in Poland

Energy Technology Data Exchange (ETDEWEB)

Ciupek, K.; Krajewski, P.; Kardas, M.; Suplinska, M. [Central Laboratory for Radiological Protection (Poland)

2014-07-01

The work carried out under the project NCBiR - 'Technologies Supporting Development of Safe Nuclear Power Engineering'; Task 3: Meeting the Polish nuclear power engineering's demand for fuel - fundamental aspects. Human activities related to the use of ionizing radiation and radioactive substances might cause exposure of the population and the environment. However, radiological risk assessment is mainly conducted only to human as an estimation of the effective dose being the sum of external and internal exposure whereas environmental protection assessment is more complex studies. The increased interest in recent years in this aspect and the ability to perform computer simulations contributed the development of models enabling assessment of exposure to certain organisms and estimation the concentrations of radionuclides in the various components of the environment. These models define a possible transition path of radionuclide in the atmosphere or waterways through their physical parameterization. The estimation of the content of radionuclides in plants, animals and human is possible by applying an existing risk assessment methodology. Models assessing human and environmental exposure from natural and artificial radionuclides, such as CROM, RESRAD, IMPACT or ERICA, come to be useful tools not only for researchers but also for regulatory authorities. This case study focused on the uranium mining areas (inactive mines and waste dumps) in the Giant Mountains (Karkonosze Mountains) in the south-west of Poland. On the basis of activity concentrations in samples of soil and mineral material from mine shafts, water samples from ponds, streams and small rivers and vegetation samples, an assessment of radiological impact of the former uranium mining areas was performed. The doses for reference group of inhabitants and biota in the vicinity of the former uranium mine were evaluated using IMPACT (EcoMetrix Inc.) model and ERICA tool. The variability and

ZZ RADDECAY, Decay Data Library for Radiological Assessment

International Nuclear Information System (INIS)

2000-01-01

Description of program or function: - Format: special format defined in documentation. - Nuclides: 500 nuclides of interest in the nuclear fuel cycle, environmental problems, nuclear medicine, fusion reactor technology, and radiological protection assessment. - Origin: DLC-80/DRALIST. ZZ-RADDECAY is a data library of half-lives, radioactive daughter nuclides, probabilities per decay and decay product energies for alpha particles, positrons, electrons, X-rays, and gamma-rays. The current data base contains approximately 500 nuclides of interest in the nuclear fuel cycle, environmental problems, nuclear medicine, fusion reactor technology, and radiological protection assessment. RADIATION DECAY VERSION 2 March 1997: This application is being provided by Aptec as 'Freeware' with permission of the author Mr. Charles Hacker, Engineering and Applied Science, Griffith University, Australia

Performance Assessment National Review Group

International Nuclear Information System (INIS)

Lieberman, J.A.; Davis, S.N.; Harleman, D.R.F.

1985-02-01

Performance assessment involves predicting the potential radiological impact of a nuclear waste disposal system, taking into account all of the natural and engineered components of the system. It includes the analysis and evaluation of predicted system and component performance to determine compliance with regulatory performance criteria. In the context of the nuclear waste management program, performance assessment has five major purposes: to assist in the evaluation and selection of repository sites; to guide the research, development, and testing programs; to assist in the evaluation of repository designs; to assist in the evaluation of the design and performance of engineered barriers; and to show regulatory compliance and support repository licensing. Current performance assessment methodologies are still in the developmental stage. Only the simplest of bounding calculations have produced quantitative predictions of radionuclide releases. The methodologies require considerable extension and validation before they can provide answers suitable for project decisions and licensing. 135 refs., 9 figs., 1 tab

Federal Radiological Monitoring and Assessment Center (FRMAC), US response to major radiological accidents

International Nuclear Information System (INIS)

Mueller, P.G.

2000-01-01

radiological materials from: Nuclear Fuel Cycle Facilities, Space Craft Launches, Weapon (Department of Defence or DOE) Transportation, Weapon Production Facilities, Spacecraft Re-entry (domestic or foreign), Terrorist Incidents, High-Level Waste Transportation, Nuclear Power Plants. Key to the FRERP would be the establishment of the Federal Radiological Monitoring and Assessment Center (FRMAC). Development and implementation was assigned to DOE as the agency most capable of providing sufficient resources, assets, and support. In 1987, DOE subsequently assigned programmatic responsibility, with limited funding, to the Nevada Operations Office in Las Vegas, Nevada. (author)

Chemical and radiological vulnerability assessment in urban areas

Directory of Open Access Journals (Sweden)

Stojanović Božidar

2006-01-01

Full Text Available Cities and towns are faced with various types of threat from the extraordinary events involving chemical and radiological materials as exemplified by major chemical accidents, radiological incidents, fires, explosions, traffic accidents, terrorist attacks, etc. On the other hand, many sensitive or vulnerable assets exist within cities, such as: settlements, infrastructures, hospitals, schools, churches, businesses, government, and others. Besides emergency planning, the land use planning also represents an important tool for prevention or reduction of damages on people and other assets due to unwanted events. This paper considers development of method for inclusion vulnerability assessment in land use planning with objective to assess and limit the consequences in cities of likely accidents involving hazardous materials. We made preliminary assessment of criticality and vulnerability of the assets within Belgrade city area in respect to chemical sites and transportation roads that can be exposed to chemical accidents, or terrorist attacks.

A radiological dose assessment for the Port Hope conversion facility

International Nuclear Information System (INIS)

Garisto, N.C.; Cooper, F.; Janes, A.; Stager, R.; Peters, R.

2011-01-01

The Port Hope Conversion Facility (PHCF) receives uranium trioxide for conversion to uranium hexafluoride (UF 6 ) or uranium dioxide (UO 2 ). The PHCF Site has a long history of industrial use. A Radiological Dose Assessment was undertaken as part of a Site Wide Risk Assessment. This assessment took into account all possible human receptors, both workers and members of the public. This paper focuses on a radiological assessment of dose to members of the public. The doses to members of the public from terrestrial pathways were added to the doses from aquatic pathways to obtain overall dose to receptors. The benchmark used in the assessment is 1 mSv/y. The estimated doses related to PHCF operations are much lower than the dose limit. (author)

Study of the performance of diagnostic radiology instruments during calibration

International Nuclear Information System (INIS)

Freitas, Rodrigo N. de; Vivolo, Vitor; Potiens, Maria da Penha A.

2008-01-01

Full text: The instruments used in diagnostic radiology measurements represent 8 % of the tested instruments by the calibration laboratory of IPEN annually (approximately 1600 in 2007). Considering that the calibration of this kind of instrument is performed biannually it is possible to conclude that almost 300 instruments are being used to measure the air kerma in diagnostic radiology clinics to determine the in beam values (in front of the patient), attenuated measurements (behind the patient) and scattered radiation. This work presents the results of the calibration of the instruments used in mammography, computed tomography, dental and conventional diagnostic radiology dosimetry, performed during the period of 2005 to 2007. Their performances during the calibrations measurements were evaluated. Although at the calibration laboratory there are three available series of radiation quality to this type of calibration (RQR, N and M, according to standards IEC 61267 and ISO 4037-1.), the applications can be assorted (general radiology, computed tomography, mammography, radiation protection and fluoroscopy). Depending on its design and behaviour , one kind of instrument can be used for one or more type of applications. The instruments normally used for diagnostic radiology measurements are ionization chambers with volumes varying from 3 to 1800 cm 3 , and can be cylindrical, spherical or plane parallel plates kind. They usually are sensitive to photon particles, with energies greater than 15 keV and can be used up to 1200 keV. In this work they were tested in X radiation fields from 25 to 150 kV, in specific qualities depending on the utilization of the instrument. The calibration results of 390 instruments received from 2005 to 2007 were analyzed. About 20 instruments were not able to be calibrated due to bad functioning. The calibration coefficients obtained were between 0.88 and 1.24. The uncertainties were always less than ± 3.6% to instruments used in scattered

The reliability and validity of radiological assessment for patellar instability. A systematic review and meta-analysis

Energy Technology Data Exchange (ETDEWEB)

Smith, Toby O. [University of East Anglia, Faculty of Health, Norwich (United Kingdom); Davies, Leigh [Norfolk and Norwich University Hospital, Norwich (United Kingdom); Toms, Andoni P.; Donell, Simon T. [University of East Anglia, Faculty of Health, Norwich (United Kingdom); Norfolk and Norwich University Hospital, Norwich (United Kingdom); Hing, Caroline B. [St George' s Hospital, London (United Kingdom)

2011-04-15

To determine the discriminative validity and reliability of the evidence base using meta-analysis. A review of published sources using the databases AMED, CINHAL, EMBASE, MEDLINE, Scopus and the Cochrane Library, and for unpublished material was conducted. All studies assessing the reliability, validity, sensitivity or specificity of magnetic resonance imaging (MRI), computed tomography (CT) or ultrasound (US) of the patellofemoral joint of patients following patellar dislocation, subluxation or instability, were included. A meta-analysis was performed to assess the difference in radiological measurements between healthy controls and subjects with patellar instability in order to assess discrimination validity. A narrative assessment was used to evaluate the inter- and intra-observer reliability as well as the sensitivity and specificity of specific radiological measurements. A total of 27 studies were reviewed. The findings indicated that there was acceptable inter-observer and intra-observer reliability and validity for different methods of assessing patellar height and the sulcus angle with X-ray, MRI and CT methods, and the tibial tubercle-trochlear groove (TT-TG) assessed using CT. There was poor reliability or validity for the assessment of severity of trochlear dysplasia and the sulcus angle using US. There is insufficient evidence to determine the reliability, validity, sensitivity or specificity of tests such as the congruence angle, lateral patellar displacement, lateral patellar tilt, trochlear depth, boss height, the crossing sign or Wiberg patellar classification. A critical appraisal of the literature identified a number of recurrent methodological limitations. Further study is recommended to evaluate the reliability and validity of these radiological outcomes using well-designed radiological trials. (orig.)

The reliability and validity of radiological assessment for patellar instability. A systematic review and meta-analysis

International Nuclear Information System (INIS)

Smith, Toby O.; Davies, Leigh; Toms, Andoni P.; Donell, Simon T.; Hing, Caroline B.

2011-01-01

To determine the discriminative validity and reliability of the evidence base using meta-analysis. A review of published sources using the databases AMED, CINHAL, EMBASE, MEDLINE, Scopus and the Cochrane Library, and for unpublished material was conducted. All studies assessing the reliability, validity, sensitivity or specificity of magnetic resonance imaging (MRI), computed tomography (CT) or ultrasound (US) of the patellofemoral joint of patients following patellar dislocation, subluxation or instability, were included. A meta-analysis was performed to assess the difference in radiological measurements between healthy controls and subjects with patellar instability in order to assess discrimination validity. A narrative assessment was used to evaluate the inter- and intra-observer reliability as well as the sensitivity and specificity of specific radiological measurements. A total of 27 studies were reviewed. The findings indicated that there was acceptable inter-observer and intra-observer reliability and validity for different methods of assessing patellar height and the sulcus angle with X-ray, MRI and CT methods, and the tibial tubercle-trochlear groove (TT-TG) assessed using CT. There was poor reliability or validity for the assessment of severity of trochlear dysplasia and the sulcus angle using US. There is insufficient evidence to determine the reliability, validity, sensitivity or specificity of tests such as the congruence angle, lateral patellar displacement, lateral patellar tilt, trochlear depth, boss height, the crossing sign or Wiberg patellar classification. A critical appraisal of the literature identified a number of recurrent methodological limitations. Further study is recommended to evaluate the reliability and validity of these radiological outcomes using well-designed radiological trials. (orig.)

Role of the Federal Radiological Monitoring and Assessment Center (FRMAC) following a radiological accident

International Nuclear Information System (INIS)

Doyle, J.F. III.

1986-01-01

The Federal Radiological Emergency Response Plan (FRERP) calls for the Department of Energy to establish a Federal Radiological Monitoring and Assessment Center (FRMAC) immediately following a major radiological accident to coordinate all federal off-site monitoring efforts in support of the State and the Cognizant Federal Agency (CFA) for the facility or material involved in the accident. Some accidents are potentailly very complex and may require hundreds of radiation specialists to ensure immediate protection of the public and workers in the area, and to identify priorities for the Environmental Protection Agency (EPA) long-term efforts once the immediate protective actions have been carried out. The FRMAC provides a working environment with today's high technology tools (i.e., communication, computers, management procedures, etc.) to assure that the State and CFA decision makers have the best possible information in a timely manner on which to act. The FRMAC planners also recognize an underlying responsibility to continuously document such operations in order to provide the State, the CFA, and the EPA the technical information they will require for long term assessments. In addition, it is fully recognized that information collected and actions taken by the FRMAC will be subjected to the same scrutiny as other parts of the accident and the overall response

Performance assessment review for DOE LLW disposal facilities

International Nuclear Information System (INIS)

Wilhite, Elmer L.

1992-01-01

The United States Department of Energy (US DOE) disposes of low-level radioactive waste in near-surface disposal facilities. Safety of the disposal operations is evaluated for operational safety as well as long-term safety. Operational safety is evaluated based on the perceived level of hazard of the operation and may vary from a simple safety assessment to a safety analysis report. Long-term safety of all low-level waste disposal systems is evaluated through the conduct of a radiological performance assessment. The US DOE has established radiological performance objectives for disposal of low-level waste. They are to protect a member of the general public from receiving over 25 mrem/y, and an inadvertent intruder into the waste from receiving over 100 mrem/y continuous exposure or 500 mrem from a single exposure. For a disposal system to be acceptable, a performance assessment must be prepared which must be technically accurate and provide reasonable assurance that these performance objectives are met. Technical quality of the performance assessments is reviewed by a panel of experts. The panel of experts is used in two ways to assure the technical quality of performance assessment. A preliminary (generally 2 day) review by the panel is employed in the late stages of development to provide guidance on finalizing the performance assessment. The comments from this review are communicated to the personnel responsible for the performance assessment for consideration and incorporation. After finalizing the performance assessment, it is submitted for a formal review. The formal review is accomplished by a much more thorough analysis of the performance assessment over a multi-week time period. The panel then formally reports their recommendations to the US DOE waste management senior staff who make the final determination on acceptability of the performance assessment. A number of lessons have been learned from conducting several preliminary reviews of performance

A Vertically Integrated Online Radiology Curriculum Developed as a Cognitive Apprenticeship: Impact on Student Performance and Learning.

Science.gov (United States)

Lim-Dunham, Jennifer E; Ensminger, David C; McNulty, John A; Hoyt, Amy E; Chandrasekhar, Arcot J

2016-02-01

The principles of Collins' cognitive apprenticeship model were used to design a radiology curriculum in which medical students practice radiological skills using online case-based modules. The modules are embedded within clinical third-year clerkships, and students are provided with personalized feedback from the instructors. We describe the development of the vertical online radiology curriculum and evaluate its impact on student achievement and learning process using a mixed method approach. The curriculum was developed over a 2-year period. Student participation was voluntary in the first year and mandatory in the second year. For quantitative curriculum evaluation, student metrics for voluntary versus mandatory groups were assessed using independent sample t tests and variable entry method regression analysis. For qualitative analysis, responses from a survey of students about the value of the curriculum were organized into defined themes using consensus coding. Mandatory participation significantly improved (p = .001) the mean radiology examination score (82 %) compared to the voluntary group (73%), suggesting that mandatory participation had a beneficial effect on student performance. Potential preexisting differences in underlying general academic performance were accounted for by including mean basic science grades as the first variable in the regression model. The significant increase in R(2) from .16 to .28 when number of radiology cases completed was added to the original model, and the greater value of the standardized beta for this variable, suggest that the curriculum made a significant contribution to students' radiology examination scores beyond their baseline academic performance. Five dominant themes about curricular characteristics that enhanced student learning and beneficial outcomes emerged from consensus coding. These themes were (1) self-paced design, (2) receiving feedback from faculty, (3) clinical relevance of cases, (4) gaining

Application of improved topsis method to comprehensive assessment of radiological environmental quality

International Nuclear Information System (INIS)

Shi Dongsheng; Di Yuming; Zhou Chunlin

2007-01-01

TOPSIS is a method for multiobjective decision-making, which can be applied to comprehensive assessment of radiological environmental quality. This paper introduces the principle of TOPSIS method and sets up the model of improved TOPSIS method, discusses the application of improved TOPSIS method to comprehensive assessment of radiological environmental quality. This method sufficiently makes use of the information of the optimal matrix. Analysis of practical examples using MATLAB program shows that it is objectively reasonable and feasible to comprehensively assess radiological environmental quality by improved TOPSIS method. This paper also provides the result of optimum number of sites and compares it with optimal index method based on TOPSIS method and traditional method. (authors)

"Flipping" the introductory clerkship in radiology: impact on medical student performance and perceptions.

Science.gov (United States)

Belfi, Lily M; Bartolotta, Roger J; Giambrone, Ashley E; Davi, Caryn; Min, Robert J

2015-06-01

Among methods of "blended learning" (ie, combining online modules with in-class instruction), the "flipped classroom" involves student preclass review of material while reserving class time for interactive knowledge application. We integrated blended learning methodology in a "flipped" introductory clerkship in radiology, and assessed the impact of this approach on the student educational experience (performance and perception). In preparation for the "flipped clerkship," radiology faculty and residents created e-learning modules that were uploaded to an open-source website. The clerkship's 101 rising third-year medical students were exposed to different teaching methods during the course, such as blended learning, traditional lecture learning, and independent learning. Students completed precourse and postcourse knowledge assessments and surveys. Student knowledge improved overall as a result of taking the course. Blended learning achieved greater pretest to post-test improvement of high statistical significance (P value, .0060) compared to lecture learning alone. Blended learning also achieved greater pretest to post-test improvement of borderline statistical significance (P value, .0855) in comparison to independent learning alone. The difference in effectiveness of independent learning versus lecture learning was not statistically significant (P value, .2730). Student perceptions of the online modules used in blended learning portions of the course were very positive. They specifically enjoyed the self-paced interactivity and the ability to return to the modules in the future. Blended learning can be successfully applied to the introductory clerkship in radiology. This teaching method offers educators an innovative and efficient approach to medical student education in radiology. Copyright © 2015 AUR. Published by Elsevier Inc. All rights reserved.

Research progress of non-human species radiological impact and assessment

International Nuclear Information System (INIS)

Bai Xiaoping; Zhu Hao; Mao Yawei; Zheng Wei; Du Hongyan

2014-01-01

In recent years, with the development of radiological protection conception and the improvement of requirement about non-human species protection, much more attention has been paid gradually to biota radiation impact. Research and development of non-human species protection impact and its assessment at home and abroad are introduced, then RESRAD-BIOTA and ERICA which are comparatively mature codes in the world are compared and analyzed, at last some suggestions about research and assessment work of non-human species radiological impact in the future in China are provided. (authors)

Radiological protection criteria risk assessments for waste disposal options

International Nuclear Information System (INIS)

Hill, M.D.

1982-01-01

Radiological protection criteria for waste disposal options are currently being developed at the National Radiological Protection Board (NRPB), and, in parallel, methodologies to be used in assessing the radiological impact of these options are being evolved. The criteria and methodologies under development are intended to apply to all solid radioactive wastes, including the high-level waste arising from reprocessing of spent nuclear fuel (because this waste will be solidified prior to disposal) and gaseous or liquid wastes which have been converted to solid form. It is envisaged that the same criteria will be applied to all solid waste disposal options, including shallow land burial, emplacement on the ocean bed (sea dumping), geological disposal on land and sub-seabed disposal

Status of radiation protection in interventional radiology. Assessment of inspections in 2009 by the ASN

International Nuclear Information System (INIS)

2011-01-01

This report first describes the organization of inspections performed in health institutions, indicates the inspected establishments, the types of fixed installations in interventional radiology, the use of imagery in the operating theatre, and discusses the regulatory arrangements applicable to interventional radiology (in the Public Health Code, in the Labour Code). Then, the report discusses the results of inspections regarding radiation protection in interventional radiology: application of public health code arrangements (justification, patient training in radiation protection, radiological procedures and protocols, patient dosimetry monitoring), application of Labour Code arrangements (designation of the person with expertise in radiation protection, risk assessment and delimitation of monitored and controlled areas, workstation analysis, workers' training in radiation protection, individual protection equipment, workers' dosimetric monitoring, workers' medical monitoring, radiation protection technical controls), significant events, radiation protection in operating theatre. Propositions are stated regarding the differences noticed within or between the health establishments, the methodological and organisational difficulties faced by persons with expertise in radiation protection (PCR), the need of an interdisciplinary team

The radiological impact associated with the recycling of actinides and fission products. A global assessment

International Nuclear Information System (INIS)

Dodd, D.H.

1996-05-01

This report describes the results of a literature study performed to identify any significant differences in the public radiological impact associated with existing nuclear fuel cycles and partitioning and transmutation (P and T) based fuel cycles. The study was performed in the framework of ECN Nuclear Energy's RAS (Recyclage van Actiniden en Splijtingsprodukten) research programme. Two reference 'once through' cycles and five 'advanced' fuel cycles were analysed. The five 'advanced' fuel cycles all incorporate technologies for the partitioning and transmutation of the long-lived radionuclides present in high level radioactive waste. Currently, only a limited amount of information on these 'advanced' fuel cycles is available. The assessment of the radiological impact associated with these cycles is therefore by necessity of a general nature. (orig./WL)

Assessment of Safety Parameters for Radiological Explosion Based on Gaussian Dispersion Model

Energy Technology Data Exchange (ETDEWEB)

Pandey, Alok [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of); Yu, Hyungjoon; Kim, Hong Suk [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

2014-10-15

These sources if used with explosive (called RDD - radiological dispersion device), can cause dispersion of radioactive material resulting in public exposure and contamination of the environment. Radiological explosion devices are not weapons for the mass destruction like atom bombs, but can cause the death of few persons and contamination of large areas. The reduction of the threat of radiological weapon attack by terrorist groups causing dispersion of radioactive material is one of the priority tasks of the IAEA Nuclear Safety and Security Program.Emergency preparedness is an essential part for reducing and mitigating radiological weapon threat. Preliminary assessment of dispersion study followed by radiological explosion and its quantitative effect will be helpful for the emergency preparedness team for an early response. The effect of the radiological dispersion depends on various factors like radioisotope, its activity, physical form, amount of explosive used and meteorological factors at the time of an explosion. This study aim to determine the area affected by the radiological explosion as pre assessment to provide feedback to emergency management teams for handling and mitigation the situation after an explosion. Most practical scenarios of radiological explosion are considered with conservative approach for the assessment of the area under a threat for emergency handling and management purpose. Radioisotopes under weak security controls can be used for a radiological explosion to create terror and socioeconomic threat for the public. Prior assessment of radiological threats is helpful for emergency management teams to take prompt decision about evacuation of the affected area and other emergency handling actions. Comparable activities of Co-60 source used in radiotherapy and Sr-90 source of disused and orphaned RTGs with two different quantities of TNT were used for the scenario development of radiological explosion. In the Basic Safety Standard (BSS

Assessment of Safety Parameters for Radiological Explosion Based on Gaussian Dispersion Model

International Nuclear Information System (INIS)

Pandey, Alok; Yu, Hyungjoon; Kim, Hong Suk

2014-01-01

These sources if used with explosive (called RDD - radiological dispersion device), can cause dispersion of radioactive material resulting in public exposure and contamination of the environment. Radiological explosion devices are not weapons for the mass destruction like atom bombs, but can cause the death of few persons and contamination of large areas. The reduction of the threat of radiological weapon attack by terrorist groups causing dispersion of radioactive material is one of the priority tasks of the IAEA Nuclear Safety and Security Program.Emergency preparedness is an essential part for reducing and mitigating radiological weapon threat. Preliminary assessment of dispersion study followed by radiological explosion and its quantitative effect will be helpful for the emergency preparedness team for an early response. The effect of the radiological dispersion depends on various factors like radioisotope, its activity, physical form, amount of explosive used and meteorological factors at the time of an explosion. This study aim to determine the area affected by the radiological explosion as pre assessment to provide feedback to emergency management teams for handling and mitigation the situation after an explosion. Most practical scenarios of radiological explosion are considered with conservative approach for the assessment of the area under a threat for emergency handling and management purpose. Radioisotopes under weak security controls can be used for a radiological explosion to create terror and socioeconomic threat for the public. Prior assessment of radiological threats is helpful for emergency management teams to take prompt decision about evacuation of the affected area and other emergency handling actions. Comparable activities of Co-60 source used in radiotherapy and Sr-90 source of disused and orphaned RTGs with two different quantities of TNT were used for the scenario development of radiological explosion. In the Basic Safety Standard (BSS

Pediatric radiology fellows' experience with intussusception reduction

International Nuclear Information System (INIS)

Stein-Wexler, Rebecca; Bateni, Cyrus; Wootton-Gorges, Sandra L.; Li, Chin-Shang

2011-01-01

Intussusception reduction allows young children to avoid surgery. However, graduating residents have had relatively little training in intussusception reduction and, for the most part, consider themselves ill-prepared to perform this procedure. The goal of this study was to assess the extent of training in intussusception reduction during one year of a pediatric radiology fellowship and to determine whether graduating fellows consider themselves adequately trained in this technique. Pediatric radiology fellows were surveyed during June 2010 and asked to characterize their fellowship, to indicate the number of intussusception reductions performed (both the total number and those performed with faculty oversight but without active faculty involvement), and to assess the adequacy of their training. There were 31 responses, representing almost 1/3 of current fellows. Pediatric radiology fellows perform on average 6.9 reductions, 3.8 of which are with faculty oversight but without active faculty involvement. Ninety percent consider themselves well-trained in the technique, whereas 10% are uncertain (none consider their training inadequate). Almost all pediatric radiology fellows consider their training in intussusception reduction to be adequate. (orig.)

Assessment of eye lens doses for workers during interventional radiology procedures

International Nuclear Information System (INIS)

Urboniene, A.; Sadzeviciene, E.; Ziliukas, J.

2015-01-01

The assessment of eye lens doses for workers during interventional radiology (IR) procedures was performed using a new eye lens dosemeter. In parallel, the results of routine individual monitoring were analysed and compared with the results obtained from measurements with a new eye lens dosemeter. The eye lens doses were assessed using H p (3) measured at the level of the eyes and were compared with H p (10) measured with the whole-body dosemeter above the lead collar. The information about use of protective measures, the number of performed interventional procedures per month and their fluoroscopy time was also collected. The assessment of doses to the lens of the eye was done for 50 IR workers at 9 Lithuanian hospitals for the period of 2012-2013. If the use of lead glasses is not taken into account, the estimated maximum annual dose equivalent to the lens of the eye was 82 mSv. (authors)

Radiology and social media: are private practice radiology groups more social than academic radiology departments?

Science.gov (United States)

Glover, McKinley; Choy, Garry; Boland, Giles W; Saini, Sanjay; Prabhakar, Anand M

2015-05-01

This study assesses the prevalence of use of the most commonly used social media sites among private radiology groups (PRGs) and academic radiology departments (ARDs). The 50 largest PRGs and the 50 ARDs with the highest level of funding from the National Institutes of Health were assessed for presence of a radiology-specific social media account on Facebook, Twitter, Instagram, Pinterest, YouTube, and LinkedIn. Measures of organizational activity and end-user activity were collected, including the number of posts and followers, as appropriate; between-group comparisons were performed. PRGs adopted Facebook 12 months earlier (P = .02) and Twitter 18 months earlier (P = .02) than did ARDs. A total of 76% of PRGs maintained ≥1 account on the social media sites included in the study, compared with 28% of ARDs (P Instagram, 2%. The prevalence of radiology-specific social media accounts for ARDs was: Facebook, 18%; LinkedIn, 0%; Twitter, 24%; YouTube, 6%; Pinterest, 0%; and Instagram, 0%. There was no significant difference between ARDs and PRGs in measures of end-user or organizational activity on Facebook or Twitter. Use of social media in health care is emerging as mainstream, with PRGs being early adopters of Facebook and Twitter in comparison with ARDs. Competitive environments and institutional policies may be strong factors that influence how social media is used by radiologists at the group and department levels. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Relationship Between Dental Hygiene Students' Performance in an Oral Radiology Course and the National Board Dental Hygiene Examination: A Retrospective Study.

Science.gov (United States)

Liang, Hui; DeWald, Janice P; Solomon, Eric S

2018-02-01

Dental hygiene students' performance in oral radiology courses may give an early indication of their readiness prior to taking the National Board Dental Hygiene Examination (NBDHE). The aim of this study was to determine the relationship between dental hygiene students' performance in an oral radiology lecture course and their performance on the NBDHE. Data were collected for all 117 dental hygiene students at Texas A&M University College of Dentistry from 2006 to 2009 who took the NBDHE during their second year of the program. Their final grades and scores on three written section examinations in an oral radiology course taken in their first year were compared with their overall NBDHE scores and raw scores on the oral radiology and case study sections. Moderate correlations (0.3radiology course, with the strongest correlation with the final grade (r=0.488, pradiology, followed by scores in anatomic sciences; the weakest relationship was with scores in pharmacology. This relationship can help identify students who may need extra support in the oral radiology course and other courses to prepare them to succeed when they take the NBDHE. This study also contributes to understanding of the general relationship between dental hygiene program courses and students' success on the clinical licensing exam and will hopefully encourage other programs to assess their students' performance in this way.

Preliminary radiological assessments of low-level waste repositories

International Nuclear Information System (INIS)

Nancarrow, D.J.; Sumerling, T.J.; Ashton, J.

1988-06-01

Preliminary assessments of the post-closure radiological impact from the disposal of low-level radioactive wastes in shallow engineered facilities at four sites are presented. This provides a framework to practice and refine a methodology that could be used, on behalf of the Department, for independent assessment of any similar proposal from Nirex. Information and methodological improvements that would be required are identified. (author)

Informatics in radiology: evaluation of an e-learning platform for teaching medical students competency in ordering radiologic examinations.

Science.gov (United States)

Marshall, Nina L; Spooner, Muirne; Galvin, P Leo; Ti, Joanna P; McElvaney, N Gerald; Lee, Michael J

2011-01-01

A preliminary audit of orders for computed tomography was performed to evaluate the typical performance of interns ordering radiologic examinations. According to the audit, the interns showed only minimal improvement after 8 months of work experience. The online radiology ordering module (ROM) program included baseline assessment of student performance (part I), online learning with the ROM (part II), and follow-up assessment of performance with simulated ordering with the ROM (part III). A curriculum blueprint determined the content of the ROM program, with an emphasis on practical issues, including provision of logistic information, clinical details, and safety-related information. Appropriate standards were developed by a committee of experts, and detailed scoring systems were devised for assessment. The ROM program was successful in addressing practical issues in a simulated setting. In the part I assessment, the mean score for noting contraindications for contrast media was 24%; this score increased to 59% in the part III assessment (P = .004). Similarly, notification of methicillin-resistant Staphylococcus aureus status and pregnancy status and provision of referring physician contact information improved significantly. The quality of the clinical notes was stable, with good initial scores. Part III testing showed overall improvement, with the mean score increasing from 61% to 76% (P radiology services, and the experience typically afforded to interns does not address this lack of knowledge. The ROM program was a successful intervention that resulted in statistically significant improvements in the quality of radiologic examination orders, particularly with regard to logistic and radiation safety issues.

A comparison of radiological risk assessment models: Risk assessment models used by the BEIR V Committee, UNSCEAR, ICRP, and EPA (for NESHAP)

International Nuclear Information System (INIS)

Wahl, L.E.

1994-03-01

Radiological risk assessments and resulting risk estimates have been developed by numerous national and international organizations, including the National Research Council's fifth Committee on the Biological Effects of Ionizing Radiations (BEIR V), the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR), and the International Commission on Radiological Protection (ICRP). A fourth organization, the Environmental Protection Agency (EPA), has also performed a risk assessment as a basis for the National Emission Standards for Hazardous Air Pollutants (NESHAP). This paper compares the EPA's model of risk assessment with the models used by the BEIR V Committee, UNSCEAR, and ICRP. Comparison is made of the values chosen by each organization for several model parameters: populations used in studies and population transfer coefficients, dose-response curves and dose-rate effects, risk projection methods, and risk estimates. This comparison suggests that the EPA has based its risk assessment on outdated information and that the organization should consider adopting the method used by the BEIR V Committee, UNSCEAR, or ICRP

Radiation protection and quality assurance in dental radiology: II. Panoramic radiology

International Nuclear Information System (INIS)

Jodar-Porlan, S.; Alcaraz, M.; Martinez-Beneyto, Y.; Saura-Iniesta, A.M.; Velasco-Hidalgo, E.

2001-01-01

This paper studies 278 official reports on quality assurance in dental radiology in the context of the first revision of these dental clinics, as a result of the entry into force of the regulations establishing the duties for these types of facilities. In the results section we present a quantitative analysis of the facilities equipped with an panoramic radiology apparatus, making a special reference to the brands they have available, as well as their physical features (kV, mA, filtration) and the deviations detected in their operation. Some of their features in the process of obtaining radiological images at those facilities (film control, development time, liquid renewal) are determined, and the average dose of ionising radiation used in order to obtain the same tooth radiological image is presented. This paper shows, in a quantitative way, the characteristic features of panoramic radiology in our medium. The study is intended to be continued during the next years, which would allow the assessment of the prospective improvement in dental radiological performances as a result of the newly established regulations. (author)

Assessment of radiological risks at the ATLAS experiment

International Nuclear Information System (INIS)

Zajacova, Z.

2009-07-01

The dissertation addressed three complex radiological issues of the ATLAS experiment at the LHC. Extensive scientific study of the detector activation was performed in order to delineate its radioactive waste zoning. This work involved two independent calculations. One was performed by folding particle fluxes obtained from the GCALOR Monte Carlo radiation transport code with radionuclide production cross sections and the other was done by scoring residual nuclei production with the FLUKA Monte Carlo radiation transport code. In terms of the radioactive waste zoning the results of the two calculations were mutually supportive and in good agreement. To cross-check them on a more detailed level we performed a dedicated study. The cross-check revealed that for most radionuclides the predictions of the two methods are in a very good agreement, within a factor of 2. The production of certain important radionuclides from copper was about 3 times higher by the folding method than with FLUKA. This effect was attributed to the Silberberg- Tsao cross-sections that were used for the folding calculations. Indeed the results were in a better agreement when a different set of cross sections, compiled from predominantly experimental sources, was used. Finally, the largest systematic discrepancies between the two methods were found for the production of 65 Zn in copper 183 Re in tungsten and 56 Co in iron, which was higher with the folding method by more than a factor of 5 for 5 6Co and more than a factor of 20 for the others. These radionuclides are produced almost exclusively by protons through 65 C(p;n) 65 Zn, 56 Fe(p; n) 56 Co and 183 W(p; n) 183 Re reactions. The folding method relied on the Silberberg-Tsao cross sections and consequently treated all hadrons effectively as protons. However, in the end-cap calorimeter protons account for less than 20% of the total hadron flux (not counting neutrons below 20 MeV). Since the contribution of these radionuclides to the total

Modeling and Analysis on Radiological Safety Assessment of Low- and Intermediate Level Radioactive Waste Repository

Energy Technology Data Exchange (ETDEWEB)

Lee, Youn Myoung; Jung, Jong Tae; Kang, Chul Hyung (and others)

2008-04-15

Modeling study and analysis for technical support for the safety and performance assessment of the low- and intermediate level (LILW) repository partially needed for radiological environmental impact reporting which is essential for the licenses for construction and operation of LILW has been fulfilled. Throughout this study such essential area for technical support for safety and performance assessment of the LILW repository and its licensing as gas generation and migration in and around the repository, risk analysis and environmental impact during transportation of LILW, biosphere modeling and assessment for the flux-to-dose conversion factors for human exposure as well as regional and global groundwater modeling and analysis has been carried out.

Modeling and Analysis on Radiological Safety Assessment of Low- and Intermediate Level Radioactive Waste Repository

International Nuclear Information System (INIS)

Lee, Youn Myoung; Jung, Jong Tae; Kang, Chul Hyung

2008-04-01

Modeling study and analysis for technical support for the safety and performance assessment of the low- and intermediate level (LILW) repository partially needed for radiological environmental impact reporting which is essential for the licenses for construction and operation of LILW has been fulfilled. Throughout this study such essential area for technical support for safety and performance assessment of the LILW repository and its licensing as gas generation and migration in and around the repository, risk analysis and environmental impact during transportation of LILW, biosphere modeling and assessment for the flux-to-dose conversion factors for human exposure as well as regional and global groundwater modeling and analysis has been carried out

Idaho National Engineering Laboratory Radiological Control performance indicator report: First quarter, calendar year 1995

International Nuclear Information System (INIS)

Aitken, S.B.

1995-07-01

The INEL Radiological Control Performance Indicator Report is provided quarterly, inaccordance with Article 133 of the INEL Radiological Control Manual. Indicators are used as a measure of performance of the Radiological Control Program and as a motivation for improvement, not as a goal in themselves. These indicators should be used by management to assist in focusing priorities and attention and adherence to As-Low-As-Reasonably-Achievable (ALARA) practices. The ALARA Committees establish ALARA goals for the INEL based on forecasts and goals provided by each facility organizational manager or supervisor.Performance goals are realistic and measurable. Stringent goals are set at least annually to reflect expected workloads and improvement of radiological performance. Goals higher than previous goals may occasionally be set due to changes in work scope or mission. The INEL Radiological Control Performance Indicators consist of: Collective dose in person-rem; average worker dose, maximum dose to a worker, and maximum neutron dose to a worker;the number of skin and clothing contaminations, including the number of contaminated wounds and facial contaminations; the number of radioactive material intakes; the area of Contamination, High Contamination, and Airborne Radioactivity Areas in square feet; and airborne radioactivity events and spills

Assessment of Chemical and Radiological Vulnerabilities

International Nuclear Information System (INIS)

SETH, S.S.

2000-01-01

Following the May 14, 1997 chemical explosion at Hanford's Plutonium Reclamation Facility, the Department of Energy Richland Operations Office and its prime contractor, Fluor Hanford, Inc., completed an extensive assessment to identify and address chemical and radiological safety vulnerabilities at all facilities under the Project Hanford Management Contract. This was a challenging undertaking because of the immense size of the problem, unique technical issues, and competing priorities. This paper focuses on the assessment process, including the criteria and methodology for data collection, evaluation, and risk-based scoring. It does not provide details on the facility-specific results and corrective actions, but discusses the approach taken to address the identified vulnerabilities

Analysis of data related to the updating of diagnosis reference levels in radiology and nuclear medicine. Assessment 2007-2008

International Nuclear Information System (INIS)

2010-01-01

This report presents the results of the analysis of 'patient' dosimetric data which radiology and nuclear medicine establishments must supply every year to the IRSN (the French Radioprotection and Nuclear Safety Institute) according to a decree related to diagnosis reference levels in radiology and nuclear medicine. The analysed dosimetric data concern assessments performed during 2007 and 2008. For the different concerned practices (radiology, scanography, nuclear medicine), the report proposes a presentation and a discussion of global data, and then a presentation of data either for different types of examination on adults and on children, or for the different parts of the body

The radiological installation in dental office: selection and performance

International Nuclear Information System (INIS)

Cirre, Christian

2010-01-01

This thesis for a PhD in dental surgery aimed at identifying and analysing different ways to optimise radiographs. In a first part, the author presents the characteristics of X rays, and dosimetric values used in dental offices. He describes the interaction of X rays with living cells by recalling the discovery of biological effects and the emergence of radiation protection, and by discussing the consequences for the patient as well as for the practician. In the next part, the author comments technological advances of devices, and means available to practicians to improve their performance. He presents X ray tubes, discusses factors which influence ray production, and selection criteria, indicates additional devices (beam application tubes, filtration, collimation), discusses the selection of the receiver (types of receivers used in intra-oral radiology, digital or silver film-based sensors), and describes the picture-taking process (radiological techniques, use of angulators and lead shielding). He finally discusses how to optimise intra-oral dental imagery through good practices which comprise optimisation, selection of apparatuses and devices, performance of the radiological act with a patient sitting in the armchair, and maintenance of a good image quality [fr

Discussion on the method of environmental radiological impact assessment for the highway construction project

International Nuclear Information System (INIS)

Qiu Guohua

2008-01-01

Based on the characteristics and environmental radiological impact of the highway construction project, the basic procedure of environmental radiological impact assessment for the highway construction project is put forward, including analysis and determination of contamination sources, selection of evaluation factors, determination of assessment range and dose limit, environmental investigation, environmental impact prediction and assessment. The working method of each procedure is analyzed. (authors)

RASCAL [Radiological Assessment System for Consequence AnaLysis]: A screening model for estimating doses from radiological accidents

International Nuclear Information System (INIS)

Sjoreen, A.L.; Athey, G.F.; Sakenas, C.A.; McKenna, T.J.

1988-01-01

The Radiological Assessment System for Consequence AnaLysis (RASCAL) is a new MS-DOS-based dose assessment model which has been written for the US Nuclear Regulatory Commission for use during response to radiological emergencies. RASCAL is designed to provide crude estimates of the effects of an accident while the accident is in progress and only limited information is available. It has been designed to be very simple to use and to run quickly. RASCAL is unique in that it estimates the source term based on fundamental plant conditions and does not rely solely on release rate estimation (e.g., Ci/sec of I-131). Therefore, it can estimate consequences of accidents involving unmonitored pathways or projected failures. RASCAL will replace the older model, IRDAM. 6 refs

A radiological control implementation guide

International Nuclear Information System (INIS)

Hamley, S.A.

1993-01-01

A manual is being developed to explain to line managers how radiological controls are designed and implemented. The manual also fills a gap in the Health Physics literature between textbooks and on-the-floor procedures. It may be helpful to new Health Physicists with little practical experience and to those wishing to improve self-assessment, audit, and appraisal processes. Many audits, appraisals, and evaluations have indicated a need for cultural change, increased vigor and example, and more effective oversight by line management. Inadequate work controls are a frequent and recurring problem identified in occurrence reports and accident investigations. Closer study frequently indicates that many line managers are willing to change and want to achieve excellence, but no effective guidance exists that will enable them to understand and implement a modern radiological control program. The manual is now in draft form and includes information that will be of use to line managers dealing with improving radiological performance and the practical aspects of radiological controls implementation. The manual is expected to be completed by the fall of 1993 and to be used in conjunction with a performance-based self-assessment training program at the Oak Ridge National Laboratory

Radiological field survey problems and solutions

International Nuclear Information System (INIS)

Deming, E.J.; Boerner, A.J.

1986-01-01

Situations often arise during radiological field surveys which require the health physicist to improvise and/or make spot decisions. At times these situations can be humorous, but they can also present hazards more serious than normal radiological considerations. This presentation will depict various problematic situations encountered by Oak Ridge Associated Universities Radiological Site Assessment Program in the course of performing field environmental surveys. Detailing these potential hazards can alert other field survey groups to problems they may encounter

Radiological assessments, environmental monitoring, and study design

International Nuclear Information System (INIS)

Hansen, W.R.; Elle, D.R.

1980-01-01

Studies of the behavior of transuranic elements in the environment form the basic data for applied programs in radiological assessment, environmental monitoring, derivation of radiation-protection standards, and environmental impact statements. This chapter introduces some of the major information requirements of these applications of transuranic research data. Characteristics of the source terms from nuclear activities usually are needed for an analysis of environmental pathways or deployment of monitoring systems. Major inhalation and ingestion pathways are considered in assessments of hazards from transuranics and are discussed from the viewpoint of research needed

Honorary authorship in radiologic research articles: assessment of frequency and associated factors.

Science.gov (United States)

Eisenberg, Ronald L; Ngo, Long; Boiselle, Philip M; Bankier, Alexander A

2011-05-01

To quantify the frequency of perceived honorary authorship in radiologic journals and to identify specific factors that increase its prevalence. This study qualified for exempt status by the institutional review board. An electronic survey was sent to first authors of all original research articles published in Radiology and European Radiology over 3 years. Questions included guidelines used for determining authorship, contributions of coauthors, the perception of honorary authorship, and demographic information. Univariable analysis of sample proportions was performed by using χ(2) tests. Multivariable logistic regression models were used to assess the independent factors that were associated with the probability of perceiving honorary authorship. Of the 392 (29.3%) of 1338 first authors who responded to the survey, 102 (26.0%) perceived that one or more coauthors did not make sufficient contributions to merit being included as an author. Of the 392 respondents, 231 (58.9%) stated that one or more coauthors performed only "nonauthor" tasks according to International Committee of Medical Journal Editors criteria. Factors associated with an increased first-author perception of honorary authorship included lower academic rank (adjusted odds ratio [OR]: 2.89; 95% confidence interval [CI]: 1.66, 5.06), as well as working in an environment in which the section or department head was automatically listed as an author (adjusted OR: 3.80; 95% CI: 2.13, 6.79). The percentage of honorary authorship was significantly higher (P = .019) among respondents who did not follow journal requirements for authorship. The rate of perceived honorary authorship (overall, 26.0%) was substantially more frequent among respondents of lower academic rank and in those working in an environment in which their section or department head was automatically listed as an author. http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.11101500/-/DC1. RSNA, 2011

assessment of radiological hazard indices from surface soil to ...

African Journals Online (AJOL)

samples in Eagle, Atlas and rock cement companies in Port Harcourt was carried out by ... and external hazard indices in order to assess the radiological implication to the people .... Sciences & Environmental Management, Vol. 9, No. 3, pp.

Informatics in radiology: evaluation of an e-learning platform for teaching medical students competency in ordering radiologic examinations.

LENUS (Irish Health Repository)

Marshall, Nina L

2011-09-01

A preliminary audit of orders for computed tomography was performed to evaluate the typical performance of interns ordering radiologic examinations. According to the audit, the interns showed only minimal improvement after 8 months of work experience. The online radiology ordering module (ROM) program included baseline assessment of student performance (part I), online learning with the ROM (part II), and follow-up assessment of performance with simulated ordering with the ROM (part III). A curriculum blueprint determined the content of the ROM program, with an emphasis on practical issues, including provision of logistic information, clinical details, and safety-related information. Appropriate standards were developed by a committee of experts, and detailed scoring systems were devised for assessment. The ROM program was successful in addressing practical issues in a simulated setting. In the part I assessment, the mean score for noting contraindications for contrast media was 24%; this score increased to 59% in the part III assessment (P = .004). Similarly, notification of methicillin-resistant Staphylococcus aureus status and pregnancy status and provision of referring physician contact information improved significantly. The quality of the clinical notes was stable, with good initial scores. Part III testing showed overall improvement, with the mean score increasing from 61% to 76% (P < .0001). In general, medical students lack the core knowledge that is needed for good-quality ordering of radiology services, and the experience typically afforded to interns does not address this lack of knowledge. The ROM program was a successful intervention that resulted in statistically significant improvements in the quality of radiologic examination orders, particularly with regard to logistic and radiation safety issues.

The radiological assessment system for consequence analysis - RASCAL

International Nuclear Information System (INIS)

Sjoreen, A.L.; Ramsdell, J.V.; Athey, G.F.

1996-01-01

The Radiological Assessment System for Consequence Analysis, Version 2.1 (RASCAL 2.1) has been developed for use during a response to radiological emergencies. The model estimates doses for comparison with U.S. Environmental Protection Agency (EPA) Protective Action Guides (PAGs) and thresholds for acute health effects. RASCAL was designed to be used by U.S. Nuclear Regulatory Commission (NRC) personnel who report to the site of a nuclear accident to conduct an independent evaluation of dose and consequence projections and personnel who conduct training and drills on emergency responses. It allows consideration of the dominant aspects of the source term, transport, dose, and consequences. RASCAL consists of three computational tools: ST-DOSE, FM-DOSE, and DECAY. ST-DOSE computes source term, atmospheric transport, and dose to man from accidental airborne releases of radionuclides. The source-term calculations are appropriate for accidents at U.S. power reactors. FM-DOSE computes doses from environmental concentrations of radionuclides in the air and on the ground. DECAY computes radiological decay and daughter in-growth. RASCAL 2.1 is a DOS application that can be run under Windows 3.1 and 95. RASCAL has been the starting point for other accident consequence models, notably INTERRAS, an international version of RASCAL, and HASCAL, an expansion of RASCAL that will model radiological, biological, and chemical accidents

Radiology resident MR and CT image analysis skill assessment using an interactive volumetric simulation tool - the RadioLOG project

International Nuclear Information System (INIS)

Gondim Teixeira, Pedro Augusto; Leplat, Christophe; Cendre, Romain; Hossu, Gabriela; Felblinger, Jacques; Blum, Alain; Braun, Marc

2017-01-01

Assess the use of a volumetric simulation tool for the evaluation of radiology resident MR and CT interpretation skills. Forty-three participants were evaluated with a software allowing the visualisation of multiple volumetric image series. There were 7 medical students, 28 residents and 8 senior radiologists among the participants. Residents were divided into two sub-groups (novice and advanced). The test was composed of 15 exercises on general radiology and lasted 45 min. Participants answered a questionnaire on their experience with the test using a 5-point Likert scale. This study was approved by the dean of the medical school and did not require ethics committee approval. The reliability of the test was good with a Cronbach alpha value of 0.9. Test scores were significantly different in all sub-groups studies (p < 0.0225). The relation between test scores and the year of residency was logarithmic (R"2 = 0.974). Participants agreed that the test reflected their radiological practice (3.9 ± 0.9 on a 5-point scale) and was better than the conventional evaluation methods (4.6 ± 0.5 on a 5-point scale). This software provides a high quality evaluation tool for the assessment of the interpretation skills in radiology residents. (orig.)

Radiology resident MR and CT image analysis skill assessment using an interactive volumetric simulation tool - the RadioLOG project

Energy Technology Data Exchange (ETDEWEB)

Gondim Teixeira, Pedro Augusto; Leplat, Christophe [CHRU-Nancy Hopital Central, Service d' Imagerie Guilloz, Nancy (France); Universite de Lorraine, IADI U947, Nancy (France); Cendre, Romain [INSERM, CIC-IT 1433, Nancy (France); Hossu, Gabriela; Felblinger, Jacques [Universite de Lorraine, IADI U947, Nancy (France); INSERM, CIC-IT 1433, Nancy (France); Blum, Alain [CHRU-Nancy Hopital Central, Service d' Imagerie Guilloz, Nancy (France); Braun, Marc [CHRU-Nancy Hopital Central, Service de Neuroradiologie, Nancy (France)

2017-02-15

Assess the use of a volumetric simulation tool for the evaluation of radiology resident MR and CT interpretation skills. Forty-three participants were evaluated with a software allowing the visualisation of multiple volumetric image series. There were 7 medical students, 28 residents and 8 senior radiologists among the participants. Residents were divided into two sub-groups (novice and advanced). The test was composed of 15 exercises on general radiology and lasted 45 min. Participants answered a questionnaire on their experience with the test using a 5-point Likert scale. This study was approved by the dean of the medical school and did not require ethics committee approval. The reliability of the test was good with a Cronbach alpha value of 0.9. Test scores were significantly different in all sub-groups studies (p < 0.0225). The relation between test scores and the year of residency was logarithmic (R{sup 2} = 0.974). Participants agreed that the test reflected their radiological practice (3.9 ± 0.9 on a 5-point scale) and was better than the conventional evaluation methods (4.6 ± 0.5 on a 5-point scale). This software provides a high quality evaluation tool for the assessment of the interpretation skills in radiology residents. (orig.)

Radiological assessment of the PET facility

International Nuclear Information System (INIS)

Discacciatti, Adrian; Cruzate, Juan A.; Bomben, Ana M.; Carelli, Jorge; Namias, Mario

2008-01-01

The radiological assessment of a Positron Emission Tomography (PET) facility consists of the evaluation of the annual effective dose to workers exposed occupationally and to members of the public. This evaluation takes into account the radionuclide involved, the characteristics of the facility, the working procedure and the expected number of patients per year. This paper details the methodology used by the Nuclear Regulatory Authority (in Spanish ARN) to independently assess the design of PET facilities considering only radioprotection aspects. The results of the evaluation are compared with the design requirements established in the ARN regulations to determine whether or not, the facility complies with those requirements, both for workers and for members of the public. As an example of the above mentioned methodology, this paper presents the assessment of a PET facility located in Buenos Aires called Fundacion Centro Diagnostico Nuclear (FCDN). (author)

Radiological risk assessment for radioactive contamination at landfill site

International Nuclear Information System (INIS)

Devgun, J.S.

1990-01-01

A limited-scope preliminary assessment of radiological risk has been conducted for a landfill site where radioactive residues resulting from past uranium ore processing operations are present. Potential radiation doses to an individual under different scenarios have been predicted using the RESRAD computer code. The assessment provides useful input to the remedial action planning for the site that is currently underway. 7 refs., 6 figs., 3 tabs

A Combined Pharmacokinetic and Radiologic Assessment of Dynamic Contrast-Enhanced Magnetic Resonance Imaging Predicts Response to Chemoradiation in Locally Advanced Cervical Cancer

International Nuclear Information System (INIS)

Semple, Scott; Harry, Vanessa N. MRCOG.; Parkin, David E.; Gilbert, Fiona J.

2009-01-01

Purpose: To investigate the combination of pharmacokinetic and radiologic assessment of dynamic contrast-enhanced magnetic resonance imaging (MRI) as an early response indicator in women receiving chemoradiation for advanced cervical cancer. Methods and Materials: Twenty women with locally advanced cervical cancer were included in a prospective cohort study. Dynamic contrast-enhanced MRI was carried out before chemoradiation, after 2 weeks of therapy, and at the conclusion of therapy using a 1.5-T MRI scanner. Radiologic assessment of uptake parameters was obtained from resultant intensity curves. Pharmacokinetic analysis using a multicompartment model was also performed. General linear modeling was used to combine radiologic and pharmacokinetic parameters and correlated with eventual response as determined by change in MRI tumor size and conventional clinical response. A subgroup of 11 women underwent repeat pretherapy MRI to test pharmacokinetic reproducibility. Results: Pretherapy radiologic parameters and pharmacokinetic K trans correlated with response (p < 0.01). General linear modeling demonstrated that a combination of radiologic and pharmacokinetic assessments before therapy was able to predict more than 88% of variance of response. Reproducibility of pharmacokinetic modeling was confirmed. Conclusions: A combination of radiologic assessment with pharmacokinetic modeling applied to dynamic MRI before the start of chemoradiation improves the predictive power of either by more than 20%. The potential improvements in therapy response prediction using this type of combined analysis of dynamic contrast-enhanced MRI may aid in the development of more individualized, effective therapy regimens for this patient group.

MARC - the NRPB methodology for assessing radiological consequences of accidental releases of activity

International Nuclear Information System (INIS)

Clarke, R.H.; Kelly, G.N.

1981-12-01

The National Radiological Protection Board has developed a methodology for the assessment of the public health related consequences of accidental releases of radionuclides from nuclear facilities. The methodology consists of a suite of computer programs which predict the transfer of activity from the point of release to the atmosphere through to the population. The suite of programs is entitled MARC; Methodology for Assessing Radiological Consequences. This report describes the overall framework and philosophy utilised within MARC. (author)

Methodology for Radiological Risk Assessment of Deep Borehole Disposal Operations

Energy Technology Data Exchange (ETDEWEB)

Hardin, Ernest; Su, Jiann-Cherng; Peretz, Fred(ORNL)

2017-03-01

The primary purpose of the preclosure radiological safety assessment (that this document supports) is to identify risk factors for disposal operations, to aid in design for the deep borehole field test (DBFT) engineering demonstration.

Development and application of portable mobile gamma spectrometry system (PMGSS) for realtime online radiological assessment

International Nuclear Information System (INIS)

Patil, S.S.; Padmanabhan, N.; Sharma, R.; Singh, R.; Pradeepkumar, K.S.

2008-01-01

A state of art mobile monitoring system is a prime requirement to combat the challenging radiological situations. In the event of any radiological/nuclear Emergencies an effective, realistic methodology of radiological measurements is an asset. In this context, a highly sensitive real-time online mobile monitoring system having features and provision to display the important parameters will be an essential tool in the course of radiological impact assessment. This paper, describes the efforts that has been made towards providing a useful Portable Mobile Gamma Spectrometry System (PMGSS) and developing applications so as to enhance its usefulness in quick radiological impact assessment and to initiate the proper countermeasures during any Nuclear/Radiological emergency situation in public domain. The system uses a NaI(Tl) detector, a global positioning system (GPS) and a laptop PC for storage, analysis and graphical representation of the acquired data. PMGSS is a highly sensitive, portable and reliable radiation monitoring equipment with capability of qualitative and quick estimation of the radioisotopes. The system was used for the mobile radiological mapping of Bangalore and Mumbai city and demonstrated its capability for use in environmental radiation monitoring during any radiological emergency requirement the results of which are presented here. (abstract)

Radiological assessment for bauxite mining and alumina refining.

Science.gov (United States)

O'Connor, Brian H; Donoghue, A Michael; Manning, Timothy J H; Chesson, Barry J

2013-01-01

Two international benchmarks assess whether the mining and processing of ores containing Naturally Occurring Radioactive Material (NORM) require management under radiological regulations set by local jurisdictions. First, the 1 Bq/g benchmark for radionuclide head of chain activity concentration determines whether materials may be excluded from radiological regulation. Second, processes may be exempted from radiological regulation where occupational above-background exposures for members of the workforce do not exceed 1 mSv/year. This is also the upper-limit of exposure prescribed for members of the public. Alcoa of Australia Limited (Alcoa) has undertaken radiological evaluations of the mining and processing of bauxite from the Darling Range of Western Australia since the 1980s. Short-term monitoring projects have demonstrated that above-background exposures for workers do not exceed 1 mSv/year. A whole-of-year evaluation of above-background, occupational radiological doses for bauxite mining, alumina refining and residue operations was conducted during 2008/2009 as part of the Alcoa NORM Quality Assurance System (NQAS). The NQAS has been guided by publications from the International Commission on Radiological Protection (ICRP), the International Atomic Energy Agency (IAEA) and the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA). The NQAS has been developed specifically in response to implementation of the Australian National Directory on Radiation Protection (NDRP). Positional monitoring was undertaken to increase the accuracy of natural background levels required for correction of occupational exposures. This is important in view of the small increments in exposure that occur in bauxite mining, alumina refining and residue operations relative to natural background. Positional monitoring was also undertaken to assess the potential for exposure in operating locations. Personal monitoring was undertaken to characterise exposures in Similar

Correlation of radiological assessment of congestive heart failure with left ventricular end-diastolic pressure

International Nuclear Information System (INIS)

Herman, P.G.; Kahn, A.; Kallman, C.E.; Rojas, K.A.; Bodenheimer, M.M.

1988-01-01

Left ventricular end-diastolic pressure (LVEDP) has been considered a reliable indicator of left ventricular function. The purpose of this study was to correlate the radiologic assessment of congestive heart failure with LVEDP. The population of the study consisted of 85 consecutive cases in four ranges of LVEDP ( 24). The PA chest radiographs obtained 1 day prior to cardiac catherization were assessed for radiological evidence of congestive heart failure and were graded from normal to abnormal (0-3). The results will be summarized in the authors' presentation. The discordance of radiological assessment of congestive heart failure in patients with elevated LVEDP will be discussed in light of recent advances in pathophysiologic understanding of left ventricular function and the impact of new classes of drugs in the management of these patients

Radiation dose reduction: comparative assessment of publication volume between interventional and diagnostic radiology.

Science.gov (United States)

Hansmann, Jan; Henzler, Thomas; Gaba, Ron C; Morelli, John N

2017-01-01

We aimed to quantify and compare awareness regarding radiation dose reduction within the interventional radiology and diagnostic radiology communities. Abstracts accepted to the annual meetings of the Society of Interventional Radiology (SIR), the Cardiovascular and Interventional Radiological Society of Europe (CIRSE), the Radiological Society of North America (RSNA), and the European Congress of Radiology (ECR) between 2005 and 2015 were analyzed using the search terms "interventional/computed tomography" and "radiation dose/radiation dose reduction." A PubMed query using the above-mentioned search terms for the years of 2005-2015 was performed. Between 2005 and 2015, a total of 14 520 abstracts (mean, 660±297 abstracts) and 80 614 abstracts (mean, 3664±1025 abstracts) were presented at interventional and diagnostic radiology meetings, respectively. Significantly fewer abstracts related to radiation dose were presented at the interventional radiology meetings compared with the diagnostic radiology meetings (162 abstracts [1% of total] vs. 2706 [3% of total]; P radiology abstracts (range, 6-27) and 246±105 diagnostic radiology abstracts (range, 112-389) pertaining to radiation dose were presented at each meeting. The PubMed query revealed an average of 124±39 publications (range, 79-187) and 1205±307 publications (range, 829-1672) related to interventional and diagnostic radiology dose reduction per year, respectively (P radiology community over the past 10 years has not mirrored the increased volume seen within diagnostic radiology, suggesting that increased education and discussion about this topic may be warranted.

Radiological assessment of decommissioned nuclear facilities

International Nuclear Information System (INIS)

Dickson, H.W.; Cottrell, W.D.

1976-01-01

A radiological survey of the former Middlesex Sampling Plant, Middlesex, New Jersey, has been completed. The surveyed property served as a uranium ore sampling plant during the 1940's and early 1950's. It was released for unrestricted use in 1967 following a radiological survey by the Atomic Energy Commission and is now a reserve training center for the U. S. Marine Sixth Motor Transport Battalion. The present survey was undertaken to determine whether the existing radiological status of the property is consistent with current health standards and radiation protection practices. The radiological survey included measurement of residual alpha, beta, and gamma contamination levels, radon and radon daughter concentrations in buildings, external gamma radiation levels on the site and on adjacent property, and radium concentrations in soil on the site and on adjacent property

Focused process improvement events: sustainability of impact on process and performance in an academic radiology department.

Science.gov (United States)

Rosenkrantz, Andrew B; Lawson, Kirk; Ally, Rosina; Chen, David; Donno, Frank; Rittberg, Steven; Rodriguez, Joan; Recht, Michael P

2015-01-01

To evaluate sustainability of impact of rapid, focused process improvement (PI) events on process and performance within an academic radiology department. Our department conducted PI during 2011 and 2012 in CT, MRI, ultrasound, breast imaging, and research billing. PI entailed participation by all stakeholders, facilitation by the department chair, collection of baseline data, meetings during several weeks, definition of performance metrics, creation of an improvement plan, and prompt implementation. We explore common themes among PI events regarding initial impact and durability of changes. We also assess performance in each area pre-PI, immediately post-PI, and at the time of the current study. All PI events achieved an immediate improvement in performance metrics, often entailing both examination volumes and on-time performance. IT-based solutions, process standardization, and redefinition of staff responsibilities were often central in these changes, and participants consistently expressed improved internal leadership and problem-solving ability. Major environmental changes commonly occurred after PI, including a natural disaster with equipment loss, a change in location or services offered, and new enterprise-wide electronic medical record system incorporating new billing and radiology informatics systems, requiring flexibility in the PI implementation plan. Only one PI team conducted regular post-PI follow-up meetings. Sustained improvement was frequently, but not universally, observed: in the long-term following initial PI, measures of examination volume showed continued progressive improvements, whereas measures of operational efficiency remained stable or occasionally declined. Focused PI is generally effective in achieving performance improvement, although a changing environment influences the sustainability of impact. Thus, continued process evaluation and ongoing workflow modifications are warranted. Copyright © 2015 American College of Radiology

Radiological impact assessment in Malaysia using RESRAD computer code

International Nuclear Information System (INIS)

Syed Hakimi Sakuma Syed Ahmad; Khairuddin Mohamad Kontol; Razali Hamzah

1999-01-01

Radiological Impact Assessment (RIA) can be conducted in Malaysia by using the RESRAD computer code developed by Argonne National Laboratory, U.S.A. The code can do analysis to derive site specific guidelines for allowable residual concentrations of radionuclides in soil. Concepts of the RIA in the context of waste management concern in Malaysia, some regulatory information and assess status of data collection are shown. Appropriate use scenarios and site specific parameters are used as much as possible so as to be realistic so that will reasonably ensure that individual dose limits and or constraints will be achieved. Case study have been conducted to fulfil Atomic Energy Licensing Board (AELB) requirements where for disposal purpose the operator must be required to carry out. a radiological impact assessment to all proposed disposals. This is to demonstrate that no member of public will be exposed to more than 1 mSv/year from all activities. Results obtained from analyses show the RESRAD computer code is able to calculate doses, risks, and guideline values. Sensitivity analysis by the computer code shows that the parameters used as input are justified so as to improve confidence to the public and the AELB the results of the analysis. The computer code can also be used as an initial assessment to conduct screening assessment in order to determine a proper disposal site. (Author)

Assessment of radiological technologist health condition by Todai health index

Energy Technology Data Exchange (ETDEWEB)

Kim, Ham Gyum [Ansan College, Ansan (Korea, Republic of); Kim, Wha Sun [College of Medicine, Hanyang Univ., Seoul (Korea, Republic of)

2001-04-01

The purpose of this study was to examine the general health status of radiological technologists by using Todai Health Index(THI) that has been employed as a standard health assessment tool for a specific group. The subjects in this study were 800 radiological technologists who were working in clinics, hospitals and university hospitals in and around Seoul and in some provincial cities. A survey was conducted directly or by mail in June and July, 2001. And the response rate was 68%. Using THI, the following findings were acquired: 1. By gender, both male and female radiological technologists complained about multiple subjective symptom(I) the most, And the women made more significant complaint of eight items including irregular life. 2. By age group, the radiological technologists whose age ranged from 20 to 24 got higher marks in most of the items, including multiple subjective symptom(I) and symptoms related to eyes and skin. 3. For career, those who had worked for a year or less or for one to five years got higher marks in most of the items. 4. Concerning marital status, the unmarried people complained about many items more, and the married people's symptom was more associated with live scale(L). 5. By the type of medical institution, the radiological technologists in the university hospitals got higher marks in two items including aggressiveness(F), but those in the clinics complained about the others more. 6. Regarding a place of service, there were little differences between the radiological technologists in basement and on the ground.

Assessment of radiological technologist health condition by Todai health index

International Nuclear Information System (INIS)

Kim, Ham Gyum; Kim, Wha Sun

2001-01-01

The purpose of this study was to examine the general health status of radiological technologists by using Todai Health Index(THI) that has been employed as a standard health assessment tool for a specific group. The subjects in this study were 800 radiological technologists who were working in clinics, hospitals and university hospitals in and around Seoul and in some provincial cities. A survey was conducted directly or by mail in June and July, 2001. And the response rate was 68%. Using THI, the following findings were acquired: 1. By gender, both male and female radiological technologists complained about multiple subjective symptom(I) the most, And the women made more significant complaint of eight items including irregular life. 2. By age group, the radiological technologists whose age ranged from 20 to 24 got higher marks in most of the items, including multiple subjective symptom(I) and symptoms related to eyes and skin. 3. For career, those who had worked for a year or less or for one to five years got higher marks in most of the items. 4. Concerning marital status, the unmarried people complained about many items more, and the married people's symptom was more associated with live scale(L). 5. By the type of medical institution, the radiological technologists in the university hospitals got higher marks in two items including aggressiveness(F), but those in the clinics complained about the others more. 6. Regarding a place of service, there were little differences between the radiological technologists in basement and on the ground

Radiation monitoring systems and methodologies for radiological impact assessment

International Nuclear Information System (INIS)

Chaudhury, Probal

2016-01-01

Radioactive sources of various strengths are used in large number of applications in industry, healthcare, agriculture and research. Though all the sources are transported and used under regulatory control, there is always a possibility of some of the sources getting into the hands of committed antisocial non state actors. In addition to this, there is a possible threat of radioactive material being illegally brought into a country. These gives rise to an increase in the global radiological threat and security experts world over are concerned about the possibility of malicious use of radiation in the public domain. Radiation detection systems are installed at various entry and exit ports of some of the countries to detect illicit trafficking of radioactive materials. IAEA has recommended that all States should have a national response plan for nuclear security events to provide for an appropriate and coordinated response. Considering the requirement of radiological emergency preparedness, various radiation monitoring systems and methodologies have been developed. A few aerial radiation monitoring systems developed at Bhabha Atomic Research Centre (BARC) for radiological impact assessment are described here

Migration case studies and the implications of humic substances for the radiological performance assessment of radioactive waste repositories

International Nuclear Information System (INIS)

Bryan, N.D.; Bernhard, G.; Geipel, G.; Heise, K.H.; Schmeide, K.; Benes, P.

2005-01-01

significant. Finally, conclusions are drawn about the likely impact of humic substances upon radiological performance assessment. Although there are still uncertainties and the underlying processes are not understood, all the evidence suggests that humic substances should have an impact, and their effects should at least be considered in performance assessment calculations. (orig.)

Assessment of SRS radiological liquid and airborne contaminants and pathways

International Nuclear Information System (INIS)

Jannik, G.T.

1997-04-01

This report compiles and documents the radiological critical-contaminant/critical-pathway analysis performed for SRS. The analysis covers radiological releases to the atmosphere and to surface water, which are the principal media that carry contaminants off site. During routine operations at SRS, limited amounts of radionuclides are released to the environment through atmospheric and/or liquid pathways. These releases potentially result in exposure to offsite people. Though the groundwater beneath an estimated 5 to 10 percent of SRS has been contaminated by radionuclides, there is no evidence that groundwater contaminated with these constituents has migrated offsite (Arnett, 1996). Therefore, with the notable exception of radiological source terms originating from shallow surface water migration into site streams, onsite groundwater was not considered as a potential exposure pathway to offsite people

Dosimetry in diagnosis examinations in radiology

International Nuclear Information System (INIS)

Lisbona, Albert; Aubert, Bernard; Laffont, Sophie; Beaumont, Stephane; Catala, Alexandre; Cohard, Cecile; Cordoliani, Yves-Sebastien; Giraud, Jean-Yves; Lescrainier, Jacques; Noel, Alain; Verdun, Francis R.

2003-01-01

This document aims at helping the professionals involved in radiology when assessing the delivered doses to patients during conventional radiology examinations, in mammography and scanography. The first part recalls all the dosimetric data susceptible to characterize the X ray beam, the patient exposure and the radiological risk. The second part addresses the different types of sensors which can be used to obtain the different measurable dosimetric values. The third part presents the calculation, analytical and numerical methods. The fourth part proposes a set of sheets of data to be acquired on an installation to perform a measurement and/or a dose calculation

Radiological site assessment at sun rose claim utilizing ScanPlot{sup SM} technology

Energy Technology Data Exchange (ETDEWEB)

Downey, H., E-mail: heath.downey@amecfw.com [Amec Foster Wheeler, Portland, ME (United States)

2015-07-01

ScanPlot{sup SM} gamma spectroscopy land survey system was utilized for the overland survey of uranium at the Sun Rose Claim in the Northwest Territories. The Sun Rose Claim is a former uranium exploration site and previous investigations had identified uranium ore and waste rock. ScanPlot{sup SM} radiological scan surveys were performed utilizing a backpack system. ScanPlot{sup SM} platform utilized spectroscopy grade sodium iodide detectors configured for optimal spatial coverage and radiation detection. Survey locations were recorded using an on-board global positioning system (GPS). The radiological spectral data from the radiation detectors is automatically logged and linked with the GPS coordinates to an on-board computer to create isocontour figures using a color scale to represent radioactivity levels. The advantage of utilizing the ScanPlot{sup SM} system for this assessment is that the nature and extent of uranium is provided without having to collect and assay a large number of samples. (author)

Preliminary radiological assessments of near-surface low-level radioactive waste repositories

International Nuclear Information System (INIS)

Sumerling, T.J.; Nancarrow, D.J.

1988-08-01

This report summarises preliminary assessments of post-closure radiological impact of LLW repositories at four sites previously under investigation by UK Nirex Ltd. The objectives of the assessments were: to demonstrate a methodology for site specific assessments, to identify important information requirements for detailed assessments; to identify methodological and research requirements. Doses and risks due to groundwater pathways, human intrusion, gaseous release and natural environmental change are estimated. (author)

Assessing radiological impacts (exposures and doses) associated with the mining and milling of radioactive ores

International Nuclear Information System (INIS)

Williams, G.A.

1990-01-01

The basic units and concepts applicable to radiological assessment are presented. Data relevant to the assessment of radiological exposures from the mining and milling phases of uranium and thorium ores are discussed. As a guide to the assessment of environmental exposures to members of the public, concepts such as the critical group are defined. Environmental transport and exposure pathways are presented in general terms, together with a discussion of the use of mathematical models. The dose assessment procedures defined in the 1987 Code of Practice are described. 13 refs., 2 tabs., 1 fig

TSD-DOSE: A radiological dose assessment model for treatment, storage, and disposal facilities

International Nuclear Information System (INIS)

Pfingston, M.; Arnish, J.; LePoire, D.; Chen, S.-Y.

1998-01-01

Past practices at US Department of Energy (DOE) field facilities resulted in the presence of trace amounts of radioactive materials in some hazardous chemical wastes shipped from these facilities. In May 1991, the DOE Office of Waste Operations issued a nationwide moratorium on shipping all hazardous waste until procedures could be established to ensure that only nonradioactive hazardous waste would be shipped from DOE facilities to commercial treatment, storage, and disposal (TSD) facilities. To aid in assessing the potential impacts of shipments of mixed radioactive and chemically hazardous wastes, a radiological assessment computer model (or code) was developed on the basis of detailed assessments of potential radiological exposures and doses for eight commercial hazardous waste TSD facilities. The model, called TSD-DOSE, is designed to incorporate waste-specific and site-specific data to estimate potential radiological doses to on-site workers and the off-site public from waste-handling operations at a TSD facility. The code is intended to provide both DOE and commercial TSD facilities with a rapid and cost-effective method for assessing potential human radiation exposures from the processing of chemical wastes contaminated with trace amounts of radionuclides

Radiological emergency assessment of local decision support system

International Nuclear Information System (INIS)

Breznik, B.; Kusar, A.; Boznar, M.Z.; Mlakar, P.

2003-01-01

Local decision support system has been developed based on the needs of Krsko Nuclear Power Plant for quick dose projection and it is one of important features required for proposal of intervention before actual release may occur. Radiological emergency assessment in the case of nuclear accident is based on plant status analysis, radiation monitoring data and on prediction of release of radioactive sources to the environment. There are possibilities to use automatic features to predict release source term and manual options for selection of release parameters. Advanced environmental modelling is used for assessment of atmospheric dispersion of radioactive contamination in the environment. (author)

A Business Analytics Software Tool for Monitoring and Predicting Radiology Throughput Performance.

Science.gov (United States)

Jones, Stephen; Cournane, Seán; Sheehy, Niall; Hederman, Lucy

2016-12-01

Business analytics (BA) is increasingly being utilised by radiology departments to analyse and present data. It encompasses statistical analysis, forecasting and predictive modelling and is used as an umbrella term for decision support and business intelligence systems. The primary aim of this study was to determine whether utilising BA technologies could contribute towards improved decision support and resource management within radiology departments. A set of information technology requirements were identified with key stakeholders, and a prototype BA software tool was designed, developed and implemented. A qualitative evaluation of the tool was carried out through a series of semi-structured interviews with key stakeholders. Feedback was collated, and emergent themes were identified. The results indicated that BA software applications can provide visibility of radiology performance data across all time horizons. The study demonstrated that the tool could potentially assist with improving operational efficiencies and management of radiology resources.

Integrated FDG-PET/CT vs. standard radiological examinations: Comparison of capability for assessment of postoperative recurrence in non-small cell lung cancer patients

International Nuclear Information System (INIS)

Takenaka, Daisuke; Ohno, Yoshiharu; Koyama, Hisanobu; Nogami, Munenobu; Onishi, Yumiko; Matsumoto, Keiko; Matsumoto, Sumiaki; Yoshikawa, Takeshi; Sugimura, Kazuro

2010-01-01

Purpose: The purpose of this study was to prospectively and directly compare diagnostic capabilities of whole-body integrated FDG-PET/CT and standard radiologic examination for assessment of recurrence in postoperative non-small cell lung cancer (NSCLC) patients. Materials and methods: A total of 92 consecutive pathologically diagnosed NSCLC patients (65 males, 27 females; mean age, 71 years) underwent pathologically and surgically proven complete resection, followed by prospective whole-body FDG-PET/CT and standard radiological examinations. Final diagnosis of recurrence was based on the results of more than 1 year of follow-up and/or pathological examinations. On both methods, the probability of recurrence was assessed in each patient by using a five-point visual scoring system, and the each final diagnosis was made by consensus between two readers. Kappa analyses were performed to determine inter-observer agreement for both methods, and ROC analyses were used to compare capability of the two methods for assessment of postoperative recurrence on a per-patient basis. Sensitivity, specificity and accuracy were also compared between PET/CT and standard radiological examination by means of McNemar's test. Results: All inter-observer agreements were almost perfect (integrated PET/CT: κ = 0.89; standard radiological examination: κ = 0.81). There were no statistically significant differences in area under the curve, sensitivity, specificity and accuracy between integrated FDG-PET/CT and standard radiologic examinations (p > 0.05). Conclusion: Integrated FDG-PET/CT can be used for assessment of postoperative recurrence in NSCLC patients with accuracy as good as that of standard radiological examinations.

Integrated FDG-PET/CT vs. standard radiological examinations: Comparison of capability for assessment of postoperative recurrence in non-small cell lung cancer patients

Energy Technology Data Exchange (ETDEWEB)

Takenaka, Daisuke [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017 (Japan); Ohno, Yoshiharu, E-mail: yosirad@kobe-u.ac.j [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017 (Japan); Koyama, Hisanobu [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017 (Japan); Nogami, Munenobu [Division of Image-Based Medicine, Institute of Biomedical Research and Innovation, 2-2, Minatojima Minamimachi Chuo-ku, Kobe, Hyogo 650-0047 (Japan); Onishi, Yumiko; Matsumoto, Keiko [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017 (Japan); Matsumoto, Sumiaki [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017 (Japan); Department of Radiology, University of Yamanashi, 1110 Shimogato, Chuo, Yamanashi, 409-3898 (Japan); Yoshikawa, Takeshi; Sugimura, Kazuro [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017 (Japan)

2010-06-15

Purpose: The purpose of this study was to prospectively and directly compare diagnostic capabilities of whole-body integrated FDG-PET/CT and standard radiologic examination for assessment of recurrence in postoperative non-small cell lung cancer (NSCLC) patients. Materials and methods: A total of 92 consecutive pathologically diagnosed NSCLC patients (65 males, 27 females; mean age, 71 years) underwent pathologically and surgically proven complete resection, followed by prospective whole-body FDG-PET/CT and standard radiological examinations. Final diagnosis of recurrence was based on the results of more than 1 year of follow-up and/or pathological examinations. On both methods, the probability of recurrence was assessed in each patient by using a five-point visual scoring system, and the each final diagnosis was made by consensus between two readers. Kappa analyses were performed to determine inter-observer agreement for both methods, and ROC analyses were used to compare capability of the two methods for assessment of postoperative recurrence on a per-patient basis. Sensitivity, specificity and accuracy were also compared between PET/CT and standard radiological examination by means of McNemar's test. Results: All inter-observer agreements were almost perfect (integrated PET/CT: {kappa} = 0.89; standard radiological examination: {kappa} = 0.81). There were no statistically significant differences in area under the curve, sensitivity, specificity and accuracy between integrated FDG-PET/CT and standard radiologic examinations (p > 0.05). Conclusion: Integrated FDG-PET/CT can be used for assessment of postoperative recurrence in NSCLC patients with accuracy as good as that of standard radiological examinations.

CUEX methodology for assessing radiological impacts in the context of ICRP Recommendations

International Nuclear Information System (INIS)

Rohwer, P.S.; Kaye, S.V.; Struxness, E.G.

1975-01-01

The Cumulative Exposure Index (CUEX) methodology was developed to estimate and assess, in the context of International Commission on Radiological Protection (ICRP) Recommendations, the total radiation dose to man due to environmental releases of radioactivity from nuclear applications. Each CUEX, a time-integrated radionuclide concentration (e.g.μCi.h.cm -3 ), reflects the selected annual dose limit for the reference organ and the estimated total dose to that organ via all exposure modes for a specific exposure situation. To assess the radiological significance of an environmental release of radioactivity, calculated or measured radionuclide concentrations in a suitable environmental sampling medium are compared with CUEXs determined for that medium under comparable conditions. The models and computer codes used in the CUEX methodology to predict environmental transport and to estimate radiation dose have been thoroughly tested. These models and codes are identified and described briefly. Calculation of a CUEX is shown step by step. An application of the methodology to a hypothetical atmospheric release involving four radionuclides illustrates use of the CUEX computer code to assess the radiological significance of a release, and to determine the relative importance (i.e. percentage of the estimated total dose contributed) of each radionuclide and each mode of exposure. The data requirements of the system are shown to be extensive, but not excessive in view of the assessments and analyses provided by the CUEX code. (author)

Key Performance Indicators in Radiology: You Can't Manage What You Can't Measure.

Science.gov (United States)

Harvey, H Benjamin; Hassanzadeh, Elmira; Aran, Shima; Rosenthal, Daniel I; Thrall, James H; Abujudeh, Hani H

2016-01-01

Quality assurance (QA) is a fundamental component of every successful radiology operation. A radiology QA program must be able to efficiently and effectively monitor and respond to quality problems. However, as radiology QA has expanded into the depths of radiology operations, the task of defining and measuring quality has become more difficult. Key performance indicators (KPIs) are highly valuable data points and measurement tools that can be used to monitor and evaluate the quality of services provided by a radiology operation. As such, KPIs empower a radiology QA program to bridge normative understandings of health care quality with on-the-ground quality management. This review introduces the importance of KPIs in health care QA, a framework for structuring KPIs, a method to identify and tailor KPIs, and strategies to analyze and communicate KPI data that would drive process improvement. Adopting a KPI-driven QA program is both good for patient care and allows a radiology operation to demonstrate measurable value to other health care stakeholders. Copyright © 2015 Mosby, Inc. All rights reserved.

Review at Bikini Atoll. Assessing radiological conditions at Bikini Atoll and the prospects for resettlement

International Nuclear Information System (INIS)

Stegnar, P.

1998-01-01

Some testing during the development of the atomic bomb was done in countries that do not have the infrastructure and expertise for evaluating any associated radiation risks. In such cases, outside expertise is needed to obtain independent advice about the radiological situation caused by residual radioactive material from nuclear testing. The IAEA has been requested by the governments of a number of its Member States to provide assistance in this context. Among the former nuclear test sites which the IAEA has reviewed is the Bikini Atoll of the Marshall Islands. Based on its review, the IAEA Advisory Group determined that no further corroboration of the measurements and assessments of the radiological conditions at Bikini Atoll is necessary. The data that have been collected are of sufficient quality to allow an appropriate evaluation to be performed. The limited IAEA monitoring of the area provided a good quality assurance verification of the previously collected data. It was recommended that Bikini Island should not be permanently resettled under the present radiological conditions. This recommendation was based on the assumption that persons resettling on the island would consume a diet of entirely locally produced food. The radiological data support that if a diet of this type were permitted, it could lead to an annual effective dose of about 15 mSv. This level was judged to require intervention of some type for radiation protection purposes

Radiology residents' comprehension of the breast imaging reporting and data system: The ultrasound lexicon and final assessment category

International Nuclear Information System (INIS)

Jeong, Sun Hye; Lee, Eun Hye; Roh, Yun Ho; Kim, Min Jung; Youk, Ji Hyun; Yoon, Jung Hyun; Kim, Sung Hun; Kim, You Me

2017-01-01

To evaluate radiology residents' performance in interpretation and comprehension of breast ultrasonographic descriptors in the Breast Imaging Reporting and Data System (BI-RADS) to suggest the adequate duration of training in breast ultrasonography. A total of 102 radiology residents working in the Department of Radiology were included in this study. They were asked to answer 16 questions about the ultrasonographic lexicon and 11 questions about the BI-RADS category. We analyzed the proportion of correct answers according to the radiology residents’ year of training and duration of breast imaging training. With respect to the duration of breast imaging training, the proportion of correct answers for lexicon descriptors ranged from 77.2% to 81.3% (p = 0.368) and the proportion of correct answers for the BI-RADS category was highest after three-four months of training compared with after one month of training (p = 0.033). The proportion of correct answers for lexicon descriptors and BI-RADS category did not differ significantly according to the year of residency training. Radiology residents' comprehension of the BI-RADS category on breast ultrasonography was not associated with their year of residency training. Based on our findings, radiology residents' assessment of the BI-RADS category was significantly improved with three-four months of training compared with one month of training

Assessment of radiological referral practice and effect of computer-based guidelines on radiological requests in two emergency departments

Energy Technology Data Exchange (ETDEWEB)

Carton, Matthieu; Auvert, Bertran; Guerini, Henri; Boulard, Jean-Christophe; Heautot, Jean-Francois; Landre, Marie-France; Beauchet, Alain; Sznajderi, Marc; Brun-Ney, Dominique; Chagnon, Sophie

2002-02-01

AIM: To assess medical emergency radiology referral practice compared with a set of French guidelines and to measure the efficiency of computer-based guidelines on unnecessary medical imaging. MATERIALS AND METHODS: All radiological requests were computerized in the medical emergency departments of two French teaching hospitals. During control periods, radiological requests were recorded but no action was taken. During intervention periods, reminder displays on screen indicated the appropriate recommendations. Three control and three intervention periods of 1 month each were conducted. The percentage of requests that did not conform to the guidelines and variation related to periods of control and intervention were measured. RESULTS: The proportion of requests that did not conform to the guidelines was 33{center_dot}2% when the guidelines were inactive and decreased to 26{center_dot}9% when the recommendations were active (P < 0{center_dot}0001). The three imaging examinations (chest radiographs, abdominal plain radiographs and CT of the brain) accounted for more than 80% of all requests; more than 50% of abdominal plain radiographs requests did not conform with recommendations while this percentage was respectively 24{center_dot}9% and 15{center_dot}8% for chest radiographs and computed tomography (CT) of the brain. Seven situations accounted for 70% of non-conforming radiological referrals; in these situations, junior practitioners' knowledge was inadequate. CONCLUSION: While the computer provided advice that was tailored to the needs of individual patients, concurrent with care, the effect of our intervention was weak. However, our study identified the few situations that were responsible for the majority of unnecessary radiological requests; we expect that this result could help clinicians and radiologists to develop more specific actions for these situations. Carton, M. et al. (2002). Clinical Radiology (2002)

Assessment of radiological referral practice and effect of computer-based guidelines on radiological requests in two emergency departments

International Nuclear Information System (INIS)

Carton, Matthieu; Auvert, Bertran; Guerini, Henri; Boulard, Jean-Christophe; Heautot, Jean-Francois; Landre, Marie-France; Beauchet, Alain; Sznajderi, Marc; Brun-Ney, Dominique; Chagnon, Sophie

2002-01-01

AIM: To assess medical emergency radiology referral practice compared with a set of French guidelines and to measure the efficiency of computer-based guidelines on unnecessary medical imaging. MATERIALS AND METHODS: All radiological requests were computerized in the medical emergency departments of two French teaching hospitals. During control periods, radiological requests were recorded but no action was taken. During intervention periods, reminder displays on screen indicated the appropriate recommendations. Three control and three intervention periods of 1 month each were conducted. The percentage of requests that did not conform to the guidelines and variation related to periods of control and intervention were measured. RESULTS: The proportion of requests that did not conform to the guidelines was 33·2% when the guidelines were inactive and decreased to 26·9% when the recommendations were active (P < 0·0001). The three imaging examinations (chest radiographs, abdominal plain radiographs and CT of the brain) accounted for more than 80% of all requests; more than 50% of abdominal plain radiographs requests did not conform with recommendations while this percentage was respectively 24·9% and 15·8% for chest radiographs and computed tomography (CT) of the brain. Seven situations accounted for 70% of non-conforming radiological referrals; in these situations, junior practitioners' knowledge was inadequate. CONCLUSION: While the computer provided advice that was tailored to the needs of individual patients, concurrent with care, the effect of our intervention was weak. However, our study identified the few situations that were responsible for the majority of unnecessary radiological requests; we expect that this result could help clinicians and radiologists to develop more specific actions for these situations. Carton, M. et al. (2002). Clinical Radiology (2002)

Radiological impact assessment of arc welding supplies rutile

International Nuclear Information System (INIS)

Rozas Guinea, S.; Herranz Soler, M.; Perez Marin, C.; Idoeta Hermandorena, R.; Alegria gutierrez, N.; Nunez-Lagos Rogla, R.; Legarda Ibanez, F.

2013-01-01

Consumables for welding containing rutile, the coating of the electrode or the filling of tubular thread, are the most widely used and also the most radioactive since the rutile is a mineral containing traces of natural radionuclides, and is therefore considered Normal Occurring Radioactive Material (NORM). As these electrodes and wire are consumed, small particles, aerosols and gases are emitted to the atmosphere of work, and may be inhaled by the welder. Therefore, and also according to the current regulatory framework and work carried out previously by the author on the radiological impact of the process of manufacture and storage of coated rutile electrodes, the objectives are: 1Calcular the internal dose for inhalation during two types of welding, one with electrodes coated and the other with thread. 2 calculate the external dose due to the deposition of particles in the work environment, slag and the immersion of the soldering iron in the cloud of smoke. 3 to assess the radiological impact. (Author)

Lateral sesamoid position in hallux valgus: correlation with the conventional radiological assessment.

Science.gov (United States)

Agrawal, Yuvraj; Desai, Aravind; Mehta, Jaysheel

2011-12-01

We aimed to quantify the severity of the hallux valgus based on the lateral sesamoid position and to establish a correlation of our simple assessment method with the conventional radiological assessments. We reviewed one hundred and twenty two dorso-plantar weight bearing radiographs of feet. The intermetatarsal and hallux valgus angles were measured by the conventional methods; and the position of lateral sesamoid in relation to first metatarsal neck was assessed by our new and simple method. Significant correlation was noted between intermetatarsal angle and lateral sesamoid position (Rho 0.74, p lateral sesamoid position and hallux valgus angle (Rho 0.56, p lateral sesamoid position is simple, less time consuming and has statistically significant correlation with that of the established conventional radiological measurements. Copyright © 2011 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Evaluation and assessment methodology, standards, and procedures manual of the United States Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Kerns, K.C.; Burson, Z.G.; Smith, J.M.; Blanchard, R.L.

2000-01-01

In the event of a major radiological emergency, the U.S. Federal Radiological Emergency Response Plan authorises the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC). The FRMAC is established to co-ordinate the Federal off-site monitoring and assessment activities, and is comprised of representatives from several Federal agencies and Department of Energy contractors who provide assistance to the state(s) and Lead Federal Agency. The Evaluation and Assessment (E and A) Division of the FRMAC is responsible for receiving, storing, and interpreting environmental surveillance data to estimate the potential health consequences to the population in the vicinity of the accident site. The E and A Division has commissioned the preparation of a methodology and procedures manual which will result in a consistent approach by Division members in carrying out their duties. The first edition of this manual is nearing completion. In this paper, a brief review of the structure of the FRMAC is presented, with emphasis on the E and A Division. The contents of the E and A manual are briefly described, as are future plans for its expansion. (author)

Benchmark problems for radiological assessment codes. Final report

International Nuclear Information System (INIS)

Mills, M.; Vogt, D.; Mann, B.

1983-09-01

This report describes benchmark problems to test computer codes used in the radiological assessment of high-level waste repositories. The problems presented in this report will test two types of codes. The first type of code calculates the time-dependent heat generation and radionuclide inventory associated with a high-level waste package. Five problems have been specified for this code type. The second code type addressed in this report involves the calculation of radionuclide transport and dose-to-man. For these codes, a comprehensive problem and two subproblems have been designed to test the relevant capabilities of these codes for assessing a high-level waste repository setting

Radiological assessment of radioactive contamination on private clothing

International Nuclear Information System (INIS)

Schartmann, F.; Thierfeldt, S.

2003-01-01

In the very rare, cases where private clothing of persons working in a nuclear installation are inadvertently contaminated and this contamination is not detected when leaving the facility, there may be radiological consequences for this person as well as for members of his or her family. The VGB (Technische Vereinigung der Grosskraftwerksbetreiber) in Germany has investigated in detail the spread of contamination in nuclear power plants. Part of this evaluation programme was a radiological analysis which has been carried out by Brenk Systemplanung GmbH (Aachen/Germany). The radiological analysis started with the definition of the source term. It is highly unlikely that activities of more than 5 kBq 60 Co could leave a plant undetected on the body or the clothes. Nevertheless activities up to 50 kBq and different nuclide vectors were regarded. It has been found that 60 Co is the most important contaminant. The radiological analysis focusses on two types of contamination: particles and surface contamination. The pathways by which such a contamination can lead to an exposure by external irradiation or by ingestion depend on the type of contamination and are analysed in detail. For example, a particle could be retained in pockets or other parts of clothing and may lead to prolonged external irradiation until the piece of clothing is washed. The analysis is performed on the basis of conservative to realistic assumptions. In conclusion, the analysis has shown that especially particle contamination needs to be focussed on. However, by the advanced detection equipment in German plants doses which may pose a health hazard can safely be excluded. (authors)

Depleted uranium residual radiological risk assessment for Kosovo sites

International Nuclear Information System (INIS)

Durante, Marco; Pugliese, Mariagabriella

2003-01-01

During the recent conflict in Yugoslavia, depleted uranium rounds were employed and were left in the battlefield. Health concern is related to the risk arising from contamination of areas in Kosovo with depleted uranium penetrators and dust. Although chemical toxicity is the most significant health risk related to uranium, radiation exposure has been allegedly related to cancers among veterans of the Balkan conflict. Uranium munitions are considered to be a source of radiological contamination of the environment. Based on measurements and estimates from the recent Balkan Task Force UNEP mission in Kosovo, we have estimated effective doses to resident populations using a well-established food-web mathematical model (RESRAD code). The UNEP mission did not find any evidence of widespread contamination in Kosovo. Rather than the actual measurements, we elected to use a desk assessment scenario (Reference Case) proposed by the UNEP group as the source term for computer simulations. Specific applications to two Kosovo sites (Planeja village and Vranovac hill) are described. Results of the simulations suggest that radiation doses from water-independent pathways are negligible (annual doses below 30 μSv). A small radiological risk is expected from contamination of the groundwater in conditions of effective leaching and low distribution coefficient of uranium metal. Under the assumptions of the Reference Case, significant radiological doses (>1 mSv/year) might be achieved after many years from the conflict through water-dependent pathways. Even in this worst-case scenario, DU radiological risk would be far overshadowed by its chemical toxicity

Instructional Vignettes in Publication and Journalism Ethics in Radiology Research: Assessment via a Survey of Radiology Trainees.

Science.gov (United States)

Rosenkrantz, Andrew B; Ginocchio, Luke A

2016-07-01

The aim of the present study was to assess the potential usefulness of written instructional vignettes relating to publication and journalism ethics in radiology via a survey of radiology trainees. A literature review was conducted to guide the development of vignettes, each describing a scenario relating to an ethical issue in research and publication, with subsequent commentary on the underlying ethical issue and potential approaches to its handling. Radiology trainees at a single institution were surveyed regarding the vignettes' perceived usefulness. A total of 21 vignettes were prepared, addressing institutional review board and human subjects protection, authorship issues, usage of previous work, manuscript review, and other miscellaneous topics. Of the solicited trainees, 24.7% (16/65) completed the survey. On average among the vignettes, 94.0% of the participants found the vignette helpful; 19.9 received prior formal instruction on the issue during medical training; 40.0% received prior informal guidance from a research mentor; and 42.0% indicated that the issue had arisen in their own or a peer's prior research experience. The most common previously experienced specific issue was authorship order (93.8%). Free-text responses were largely favorable regarding the value of the vignettes, although also indicated numerous challenges in properly handling the ethical issues: impact of hierarchy, pressure to publish, internal politics, reluctance to conduct sensitive conversations with colleagues, and variability in journal and professional society policies. Radiology trainees overall found the vignettes helpful, addressing commonly encountered topics for which formal and informal guidance were otherwise lacking. The vignettes are publicly available through the Association of University Radiologists (AUR) website and may foster greater insights by investigators into ethical aspects of the publication and journalism process, thus contributing to higher quality

CP-50 calibration facility radiological safety assessment document

International Nuclear Information System (INIS)

Chilton, M.W.; Hill, R.L.; Eubank, B.F.

1980-03-01

The CP-50 Calibration Facility Radiological Safety Assessment document, prepared at the request of the Nevada Operations Office of the US Department of Energy to satisfy provisions of ERDA Manual Chapter 0531, presents design features, systems controls, and procedures used in the operation of the calibration facility. Site and facility characteristics and routine and non-routine operations, including hypothetical incidents or accidents are discussed and design factors, source control systems, and radiation monitoring considerations are described

RADIOLOGY EDUCATION: A PILOT STUDY TO ASSESS KNOWLEDGE OF MEDICAL STUDENTS REGARDING IMAGING IN TRAUMA.

Science.gov (United States)

Siddiqui, Saad; Saeed, Muhammad Anwar; Shah, Noreen; Nadeem, Naila

2015-01-01

Trauma remains one of the most frequent presentations in emergency departments. Imaging has established role in setting of acute trauma with ability to identify potentially fatal conditions. Adequate knowledge of health professionals regarding trauma imaging is vital for improved healthcare. In this work we try to assess knowledge of medical students regarding imaging in trauma as well as identify most effective way of imparting radiology education. This cross-sectional pilot study was conducted at Aga Khan University Medical College & Khyber Girls Medical College, to assess knowledge of medical students regarding imaging protocols practiced in initial management of trauma patients. Only 40 & 20% respectively were able to identify radiographs included in trauma series. Very few had knowledge of correct indication for Focused abdominal sonography in trauma. Clinical radiology rotation was reported as best way of learning radiology. Change in curricula & restructuring of clinical radiology rotation structure is needed to improve knowledge regarding Trauma imaging.

Assessment of the radiation risk from diagnostic radiology

International Nuclear Information System (INIS)

Streffer, C.; Mueller, W.U.

1995-01-01

In any assessment of radiation risks from diagnostic radiology the main concern is the possible induction of cancer. It now appears to be beyond all doubt that ionizing rays invite the development of cancer in humans. The radiation doses encountered in diagnostic radiology generally vary from 1 to 50 mSv. For this dose range, no measured values are available to ascertain cancer risks from ionizing rays. The effects of such doses must therefore be extrapolated from higher dose levels under consideration of given dose-effect relationships. All relevant figures for diagnostic X-ray measures are therefore mathematically determined approximate values. The stochastic radiation risk following non-homogeneous radiation exposure is assessed on the basis of the effective dose. This dose was originally introduced to ascertain the risk from radioactive substances incorporated at the working place. A secondary intention was to trigger further developmental processes in radiation protection. Due to the difficulties previously outlined and the uncertainties surrounding the determination and assessment of the effective dose from diagnostic X-ray procedures, this dose should merely be used for technological refinements and comaprisons of examination procedures. It appears unreasonable that the effective doses determined for the individual examinations are summed up to obtain a collective effective dose and to multiply this with a risk factor so as to give an approximation of the resulting deaths from cancer. A reasonable alternative is to inform patients subjected to X-ray examinations about the associated radiation dose and to estimate form this the magnitude of the probable radiation risk. (orig./MG) [de

Assessment of Patients Radiation Dose During Interventional Radiological Procedure in PPUKM

International Nuclear Information System (INIS)

Mohd Khalid Matori; Husaini Salleh; Muhammad Jamal Muhammad Isa

2014-01-01

Interventional Radiology (IR) is a relatively new subspecialty of radiology. It is subspecialty where minimally invasive procedures are performed under radiological guidance using X-ray. This procedure can deliver high radiation doses compared with other radiological method due to long screening time. Because of these it is important to determine radiation doses received by patients undergoing IR procedures. It is to ensure that the dose is within the range deemed to be saved. A total of 128 patients undergoing IR procedures in PPUKM between 2012 and 2013 were study retrospectively. Dose area product (DAP) meter were used to measure the integral dose for the whole procedures. Mean kerma-area products for abdomen, head, pelvis, and thorax were 243.1, 107.3, 39.05 and 45.7 Gycm 2 , respectively. This study may provide the useful information which can be use to establish baseline patient dose data for dose optimizing study and carried out a recommendation on effective method of patient dose reduction during IR procedures. A more detail results of this study are presented in this paper. (author)

Performance assessment plans and methods for the Salt Repository Project

International Nuclear Information System (INIS)

1984-08-01

This document presents the preliminary plans and anticipated methods of the Salt Repository Project (SRP) for assessing the postclosure and radiological aspects of preclosure performance of a nuclear waste repository in salt. This plan is intended to be revised on an annual basis. The emphasis in this preliminary effort is on the method of conceptually dividing the system into three subsystems (the very near field, the near field, and the far field) and applying models to analyze the behavior of each subsystem and its individual components. The next revision will contain more detailed plans being developed as part of Site Characterization Plan (SCP) activities. After a brief system description, this plan presents the performance targets which have been established for nuclear waste repositories by regulatory agencies (Chapter 3). The SRP approach to modeling, including sensitivity and uncertainty techniques is then presented (Chapter 4). This is followed by a discussion of scenario analysis (Chapter 5), a presentation of preliminary data needs as anticipated by the SRP (Chapter 6), and a presentation of the SRP approach to postclosure assessment of the very near field, the near field, and the far field (Chapters 7, 8, and 9, respectively). Preclosure radiological assessment is discussed in Chapter 10. Chapter 11 presents the SRP approach to code verification and validation. Finally, the Appendix lists all computer codes anticipated for use in performance assessments. The list of codes will be updated as plans are revised

Radiological Assessment for the Vance Road Facility Source Vault, Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Morton, J. R.

2000-01-01

From the 1950s, the Vance Road laboratories had been used for a broad range of nuclear medicine research involving numerous radionuclides. These radionuclides were stored in the a source vault located on the first floor of the facility. The Environmental Survey and Site Assessment Program (ESSAP) of ORISE performed a radiological assessment survey of the source vault after it had been remediated and in preparation for converting the area to office space

Radiologic sciences. Faculty needs assessment.

Science.gov (United States)

Powers, Kevin J

2005-01-01

A total of 326 programs are represented in the data collected. Based on the average number of full- and part-time faculty members reported per program, this survey represents more than 1500 faculty positions. Based on the forecast of retirement and career change for all faculty members, there will be a turnover of 700 to 800 positions over the next 5 to 10 years. Part-time/adjunct faculty vacancies are expected to create the greatest number of opportunities for technologists to make the transition to education, with approximately one third of current part-time/adjunct educators planning on leaving radiologic sciences education within 5 years. To encourage retention of part-time/adjunct educators, annual evaluations should be modified to recognize the important educational role these instructors play. There is a need to create enthusiasm and interest in education as a career pathway for radiologic technologists. Resources are needed that help radiologic technologists make the transition to teaching. Finally, the retention of educators must be emphasized. Program applicant trends indicate radiologic technology students are older, have prior postsecondary education experience or are making a career change. This data emphasizes the need for educators, both full time and part time, to understand the characteristics and needs of the adult learner. Adult learners bring a wealth of education, experience and life skills that create both opportunities and challenges in the classroom and clinical setting. All categories of respondents indicated that their current salaries were greater than those of program graduates in their firstjob. Of interest is that 1 in 5 (20%) of part-time/adjunct educators indicated the opposite--that program graduates earn more in their firstjob than educators earn. When asked about salaries if working full time in clinical practice, the majority of all groups indicated their salary would be about the same or would decrease. Only 20% of program

Radiological assessment of depleted uranium migration offsite from an ordnance range

International Nuclear Information System (INIS)

Rynders, D.G.

1996-01-01

The military utilizes ordnance loaded with depleted uranium in order to maximize armor penetrating capabilities. These weapons are tested on open ranges where the weapons are fired through a cloth target and impact into the soil. This paper examines the potential environmental impact from use of depleted uranium in an open setting. A preliminary pathway analysis was performed to examine potential routes of exposure to nonhuman species in the vicinity and ultimately to man. Generic data was used in the study to estimate the isotopic mix and weight of the ordnance. Key factors in the analysis included analyzing the physics of weapon impact on soil, chemical changes in material upon impact, and mechanisms of offsite transport (including atmospheric and overland transport). Non-standard exposure scenarios were investigated, including the possibility of offsite contaminant transport due to range grassfires. Two radiological assessment codes, MEPAS (Multi media Environmental Pollutant Assessment System) and RESRAD were used to help analyze the scenarios

Fine tuning of work practices of common radiological investigations performed using computed radiography system

International Nuclear Information System (INIS)

Livingstone, Roshan S.; Timothy Peace, B.S.; Sunny, S.; Victor Raj, D.

2007-01-01

Introduction: The advent of the computed radiography (CR) has brought about remarkable changes in the field of diagnostic radiology. A relatively large cross-section of the human population is exposed to ionizing radiation on account of common radiological investigations. This study is intended to audit radiation doses imparted to patients during common radiological investigations involving the use of CR systems. Method: The entrance surface doses (ESD) were measured using thermoluminescent dosimeters (TLD) for various radiological investigations performed using the computed radiography (CR) systems. Optimization of radiographic techniques and radiation doses was done by fine tuning the work practices. Results and conclusion: Reduction of radiation doses as high as 47% was achieved during certain investigations with the use of optimized exposure factors and fine-tuned work practices

Principles and issues in radiological ecological risk assessment.

Science.gov (United States)

Jones, Daniel; Domotor, Stephen; Higley, Kathryn; Kocher, David; Bilyard, Gordon

2003-01-01

This paper provides a bridge between the fields of ecological risk assessment (ERA) and radioecology by presenting key biota dose assessment issues identified in the US Department of Energy's Graded Approach for Evaluating Radiation Doses to Aquatic and Terrestrial Biota in a manner consistent with the US Environmental Protection Agency's framework for ERA. Current radiological ERA methods and data are intended for use in protecting natural populations of biota, rather than individual members of a population. Potentially susceptible receptors include vertebrates and terrestrial plants. One must ensure that all media, radionuclides (including short-lived radioactive decay products), types of radiations (i.e., alpha particles, electrons, and photons), and pathways (i.e., internal and external contamination) are combined in each exposure scenario. The relative biological effectiveness of alpha particles with respect to deterministic effects must also be considered. Expected safe levels of exposure are available for the protection of natural populations of aquatic biota (10 mGy d(-1)) and terrestrial plants (10 mGy d(-1)) and animals (1 mGy d(-1)) and are appropriate for use in all radiological ERA tiers, provided that appropriate exposure assumptions are used. Caution must be exercised (and a thorough justification provided) if more restrictive limits are selected, to ensure that the supporting data are of high quality, reproducible, and clearly relevant to the protection of natural populations.

How visual search relates to visual diagnostic performance: a narrative systematic review of eye-tracking research in radiology.

Science.gov (United States)

van der Gijp, A; Ravesloot, C J; Jarodzka, H; van der Schaaf, M F; van der Schaaf, I C; van Schaik, J P J; Ten Cate, Th J

2017-08-01

Eye tracking research has been conducted for decades to gain understanding of visual diagnosis such as in radiology. For educational purposes, it is important to identify visual search patterns that are related to high perceptual performance and to identify effective teaching strategies. This review of eye-tracking literature in the radiology domain aims to identify visual search patterns associated with high perceptual performance. Databases PubMed, EMBASE, ERIC, PsycINFO, Scopus and Web of Science were searched using 'visual perception' OR 'eye tracking' AND 'radiology' and synonyms. Two authors independently screened search results and included eye tracking studies concerning visual skills in radiology published between January 1, 1994 and July 31, 2015. Two authors independently assessed study quality with the Medical Education Research Study Quality Instrument, and extracted study data with respect to design, participant and task characteristics, and variables. A thematic analysis was conducted to extract and arrange study results, and a textual narrative synthesis was applied for data integration and interpretation. The search resulted in 22 relevant full-text articles. Thematic analysis resulted in six themes that informed the relation between visual search and level of expertise: (1) time on task, (2) eye movement characteristics of experts, (3) differences in visual attention, (4) visual search patterns, (5) search patterns in cross sectional stack imaging, and (6) teaching visual search strategies. Expert search was found to be characterized by a global-focal search pattern, which represents an initial global impression, followed by a detailed, focal search-to-find mode. Specific task-related search patterns, like drilling through CT scans and systematic search in chest X-rays, were found to be related to high expert levels. One study investigated teaching of visual search strategies, and did not find a significant effect on perceptual performance. Eye

Post-closure performance assessment treatment of the biosphere

Energy Technology Data Exchange (ETDEWEB)

Broderick, M A [UK Nirex Ltd., Harwell, Oxfordshire (United Kingdom); Egan, M J [AEA Technology, Risley, Cheshire (United Kingdom); Thorne, M C [Electrowatt, Horsham, Sussex (United Kingdom); Williams, J A [AEA Technology, Risley, Cheshire (United Kingdom)

1996-07-01

The Nirex strategy for radioactive waste disposal is based on a system of engineered and natural barriers, providing long-term isolation of the waste from those parts of the environment that are in contact with or readily available for use by humans (i.e. the biosphere). Even so, there remains the possibility that, on a timescale of thousands to tens of thousands of years, small quantities of poorly-sorbed, long-lived radionuclides may be released from the engineered disposal system, ultimately to emerge into the biosphere. Biosphere models are used in post-closure performance assessments to quantify the competing effects of dilution and accumulation processes on radionuclide concentrations in the accessible environment. Understanding biosphere processes and their time dependence is necessary not only to determine the radiological impact of possible future releases, but also to characterise the dynamics of transport in groundwater and the location, duration and extent of any such releases. Nirex is developing a new biosphere model for use in post-closure radiological assessments for the proposed Sellafield repository. A compartment modelling approach has been adopted, as in studies performed previously, but the system will be dynamic, allowing changes with time in both the properties of compartments and the transfers between compartments. The transport model considers both mass transport within the biosphere and the migration of radionuclides, thereby ensuring that a self-consistent description of the biosphere, in a spatially-extensive domain is maintained. The above approach is designed to link the assessment models used by the Nirex assessment team more closely into the Nirex biosphere research programme than has hitherto been possible with time-invariant assessment models. (author)

Post-closure performance assessment treatment of the biosphere

International Nuclear Information System (INIS)

Broderick, M.A.; Egan, M.J.; Thorne, M.C.; Williams, J.A.

1996-01-01

The Nirex strategy for radioactive waste disposal is based on a system of engineered and natural barriers, providing long-term isolation of the waste from those parts of the environment that are in contact with or readily available for use by humans (i.e. the biosphere). Even so, there remains the possibility that, on a timescale of thousands to tens of thousands of years, small quantities of poorly-sorbed, long-lived radionuclides may be released from the engineered disposal system, ultimately to emerge into the biosphere. Biosphere models are used in post-closure performance assessments to quantify the competing effects of dilution and accumulation processes on radionuclide concentrations in the accessible environment. Understanding biosphere processes and their time dependence is necessary not only to determine the radiological impact of possible future releases, but also to characterise the dynamics of transport in groundwater and the location, duration and extent of any such releases. Nirex is developing a new biosphere model for use in post-closure radiological assessments for the proposed Sellafield repository. A compartment modelling approach has been adopted, as in studies performed previously, but the system will be dynamic, allowing changes with time in both the properties of compartments and the transfers between compartments. The transport model considers both mass transport within the biosphere and the migration of radionuclides, thereby ensuring that a self-consistent description of the biosphere, in a spatially-extensive domain is maintained. The above approach is designed to link the assessment models used by the Nirex assessment team more closely into the Nirex biosphere research programme than has hitherto been possible with time-invariant assessment models. (author)

Radiology residents' comprehension of the breast imaging reporting and data system: The ultrasound lexicon and final assessment category

Energy Technology Data Exchange (ETDEWEB)

Jeong, Sun Hye; Lee, Eun Hye [Bucheon Hospital, Bucheon (Korea, Republic of); Roh, Yun Ho; Kim, Min Jung; Youk, Ji Hyun [Yonsei University College of Medicine, Seoul (Korea, Republic of); Yoon, Jung Hyun; Kim, Sung Hun [The Catholic University of Korea, Seoul (Korea, Republic of); Kim, You Me [Dankook University College of Medicine, Cheonan (Korea, Republic of)

2017-07-15

To evaluate radiology residents' performance in interpretation and comprehension of breast ultrasonographic descriptors in the Breast Imaging Reporting and Data System (BI-RADS) to suggest the adequate duration of training in breast ultrasonography. A total of 102 radiology residents working in the Department of Radiology were included in this study. They were asked to answer 16 questions about the ultrasonographic lexicon and 11 questions about the BI-RADS category. We analyzed the proportion of correct answers according to the radiology residents’ year of training and duration of breast imaging training. With respect to the duration of breast imaging training, the proportion of correct answers for lexicon descriptors ranged from 77.2% to 81.3% (p = 0.368) and the proportion of correct answers for the BI-RADS category was highest after three-four months of training compared with after one month of training (p = 0.033). The proportion of correct answers for lexicon descriptors and BI-RADS category did not differ significantly according to the year of residency training. Radiology residents' comprehension of the BI-RADS category on breast ultrasonography was not associated with their year of residency training. Based on our findings, radiology residents' assessment of the BI-RADS category was significantly improved with three-four months of training compared with one month of training.

Assessment of risk in radiology using malpractice RVU

International Nuclear Information System (INIS)

Cristofaro, Massimo; Bellandi, Giuseppe; Squarcione, Salvatore; Petecchia, Antonella; Mammarella, Assunta; Bibbolino, Corrado

2007-01-01

Introduction: Analysis on the causes and remedies needed to reduce the incidence of malpractice has been under continual studies, although limited data is available regarding quantitative evaluation of the risk. Objectives: To determine radiological risk in a preventive and quantitative manner and verify if the malpractice relative value units (MP-RVU) are a good indicator of associated risk factors. Materials and methods: Radiological examinations executed by our Radiology Department in 2000-2004 have been codified according to nomenclature HCPCS (Healthcare Common Procedure Coding System) used by United States of America Centers for Medicare and Medicaid Services (CMS). For every examination was calculated the annual weight of malpractice. The data has been groupped in macroaggregates by methodology. The ratio MP-RVU/no. examinations has been considered as an index of insurance risk (MP index) Results: A total of 133,005 examinations were performed, which produced 25,252 MP-RVU points, the total mp index was 0.193. Traditional radiology represents 38% of the examinations, accounting for 8% of MP-RVU with a MP index = 0.039. Ultrasound represents 35% of the examinations, accounting for 23% of MP-RVU with a MP index = 0.125. CT represents 13% of the examinations, accounting for 28% of MP-RVU with a MP index = 0.434. MR represents 11% of the examinations, accounting for 39% of MP-RVU with a MP index = 0.667. Conclusions: Malpractice relative value units (MP-RVU) are indicative of the risk considered globally and when subgrouped. MP index correlates this risk with number of exams carried out divided by methodology. This model providing quantitative data for projects concerning risk management and in allowing the correlation between data obtained in different departments

Assessment of risk in radiology using malpractice RVU

Energy Technology Data Exchange (ETDEWEB)

Cristofaro, Massimo [U.O. di Diagnostica per Immagini, Istituto Nazionale per le Malattie Infettive IRCCS, L. Spallanzani Via Portuense, 292, 00149 Rome (Italy)]. E-mail: mcristofar@srm.org; Bellandi, Giuseppe [Servizio di Radiologia ASL 3 Ospedale di Pescia, Via Battisti 2, 51017 Pescia (PT) (Italy)]. E-mail: g.bellandi@mail.vdn.usl3.toscana.it; Squarcione, Salvatore [Direzione Sanitaria Istituto Istituto Nazionale per le Malattie Infettive IRCCS, L. Spallanzani, Via Portuense 292, 00149 Rome (Italy)]. E-mail: squarcione@inmi.it; Petecchia, Antonella [Direzione Sanitaria Istituto Istituto Nazionale per le Malattie Infettive IRCCS, L. Spallanzani, Via Portuense 292, 00149 Rome (Italy)]. E-mail: petecchia@inmi.it; Mammarella, Assunta [Direzione Sanitaria Istituto Istituto Nazionale per le Malattie Infettive IRCCS, L. Spallanzani, Via Portuense 292, 00149 Rome (Italy)]. E-mail: mammarella@inmi.it; Bibbolino, Corrado [U.O. di Diagnostica per Immagini, Istituto Nazionale per le Malattie Infettive IRCCS, L. Spallanzani Via Portuense, 292, 00149 Rome (Italy)]. E-mail: bibbolino@inmi.it

2007-02-15

Introduction: Analysis on the causes and remedies needed to reduce the incidence of malpractice has been under continual studies, although limited data is available regarding quantitative evaluation of the risk. Objectives: To determine radiological risk in a preventive and quantitative manner and verify if the malpractice relative value units (MP-RVU) are a good indicator of associated risk factors. Materials and methods: Radiological examinations executed by our Radiology Department in 2000-2004 have been codified according to nomenclature HCPCS (Healthcare Common Procedure Coding System) used by United States of America Centers for Medicare and Medicaid Services (CMS). For every examination was calculated the annual weight of malpractice. The data has been groupped in macroaggregates by methodology. The ratio MP-RVU/no. examinations has been considered as an index of insurance risk (MP index) Results: A total of 133,005 examinations were performed, which produced 25,252 MP-RVU points, the total mp index was 0.193. Traditional radiology represents 38% of the examinations, accounting for 8% of MP-RVU with a MP index = 0.039. Ultrasound represents 35% of the examinations, accounting for 23% of MP-RVU with a MP index = 0.125. CT represents 13% of the examinations, accounting for 28% of MP-RVU with a MP index = 0.434. MR represents 11% of the examinations, accounting for 39% of MP-RVU with a MP index = 0.667. Conclusions: Malpractice relative value units (MP-RVU) are indicative of the risk considered globally and when subgrouped. MP index correlates this risk with number of exams carried out divided by methodology. This model providing quantitative data for projects concerning risk management and in allowing the correlation between data obtained in different departments.

An automated radiological survey method for performing site remediation and decommissioning

International Nuclear Information System (INIS)

Handy, R.G.; Bolch, W.E.; Harder, G.F.; Tolaymat, T.M.

1994-01-01

A portable, computer-based method of performing environmental monitoring and assessment for site remediation and decommissioning has been developed. The integrated system has been developed to provide for survey time reductions and real-time data analysis. The technique utilizes a notebook 486 computer with the necessary hardware and software components that makes it possible to be used in an almost unlimited number of environmental monitoring and assessment scenarios. The results from a pilot, open-quotes hide-and-seekclose quotes gamma survey and an actual alpha decontamination survey were elucidated. It was found that a open-quotes hide-and-seekclose quotes survey could come up with timely and accurate conclusions about the position of the source. The use of the automated system in a Th-232 alpha survey resulted in a reduction in the standard time necessary to do a radiological survey. In addition, the ability to analyze the data on-site allowed for identification and location of areas which needed further decontamination. Finally, a discussion on possible future improvements and field conclusions was made

Practical Implications for an Effective Radiology Residency Quality Improvement Program for Milestone Assessment.

Science.gov (United States)

Leddy, Rebecca; Lewis, Madelene; Ackerman, Susan; Hill, Jeanne; Thacker, Paul; Matheus, Maria; Tipnis, Sameer; Gordon, Leonie

2017-01-01

Utilization of a radiology resident-specific quality improvement (QI) program and curriculum based on the Accreditation Council for Graduate Medical Education (ACGME) milestones can enable a program's assessment of the systems-based practice component and prepare residents for QI implementation post graduation. This article outlines the development process, curriculum, QI committee formation, and resident QI project requirements of one institution's designated radiology resident QI program. A method of mapping the curriculum to the ACGME milestones and assessment of resident competence by postgraduate year level is provided. Sample projects, challenges to success, and lessons learned are also described. Survey data of current trainees and alumni about the program reveal that the majority of residents and alumni responders valued the QI curriculum and felt comfortable with principles and understanding of QI. The most highly valued aspect of the program was the utilization of a resident education committee. The majority of alumni responders felt the residency quality curriculum improved understanding of QI, assisted with preparation for the American Board of Radiology examination, and prepared them for QI in their careers. In addition to the survey results, outcomes of resident project completion and resident scholarly activity in QI are evidence of the success of this program. It is hoped that this description of our experiences with a radiology resident QI program, in accordance with the ACGME milestones, may facilitate the development of successful QI programs in other diagnostic radiology residencies. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Performance Assessment for the Idaho National Laboratory Remote-Handled Low-Level Waste Disposal Facility

Energy Technology Data Exchange (ETDEWEB)

Annette L. Schafer; A. Jeffrey Sondrup; Arthur S. Rood

2012-05-01

This performance assessment for the Remote-Handled Low-Level Radioactive Waste Disposal Facility at the Idaho National Laboratory documents the projected radiological dose impacts associated with the disposal of low-level radioactive waste at the facility. This assessment evaluates compliance with the applicable radiological criteria of the U.S. Department of Energy and the U.S. Environmental Protection Agency for protection of the public and the environment. The calculations involve modeling transport of radionuclides from buried waste to surface soil and subsurface media, and eventually to members of the public via air, groundwater, and food chain pathways. Projections of doses are calculated for both offsite receptors and individuals who inadvertently intrude into the waste after site closure. The results of the calculations are used to evaluate the future performance of the low-level radioactive waste disposal facility and to provide input for establishment of waste acceptance criteria. In addition, one-factor-at-a-time, Monte Carlo, and rank correlation analyses are included for sensitivity and uncertainty analysis. The comparison of the performance assessment results to the applicable performance objectives provides reasonable expectation that the performance objectives will be met

ICPP radiological and toxicological sabotage analysis

International Nuclear Information System (INIS)

Kubiak, V.R.; Mortensen, F.G.

1995-01-01

In June of 1993, the Department of Energy (DOE) issued Notice 5630.3A, open-quotes Protection of Departmental Facilities Against Radiological and Toxicological Sabotage,close quotes which states that all significant radiological and toxicological hazards at Department facilities must be examined for potential sabotage. This analysis has been completed at the Idaho Chemical Processing Plant (ICPP). The ICPP radiological and toxicological hazards include spent government and commercial fuels, Special Nuclear Materials (SNM), high-level liquid wastes, high-level solid wastes, and process and decontamination chemicals. The analysis effort included identification and assessment of quantities of hazardous materials present at the facility; identification and ranking of hazardous material targets; development of worst case scenarios detailing possible sabotage actions and hazard releases; performance of vulnerability assessments using table top and computer methodologies on credible threat targets; evaluation of potential risks to the public, workers, and the environment; evaluation of sabotage risk reduction options; and selection of cost effective prevention and mitigation options

Patients exposure assessment for radiographic procedures in diagnostic radiology

International Nuclear Information System (INIS)

Arandjic, D.; Ciraj-Bjelac, O.; Stankovic, K.; Lazarevic, Dj.; Ciraj-Bjelac, O.)

2007-01-01

In this work the results of dose assessment for the most frequent radiographic procedures in diagnostic radiology are shown. Entrance surface doses were assessed for 7 radiographic procedures. Three hospitals, six x-ray units in total, were enrolled in investigation. Patient doses were estimated based on results of x-ray tube output measurements. Finally, doses were compared with Diagnostic reference level. Higher dose values were observed for chest examinations. In comparison with results from other countries, doses from this procedure in Serbia are significantly higher. Estimated doses for other procedures were well below Diagnostic reference levels [sr

Quality assessment for radiological model parameters

International Nuclear Information System (INIS)

Funtowicz, S.O.

1989-01-01

A prototype framework for representing uncertainties in radiological model parameters is introduced. This follows earlier development in this journal of a corresponding framework for representing uncertainties in radiological data. Refinements and extensions to the earlier framework are needed in order to take account of the additional contextual factors consequent on using data entries to quantify model parameters. The parameter coding can in turn feed in to methods for evaluating uncertainties in calculated model outputs. (author)

Radiological Protection Criteria for the Safety of LILW Repository in Croatia

International Nuclear Information System (INIS)

Levanat, I.; Lokner, V.; Subasic, D.

2000-01-01

Preparations for a LILW repository development in Croatia, conducted by APO Hazardous Waste Management Agency, have reached a point where the first safety assessment of the prospective facility is being attempted. For evaluation of the calculated radiological impact in the assessed option of repository development, a set of radiological protection criteria should be included in the definition of the assessment context. The Croatian regulations do not explicitly require that the repository development be supported by such safety assessment process, and do not provide a specific set of radiological criteria intended for the repository assessment which would be suitable for the constrained optimization of protection. For the initial safety assessment iterations of the prospective repository, which will address long term performance of the facility for various design and other safety options, we propose to use relatively simple radiological protection criteria, consisting only of individual dose and risk constraints for the general population. The numerical values for these constraints are established in accordance with the recognized international recommendations and in compliance with all possibly relevant Croatian safety requirements. (author)

The Radiology of Renal Trauma

African Journals Online (AJOL)

1974-05-15

May 15, 1974 ... Retrograde pyelography was performed in 3 patients and renal angio- graphy in 22. Of the 210 cases referred, abnormal radio- logical signs were observed in 112. All the radiological in- vestigations were reviewed to assess the frequency of the various findings. RESULTS. The Plain Film of the Abdomen.

Radiological assessment of 50 cases of incisive or maxillary neoplasia in the dog

International Nuclear Information System (INIS)

Frew, D.G.; Dobson, J.M.

1992-01-01

This paper reviews the radiological features of 50 canine incisive or maxillary tumours and discusses the value of radiological assessment in the diagnosis and staging of these tumours. The 50 tumours examined included 21 sarcomas, 15 carcinomas, three melanomas and an assortment of benign tumours of the oral cavity. There was not any site specificity for the different histological tumour types within the upper dental arcade, although fibrosarcomas had a tendency to be maxillary whereas the squamous cell carcinomas were equally distributed between the incisive and maxillary regions. Seventy-eight per cent of fibrosarcomas, 82 per cent of squamous cell carcinoma and all three melanomas examined showed radiological evidence of bone involvement. Radiographic changes were also seen in the benign tumours. The pattern of growth of tumours correlated with the radiological changes observed. Malignant tumours showed a tendency to irregular or aggressive bone loss whereas bone production predominated in the benign tumours

The Generalised Ecosystem Modelling Approach in Radiological Assessment

Energy Technology Data Exchange (ETDEWEB)

Klos, Richard

2008-03-15

An independent modelling capability is required by SSI in order to evaluate dose assessments carried out in Sweden by, amongst others, SKB. The main focus is the evaluation of the long-term radiological safety of radioactive waste repositories for both spent fuel and low-level radioactive waste. To meet the requirement for an independent modelling tool for use in biosphere dose assessments, SSI through its modelling team CLIMB commissioned the development of a new model in 2004, a project to produce an integrated model of radionuclides in the landscape. The generalised ecosystem modelling approach (GEMA) is the result. GEMA is a modular system of compartments representing the surface environment. It can be configured, through water and solid material fluxes, to represent local details in the range of ecosystem types found in the past, present and future Swedish landscapes. The approach is generic but fine tuning can be carried out using local details of the surface drainage system. The modular nature of the modelling approach means that GEMA modules can be linked to represent large scale surface drainage features over an extended domain in the landscape. System change can also be managed in GEMA, allowing a flexible and comprehensive model of the evolving landscape to be constructed. Environmental concentrations of radionuclides can be calculated and the GEMA dose pathway model provides a means of evaluating the radiological impact of radionuclide release to the surface environment. This document sets out the philosophy and details of GEMA and illustrates the functioning of the model with a range of examples featuring the recent CLIMB review of SKB's SR-Can assessment

The Generalised Ecosystem Modelling Approach in Radiological Assessment

International Nuclear Information System (INIS)

Klos, Richard

2008-03-01

An independent modelling capability is required by SSI in order to evaluate dose assessments carried out in Sweden by, amongst others, SKB. The main focus is the evaluation of the long-term radiological safety of radioactive waste repositories for both spent fuel and low-level radioactive waste. To meet the requirement for an independent modelling tool for use in biosphere dose assessments, SSI through its modelling team CLIMB commissioned the development of a new model in 2004, a project to produce an integrated model of radionuclides in the landscape. The generalised ecosystem modelling approach (GEMA) is the result. GEMA is a modular system of compartments representing the surface environment. It can be configured, through water and solid material fluxes, to represent local details in the range of ecosystem types found in the past, present and future Swedish landscapes. The approach is generic but fine tuning can be carried out using local details of the surface drainage system. The modular nature of the modelling approach means that GEMA modules can be linked to represent large scale surface drainage features over an extended domain in the landscape. System change can also be managed in GEMA, allowing a flexible and comprehensive model of the evolving landscape to be constructed. Environmental concentrations of radionuclides can be calculated and the GEMA dose pathway model provides a means of evaluating the radiological impact of radionuclide release to the surface environment. This document sets out the philosophy and details of GEMA and illustrates the functioning of the model with a range of examples featuring the recent CLIMB review of SKB's SR-Can assessment

Radiological risk assessment for an urban area: Focusing on a drinking water contamination

International Nuclear Information System (INIS)

Jeong, Hyo-Joon; Hwang, Won-Tae; Kim, Eun-Han; Han, Moon-Hee

2009-01-01

This paper specifically discusses a water quality modeling and health risk assessment for cesium-137 to assess the potential and actual effects on human health from drinking water contaminated by a radiological terrorist attack in the Seoul metropolitan area, Korea. With respect to the source term caused by a terrorist attack, it was assumed that 50 TBq of cesium-137 was introduced into the Paldang Lake which is a single water resource for the Seoul metropolitan area. EFDC (Environmental Fluid Dynamics Code) model was used to calculate the hydrodynamic and water quality for the model domain, Paldang Lake. Mortality risk and morbid risk coefficients caused by the ingestion of tap water were used to assess a human health risk due to cesium-137. The transport of cesium-137 in the Paldang water system was mainly dependent on the flow streamlines and the effect of the dilution from the other branches. The mortality and morbidity risks due to the drinking water contamination by cesium-137 were 4.77 x 10 -7 and 6.92 x 10 -7 , respectively. Accordingly, it is very important to take appropriate countermeasures when radiological terrorist attacks have occurred at water resources to prevent radiological risks by radionuclides.

Low-level waste disposal performance assessments - Total source-term analysis

Energy Technology Data Exchange (ETDEWEB)

Wilhite, E.L.

1995-12-31

Disposal of low-level radioactive waste at Department of Energy (DOE) facilities is regulated by DOE. DOE Order 5820.2A establishes policies, guidelines, and minimum requirements for managing radioactive waste. Requirements for disposal of low-level waste emplaced after September 1988 include providing reasonable assurance of meeting stated performance objectives by completing a radiological performance assessment. Recently, the Defense Nuclear Facilities Safety Board issued Recommendation 94-2, {open_quotes}Conformance with Safety Standards at Department of Energy Low-Level Nuclear Waste and Disposal Sites.{close_quotes} One of the elements of the recommendation is that low-level waste performance assessments do not include the entire source term because low-level waste emplaced prior to September 1988, as well as other DOE sources of radioactivity in the ground, are excluded. DOE has developed and issued guidance for preliminary assessments of the impact of including the total source term in performance assessments. This paper will present issues resulting from the inclusion of all DOE sources of radioactivity in performance assessments of low-level waste disposal facilities.

Alternative Metrics ("Altmetrics") for Assessing Article Impact in Popular General Radiology Journals.

Science.gov (United States)

Rosenkrantz, Andrew B; Ayoola, Abimbola; Singh, Kush; Duszak, Richard

2017-07-01

Emerging alternative metrics leverage social media and other online platforms to provide immediate measures of biomedical articles' reach among diverse public audiences. We aimed to compare traditional citation and alternative impact metrics for articles in popular general radiology journals. All 892 original investigations published in 2013 issues of Academic Radiology, American Journal of Roentgenology, Journal of the American College of Radiology, and Radiology were included. Each article's content was classified as imaging vs nonimaging. Traditional journal citations to articles were obtained from Web of Science. Each article's Altmetric Attention Score (Altmetric), representing weighted mentions across a variety of online platforms, was obtained from Altmetric.com. Statistical assessment included the McNemar test, the Mann-Whitney test, and the Pearson correlation. Mean and median traditional citation counts were 10.7 ± 15.4 and 5 vs 3.3 ± 13.3 and 0 for Altmetric. Among all articles, 96.4% had ≥1 traditional citation vs 41.8% for Altmetric (P nonimaging content (11.5 ± 16.2 vs 6.9 ± 9.8, P nonimaging content (5.1 ± 11.1 vs 2.8 ± 13.7, P = 0.006). Although overall online attention to radiology journal content was low, alternative metrics exhibited unique trends, particularly for nonclinical articles, and may provide a complementary measure of radiology research impact compared to traditional citation counts. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Pediatric interventional radiology clinic - how are we doing?

International Nuclear Information System (INIS)

Rubenstein, Jonathan; Zettel, Julie C.; Lee, Eric; Cote, Michelle; Aziza, Albert; Connolly, Bairbre L.

2016-01-01

Development of a pediatric interventional radiology clinic is a necessary component of providing a pediatric interventional radiology service. Patient satisfaction is important when providing efficient, high-quality care. To analyze the care provided by a pediatric interventional radiology clinic from the perspective of efficiency and parent satisfaction, so as to identify areas for improvement. The prospective study was both quantitative and qualitative. The quantitative component measured clinic efficiency (waiting times, duration of clinic visit, nurse/physician time allocation and assessments performed; n = 91). The qualitative component assessed parental satisfaction with their experience with the pediatric interventional radiology clinic, using a questionnaire (5-point Likert scale) and optional free text section for feedback (n = 80). Questions explored the family's perception of relevance of information provided, consent process and overall satisfaction with their pediatric interventional radiology clinic experience. Families waited a mean of 11 and 10 min to meet the physician and nurse, respectively. Nurses and physicians spent a mean of 28 and 21 min with the families, respectively. The average duration of the pediatric interventional radiology clinic consultation was 56 min. Of 80 survey participants, 83% were satisfied with their experience and 94% said they believed providing consent before the day of the procedure was helpful. Only 5% of respondents were not satisfied with the time-efficiency of the interventional radiology clinic. Results show the majority of patients/parents are very satisfied with the pediatric interventional radiology clinic visit. The efficiency of the pediatric interventional radiology clinic is satisfactory; however, adherence to stricter scheduling can be improved. (orig.)

Moss Biomonitoring as a Tool for Radiological Exposure Assessment

International Nuclear Information System (INIS)

Barisic, D.; Vekic, B.; Kusan, V.; Spiric, Z.; Frontasyeva, M.

2013-01-01

The purpose of this study is to provide an insight into the Atmospheric Deposition of Airborne Radionuclides in Croatia by using the Moss Biomonitoring Technique. Moss samples were collected during the summer of 2010, from 161 locations in Croatia evenly distributed across the entire country. Sampling was performed in accordance with the LRTAP Convention - ICP Vegetation protocol and sampling strategy of the European Programme on Biomonitoring of Heavy Metal Atmospheric Deposition. In addition to the comprehensive qualitative and quantitative chemical analyses of all samples collected determined by NAA, ICP-AES and AAS, 22 out of 161 moss samples were subjected to gamma-spectrometric analyses for assessing activity of the naturally occurring radionuclides. The activities of 40K, 232Th, 137Cs, 226Ra and 238U were determined by using a low background HPGe detector system coupled with an 8192-channel CANBERRA analyzer. The detector system was calibrated using gamma mixed standards supplied by Eckert and Ziegler (Analytics USA). Preliminary research results on the Atmospheric Deposition of Airborne Radionuclides in Croatia by using the Moss Biomonitoring Technique confirm that it may serve as a valuable tool for Radiological Exposure Assessment. This research has the potential for simple, accurate, reliable and affordable environmental radiation control.(author)

Issues in performance assessments for disposal of US Department of Energy low-level waste

International Nuclear Information System (INIS)

Wood, D.E.; Wilhite, E.L.; Duggan, G.J.

1994-12-01

The US Department of Energy (DOE) and its contractors have long been pioneers in the field of radiological performance assessment (PA). Much effort has been expended in developing technology and acquiring data to facilitate the assessment process. This is reflected in DOE Order 5820.2A, Radioactive Waste Management Chapter III of the Order lists policy and requirements to manage the DOEs low-level waste; performance objectives for low-level waste management are stated to ensure the protection of public health and the environment. A radiological PA is also required to demonstrate compliance with the performance objectives. DOE Order 5820.2A further requires that an Oversight and Peer Review Panel be established to ensure consistency and technical quality around the DOE complex in the development and application of PA models that include site-specific geohydrology and waste composition. The DOE has also established a Performance Assessment Task Team (PATT) to integrate the activities of sites that are preparing PAs. The PATT's purpose is to recommend policy and guidance to DOE on issues that impact PAs so that the approaches taken are as consistent as possible across the DOE complex

Radiological safety assessment of a reference INTOR facility

International Nuclear Information System (INIS)

Khan, T.A.; Stasko, R.R.; Watts, R.T.; Shaw, G.; Morrison, C.A.; Russell, S.; Kempe, T.; Zimmerman, R.

1985-03-01

This report consists of a number of separate studies all of which were performed in support of INTOR Critical Issue D: Tritium Containment and Personnel Access vs Remote Maintenance. The common thread running through these studies is the radiological safety element in the design and operation of the INTOR facility. The intent is to help establish a firm basis for comparisons between a reactor cell maintenance option which requires personnel access, and one which involves completely remote maintenance

Radiological performance assessment for the E-Area Vaults Disposal Facility. Appendices A through M

Energy Technology Data Exchange (ETDEWEB)

Cook, J.R.

1994-04-15

These document contains appendices A-M for the performance assessment. They are A: details of models and assumptions, B: computer codes, C: data tabulation, D: geochemical interactions, E: hydrogeology of the Savannah River Site, F: software QA plans, G: completeness review guide, H: performance assessment peer review panel recommendations, I: suspect soil performance analysis, J: sensitivity/uncertainty analysis, K: vault degradation study, L: description of naval reactor waste disposal, M: porflow input file. (GHH)

An honest day's work: pay for performance in a pediatric radiology department

International Nuclear Information System (INIS)

Bisset, George S.

2017-01-01

Compensation models in radiology take a variety of forms, but regardless of practice type, successful models must reward productivity, be simple, and epitomize fairness. The ideal model should also be flexible enough to transition, based upon the changing strategic goals of a department. The plan should be constructed around rewarding the behaviors that the organization values. In this minisymposium article the author presents the value of different types of compensation plans and discusses advantages and disadvantages. Finally, the author presents a pay-for-performance model that has had long-term success at a private-turned-academic practice in pediatric radiology. (orig.)

Radiological Evaluation Standards in the Radiology Department of Shahid Beheshti Hospital (RAH) YASUJ Based on Radiology standards in 92

OpenAIRE

A َKalantari; SAM Khosravani

2014-01-01

Background & aim: Radiology personnel’s working in terms of performance and safety is one of the most important functions in order to increase the quality and quantity. This study aimed to evaluate the radiological standards in Shahid Beheshti Hospital of Yasuj, Iran, in 2013. Methods: The present cross-sectional study was based on a 118 randomly selected graphs and the ranking list, with full knowledge of the standards in radiology was performed two times. Data were analyzed using descri...

A radiological accident consequence assessment system for Hong Kong

International Nuclear Information System (INIS)

Wong, M.C.; Lam, H.K.

1993-01-01

An account is given of the Hong Kong Radiological Accident Consequence Assessment System which would be used to assess the potential consequences of an emergency situation involving atmospheric release of radioactive material. The system has the capability to acquire real-time meteorological information from the Observatory's network of automatic stations, synoptic stations in the nearby region as well as forecast data from numerical prediction models. The system makes use of these data to simulate the transport and dispersion of the released radioactive material. The effectiveness of protective action on the local population is also modeled. The system serves as a powerful aid in the protective action recommendation processes

Evidence-based Practice of Radiology.

Science.gov (United States)

Lavelle, Lisa P; Dunne, Ruth M; Carroll, Anne G; Malone, Dermot E

2015-10-01

Current health care reform in the United States is producing a shift in radiology practice from the traditional volume-based role of performing and interpreting a large number of examinations to providing a more affordable and higher-quality service centered on patient outcomes, which is described as a value-based approach to the provision of health care services. In the 1990 s, evidence-based medicine was defined as the integration of current best evidence with clinical expertise and patient values. When these methods are applied outside internal medicine, the process is called evidence-based practice (EBP). EBP facilitates understanding, interpretation, and application of the best current evidence into radiology practice, which optimizes patient care. It has been incorporated into "Practice-based Learning and Improvement" and "Systems-based Practice," which are two of the six core resident competencies of the Accreditation Council for Graduate Medical Education and two of the 12 American Board of Radiology milestones for diagnostic radiology. Noninterpretive skills, such as systems-based practice, are also formally assessed in the "Quality and Safety" section of the American Board of Radiology Core and Certifying examinations. This article describes (a) the EBP framework, with particular focus on its relevance to the American Board of Radiology certification and maintenance of certification curricula; (b) how EBP can be integrated into a residency program; and (c) the current value and likely place of EBP in the radiology information technology infrastructure. Online supplemental material is available for this article. © RSNA, 2015.

Radiology education: a radiology curriculum for all medical students?

NARCIS (Netherlands)

Zwaan, Laura; Kok, E.M.; van der Gijp, Anouk

2017-01-01

Diagnostic errors in radiology are frequent and can cause severe patient harm. Despite large performance differences between radiologists and non-radiology physicians, the latter often interpret medical images because electronic health records make images available throughout the hospital. Some

Quality Control Assessment of Radiology Devices in Kerman Province, Iran

OpenAIRE

Zahra Jomehzadeh; Ali Jomehzadeh; Mohammad Bagher Tavakoli

2016-01-01

Introduction Application of quality control (QC) programs at diagnostic radiology departments is of great significance for optimization of image quality and reduction of patient dose. The main objective of this study was to perform QC tests on stationary radiographic X-ray machines, installed in 14 hospitals of Kerman province, Iran. Materials and Methods In this cross-sectional study, QC tests were performed on 28 conventional radiographic X-ray units in Kerman governmental hospitals, based ...

Enviromental sampling at remote sites based on radiological screening assessments

International Nuclear Information System (INIS)

Ebinger, M.H.; Hansen, W.R.; Wenz, G.; Oxenberg, T.P.

1996-01-01

Environmental radiation monitoring (ERM) data from remote sites on the White Sands Missile Range, New Mexico, were used to estimate doses to humans and terrestrial mammals from residual radiation deposited during testing of components containing depleted uranium (DU) and thorium (Th). ERM data were used with the DOE code RESRAD and a simple steady-state pathway code to estimate the potential adverse effects from DU and Th to workers in the contaminated zones, to hunters consuming animals from the contaminated zones, and to terrestrial mammals that inhabit the contaminated zones. Assessments of zones contaminated with DU and Th and DU alone were conducted. Radiological doses from Th and DU in soils were largest with a maximum of about 3.5 mrem y -1 in humans and maximum of about 0.1 mrad d -1 in deer. Dose estimates from DU alone in soils were significantly less with a maximum of about 1 mrem y -1 in humans and about 0.04 mrad d -1 in deer. The results of the dose estimates suggest strongly that environmental sampling in these affected areas can be infrequent and still provide adequate assessments of radiological doses to workers, hunters, and terrestrial mammals

Federal Radiological Monitoring and Assessment Center Monitoring Manual Volume 1, Operations

Energy Technology Data Exchange (ETDEWEB)

NSTec Aerial Measurement Systems

2012-07-31

The Monitoring division is primarily responsible for the coordination and direction of: Aerial measurements to delineate the footprint of radioactive contaminants that have been released into the environment. Monitoring of radiation levels in the environment; Sampling to determine the extent of contaminant deposition in soil, water, air and on vegetation; Preliminary field analyses to quantify soil concentrations or depositions; and Environmental and personal dosimetry for FRMAC field personnel, during a Consequence Management Response Team (CMRT) and Federal Radiological Monitoring and Assessment Center (FRMAC) response. Monitoring and sampling techniques used during CM/FRMAC operations are specifically selected for use during radiological emergencies where large numbers of measurements and samples must be acquired, analyzed, and interpreted in the shortest amount of time possible. In addition, techniques and procedures are flexible so that they can be used during a variety of different scenarios; e.g., accidents involving releases from nuclear reactors, contamination by nuclear waste, nuclear weapon accidents, space vehicle reentries, or contamination from a radiological dispersal device. The Monitoring division also provides technicians to support specific Health and Safety Division activities including: The operation of the Hotline; FRMAC facility surveys; Assistance with Health and Safety at Check Points; and Assistance at population assembly areas which require support from the FRMAC. This volume covers deployment activities, initial FRMAC activities, development and implementation of the monitoring and assessment plan, the briefing of field teams, and the transfer of FRMAC to the EPA.

Value-Based Assessment of Radiology Reporting Using Radiologist-Referring Physician Two-Way Feedback System-a Design Thinking-Based Approach.

Science.gov (United States)

Shaikh, Faiq; Hendrata, Kenneth; Kolowitz, Brian; Awan, Omer; Shrestha, Rasu; Deible, Christopher

2017-06-01

In the era of value-based healthcare, many aspects of medical care are being measured and assessed to improve quality and reduce costs. Radiology adds enormously to health care costs and is under pressure to adopt a more efficient system that incorporates essential metrics to assess its value and impact on outcomes. Most current systems tie radiologists' incentives and evaluations to RVU-based productivity metrics and peer-review-based quality metrics. In a new potential model, a radiologist's performance will have to increasingly depend on a number of parameters that define "value," beginning with peer review metrics that include referrer satisfaction and feedback from radiologists to the referring physician that evaluates the potency and validity of clinical information provided for a given study. These new dimensions of value measurement will directly impact the cascade of further medical management. We share our continued experience with this project that had two components: RESP (Referrer Evaluation System Pilot) and FRACI (Feedback from Radiologist Addressing Confounding Issues), which were introduced to the clinical radiology workflow in order to capture referrer-based and radiologist-based feedback on radiology reporting. We also share our insight into the principles of design thinking as applied in its planning and execution.

Radiological assessment of the town of Edgemont

International Nuclear Information System (INIS)

Jackson, P.O.; Thomas, V.W.; Young, J.A.

1985-01-01

Congress, in 1980, gave the Nuclear Regulatory Commission (NRC) the responsibility to coordinate and conduct a monitoring, engineering assessment, and remedial cleanup program in Edgemont, South Dakota. The Congressional intent was to locate public properties in Edgemont that had been contaminated by radioactive materials from a local uranium mill, and to clean up those properties. Because the Atomic Energy Act of 1954 gave NRC the authority to monitor for contamination but not to clean up contamination, Congress later assigned the remedial cleanup responsibility to the Department of Energy (DOE). NRC, through Battelle Pacific Northwest Laboratory (PNL), conducted a radiological survey of 96% of the properties in Edgemont and vicinity during the time period of September 1980 through April 1984. (Out of 976 total properties, 941 were surveyed.) The strategy of the survey was to screen properties for the possible presence of contamination by using short- and long-term radon progeny measurements, indoor and outdoor gamma exposure rate measurements, and soil radium-226 measurements. Properties that failed the screening surveys were measured more extensively to determine whether the elevated readings were due to residual radioactive materials from the uranium mill. This report contains the historical perspective of the Edgemont survey, explains the development and modifications of survey protocols, examines the problems encountered during the survey, and lists a summary of the results. The report also presents conclusions about the effectiveness of the survey techniques and about the rationale of a comprehensive survey of a whole community. The appendices section of this report contains all the protocols, a list of all the properties showing survey results for each, and reports on special studies conducted during the survey. These special studies contain many valuable insights that may prove beneficial to future radiological assessment surveys

Development of performance assessment methodology for establishment of quantitative acceptance criteria of near-surface radioactive waste disposal

Energy Technology Data Exchange (ETDEWEB)

Kim, C. R.; Lee, E. Y.; Park, J. W.; Chang, G. M.; Park, H. Y.; Yeom, Y. S. [Korea Hydro and Nuclear Power Co., Ltd., Seoul (Korea, Republic of)

2002-03-15

The contents and the scope of this study are as follows : review of state-of-the-art on the establishment of waste acceptance criteria in foreign near-surface radioactive waste disposal facilities, investigation of radiological assessment methodologies and scenarios, investigation of existing models and computer codes used in performance/safety assessment, development of a performance assessment methodology(draft) to derive quantitatively radionuclide acceptance criteria of domestic near-surface disposal facility, preliminary performance/safety assessment in accordance with the developed methodology.

The American Board of Radiology Maintenance of Certification (MOC) Program in Radiologic Physics

International Nuclear Information System (INIS)

Thomas, Stephen R.; Hendee, William R.; Paliwal, Bhudatt R.

2005-01-01

Maintenance of Certification (MOC) recognizes that in addition to medical knowledge, several essential elements involved in delivering quality care must be developed and maintained throughout one's career. The MOC process is designed to facilitate and document the professional development of each diplomate of The American Board of Radiology (ABR) through its focus on the essential elements of quality care in Diagnostic Radiology and its subspecialties, and in the specialties of Radiation Oncology and Radiologic Physics. The initial elements of the ABR-MOC have been developed in accord with guidelines of The American Board of Medical Specialties. All diplomates with a ten-year, time-limited primary certificate in Diagnostic Radiologic Physics, Therapeutic Radiologic Physics, or Medical Nuclear Physics who wish to maintain certification must successfully complete the requirements of the appropriate ABR-MOC program for their specialty. Holders of multiple certificates must meet ABR-MOC requirements specific to the certificates held. Diplomates with lifelong certificates are not required to participate in the MOC, but are strongly encouraged to do so. MOC is based on documentation of individual participation in the four components of MOC: (1) professional standing, (2) lifelong learning and self-assessment, (3) cognitive expertise, and (4) performance in practice. Within these components, MOC addresses six competencies: medical knowledge, patient care, interpersonal and communication skills, professionalism, practice-based learning and improvement, and systems-based practice

Assessment of the radiological status of the French environment in 2010-2011

International Nuclear Information System (INIS)

Boissieux, Thomas; D'Amico, Donato; Debayle, Christophe; Goyen, Jean-Philippe; Leprieur, Fabrice; Manach, Erwan; Pierrard, Olivier; Tournieux, Damien; Chaptal-Gradoz, Nathalie; Bouisset, Patrick; Boulaud, Denis; Boust, Dominique; Bruno, Valerie; Delabbaye, Pascale; Gallerand, Marie-Odile; Ielsch, Geraldine; Masson, Olivier; Manificat, Guillaume; Peres, Jean-Marc; Renaud, Philippe; Roussel-Debet, Sylvie; Tardieu, Laure; Thebault, Herve; Guldner, Bruno; Wyckaert, Laure

2012-01-01

This report proposes a detailed assessment of the radiological status of the environment in France over the 2010-2011 period. It addresses the radiological monitoring of the environment, presents the national network of measurements of radioactivity in the environment and the main actors of environment monitoring in France, and discusses events and expertise (impact of the Fukushima accident and of some incidents which occurred in France). It presents and comments results of the monitoring of the metropolitan and overseas French territories (atmosphere, soils, sea and coasts, regional assessment), of the monitoring of sites related to nuclear fuel cycle (nuclear sites, old mining sites, industrial sites related to the front-end or back-end of the fuel cycle, waste storage sites), of research centres and nuclear marine bases, of installations using natural or artificial radioactivity sources. It discusses the assessment of the exposure of the French population to ionizing radiation. It indicates information sources dealing with radioactivity monitoring and data publication. A last part proposes a presentation of radioactivity

Planning for exercises of the Federal Radiological Monitoring and Assessment Plan

International Nuclear Information System (INIS)

Adler, M.V.

1985-11-01

This report is to be used in planning radiological emergency exercises to test the Federal Radiological Monitoring and Assessment Plan (FRMAP). Although developed for this specific purpose, the document also contains material that may be useful for planning other types of exercises. This report describes the types of exercises that might be used, the steps in planning and conducting the exercises, and the special considerations required for exercises to test the FRMAP. FRMAP exercises typically involve several federal and state agencies. General and specific objectives that could guide these exercises, as well as the possible activities of all the participants - players, controllers, and evaluators - are discussed. The resources that each participating federal agency might provide during an exercise are listed

CEC workshop on methods for assessing the offsite radiological consequences of nuclear accidents

International Nuclear Information System (INIS)

Luykx, F.; Sinnaeve, J.

1986-01-01

On Apr 15-19, 1985, in Luxembourg, the Commission of the European Communities (CEC), in collaboration with the Kernforschungszentrum Karlsruhe (KfK), Federal Republic of Germany, and the National Radiological Protection Board (NRPB), United Kingdom, presented a workshop on methods for assessing the offsite radiological consequences of nuclear accidents. The program consisted of eight sessions. The main conclusions, which were presented in the Round Table Session by the individual Session Chairmen, are summarized. Session topics are as follows: Session I: international developments in the field of accident consequence assessment (ACA); Session II: atmospheric dispersion; Session III: food chain models; Session IV: urban contamination; Session V: demographic and land use data; Session VI: dosimetry, health effects, economic and counter measure models; Session VII: uncertainty analysis; and Session VIII: application of probabilistic consequence models as decision aids

Radiological clerkships as a critical curriculum component in radiology education

International Nuclear Information System (INIS)

Kourdioukova, Elena V.; Verstraete, Koenraad L.; Valcke, Martin

2011-01-01

Objective: The aim of this research was to explore the perceived value of clinical clerkships in the radiology curriculum as well as the impact of radiology clerkship on students' beliefs about the profession of radiology as a whole and as a career. Methods: This study is a sequel to a previous survey in which student perceptions about radiology curriculum components were investigated. The present study focuses on a further analysis of a subsection in this study, based on 14 statements about radiology clerkship and two statements about radiology as a career. Results: Perceived usefulness of the aspects of radiology clerkship as 'radiology examination', 'skills development' and 'diagnosis focus' were awarded the highest scores. The predict value of the subscale 'radiology examination' on the level of performance was very high (adjusted R 2 = 0.19, p < .001). Conclusion: Students expressed highly favorable evaluation of clerkship as a learning environment to learn to order and to interpret imaging studies as well as an unique possibility to attend various radiological examinations and to access to specific radiology software systems, as well as to get a better view on radiology and to improve image interpretation skills. This positive attitude towards clerkship is closely tied to students' beliefs about the profession of radiology as a whole. These aspects of dedicated radiology clerkship are crucial for effective and high-quality education as well as for the choice of radiology as a career.

Mobile technology in radiology resident education.

Science.gov (United States)

Korbage, Aiham C; Bedi, Harprit S

2012-06-01

The authors hypothesized that ownership of a mobile electronic device would result in more time spent learning radiology. Current trends in radiology residents' studying habits, their use of electronic and printed radiology learning resources, and how much of the funds allotted to them are being used toward printed vs electronic education tools were assessed in this study. A survey study was conducted among radiology residents across the United States from June 13 to July 5, 2011. Program directors listed in the Association of Program Directors in Radiology e-mail list server received an e-mail asking for residents to participate in an online survey. The questionnaire consisted of 12 questions and assessed the type of institution, the levels of training of the respondents, and book funds allocated to residents. It also assessed the residents' study habits, access to portable devices, and use of printed and electronic radiology resources. Radiology residents are adopters of new technologies, with 74% owning smart phones and 37% owning tablet devices. Respondents spend nearly an equal amount of time learning radiology from printed textbooks as they do from electronic resources. Eighty-one percent of respondents believe that they would spend more time learning radiology if provided with tablet devices. There is considerable use of online and electronic resources and mobile devices among the current generation of radiology residents. Benefits, such as more study time, may be obtained by radiology programs that incorporate tablet devices into the education of their residents. Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Radiological assessment of an area with uranium residual material

International Nuclear Information System (INIS)

Perez-Sanchez, Danyl; Cancio, David; Alvarez, Alicia

2008-01-01

As a result of a pilot project developed at the old Spanish 'Junta de Energia Nuclear' to extract uranium from ores, tailings materials were generated. Most of these residual materials were sent back to different uranium mines, but a small amount of it was mixed with conventional building materials and deposited near the old plant until the surrounding ground was flattened. The affected land is included in an area under institutional control and used as recreational area. At the time of processing, uranium isotopes were separated but other radionuclides of the uranium decays series as 230 Th, 226 Ra and daughters remain in the residue. Recently, the analyses of samples taken at different ground's depths confirm their presence. This paper presents the methodology used to calculate the derived concentration level to ensure the reference dose level of 0.1 mSv y-1 used as radiological criteria. In this study, a radiological impact assessment was performed modelling the area as recreational scenario. The modelization study was carried out with the code RESRAD considering as exposure pathways, external irradiation, inadvertent ingestion of soil, inhalation of resuspended particles, and inhalation of outdoor radon ( 222 Rn). As result was concluded that, if the concentration of 226 Ra in the first 15 cm of soil is lower than, 0.34 Bq g-1 , the dose would not exceed the reference dose. Applying this value as a derived concentration level and comparing with the results of measurements on the ground, some areas with a concentration of activity slightly higher than latter were found. In these zones the remediation proposal has been to cover with a layer of 15 cm of clean material. This action represents a reduction of 85% of the dose and ensures compliance with the reference dose. (author)

Radiological protection in interventional radiology

International Nuclear Information System (INIS)

Padovani, R.

2001-01-01

Interventional radiology (IR) reduces the need for many traditional interventions, particularly surgery, so reducing the discomfort and risk for patients compared with traditional systems. IR procedures are frequently performed by non-radiologist physicians, often without the proper radiological equipment and sufficient knowledge of radiation protection. Levels of doses to patients and staff in IR vary enormously. A poor correlation exists between patient and staff dose, and large variations of dose are reported for the same procedure. The occurrence of deterministic effects in patients is another peculiar aspect of IR owing to the potentially high skin doses of some procedures. The paper reviews the use of IR and the radiological protection of patients and staff, and examines the need for new standards for IR equipment and the training of personnel. (author)

Teaching and Assessing Professionalism in Radiology: Resources and Scholarly Opportunities to Contribute to Required Expectations.

Science.gov (United States)

Kelly, Aine Marie; Mullan, Patricia B

2018-05-01

Teaching and assessing trainees' professionalism now represents an explicit expectation for Accreditation Council Graduate Medical Education-accredited radiology programs. Challenges to meeting this expectation include variability in defining the construct of professionalism; limits of traditional teaching and assessment methods, used for competencies historically more prominent in medical education, for professionalism; and emerging expectations for credible and feasible professionalism teaching and assessment practices in the current context of health-care training and practice. This article identifies promising teaching resources and methods that can be used strategically to augment traditional teaching of the cognitive basis for professionalism, including role modeling, case-based scenarios, debriefing, simulations, narrative medicine (storytelling), guided discussions, peer-assisted learning, and reflective practice. This article also summarizes assessment practices intended to promote learning, as well as to inform how and when to assess trainees as their professional identities develop over time, settings, and autonomous practice, particularly in terms of measurable behaviors. This includes assessment tools (including mini observations, critical incident reports, and appreciative inquiry) for authentic assessment in the workplace; engaging multiple sources (self-, peer, other health professionals, and patients) in assessment; and intentional practices for trainees to take responsibility for seeking our actionable feedback and reflection. This article examines the emerging evidence of the feasibility and value added of assessment of medical competency milestones, including professionalism, coordinated by the Accreditation Council Graduate Medical Education in radiology and other medical specialties. Radiology has a strategic opportunity to contribute to scholarship and inform policies in professionalism teaching and assessment practices. Copyright © 2018 The

Good practices in radiological protection at Narora Atomic Power Station

International Nuclear Information System (INIS)

Singh, V.P.; Kumar, Sanjeev; Agrawal, Mitesh; Tiwari, S.K.; Kulhari, Praveen; Gupta, Ashok

2016-01-01

Radiological protection performance of nuclear power plant is assessed by collective exposure, individual average exposure, external/external exposure, personnel/surface contamination and reduction of radioactive wastes. Collective exposure is reduced by integrated comprehensive ALARA program in all aspects of nuclear plant operation and maintenance has reduced collective dose many folds. In the present paper, implementation of new good practices in Radiological Protection is presented

An Assessment of the radiological vulnerability for Spanish soils

International Nuclear Information System (INIS)

Trueba, C.; Millan, R.; Schimid, T.; Lago, C.; Gutierrez, J.

2000-01-01

A methodology is presented to assess the radiological vulnerability of soils, based exclusively on their pedagogical properties. The radiological vulnerability defined as the potential capacity of soils to fix or transfer deposited radiocaesium and radiostrontium to plants, is represented in terms of vulnerability indexes. Two pathways are considered, the external irradiation and their transfer through the food chain, where the top horizon and a critical depth of 60 cm is taken into account, respectively, Partial vulnerability indexes are considered for each pathway, which allows a qualitative prediction of the behaviour of the contaminants in soils Global indexes have been obtained as the sum of the partial indexes. The methodology has been applied and validated using a data base consisting of more than 2000 soil profiles selected from all over Spain. This included a pedagogical characterisation and normalisation of the different soil profiles. Results have been obtained for individual soil profiles and with the aid of a GIS, the distribution of the partial and global indexes have been presented for the most representative soil types. (Author)

Is radiological evaluation as good as computer-based volumetry to assess hippocampal atrophy in Alzheimer's disease?

International Nuclear Information System (INIS)

Boutet, Claire; Drier, Aurelie; Dormont, Didier; Lehericy, Stephane; Chupin, Marie; Colliot, Olivier; Sarazin, Marie; Mutlu, Gurkan; Pellot, Audrey

2012-01-01

Hippocampus volumetry is a useful surrogate marker for the diagnosis of Alzheimer's disease (AD). Our purpose was to compare visual assessment of medial temporal lobe atrophy made by radiologists with automatic hippocampal volume and to compare their performances for the classification of AD, mild cognitive impairment (MCI) and cognitively normal (CN). We studied 30 CN, 30 MCI and 30 AD subjects. Six radiologists with two levels of expertise performed two readings of medial temporal lobe atrophy. Medial temporal lobe atrophy was evaluated on coronal three-dimensional T1-weighted images using Scheltens scale and compared with hippocampal volume obtained using a fully automatic segmentation method (Spearman's rank coefficient). Visual assessment of medial temporal lobe atrophy was correlated with hippocampal volume (p < 0.01). Classification performances between MCI converter and CN was better using volumetry than visual assessment of non-expert readers whereas classification of AD and CN did not differ between visual assessment and volumetry except for the first reading of one non-expert (p = 0.03). Visual assessment of medial temporal lobe atrophy by radiologists was well correlated with hippocampal volume. Radiological assessment is as good as computer-based volumetry for the classification of AD, MCI non-converter and CN and less good for the classification of MCI converter versus CN. Use of Scheltens scale for assessing hippocampal atrophy in AD seems thus justified in clinical routine. (orig.)

Non-small cell carcinoma: Comparison of postoperative intra- and extrathoracic recurrence assessment capability of qualitatively and/or quantitatively assessed FDG-PET/CT and standard radiological examinations

Energy Technology Data Exchange (ETDEWEB)

Onishi, Yumiko, E-mail: onitan@med.kobe-u.ac.jp [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Hyogo (Japan); Ohno, Yoshiharu, E-mail: yosirad@kobe-u.ac.jp [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Hyogo (Japan); Koyama, Hisanobu; Nogami, Munenobu; Takenaka, Daisuke [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Hyogo (Japan); Matsumoto, Keiko [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Hyogo (Japan); Department of Radiology, Yamanashi University, Shimokato, Yamanashi (Japan); Yoshikawa, Takeshi; Matsumoto, Sumiaki [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Hyogo (Japan); Maniwa, Yoshimasa [Division of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo (Japan); Nishimura, Yoshihiro [Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo (Japan); Sugimura, Kazuro [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Hyogo (Japan)

2011-09-15

Purpose: The purpose of this study was to compare the capability of integrated FDG-PET/CT for assessment of postoperative intra- and extrathoracic recurrence in non-small cell lung cancer (NSCLC) patients with that of standard radiological examinations. Materials and methods: A total of 121 consecutive pathologically diagnosed NSCLC patients (80 males, 41 females; mean age, 71 years) underwent pathologically and surgically confirmed complete resection, followed by prospective integrated FDG-PET/CT and standard radiological examinations. Final diagnosis of recurrence was based on the results of more than 12 months of follow-up and/or pathological examinations. The probability of recurrence was assessed with either method for each patient by using 5-point visual scoring system, and final diagnosis was made by consensus between two readers. ROC analysis was used to compare the capability of the two methods for assessment of postoperative recurrence on a per-patient basis. The ROC-based positive test was used to determine optimal cut-off value for FDG uptake measurement at a site suspected on the basis of qualitatively assessed PET/CT. Finally, sensitivities, specificities and accuracies of all methods were compared by means of McNemar's test. Results: Areas under the curve of qualitatively assessed PET/CT and standard radiological examinations showed no significant differences (p > 0.05). At an optimal cut-off value of 2.5, specificity and accuracy of quantitatively and qualitatively assessed PET/CT were significantly higher than those of qualitatively assessed PET/CT and standard radiological examinations (p < 0.05). Conclusion: Accuracy of assessment of postoperative intra- and extrathoracic recurrence in NSCLC patients by qualitative and/or quantitative FDG-PET/CT is equivalent to or higher than that by standard radiological examinations.

Non-small cell carcinoma: Comparison of postoperative intra- and extrathoracic recurrence assessment capability of qualitatively and/or quantitatively assessed FDG-PET/CT and standard radiological examinations

International Nuclear Information System (INIS)

Onishi, Yumiko; Ohno, Yoshiharu; Koyama, Hisanobu; Nogami, Munenobu; Takenaka, Daisuke; Matsumoto, Keiko; Yoshikawa, Takeshi; Matsumoto, Sumiaki; Maniwa, Yoshimasa; Nishimura, Yoshihiro; Sugimura, Kazuro

2011-01-01

Purpose: The purpose of this study was to compare the capability of integrated FDG-PET/CT for assessment of postoperative intra- and extrathoracic recurrence in non-small cell lung cancer (NSCLC) patients with that of standard radiological examinations. Materials and methods: A total of 121 consecutive pathologically diagnosed NSCLC patients (80 males, 41 females; mean age, 71 years) underwent pathologically and surgically confirmed complete resection, followed by prospective integrated FDG-PET/CT and standard radiological examinations. Final diagnosis of recurrence was based on the results of more than 12 months of follow-up and/or pathological examinations. The probability of recurrence was assessed with either method for each patient by using 5-point visual scoring system, and final diagnosis was made by consensus between two readers. ROC analysis was used to compare the capability of the two methods for assessment of postoperative recurrence on a per-patient basis. The ROC-based positive test was used to determine optimal cut-off value for FDG uptake measurement at a site suspected on the basis of qualitatively assessed PET/CT. Finally, sensitivities, specificities and accuracies of all methods were compared by means of McNemar's test. Results: Areas under the curve of qualitatively assessed PET/CT and standard radiological examinations showed no significant differences (p > 0.05). At an optimal cut-off value of 2.5, specificity and accuracy of quantitatively and qualitatively assessed PET/CT were significantly higher than those of qualitatively assessed PET/CT and standard radiological examinations (p < 0.05). Conclusion: Accuracy of assessment of postoperative intra- and extrathoracic recurrence in NSCLC patients by qualitative and/or quantitative FDG-PET/CT is equivalent to or higher than that by standard radiological examinations.

Radiological diagnostics of muscle diseases

International Nuclear Information System (INIS)

Weber, M.A.; Essig, M.; Kauczor, H.U.

2007-01-01

Muscular diseases are a heterogeneous group of diseases with difficult differential diagnosis. This article reviews morphological and functional radiological techniques for assessment of muscular diseases. Morphological techniques can describe edema-like changes, lipomatous and atrophic changes of muscular tissue. However, these imaging signs are often not disease-specific. As a result, clinicians assign radiology a secondary role in the management of muscular diseases. Meanwhile, functional radiological techniques allow the assessment of muscle fiber architecture, skeletal muscle perfusion, myocellular sodium-homoeostasis, lipid- and energy-phosphate metabolism, etc. By detecting and spatially localizing pathophysiological phenomena, these new techniques can increase the role of radiology in muscular diseases. (orig.)

Development of the CHEMTARD coupled process simulator for use in radiological assessment

International Nuclear Information System (INIS)

Liew, S.K.; Read, D.

1987-12-01

This report describes features of CHEMTARD (Chemical Transport Adsorption Redox and Decay); a directly-coupled chemical transport code, developed to aid the DOE in carrying out post-closure radiological risk assessments. The program is based on the Lawrence Berkeley code, CHEMTRN, and simulates the one-dimensional transport of aqueous chemical species by advection and/or diffusion while accounting for phase transfer by reversible precipitation-dissolution, ion-exchange or surface adsorption. New models for radioactive decay, oxidation-reduction reactions, flexible boundary conditions and multi-layered transport have significantly enhanced the ability of the code to perform coupled process calculations. Although originally developed for studies involving shallow disposal of low level wastes, the models contained in CHEMTARD are sufficiently general to allow thermodynamic treatment of chemical transport for porous flow through all saturated aquifer systems. (author)

Work procedures and risk factors for high rdiation exposure among radiologic technologists in South Korea

Energy Technology Data Exchange (ETDEWEB)

Kim, Jae Young; Choi, Yeong Chull [Dept. of Preventive Medicine, Keimyung University College of Medicine, Daegu (Korea, Republic of); Lee, Won Jin; Cha, Eun Shil [Dept. of Preventive Medicine, Korea University College of Medicine, Seoul (Korea, Republic of)

2016-12-15

Radiologic technologists currently consist of 31.5% among diagnostic radiation workers in South Korea. Among diagnostic radiation workers, radiologic technologists receive the highest annual and collective doses in South Korea. Comprehensive assessment of the work practices and associated radiation doses from diagnostic radiology procedures should be undertaken for effective prevention for radiologic technologists. Using the national survey, this study aimed (1) to explore the distribution of the work procedures performed by gender, (2) to evaluate occupational radiation exposure by work characteristics and safety compliance, (3) to identify the primary factors influencing high radiation exposure among radiologic technologists in South Korea. This study provided detailed information on work practices, number of procedures performed on weekly basis, and occupational radiation doses among radiologic technologists in South Korea. Average radiation dose for radiologic technologists is higher than other countries, and type of facility, work safety, and wearing lead apron explained quite a portion of increased risk in the association between radiology procedures and radiation exposure among radiologic technologists.

Work procedures and risk factors for high rdiation exposure among radiologic technologists in South Korea

International Nuclear Information System (INIS)

Kim, Jae Young; Choi, Yeong Chull; Lee, Won Jin; Cha, Eun Shil

2016-01-01

Radiologic technologists currently consist of 31.5% among diagnostic radiation workers in South Korea. Among diagnostic radiation workers, radiologic technologists receive the highest annual and collective doses in South Korea. Comprehensive assessment of the work practices and associated radiation doses from diagnostic radiology procedures should be undertaken for effective prevention for radiologic technologists. Using the national survey, this study aimed (1) to explore the distribution of the work procedures performed by gender, (2) to evaluate occupational radiation exposure by work characteristics and safety compliance, (3) to identify the primary factors influencing high radiation exposure among radiologic technologists in South Korea. This study provided detailed information on work practices, number of procedures performed on weekly basis, and occupational radiation doses among radiologic technologists in South Korea. Average radiation dose for radiologic technologists is higher than other countries, and type of facility, work safety, and wearing lead apron explained quite a portion of increased risk in the association between radiology procedures and radiation exposure among radiologic technologists.

Anismus, Physiology, Radiology: Is It Time for Some Pragmatism? A Comparative Study of Radiological and Anorectal Physiology Findings in Patients With Anismus.

Science.gov (United States)

Pisano, Umberto; Irvine, Lesley; Szczachor, Justina; Jawad, Ahsin; MacLeod, Andrew; Lim, Michael

2016-10-01

Anismus is a functional disorder featuring obstructive symptoms and paradoxical contractions of the pelvic floor. This study aims to establish diagnosis agreement between physiology and radiology, associate anismus with morphological outlet obstruction, and explore the role of sphincteric pressure and rectal volumes in the radiological diagnosis of anismus. Consecutive patients were evaluated by using magnetic resonance imaging proctography/fluoroscopic defecography and anorectal physiology. Morphological radiological features were associated with physiology tests. A categorical analysis was performed using the chi-square test, and agreement was assessed via the kappa coefficient. A Mann-Whitney test was used to assess rectal volumes and sphincterial pressure distributions between groups of patients. A P-value of Anismus was seen radiologically and physiologically in 18 (41.8%) and 12 patients (27.9%), respectively. The agreement between modalities was 0.298 (P = 0.04). Using physiology as a reference, radiology had positive and negative predictive values of 44% and 84%, respectively. Rectoceles, cystoceles, enteroceles and pathological pelvic floor descent were not physiologically predictive of animus (P > 0.05). The sphincterial straining pressure was 71 mmHg in the anismus group versus 12 mmHg. Radiology was likely to identify anismus when the straining pressure exceeded 50% of the resting pressure (P = 0.08). Radiological techniques detect pelvic morphological abnormalities, but lead to overdiagnoses of anismus. No proctographic pathological feature predicts anismus reliably. A stronger pelvic floor paradoxical contraction is associated with a greater likelihood of detection by proctography.

Benign breast diseases. Radiology, pathology, risk assessment. 2. ed.

International Nuclear Information System (INIS)

Chinyama, Catherine N.

2014-01-01

Radiological and pathological correlation of the full range of benign breast lesions, with emphasis on screen-detected lesions. Detailed discussion of risk assessment. Revised and updated edition, with a new chapter on gynaecomastia. Ideal aid to the management of patients with benign or indeterminate breast lesions in a multidisciplinary setting. The second edition of this book has been extensively revised and updated. There have been numerous scientific advances in the radiology, pathology and risk assessment of benign breast lesions since the publication of the first edition. The first edition concentrated on screen-detected lesions, which has since been rectified; new symptomatic and screen-detected lesions are discussed in the second edition and include: mastitis and breast abscesses, idiopathic granulomatous mastitis, diabetic mastopathy, phyllodes tumours, gynaecomastia and pseudoangiomatous stromal hyperplasia. The chapters on columnar cell lesions and mucocele-like lesions have been extensively updated. Where applicable, genetic analysis of the benign lesions, which is becoming part of personalised medicine in the field of breast cancer, has been included. The book also presents detailed analyses of the main models, such as the Gail Model, used to assess the subsequent risk of breast cancer in individuals. The current trend in the management of all cancers is preventative. Screening mammography detects early curable cancers as well as indeterminate lesions, the latter of which are invariably pathologically benign. The author has collated important benign lesions and, based on peer-reviewed publications, has documented the relative risk of subsequent cancer to allow the patient and the clinician to implement preventative measures where possible. This book will therefore serve as an essential component of multidisciplinary management of patients with symptomatic and screen-detected benign breast lesions.

Benign breast diseases. Radiology, pathology, risk assessment. 2. ed.

Energy Technology Data Exchange (ETDEWEB)

Chinyama, Catherine N. [Princess Elizabeth Hospital, Le Vauquiedor, St. Martin' s Guernsey, Channel Islands (United Kingdom); Brighton and Sussex Medical School, Brighton (United Kingdom)

2014-04-01

Radiological and pathological correlation of the full range of benign breast lesions, with emphasis on screen-detected lesions. Detailed discussion of risk assessment. Revised and updated edition, with a new chapter on gynaecomastia. Ideal aid to the management of patients with benign or indeterminate breast lesions in a multidisciplinary setting. The second edition of this book has been extensively revised and updated. There have been numerous scientific advances in the radiology, pathology and risk assessment of benign breast lesions since the publication of the first edition. The first edition concentrated on screen-detected lesions, which has since been rectified; new symptomatic and screen-detected lesions are discussed in the second edition and include: mastitis and breast abscesses, idiopathic granulomatous mastitis, diabetic mastopathy, phyllodes tumours, gynaecomastia and pseudoangiomatous stromal hyperplasia. The chapters on columnar cell lesions and mucocele-like lesions have been extensively updated. Where applicable, genetic analysis of the benign lesions, which is becoming part of personalised medicine in the field of breast cancer, has been included. The book also presents detailed analyses of the main models, such as the Gail Model, used to assess the subsequent risk of breast cancer in individuals. The current trend in the management of all cancers is preventative. Screening mammography detects early curable cancers as well as indeterminate lesions, the latter of which are invariably pathologically benign. The author has collated important benign lesions and, based on peer-reviewed publications, has documented the relative risk of subsequent cancer to allow the patient and the clinician to implement preventative measures where possible. This book will therefore serve as an essential component of multidisciplinary management of patients with symptomatic and screen-detected benign breast lesions.

A web-based test of residents' skills in diagnostic radiology

International Nuclear Information System (INIS)

Finlay, K.; Norman, G.R.; Keane, D.R.; Stolberg, H.

2006-01-01

To develop an objective, Web-based tool for evaluating residents' knowledge of diagnostic radiology. We developed and tested a Web-based evaluation tool (the Diagnostic Radiology Skills Test) that consists of 3 tests, one in each of 3 domains of diagnostic radiology: chest, gastrointestinal, and musculoskeletal imaging. Each test comprises 30 cases representing a range of difficulty in the domain, including normal states, normal variants, typical cases of common diagnoses, and cases with more subtle findings. Cases are presented with a long menu of domain-specific possible diagnoses (response options), each coded for diagnostic appropriateness. Our subjects were 21 residents in postgraduate year (PGY) 2 to 5 and 11 experts in diagnostic radiology. Subjects accessed the tool via a Web site on our Web server. Residents test results were compared for reliability and validity across domain, case, and training level. In addition, results were correlated with commonly used established and objective evaluation tools. The tool demonstrated consistent monotonic improvement in performance with training level. It showed acceptable reliability in discriminating between residents at different performance levels, both within and across training levels (r = 0.53 within level and 0.69 across levels). Test results also had concurrent validity against the American College of Radiology In-Training Examination, a widely accepted objective assessment tool (r = 0.65, P < 0.01), and 2 Objective Structured Clinical Examinations (OSCEs) focusing on diagnostic skills (r = 0.78 and r 0.69, P < 0.01, respectively). Our study demonstrates the feasibility of a Web-based, standardized, objective assessment method for evaluating residents' performance. (author)

Radiology Residents' Performance in Screening Mammography Interpretation

International Nuclear Information System (INIS)

Lee, Eun Hye; Lyou, Chae Yeon

2013-01-01

To evaluate radiology residents' performance in screening mammography interpretation and to analyze the factors affecting performance. We enrolled 203 residents from 21 institutions and performed mammography interpretation tests. Between the trainee and non-trainee groups, we compared the interpretation score, recall rate, sensitivity, positive predictive value (PPV) and false-positive rate (FPR). We estimated the training effect using the score differences between trainee and non-trainee groups. We analyzed the factors affecting performance between training-effective and non-effective groups. Trainees were superior to non-trainees regarding interpretation score (43.1 vs. 37.1), recall rate (11.0 vs. 15.5%), sensitivity (83.6 vs. 72.0%), PPV (53.0 vs. 32.4%) and FPR (13.5 vs. 25.5). The longer the training period, the better were the interpretation score, recall rate, sensitivity, PPV and FPR (rho = 0.486, -0.375, 0.343, 0.504, -0.446, respectively). The training affected an increase by an average of 6 points; however, 31.6% of institutions showed no effect. A difference was noted in the volume of mammography interpretation during a month (594.0 vs. 476.9) and dedication of breast staff (61.5 vs. 0%) between training-effective and non-effective groups. Trainees showed better performance in mammography interpretation compared to non-trainees. Moreover, performance was correlated with the training period. The factors affecting performance were the volume of mammography interpretation and the dedication of the breast staff.

Long-term follow-up on total reconstruction of the temporomandibular joint - functional, psychosocial and radiological assessments in a case-series study

DEFF Research Database (Denmark)

Andersen, Kristian

Long-term follow-up on total reconstruction of the temporomandibular joint - functional, psychosocial and radiological assessments in a case-series study......Long-term follow-up on total reconstruction of the temporomandibular joint - functional, psychosocial and radiological assessments in a case-series study...

Diagnostic Accuracy of Focused Assessment with Sonography for Blunt Abdominal Trauma in Pediatric Patients Performed by Emergency Medicine Residents versus Radiology Residents

Directory of Open Access Journals (Sweden)

Farhad Heydari

2018-05-01

Full Text Available Introduction: Focused assessment with sonography for trauma (FAST has been shown to be useful to detect intraperitoneal free fluid in patients with blunt abdominal trauma (BAT. Objective: We compared the diagnostic accuracy of FAST performed by emergency medicine residents (EMRs and radiology residents (RRs in pediatric patients with BAT. Method: In this prospective study, pediatric patients with BAT and high energy trauma who were referred to the emergency department (ED at Al-Zahra and Kashani hospitals in Isfahan, Iran, were evaluated using FAST, first by EMRs and subsequently by RRs. The reports provided by the two resident groups were compared with the final outcome based on the results of the abdominal computed tomography (CT, operative exploration, and clinical observation. Results: A total of 101 patients with a median age of 6.75 ± 3.2 years were enrolled in the study between January 2013 and May 2014. These patients were evaluated using FAST, first by EMRs and subsequently by RRs. A good diagnostic agreement was noted between the results of the FAST scans performed by EMRs and RRs (κ = 0.865, P < 0.001. The sensitivity, specificity, positive and negative predictive values, and accuracy in evaluating the intraperitoneal free fluid were 72.2%, 85.5%, 52%, 93.3%, and 83.2%, respectively, when FAST was performed by EMRs and 72.2%, 86.7%, 54.2%, 93.5%, and 84.2%, respectively, when FAST was performed by RRs. No significant differences were seen between the EMR- and RR-performed FAST. Conclusion: In this study, FAST performed by EMRs had acceptable diagnostic value, similar to that performed by RRs, in patients with BAT.

The radiological impact of radionuclides dispersed on a regional and global scale: Methods for assessment and their application

International Nuclear Information System (INIS)

1985-01-01

The basic features of models, developed to assess the radiological impact of radionuclides that become dispersed on a regional or global scale, have been reviewed. Particular attention has been given to identifying the important processes that need to be modelled in order to make a reliable estimate of the radiological impact, rather than attempting to judge which models are the most appropriate. Judgements on the latter will be sensitive to the particular application; in some cases a very simple approach may be sufficient, whereas in others a more rigorous analysis may be necessary. Two aspects are important in assessing the radiological impact: these are the exposure of critical groups, and the collective dose in the exposed population

Enhancement of radiological protection through an internal quality assessment cycle

International Nuclear Information System (INIS)

Figueiredo, Filipe Morais de; Gama, Zenewton Andre da Silva

2012-01-01

Objective: To determine the level of quality in radiation protection of patients during radiological examination, evaluating the effectiveness of an intervention aimed at enhancing the quality of such a protection. Materials and Methods: A quality improvement cycle was implemented in a radiology service of the Regional Health Administration, in Algarve, Portugal. Based on six quality criteria, an initial evaluation was performed and followed by an intervention focused on the most problematic points (over an eight-month period) and a subsequent quality reassessment. A random sampling (n = 60) has allowed the authors to infer the point estimates and confidence intervals for each criterion, as well as calculating the statistical significance of the results by means of the Z-test. Results: Initially, deficiencies were observed in relation to all the quality criteria. After the intervention, a minimum relative improvement of 33% was observed in five of the six criteria, with statistical significance (p < 0.05) in two of them. The absolute frequency of noncompliance decreased from 38 (first evaluation) to 21 (second evaluation), corresponding to a 44.7% improvement. Conclusion: The first institutional evaluation cycle showed a seemingly incipient improvement margin. However, the implemented intervention was effective in stimulating good practices and improving the level of radiological protection of patients. (author)

Evidence-based radiology: why and how?

International Nuclear Information System (INIS)

Sardanelli, Francesco; Di Leo, Giovanni; Hunink, Myriam G.; Gilbert, Fiona J.; Krestin, Gabriel P.

2010-01-01

To provide an overview of evidence-based medicine (EBM) in relation to radiology and to define a policy for adoption of this principle in the European radiological community. Starting from Sackett's definition of EBM we illustrate the top-down and bottom-up approaches to EBM as well as EBM's limitations. Delayed diffusion and peculiar features of evidence-based radiology (EBR) are defined with emphasis on the need to shift from the demonstration of the increasing ability to see more and better, to the demonstration of a significant change in treatment planning or, at best, of a significant gain in patient outcome. The ''as low as reasonably achievable'' (ALARA) principle is thought as a dimension of EBR while EBR is proposed as part of the core curriculum of radiology residency. Moreover, we describe the process of health technology assessment in radiology with reference to the six-level scale of hierarchy of studies on diagnostic tests, the main sources of bias in studies on diagnostic performance, and levels of evidence and degrees of recommendations according to the Centre for Evidence-Based Medicine (Oxford, UK) as well as the approach proposed by the GRADE working group. Problems and opportunities offered by evidence-based guidelines in radiology are considered. Finally, we suggest nine points to be actioned by the ESR in order to promote EBR. Radiology will benefit greatly from the improvement in practice that will result from adopting this more rigorous approach to all aspects of our work. (orig.)

Challenges in radiological impact assessment studies at new sites for nuclear facilities and its safety review and assessment for siting consent

International Nuclear Information System (INIS)

Mukherjee Roy, Susmita; Roshan, A.D.; Bishnoi, L.R.

2018-01-01

One of the basic requirement of site evaluation for a Nuclear Facility (NF) is radiological impact assessment (RIA). This involves evaluation of transportation of radioactive materials discharged from a nuclear facility under normal operational or accidental conditions, through different compartments of environment viz. air, land and water, and finally assessment of its consequences. Amongst others, site characteristics and the site related parameters play major role in evaluation of impact of postulated releases from NPPs. Doses to public from both external and internal exposures are computed to assess potential consequences of a radiological release and acceptability of the site-plant pair is established based on the outcome of this assessment. A comprehensive study of the site characteristics including meteorology, hydrology, hydro-geology and demography of the region along with details of land and water use, bioaccumulation, transfer to and from the environmental matrices is required for accomplishing satisfactory RIA

Patient-Centered Radiology Reporting: Using Online Crowdsourcing to Assess the Effectiveness of a Web-Based Interactive Radiology Report.

Science.gov (United States)

Short, Ryan G; Middleton, Dana; Befera, Nicholas T; Gondalia, Raj; Tailor, Tina D

2017-11-01

The aim of this study was to evaluate the effectiveness of a patient-centered web-based interactive mammography report. A survey was distributed on Amazon Mechanical Turk, an online crowdsourcing platform. One hundred ninety-three US women ≥18 years of age were surveyed and then randomized to one of three simulated BI-RADS ® 0 report formats: standard report, Mammography Quality Standards Act-modeled patient letter, or web-based interactive report. Survey questions assessed participants' report comprehension, satisfaction with and perception of the interpreting radiologist, and experience with the presented report. Two-tailed t tests and χ 2 tests were used to evaluate differences among groups. Participants in the interactive web-based group spent more than double the time viewing the report than the standard report group (160.0 versus 64.2 seconds, P < .001). Report comprehension scores were significantly higher for the interactive web-based and patient letter groups than the standard report group (P < .05). Scores of satisfaction with the interpreting radiologist were significantly higher for the web-based interactive report and patient letter groups than the standard report group (P < .01). There were no significant differences between the patient letter and web-based interactive report groups. Radiology report format likely influences communication effectiveness. For result communication to a non-medical patient audience, patient-centric report formats, such as a Mammography Quality Standards Act-modeled patient letter or web-based interactive report, may offer advantages over the standard radiology report. Future work is needed to determine if these findings are reproducible in patient care settings and to determine how best to optimize radiology result communication to patients. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Determining procedures for simulation-based training in radiology

DEFF Research Database (Denmark)

Nayahangan, Leizl Joy; Nielsen, Kristina Rue; Albrecht-Beste, Elisabeth

2018-01-01

, and basic abdominal ultrasound. CONCLUSION: A needs assessment identified and prioritized 13 technical procedures to include in a simulation-based curriculum. The list may be used as guide for development of training programs. KEY POINTS: • Simulation-based training can supplement training on patients......OBJECTIVES: New training modalities such as simulation are widely accepted in radiology; however, development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The study objective was to perform a nationwide needs...... assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum. METHODS: A needs assessment using the Delphi method was completed among 91 key leaders in radiology. Round 1 identified technical procedures that radiologists should learn. Round 2 explored...

Radiological evaluation of dysphagia

Energy Technology Data Exchange (ETDEWEB)

Ott, D.J.; Gelfand, D.W.; Wu, W.C.; Chen, Y.M.

1986-11-21

Dysphagia is a common complaint in patients presenting for radiological or endoscopic examination of the esophagus and is usually due to functional or structural abnormalities of the esophageal body or esophagogastric region. The authors review the radiological evaluation of the esophagus and esophagogastric region in patients with esophageal dysphagia and discuss the roentgenographic techniques used, radiological efficacy for common structural disorders, and evaluation of esophageal motor function. Comparison is made with endoscopy in assessing dysphagia, with the conclusion that the radiological examination be used initially in patients with this complaint.

Radiological evaluation of dysphagia

International Nuclear Information System (INIS)

Ott, D.J.; Gelfand, D.W.; Wu, W.C.; Chen, Y.M.

1986-01-01

Dysphagia is a common complaint in patients presenting for radiological or endoscopic examination of the esophagus and is usually due to functional or structural abnormalities of the esophageal body or esophagogastric region. The authors review the radiological evaluation of the esophagus and esophagogastric region in patients with esophageal dysphagia and discuss the roentgenographic techniques used, radiological efficacy for common structural disorders, and evaluation of esophageal motor function. Comparison is made with endoscopy in assessing dysphagia, with the conclusion that the radiological examination be used initially in patients with this complaint

Technology assessment HTR. Part 6. The radiological risks associated with the thorium-fuelled High Temperature Reactor. A comparative risk evaluation

International Nuclear Information System (INIS)

Dodd, D.H.; Van Hienen, J.F.A.

1996-06-01

This report presents the results of task B.3 of the 'Technology Assessment of the High Temperature Reactor' project. The objective of task B.3 was to evaluate the radiological risks to the general public associated with the sustainable HTGR cycle. Since the technologies to be used at several stages of this fuel cycle are still in the design phase and since a detailed specification of this fuel cycle has not yet been developed, the emphasis was on obtaining a global impression of the risk associated with a generic thorium-based HTGR fuel cycle. This impression was obtained by performing a comparative risk analysis on the basis of data given in the literature. As reference for the comparison a generic uranium fuel led LWR cycle was used. The structure of the report is as follows. In Chapter 2 the general methodology for assessing the radiological risks associated with nuclear installations is described. An overview is given of the measures commonly used to quantify these risks. In Chapter 3 an overview is given of the different stages of the reference uranium fuel led LWR cycle and the thorium fuel led HTGR cycle. In Chapter 4 a stage-by-stage analysis is given of the radiological risks associated with the two fuel cycles. Finally, in Chapter 5 an evaluation is made of the radiological risks associated with the LWR and HTGR cycles and with thorium and uranium fuels. In Appendix A the production and releases of 14 C for LWR and HTGR fuel cycle facilities is considered in detail. 11 figs., 10 tabs., 10 refs

Assessment of radiological status of underground tunnel of radiochemistry wing

International Nuclear Information System (INIS)

Patre, D.K.; Thanamani, S.; Ojha, Shashikala; Murali, S.

2012-01-01

Radiochemistry Wing, RLG has design based safety systems for lab exhaust and glove box ventilation exhaust. The respective exhaust headers are routed from the lab exhaust point to the filter house. The concretized underground tunnel runs between Radiochemistry wing, RLG and Filter house about 100 m away. It houses the main exhaust tunnel made of MS, has reportedly developed leakage in the MS lines of exhaust due to ageing. It was indicated by the inadequate ventilation to the lab exhaust which reduced ∼ 10 % of the total exhaust. It was decided to carry out the replacement of main exhaust duct subject to radiological safety and clearance from the regulatory agencies. Since the duct had been in use since past 40 years, HP assessment on contamination status, clearance from local safety committee and related regulatory agency are mandatory. In view of the same, the study on radiological parameters was taken up and the paper describes the results of our radiological surveillance. Proposed replacement work involves approximately estimated surface area of duct as 520 m 2 , volume of the material as 106 m 3 and the weight of material of exhaust duct as 12.5 tons. Underground tunnel of radiochemistry wing consists of 3 main segments. It was monitored thoroughly by radiation survey. Spot air sample was collected during the radiological survey. Around 200 swipes were taken from various portions of the segments and the effluent pipelines. Last two tunnel segment were not approachable. Smear swipes were taken from top, side, bottom and floor of each segment. Calibrated scintillation counters were used for assessment of μ air activity and μ contamination check. Spot air samples were taken during different operations showed no activity. Dose rate in the tunnel was found to be less than 1 μSv/h (0.1 mR/h). The μ contamination levels were found in increasing order from the first segment to the last segment. (0.05 - 0.1 Bq/cm 2 ). Effluent pipelines were found to have

Assessment of the radiological conditions in areas of Kuwait with residues of depleted uranium

International Nuclear Information System (INIS)

Cabianca, T.; Danesi, P.R.; Linsley, G.

2004-01-01

The 1991 Gulf War was the first conflict in which DU munitions were used extensively. After this conflict, questions arose regarding the possible link between exposure to ionizing radiation from DU and harmful biological effects. In view of these concerns, the Government of Kuwait, in February 2001, requested the IAEA to conduct an assessment to evaluate the possible radiological impact of residues of DU munitions from the 1991 Gulf War at 11 locations in Kuwait. For this purpose, the IAEA assembled a team of senior experts, who visited Kuwait in September 2001 to carry out a preliminary assessment of the sites and to evaluate the available information. In February 2002 scientists from the IAEA, the Spiez Laboratory (Switzerland), representing UNEP, and the Radiation Protection Department of the Ministry of Health of Kuwait, carried out a sampling campaign at these sites. Around 200 environmental samples, including soil, water and vegetation, were collected during the campaign and subsequently analysed. This study constitutes the first comprehensive radiological assessment of compliance with international radiation protection criteria and standards for areas with residues of DU munitions conducted under the auspices of the IAEA. The findings of this investigation indicate that DU does not pose a radiological hazard to the population of Kuwait. Annual radiation doses arising from exposure to DU residues would be of a few micro-sieverts, well below the annual doses from natural sources of radiation and far below the reference level recommended by the IAEA as a criterion to help establish whether remedial actions are necessary. DU penetrators can still be found at some of the locations visited. Prolonged skin contact with these residues is the only possible pathway that could result in exposures of radiological significance. As long as access to these areas remains restricted, the likelihood that members of the public could come into contact with these residues is low

A reference standard-based quality assurance program for radiology.

Science.gov (United States)

Liu, Patrick T; Johnson, C Daniel; Miranda, Rafael; Patel, Maitray D; Phillips, Carrie J

2010-01-01

The authors have developed a comprehensive radiology quality assurance (QA) program that evaluates radiology interpretations and procedures by comparing them with reference standards. Performance metrics are calculated and then compared with benchmarks or goals on the basis of published multicenter data and meta-analyses. Additional workload for physicians is kept to a minimum by having trained allied health staff members perform the comparisons of radiology reports with the reference standards. The performance metrics tracked by the QA program include the accuracy of CT colonography for detecting polyps, the false-negative rate for mammographic detection of breast cancer, the accuracy of CT angiography detection of coronary artery stenosis, the accuracy of meniscal tear detection on MRI, the accuracy of carotid artery stenosis detection on MR angiography, the accuracy of parathyroid adenoma detection by parathyroid scintigraphy, the success rate for obtaining cortical tissue on ultrasound-guided core biopsies of pelvic renal transplants, and the technical success rate for peripheral arterial angioplasty procedures. In contrast with peer-review programs, this reference standard-based QA program minimizes the possibilities of reviewer bias and erroneous second reviewer interpretations. The more objective assessment of performance afforded by the QA program will provide data that can easily be used for education and management conferences, research projects, and multicenter evaluations. Additionally, such performance data could be used by radiology departments to demonstrate their value over nonradiology competitors to referring clinicians, hospitals, patients, and third-party payers. Copyright 2010 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Feasibility of disposal of high-level radioactive waste into the seabed. Volume 2: Radiological assessment

International Nuclear Information System (INIS)

Marsily, G. de; Berhendt, V.; Ensminger, D.; Flebus, C.; Hutchinson, B.; Kane, P.; Karpf, A.; Klett, R.; Mobbs, S.; Poulin, M.; Stanner, D.

1988-01-01

One of the options suggested for disposal of high-level radioactive waste resulting from the generation of nuclear power is burial beneath the deep ocean floor in geologically stable sediment formations which have no economic value. The 8-volume series provides an assessment of the technical feasibility and radiological safety of this disposal concept based on the results obtained by ten years of co-operation and information exchange among the Member countries participating in the NEA Seabed Working Group. This report presents the results of the radiological assessment which consists in estimating the detriment to man and to the environment which could result from the disposal of high level nuclear waste within seabed sediments in the deep oceans

324 Building Baseline Radiological Characterization

Energy Technology Data Exchange (ETDEWEB)

R.J. Reeder, J.C. Cooper

2010-06-24

This report documents the analysis of radiological data collected as part of the characterization study performed in 1998. The study was performed to create a baseline of the radiological conditions in the 324 Building.

Radiological assessment of the Esk Estuary

International Nuclear Information System (INIS)

Howorth, J.M.; Barr, H.M.; Toole, J.; Strange, L.P.

1993-01-01

An assessment has been carried out of the radiological impact of artificial radionuclides in the Esk estuary in Cumbria, UK. Measurements were made of the distributions of 137 Cs, 239 + 240 Pu, and 241 Am in water, surface bed sediments and core profiles. The highest measured concentrations in surface sediments were 2.8 Bq g -1 of 137 Cs, 3.1 Bq g -1 of 239 + 240 Pu and 4.7 Bq g -1 of 241 Am. These values represent significant decreases from similar measurements made in 1970-1980. The measured behaviour of the actinides in low salinity water at the head of the estuary supports previous observations of actinide remobilisation from the bed. A model has been developed which simulates the long-term behaviour of radioactivity in the estuary. The model incorporates representations of tidal mixing, sediment transport, seasonal and long-term sediment accretion. The model also represents long-term build-up in salt marsh regions. The model gives good agreement with measured distributions of 137 Cs, but tends to underestimate actinide concentrations by factors of 2-3. Dose calculations show the importance of radionuclide uptake through livestock grazing sea-washed pasture alongside the estuary. 137 Cs and 241 Am are identified as the most important radionuclides considered in the assessment. (Author)

A computerized assessment and response system for radiological emergency at Diablo Canyon Nuclear Power Plant

International Nuclear Information System (INIS)

Shih, C.C.; Thuillier, R.H.

1984-01-01

The U.S. Nuclear Regulatory Commission requires that nuclear power plants provide for rapid assessment and response in the event of a radiological emergency. At the Diablo Canyon Nuclear Power Plant, Pacific Gas and Electric Company uses a system of linked central minicomputer, satellite desktop computers and microprocessors to provide decision makers with timely and pertinent information in emergency situations. The system provides for data acquisition and microprocessing at meteorological and radiological monitoring sites. Current estimates or projections of offsite dose commitment are made in real-time by a dispersion/dose calculation model. Computerized dissemination of data and calculational results to decision makers at the government and utility levels is also available. The basic system in use is a commercially available Emergency Assessment and Response System (EARS). This generic system has been modified in-house to meet requirements specific to emergency situations at the plant. Distinctive features of the modification program includes: a highly professional man-machine interaction; consideration of site-specific factors; simulation of environmental radiology for development of drill scenarios; and concise, pertinent reports as input to decision making

Assessment of the radiological risks of road transport accidents involving type A package shipments

International Nuclear Information System (INIS)

Lange, F.; Fett, H.J.; Schwarz, G.; Raffestin, D.; Schneider, T.; Gelder, R.; Hughes, J.S.; Shaw, K.B.; Hedberg, B.; Simenstad, P.; Svahn, B.; Hienen, J.F.A.; Jansma, R.

1998-01-01

This paper is an account of work performed within a multi-lateral research project on the radiological risks associated with the transportation of Type A packaged radioactive material. The research project has been performed on behalf of the European Commission and various national agencies of the participating countries and involved organizations and institutes of five EU Member States, France, Germany, The Netherlands, Sweden, and the UK. The main objectives of the research project were the assessment and appraisal of the potential radiological risks of road transport accidents involving Type A package shipments in participating EU Member States. Data were collected and include harmonized sets information related to the type, quantity and characteristics of Type A package shipments by road. Such databases were basically non-existent until recently. The results are expected to be valuable to both national agencies and international organizations, with responsibilities for the safe transport of radioactive materials by providing some insight in the carriage of radioactive materials by road making up a major fraction of radioactive material transports. Similarly, a wide body of information has been collected and compiled on road transport accidents in terms of the frequency of occurrence and the severity of accidental impact loads potentially experienced by a Type A package.In addition, the results will facilitate judgement of the adequacy of the IAEA Transport Regulations as far as Type A packages are concerned. (O.M.)

The development of a postal method to assess X-ray beam parameters and image quality in dental radiology

International Nuclear Information System (INIS)

Fenton, D.M.

1994-10-01

Intraoral radiographs are an extremely valuable diagnostic tool in dentistry. Radiography permits the early detection and diagnosis of dental disease and consequently is used extensively. However, public concern about radiation exposure has increased in recent times. This concern is reflected in national and international law, to the extent that, the basic principles of radiological protection, that is, justification, optimisation and dose limitation are written into law. Furthermore, in Ireland, the regulations, as outlined in the Code of Practice for Radiological Protection in Dentistry, require intraoral dental X-ray machines to perform to certain standards. A report of a direct survey of 164 intraoral dental X-ray machines is given in this study. The survey covered mechanical, electrical as well as radiation safety. Inadequacies with respect to focus to skin distance and timer accuracy were found in 45% and 42% of the machines surveyed. Ninety eight machines were assessed for electrical safety in which 48% were found to be unsafe. The results indicate that a complete assessment of the performance of dental X-ray units in Ireland is required. However, as there are in excess of 800 dental X-ray machines located throughout the country, such an assessment would be very costly for the regulatory authority. The development of a postal method for the assessment of the performance of dental X-ray machines is described in this study. This postal method provides information on the kV, total filtration, beam width and timer linearity and is undertaken by means of a penetrameter and film envelopes for exposure to the X-ray set under examination, together with a questionnaire that requests information on environment in which the machine is located. Using this method an accuracy of +-5% of the actual value was achieved in the measurement of kVp. The penetrameter was also used to assess whether or not the filtration of a particular machine complies with the regulations. This

Exercises for radiological and nuclear emergency response. Planing - performance - evaluation

International Nuclear Information System (INIS)

Bayer, A.; Faleschini, J.; Goelling, K.; Stapel, R.; Strobl, C.

2010-01-01

The report of the study group emergency response seminar covers the following topics: (A) purpose of exercises and exercise culture: fundamentals and appliances for planning, performance and evaluation; (B) exercises in nuclear facilities; (C) exercises of national authorities and aid organizations on nuclear scenarios; exercises of national authorities and aid organizations on other radiological scenarios; (D) exercises in industrial plants, universities, medical facilities and medical services, and research institutes; (E) transnational exercises, international exercises; (F): exercises on public information.

Assessment of radiological risks at the ATLAS experiment. Author-review of the Thesis

International Nuclear Information System (INIS)

Zajacova, Z.

2009-01-01

The dissertation addressed three complex radiological issues of the ATLAS experiment at the LHC. Extensive scientific study of the detector activation was performed in order to delineate its radioactive waste zoning. This work involved two independent calculations. One was performed by folding particle fluxes obtained from the GCALOR Monte Carlo radiation transport code with radionuclide production cross sections and the other was done by scoring residual nuclei production with the FLUKA Monte Carlo radiation transport code. In terms of the radioactive waste zoning the results of the two calculations were mutually supportive and in good agreement. To cross-check them on a more detailed level we performed a dedicated study. The cross-check revealed that for most radionuclides the predictions of the two methods are in a very good agreement, within a factor of 2. The production of certain important radionuclides from copper was about 3 times higher by the folding method than with FLUKA. This effect was attributed to the Silberberg- Tsao cross-sections that were used for the folding calculations. Indeed the results were in a better agreement when a different set of cross sections, compiled from predominantly experimental sources, was used. Finally, the largest systematic discrepancies between the two methods were found for the production of 65 Zn in copper 183 Re in tungsten and 56 Co in iron, which was higher with the folding method by more than a factor of 5 for 5 6Co and more than a factor of 20 for the others. These radionuclides are produced almost exclusively by protons through 65 C(p;n) 65 Zn, 56 Fe(p; n) 56 Co and 183 W(p; n) 183 Re reactions. The folding method relied on the Silberberg-Tsao cross sections and consequently treated all hadrons effectively as protons. However, in the end-cap calorimeter protons account for less than 20% of the total hadron flux (not counting neutrons below 20 MeV). Since the contribution of these radionuclides to the total

Urinary C-terminal telopeptide of type II collagen, radiological severity, and functional assessment in knee osteoarthritis: are these related?

Directory of Open Access Journals (Sweden)

Hayam M Abdel Ghany

2016-01-01

Conclusion This study further confirms that urinary CTX-II is an index of early cartilage degradation in knee OA even before radiological changes occurs. The functional assessment using the WOMAC is an easy inexpensive method in reflecting cartilage degradation. Moreover, this work supports the lack of association between the functional status of knee OA patients assessed using the WOMAC and their radiological severity measured using the Kellgren-Lawrence grading scale.

An overview of dental radiology: a primer on dental radiology

International Nuclear Information System (INIS)

Manny, E.F.; Carlson, K.C.; McClean, P.M.; Rachlin, J.A.; Segal, P.

1980-01-01

To provide medical and scientific background on certain selected technologies generally considered to be of particular significance, the National Center for Health Care Technology (NCHCT) has commissioned a series of overview papers. This is one of several projects entered into jointly by the Bureau of Radiological Health (BRH) and NCHCT relating to the use of radiation for health care. Dental radiation protection has been a long-time interest of BRH. Both past and on-going efforts to minimize population radiation exposure from electronic products have included specific action programs directed at minimizing unnecessary radiation exposure to the population from dental radiology. Current efforts in quality assurance and referral criteria are two aspects of NCHCT's own assessment of this technology which are described within the larger picture presented in this overview. The issues considered in this document go beyond the radiation exposure aspects of dental x-ray procedures. To be responsive to the informational needs of NCHCT, the assessment includes various other factors that influence the practice of dental radiology. It is hoped this analysis will serve as the basis for planning and conducting future programs to improve the practice of dental radiology

eLearning-radiology.com. Sustainability for quality assurance; eLearning-radiology.com. Nachhaltigkeit im Sinne der Qualitaetssicherung

Energy Technology Data Exchange (ETDEWEB)

Ketelsen, D. [Tuebingen Univ. (Germany). Abt. fuer Diagnostische und Interventionelle Radiologie; Talanow, R. [Cleveland Clinic, Cleveland, OH (United States). Abt. fuer Nuklearmedizin; Uder, M. [Erlangen-Nuernberg Univ. (Germany). Inst. fuer Diagnostische Radiologie; Grunewald, M. [Erlangen-Nuernberg Univ. (Germany). Nuklearmedizinische Klinik

2009-04-15

Purpose: The aim of the study was to analyze the availability of published radiological e-learning tools and to establish a solution for quality assurance. Materials and Methods: Substantial pubmed research was performed to identify radiological e-learning tools. 181 e-learning programs were selected. As examples two databases expanding their programs with external links, Compare (n = 435 external links) and TNT-Radiology (n = 1078 external links), were evaluated. A concept for quality assurance was developed by an international taskforce. Results: At the time of assessment, 56.4 % (102/181) of the investigated e-learning tools were accessible at their original URL. A subgroup analysis of programs published 5 to 8 years ago showed significantly inferior availability to programs published 3 to 5 years ago (p < 0.01). The analysis of external links showed 49.2 % and 61.0 % accessible links for the programs Compare (published 2003) and TNT-Radiology (published 2006), respectively. As a consequence, the domain www.eLearning-radiology.com was developed by the taskforce and published online. This tool allows authors to present their programs and users to evaluate the e-learning tools depending on several criteria in order to remove inoperable links and to obtain information about the complexity and quality of the e-learning tools. (orig.)

Radiological assessment of the breast following enhancement with Macrolane: Managing the challenges

Energy Technology Data Exchange (ETDEWEB)

Scaperrotta, Gianfranco, E-mail: gianfranco.scaperrotta@istitutotumori.mi.it [Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, 20133 Milan (Italy); Satchithananda, Keshtra, E-mail: keshthra.satchi@virgin.net [Imaging Department, King’s College Hospital NHS Foundation Trust and King’s College, Second Floor, Denmark Wing, Denmark Hill, London SE5 9RS (United Kingdom); Tengvar, Magnus, E-mail: magnus.tengvar@karolinska.se [Radiology Department, Karolinska University Hospital, Karolinska Vägen, 171 76 Solna (Sweden); Post, Karin, E-mail: karin.post@t-online.de [Radiologie Nuklearmedizin, Diakonissen KH, Speyerer Straße 91, 68163 Mannheim (Germany); Lim, Adrian K. [Imaging Department, Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London W6 8RF (United Kingdom); Panizza, Pietro, E-mail: ppanizza@sirm.org [Radiology Department, San Raffaele Hospital, Via Olgettina 60, 20132 Milan (Italy); Wesolowska, Ewa, E-mail: ewawu7@wp.pl [The M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, 02-034 Warsaw, ul. Wawelska 15B (Poland); Inglefield, Christopher J., E-mail: chris@lbps.co.uk [London Bridge Plastic Surgery and Aesthetic Clinic, 54 Wimpole Street, London W1G 8YJ (United Kingdom)

2017-01-15

Highlights: • Macrolane VRF{sup ®}, a biodegradable, stabilized hyaluronic acid gel, was used for breast enhancement 2008–2012. • Even after more than 4 years, small amounts of Macrolane can still be visible on magnetic resonance imaging (MRI) or ultrasound in some patients similar to permanent implants, the presence of Macrolane gel may interfere with interpretation of mammography. • Knowledge of the product’s appearance on radiological assessment of breasts following Macrolane treatment is therefore required. • It is possible to assess the vast majority of patients using a combination of digital mammography and ultrasonography examination. - Abstract: Macrolane VRF{sup ®}, a biodegradable, stabilized hyaluronic acid gel, was used for breast enhancement 2008–2012. Similar to permanent implants, the presence of Macrolane gel may interfere with interpretation of mammography. This short communication aims to provide a guide to the appearance of Macrolane on radiology examination (including mammography, ultrasound and magnetic resonance imaging) and aid selection of the most appropriate imaging modality to facilitate breast examination in women who have undergone Macrolane breast enhancement.

Radiological assessment of the breast following enhancement with Macrolane: Managing the challenges

International Nuclear Information System (INIS)

Scaperrotta, Gianfranco; Satchithananda, Keshtra; Tengvar, Magnus; Post, Karin; Lim, Adrian K.; Panizza, Pietro; Wesolowska, Ewa; Inglefield, Christopher J.

2017-01-01

Highlights: • Macrolane VRF ® , a biodegradable, stabilized hyaluronic acid gel, was used for breast enhancement 2008–2012. • Even after more than 4 years, small amounts of Macrolane can still be visible on magnetic resonance imaging (MRI) or ultrasound in some patients similar to permanent implants, the presence of Macrolane gel may interfere with interpretation of mammography. • Knowledge of the product’s appearance on radiological assessment of breasts following Macrolane treatment is therefore required. • It is possible to assess the vast majority of patients using a combination of digital mammography and ultrasonography examination. - Abstract: Macrolane VRF ® , a biodegradable, stabilized hyaluronic acid gel, was used for breast enhancement 2008–2012. Similar to permanent implants, the presence of Macrolane gel may interfere with interpretation of mammography. This short communication aims to provide a guide to the appearance of Macrolane on radiology examination (including mammography, ultrasound and magnetic resonance imaging) and aid selection of the most appropriate imaging modality to facilitate breast examination in women who have undergone Macrolane breast enhancement.

Interventional Radiology in Paediatrics.

Science.gov (United States)

Chippington, Samantha J; Goodwin, Susie J

2015-01-01

As in adult practice, there is a growing role for paediatric interventional radiology expertise in the management of paediatric pathologies. This review is targeted for clinicians who may refer their patients to paediatric interventional radiology services, or who are responsible for patients who are undergoing paediatric interventional radiology procedures. The article includes a brief overview of the indications for intervention, techniques involved and the commonest complications. Although some of the procedures described are most commonly performed in a tertiary paediatric centre, many are performed in most Children's hospitals.

Evaluation of Radiology Teachers' Performance and Identification of the "Best Teachers" in a Residency Program: Mixed Methodology and Pilot Study of the MEDUC-RX32 Questionnaire.

Science.gov (United States)

Huete, Álvaro; Julio, Rodrigo; Rojas, Viviana; Herrera, Cristián; Padilla, Oslando; Solís, Nancy; Pizarro, Margarita; Etcheberry, Lorena; Sarfatis, Alberto; Pérez, Gonzalo; Díaz, Luis A; Delfino, Alejandro; Muñoz, Estrella; Rivera, Horacio; Parra, Dimitri A; Bitran, Marcela; Riquelme, Arnoldo

2016-07-01

Radiology teachers are well trained in their specialty; however, when working in academic institutions, faculty development and promotion through the education pathway tends to be based on their teaching knowledge and skills. The aim of this study is to assess psychometric properties of the Medicina Universidad Católica-Radiology 32 items (MEDUC-RX32), an instrument designed to evaluate the performance of postgraduate radiology teachers and to identify the best teachers. Mixed methodology was used, including qualitative and quantitative phases. The psychometric properties of the MEDUC-RX32 survey were performed by factor analysis (validity), Cronbach alpha coefficient, and G coefficient (reliability). The residents assessed their teachers and simultaneously voted for the "best teacher," which was used as a gold standard for the receiver operating characteristic curves construction comparing their votes with the global score. A total of 28 residents answered 164 surveys. The global score was 6.23 ± 0.8 (scale from 1 to 7). The factor analysis showed six domains of the resident's perception: (1) tutorial teaching, feedback, and independent learning; (2) communication and teamwork; (3) learning objectives; (4) respectful behavior; (5) radiological report; and (6) teaching and care support. The tutor's strengths were related with respectful behavior and teamwork. The instrument is highly reliable with a Cronbach alpha of 0.937 and a G coefficient of 0.831 (with a minimum of 8 residents). The MEDUC-RX32 instrument has a sensitivity of 91.7% and specificity of 83.3% to identify tutors as best teachers with at least one vote with an area under the receiver operating characteristic curve of 0.931 with a cutoff of 5.94. The MEDC-RX32 instrument is a multidimensional, valid, and highly reliable method to evaluate radiology teachers, identifying teachers with excellence in tutorial teaching in a postgraduate radiology program. Copyright © 2016 The Association of

Technical and radiological image quality comparison of different liquid crystal displays for radiology

Directory of Open Access Journals (Sweden)

Dams FE

2014-10-01

Full Text Available Francina EM Dams,2 KY Esther Leung,1 Pieter HM van der Valk,2 Marc CJM Kock,2 Jeroen Bosman,1 Sjoerd P Niehof1 1Medical Physics and Technology, 2Department of Radiology, Albert Schweitzer Hospital, Dordrecht, The Netherlands Background: To inform cost-effective decisions in purchasing new medical liquid crystal displays, we compared the image quality in displays made by three manufacturers. Methods: We recruited 19 radiologists and residents to compare the image quality of four liquid crystal displays, including 3-megapixel Barco®, Eizo®, and NEC® displays and a 6-megapixel Barco display. The evaluators were blinded to the manufacturers' names. Technical assessments were based on acceptance criteria and test patterns proposed by the American Association of Physicists in Medicine. Radiological assessments were performed on images from the American Association of Physicists in Medicine Task Group 18. They included X-ray images of the thorax, knee, and breast, a computed tomographic image of the thorax, and a magnetic resonance image of the brain. Image quality was scored on an analog scale (range 0–10. Statistical analysis was performed with repeated-measures analysis of variance. Results: The Barco 3-megapixel display passed all acceptance criteria. The Eizo and NEC displays passed the acceptance criteria, except for the darkest pixel value in the grayscale display function. The Barco 6-megapixel display failed criteria for the maximum luminance response and the veiling glare. Mean radiological assessment scores were 7.8±1.1 (Barco 3-megapixel, 7.8±1.2 (Eizo, 8.1±1.0 (NEC, and 8.1±1.0 (Barco 6-megapixel. No significant differences were found between displays. Conclusion: According to the tested criteria, all the displays had comparable image quality; however, there was a three-fold difference in price between the most and least expensive displays. Keywords: data display, humans, radiographic image enhancement, user-computer interface

Evaluation of radiological safety assessment of a repository in a clay rock formation

International Nuclear Information System (INIS)

1999-01-01

This report presents a comprehensive description of the post-closure radiological safety assessment of a repository for the spent fuel arisings resulting from the Spanish nuclear program excavated in a clay host rock formation. In this report three scenarios have been analysed in detail. The first scenario represents the normal in detail. The first scenario represents the normal evolution of the repository (Reference Scenario); and includes a set of variants to investigate the relative importance of the various repository components and examine the sensitivity of the performance to parameters variations. Two altered scenarios have also been considered: deep well construction and poor sealing of the repository. This document contains a detailed description of the repository system, the methodology adopted for the scenarios generation, the process modelling approach and the results of the consequences analysis. (Author)

Contrast reaction training in US radiology residencies: a COARDRI study.

Science.gov (United States)

LeBedis, Christina A; Rosenkrantz, Andrew B; Otero, Hansel J; Decker, Summer J; Ward, Robert J

To perform a survey-based assessment of current contrast reaction training in US diagnostic radiology residency programs. An electronic survey was distributed to radiology residency program directors from 9/2015-11/2015. 25.7% of programs responded. 95.7% of those who responded provide contrast reaction management training. 89.4% provide didactic lectures (occurring yearly in 71.4%). 37.8% provide hands-on simulation training (occurring yearly in 82.3%; attended by both faculty and trainees in 52.9%). Wide variability in contrast reaction education in US diagnostic radiology residency programs reveals an opportunity to develop and implement a national curriculum. Copyright © 2017 Elsevier Inc. All rights reserved.

Assessment of natural radioactivity and associated radiological risks from tiles used in Kajang, Malaysia

Science.gov (United States)

Abdullahi, S.; Ismail, A. F.; Samat, S. B.; Yasir, M. S.

2018-04-01

The activity concentration and radiological risk of commonly used flooring materials (tiles) in Malaysia were studied. The natural radionuclide concentrations of 226Ra, 232Th and 40K were measured using high-purity germanium detector. The average concentration of 226Ra, 232Th and 40K in the samples were 65.75±1.1 Bq kg-1, 61.92±1.43 Bq kg-1 and 617.77±6.72 Bq kg-1 respectively. The mean concentration of radium equivalent activity, absorbed dose rate, external and internal hazard indices and annual effective dose equivalent were 195.21±2.88 Bq kg-1, 92.75±1.27 nGy h-1, 0.53±0.01, 0.7±0.01 and 0.44±0.0 mSv y-1 respectively. The aim was to assess the possible radiological risks attributed from the tile materials. Even though, the activity concentrations were higher than worldwide average values, but none of the radiological impact parameters exceeded the maximum recommended values. Hence, it was concluded that, contribution of tiles to radiation exposure is negligible and therefore, radiologically safe to use as building materials.

Hanford Radiological Protection Support Services Annual Report for 2000

Energy Technology Data Exchange (ETDEWEB)

Lynch, Timothy P.; Bihl, Donald E.; Johnson, Michelle L.; Maclellan, Jay A.; Piper, Roman K.

2001-05-07

During calendar year 2000, the Pacific Northwest National Laboratory performed its customary radiological protection support services in support of the U.S. Department of Energy Richland Operations Office and the Hanford contractors. These services included: 1) external dosimetry, 2) internal dosimetry, 3) in vivo monitoring, 4) radiological records, 5) instrument calibration and evaluation, and 6) calibration of radiation sources traceable to the National Institute of Standards and Technology. Each program summary describes the routine operations, program changes and improvements, program assessments, supporting technical studies, and professional activities.

An honest day's work: pay for performance in a pediatric radiology department

Energy Technology Data Exchange (ETDEWEB)

Bisset, George S. [Texas Children' s Hospital, Department of Radiology, Baylor College of Medicine, Houston, TX (United States)

2017-06-15

Compensation models in radiology take a variety of forms, but regardless of practice type, successful models must reward productivity, be simple, and epitomize fairness. The ideal model should also be flexible enough to transition, based upon the changing strategic goals of a department. The plan should be constructed around rewarding the behaviors that the organization values. In this minisymposium article the author presents the value of different types of compensation plans and discusses advantages and disadvantages. Finally, the author presents a pay-for-performance model that has had long-term success at a private-turned-academic practice in pediatric radiology. (orig.)

Radiological assessments for the National Ignition Facility

International Nuclear Information System (INIS)

Hong, Kou-John; Lazaro, M.A.

1996-01-01

The potential radiological impacts of the National Ignition Facility (NIF), a proposed facility for fusion ignition and high energy density experiments, were assessed for five candidate sites to assist in site selection. The GENII computer program was used to model releases of radionuclides during normal NIF operations and a postulated accident and to calculate radiation doses to the public. Health risks were estimated by converting the estimated doses into health effects using a standard cancer fatality risk factor. The greatest calculated radiation dose was less than one thousandth of a percent of the dose received from natural background radiation; no cancer fatalities would be expected to occur in the public as the result of normal operations. The highest dose conservatively estimated to result from a postulated accident could lead to one in one million risk of cancer

Radiological impact assessment in Bagjata uranium deposit: a case study

International Nuclear Information System (INIS)

Sarangi, A.K.; Bhowmik, S.C.; Jha, V.N.

2007-01-01

The uranium ore mining facility, in addition to the desirable product, produces wastes in the form of environmental releases or effluents to air, water and soil. The toxicological and other (non-radiological) effects are generally addressed in EIA/EMP studies as per MOEF guidelines. Since the uranium ore is radioactive, it is desirable to conduct a study on radiological effects considering the impacts of radiological releases to the environment. Before undertaking the commercial mining operations at Bagjata uranium deposit in the Singhbhum east district of Jharkhand, pre-operational radiological base line data were generated and a separate study on radiological impact on various environmental matrices was conducted in line with the International Atomic Energy Agency's laid out guidelines. The paper describes the philosophy of such studies and the findings that helped in formulating a separate environmental management plan. (author)

Radiological controls integrated into design

Energy Technology Data Exchange (ETDEWEB)

Kindred, G.W. [Cleveland Electric Illuminating Co., Perry, OH (United States)

1995-03-01

Radiological controls are required by law in the design of commercial nuclear power reactor facilities. These controls can be relatively minor or significant, relative to cost. To ensure that radiological controls are designed into a project, the health physicist (radiological engineer) must be involved from the beginning. This is especially true regarding keeping costs down. For every radiological engineer at a nuclear power plant there must be fifty engineers of other disciplines. The radiological engineer cannot be an expert on every discipline of engineering. However, he must be knowledgeable to the degree of how a design will impact the facility from a radiological perspective. This paper will address how to effectively perform radiological analyses with the goal of radiological controls integrated into the design package.

Efficient radiological assessment of the internal snapping hip syndrome

International Nuclear Information System (INIS)

Wunderbaldinger, P.; Bremer, C.; Matuszewski, L.; Marten, K.; Turetschek, K.; Rand, T.

2001-01-01

The aim of this study was to evaluate the diagnostic value/significance of various imaging techniques for demonstrating the underlying causative pathology of clinically suspected internal snapping hip syndrome. We intended to define the most efficient diagnostic imaging algorithm that leads to a specific definite therapy for this rare hip disorder. The imaging studies of 54 patients (43 women, 11 men, average age 58 years) with the clinical suspicion of internal snapping hip syndrome were compared for their diagnostic value/significance for finding the underlying pathology. Radiological workup included plain radiographs of the pelvis and hip joints (n=54), ultrasound (US) of the hip joints (n=29), computed tomography (CT) of the pelvis and proximal femur (n=17), and magnetic resonance imaging (MRI) of the pelvis/hip joint (n=21). In order to establish an efficient diagnostic algorithm we compared the diagnostic value of each imaging technique alone and in combination with the other methods. The underlying causative pathology could be established in 37% of patients (n=20) by the use of conventional radiographs alone and in 46% of the patients (n=25) by US alone, and in combination in 83% of the patients (n=45). By adding CT to the radiological workup, we established final diagnosis in 88% (in combination with X-ray; n=15/17) and 94% (together with X-ray and US; n=16/17) of the patients. Whenever MR imaging was used a causative pathology was found in all patients (100%; n=21). The most efficient radiological algorithm in the assessment of patients with internal snapping hip syndrome is the combination of plain radiography and US. MR imaging can be retained for unresolved and difficult cases. (orig.)

An assessment of the radiological impact of sea-dumping at the North East Atlantic dump site

International Nuclear Information System (INIS)

Delow, C.E.; Mobbs, S.F.; Hill, M.D.

1985-04-01

This report describes the models and methodology developed for the assessment of the radiological impact of disposal of low and intermediate level waste on the seabed. The development of the waste package model and the combined model of radionuclide dispersion and interactions with sediments in the world's ocean is outlined. This integrated set of models was used for the radiological assessment of sea dumping at the North-East Atlantic site, which formed part of the recent NEA review of the continued suitability of this site. The predicted radiation doses to man are presented, together with the results of the analysis of the sensitivity of the annual individual doses to critical groups to variations in model parameters. (author)

Assessment of radiological environment around coal mining area of Dhanbad, Jharkhand

International Nuclear Information System (INIS)

Patnaik, R.L.; Thakur, V.K.; Jha, V.N.; Sethy, N.K.; Srivastava, V.S.; Kumar, Rajesh; Tripathi, R.M.; Puranik, V.D.

2012-01-01

Naturally occurring radionuclides present in the earth crust is a significant source of human exposure. Variation in natural background radiation is expected in different geological formations. Anthropogenic activities in geological formation of elevated radionuclide level may enhance the area background. In areas of coal mining industries investigation of radiological environment is required as the residues contains significant amount of uranium and thorium series radionuclides (Van Hook, 1 979, Balogun, 2003). Radon and its short-lived progeny present in the environment contributes maximum natural background radiation dose due to inhalation. Apart from this radionuclide content in key environmental matrices may also contribute to inhalation and ingestion exposure for members of public. Present investigation was carried out in coal mining areas of Dhanbad, Jharkhand to assess the existing radiological status. A detailed investigation is required to evaluate the environmental impact of coal handling activities in the area. The contribution of 222 Rn progeny towards outdoor inhalation dose compares with global average reported by UNSCEAR (2006)

Development of a technical guide for the identification of radiological sources of potential exposure and/or contamination

International Nuclear Information System (INIS)

Reyes, R.; Scott, A.; Falo, G.; Collins, J.; Szrom, F.; Collins, D.

1999-01-01

Radiological assessment of sites with radioactive residues starts with the identification of potential sources. The US Army Center for Health Promotion and Preventive Medicine (USACHPPM) has developed a technical guide that summarizes sources of potential radiological exposures of both civilian and military origin. These sources include those found in the natural environment, in the nuclear fuel cycle, in medical and industrial settings, in the transportation of radioactive materials, in US Army commodities and foreign materiel, and in the use and storage of nuclear weapons. This technical guide is intended to foster awareness of radiological hazards and to provide the reader with the knowledge necessary to take the first step in radiological health risk assessment: recognition of the hazard. Furthermore, this guide can be used in conjunction with other technical guides for performing radiological surveys and field dose assessments in war or peacetime operations. (author)

Guidelines on radiology standards for primary dental care

International Nuclear Information System (INIS)

1994-01-01

A Joint Working Party (JWP) on patient dose reduction in diagnostic radiology was established between the Royal College of Radiologists (RCR) and the National Radiological Protection Board (NRPB) towards the end of 1988. JWP identified a large potential for patient dose reduction on a national scale, and a report of its findings was published in 1990. This guidance was only generally applicable to dental radiology and in 1992 a further joint venture between RCR and NRPB resulted in the formation of a Working Party (WP) to consider all aspects of dental radiology applicable to primary dental care. Dental radiology is one of the largest single groups of radiographic examination performed, although the effective dose per radiograph is small. This means that individual risks from dental radiology are low, but WP has identified a significant potential for reduction in the collective dose and for improvements in the diagnostic quality of radiographs. The WP recommendations cover all aspects of dental radiology: training and examination regimes for dentists and staff, patient selection and clinical justification for radiography, diagnostic interpretation, equipment and procedural aspects, and finally the question of quality assurance in dental radiology. The economic impact of the many recommendations by WP has been considered in some detail. The benefits and cost of each recommendation either have been assigned a monetary value or have been assessed more qualitatively. The conclusion is that there is a strong economic justification for implementation of the full package of recommendations. (Author)

Radiological assessment of the consequences of the disposal of high-level radioactive waste in subseabed sediments

International Nuclear Information System (INIS)

de Marsily, G.; Behrendt, V.; Ensminger, D.A.

1987-01-01

The radiological assessment of the seabed option consists in estimating the detriment to man and to the environment that could result from the disposal of high-level waste (HLW) within the seabed sediments in deep oceans. The assessment is made for the high-level waste (vitrified glass) produced by the reprocessing of 10 5 tons of heavy metal from spent fuel, which represents the amount of waste generated by 3333 reactor-yr of 900-MW(electric) reactors, i.e., 3000 GW(electric) x yr. The disposal option considered is to use 14,667 steel penetrators, each of them containing five canisters of HLW glass (0.15 m 3 each). These penetrators would reach a depth of 50 m in the sediments and would be placed at an average distance of 180 m from each other, requiring a disposal area on the order of 22 x 22 km. Two such potential disposal areas in the Atlantic Ocean were studied, Great Meteor East (GME) and South Nares Abyssal Plains (SNAP). A special ship design is proposed to minimize transportation accidents. Approximately 100 shipments would be necessary to dispose of the proposed amount of waste. The results of this radiological assessment seem to show that the disposal of HLW in subseabed sediments is radiologically a very acceptable option

Portrayal of radiology in a major medical television series: How does it influence the perception of radiology among patients and radiology professionals?

International Nuclear Information System (INIS)

Heye, T.; Merkle, E.M.; Boll, D.T.; Leyendecker, J.R.; Gupta, R.T.

2016-01-01

To assess how the portrayal of Radiology on medical TV shows is perceived by patients and radiology professionals. In this IRB-approved study with patient consent waived, surveys were conducted among adult patients scheduled for radiological examinations and radiology professionals. The questionnaire investigated medical TV watching habits including interest in medical TV shows, appearance of radiological examination/staff, radiology's role in diagnosis-making, and rating of the shows' accuracy in portraying radiology relative to reality. One hundred and twenty-six patients and 240 professionals (133 technologists, 107 radiologists) participated. 63.5 % patients and 63.2 % technologists rated interest in medical TV shows ≥5 (scale 1-10) versus 38.3 % of radiologists. All groups noted regular (every 2nd/3rd show) to >1/show appearance of radiological examinations in 58.5-88.2 % compared to 21.0-46.2 % for radiological staff appearance. Radiology played a role in diagnosis-making regularly to >1/show in 45.3-52.6 %. There is a positive correlation for interest in medical TV and the perception that radiology is accurately portrayed for patients (r = 0.49; P = 0.001) and technologists (r = 0.38; P = 0.001) but not for radiologists (r = 0.01). The majority of patients perceive the portrayed content as accurate. Radiologists should be aware of this cultivation effect to understand their patients' behaviour which may create false expectations towards radiological examinations and potential safety hazards. (orig.)

Neuronal migration and proliferation disorders: Radiologic findings

International Nuclear Information System (INIS)

Tampieri, D.; Melanson, D.; Ethier, R.

1987-01-01

Loss of control of normal neuronal migration and proliferation can cause a malformation in the central nervous system (CNS). Depending on its chronologic occurrence, the authors can distinguish different types of disorders characterized by a more or less diffuse involvement of the brain. Seven patients, aged 10 months to 18 years, with uncontrolled seizures underwent a complete clinical and radiological (skull radiography, CT, MR imaging) evaluation. In five patients surgery was performed. The aim of the study was to match the radiologic and the pathologic findings in order to establish a radiologic nomenclature. Three types of disorders were found: diffuse dysplasia (two cases), unilateral dysplasis (two cases), and focal cortical dysplasia (three cases). MR imaging, because of its superb ability to display anatomy and to distinguish between gray and white matter, is superior to CT as it allows the complete assessment of these rare cerebral disorders

A Probabilistic Assessment of the Chemical and Radiological Risks of Chronic Exposure to Uranium in Freshwater Ecosystems

International Nuclear Information System (INIS)

Mathews, T.; Beaugelin-Seiller, K.; Garnier-Laplace, J.; Gilbin, R.; Adam, Ch.; Della-Vedova, C.

2009-01-01

Uranium (U) presents a unique challenge for ecological risk assessments (ERA) because it induces both chemical and radiological toxicity, and the relative importance of these two toxicities differs among the various U source terms (i.e., natural, enriched, depleted). We present a method for the conversion between chemical concentrations (μgL -1 ) and radiological dose rates (μGyh -1 ) for a defined set of reference organisms, and apply this conversion method to previously derived chemical and radiological benchmarks to determine the extent to which these benchmarks ensure radiological and chemical protection, respectively, for U in freshwater ecosystems. Results show that the percentage of species radiologically protected by the chemical benchmark decreases with increasing degrees of U enrichment and with increasing periods of radioactive decay. In contrast, the freshwater ecosystem is almost never chemically protected by the radiological benchmark, regardless of the source term or decay period considered, confirming that the risks to the environment from uranium's chemical toxicity generally outweigh those of its radiological toxicity. These results are relevant to developing water quality criteria that protect freshwater ecosystems from the various risks associated with the nuclear applications of U exploitation, and highlight the need for (1) further research on the speciation, bioavailability, and toxicity of U-series radionuclides under different environmental conditions, and (2) the adoption of both chemical and radiological benchmarks for coherent ERAS to be conducted in U-contaminated freshwater ecosystems. (authors)

Assessment of radiological releases to the environment from a fusion reactor power plant

International Nuclear Information System (INIS)

Shank, K.E.; Oakes, T.W.; Easterly, C.E.

1978-05-01

This report summarizes the expected tritium and activation-product inventories and presents an assessment of the potential radiological releases from a fusion reactor power plant, hypothetically located at the Oak Ridge National Laboratory. Routine tritium releases and the resulting dose assessment are discussed. Uncertainties associated with the conversion of tritium gas to tritium oxide and the global tritium cycling are evaluated. The difficulties of estimating releases of activated materials and the subsequent dose commitment are reviewed

Radiological impact assessment of building materials on ordinary houses dwellers

International Nuclear Information System (INIS)

Campos, M.P. de.

1994-01-01

The radiological impact due to building materials on habitants living in the Santo Andre district of Sao Paulo state, Brazil, was assessed through the total effective dose equivalent rate determination, for external and internal irradiation. The effective dose equivalent rate for external irradiation was calculated by the gamma spectrometry determination of natural radionuclides specific activity in the dwelling materials. The effective dose equivalent rate due to 222 Rn inhalation was calculated through the radon indoor activity determination by using solid state nuclear track detectors. (author). 46 refs, 6 figs, 14 tabs

Radiological-dose assessments of atolls in the northern Marshall Islands

International Nuclear Information System (INIS)

Robison, W.L.

1983-04-01

The Marshall Islands in the Equatorial Pacific, specifically Enewetak and Bikini Atolls, were the site of US nuclear testing from 1946 through 1958. In 1978, the Northern Marshall Islands Radiological Survey was conducted to evaluate the radiological conditions of two islands and ten atolls downwind of the proving grounds. The survey included aerial external gamma measurements and collection of soil, terrestrial, and marine samples for radionuclide analysis to determine the radiological dose from all exposure pathways. The methods and models used to estimate doses to a population in an environment where natural processes have acted on the source-term radionuclides for nearly 30 y, data bases developed for the models, and results of the radiological dose analyses are described

Radiological assessments of land disposal options: recent model developments

International Nuclear Information System (INIS)

Fearn, H.S.; Pinner, A.V.; Hemming, C.R.

1984-10-01

This report describes progress in the development of methodologies and models for assessing the radiological impact of the disposal of low and intermediate level wastes by (i) shallow land burial in simple trenches (land 1), (ii) shallow land burial in engineered facilities (land 2), and (iii) emplacement in mined repositories or existing cavities (land 3/4). In particular the report describes wasteform leaching models, for unconditioned and cemented waste, the role of engineered barriers of a shallow land burial facility in reducing the magnitude of doses arising from groundwater contact and a detailed consideration of the interactions between radioactive carbon and various media. (author)

Radiological impact assessment on non-human species from the radioactive waste disposal

International Nuclear Information System (INIS)

Gil Castillo, Reinaldo; Peralta Vital, Jose L.; Leiva Bombuse, Dennys

2008-01-01

The paper shows the use of a methodology in order to carry out the radiological impact assessment in non-human species (animals and plants) from a planned radioactive waste disposal facility. The application of modelling tools to simulate the behaviour (release and transport) of the radionuclides through the engineered barriers and the geosphere, and its final access to the soil and a river are described too. To evaluate the compliance with the adopted biota dose limits, were used the calculated maximum radionuclide concentrations for different environmental compartments (water, soil and sediment). Preliminary, the results showed that the Radiological Biota impacts are acceptable according to the adopted criteria (Radionuclides concentrations below the Biota Concentration Guides). The results showed that according theirs impact the more important radionuclides were: 241 Am/ 226 Ra/ 137 Cs/ 60 Co. The Riparian animals were the more exposed Biota organism. The results support the decision making process since could be identified the relevant radiological impact in the environment (plants and animals) near to a disposal facility (real or planned). Also the paper identified methodological tools useful to evaluate the site acceptance, for the early stages of disposal facilities (site selection process, licensing, etc), in absence of real data of radionuclides concentrations in the environment. (author)

Specific gamma-ray dose constants for nuclides important to dosimetry and radiological assessment

International Nuclear Information System (INIS)

Unger, L.M.; Trubey, D.K.

1982-05-01

Tables of specific gamma-ray dose constants (the unshielded gamma-ray dose equivalent rate at 1 m from a point source) have been computed for approximately 500 nuclides important to dosimetry and radiological assessment. The half life, the mean attenuation coefficient, and thickness for a lead shield providing 95% dose equivalent attenuation are also listed

A Poor Man's Nuclear Deterrent: Assessing the Value of Radiological Weapons for State Actors

Science.gov (United States)

Donohue, Nathan

, "Radiological Dispersal Devices: Assessing the Transnational Threat," Strategic Forum, No. 136, (March 1998), March 29, 2012, http://www.au.af.mil/au/awc/awcgate/ndu/forum136.htm.

Idaho National Engineering Laboratory Radiological Control Performance Indicator Report. Fourth quarter -- year-end report, Calendar year 1995

International Nuclear Information System (INIS)

Reavis, R.

1996-03-01

The INEL Radiological Control Performance Indicator Report is comprised of a description of the indicator and the criteria used for measurement. Indicators evaluated in this report include: collective radiation dose; average worker radiation dose; maximum radiation dose to a worker; maximum neutron dose to a worker; number of skin contaminations; number of clothing contaminations; airborne events; total radiological intakes; contamination areas; high contamination area; airborne radioactivity area; and radioactive spills

Machine Learning and Radiology

Science.gov (United States)

Wang, Shijun; Summers, Ronald M.

2012-01-01

In this paper, we give a short introduction to machine learning and survey its applications in radiology. We focused on six categories of applications in radiology: medical image segmentation, registration, computer aided detection and diagnosis, brain function or activity analysis and neurological disease diagnosis from fMR images, content-based image retrieval systems for CT or MRI images, and text analysis of radiology reports using natural language processing (NLP) and natural language understanding (NLU). This survey shows that machine learning plays a key role in many radiology applications. Machine learning identifies complex patterns automatically and helps radiologists make intelligent decisions on radiology data such as conventional radiographs, CT, MRI, and PET images and radiology reports. In many applications, the performance of machine learning-based automatic detection and diagnosis systems has shown to be comparable to that of a well-trained and experienced radiologist. Technology development in machine learning and radiology will benefit from each other in the long run. Key contributions and common characteristics of machine learning techniques in radiology are discussed. We also discuss the problem of translating machine learning applications to the radiology clinical setting, including advantages and potential barriers. PMID:22465077

Performance assessment for low-level waste disposal in the UK

Energy Technology Data Exchange (ETDEWEB)

Ashworth, A.B. [UK Dept. of the Environment, London (United Kingdom)

1995-12-31

British Nuclear Fuels plc (BNFL) operate a site for the disposal of Low Level Radioactive Waste at Drigg in West Cumbria, in North-West England. HMIP are responsible for the regulation of the site with regard to environmental discharges of radioactive materials, both operational and post-closure. This paper is concerned with post-closure matters only. Two post-closure performance assessments have been carried out for this site: one by the National Radiological Protection Board (NRPB) in 1987; and a subsequent one carried out on behalf of HMIP, completed in 1991. Currently, BNFL are preparing a Safety Case for continued operation of the Drigg site, and it expected that the core of this Case will comprise BNFL`s own analysis of post-closure performance. HMIP has developed procedures for the assessment of this Case, based upon experience of the previous Drigg assessments, and also upon the experience of similar work carried out in the assessment of Intermediate Level Waste (ILW) disposal at both deep and shallow potential sites. This paper describes the more important features of these procedures.

The Effects of Fatigue From Overnight Shifts on Radiology Search Patterns and Diagnostic Performance.

Science.gov (United States)

Hanna, Tarek N; Zygmont, Matthew E; Peterson, Ryan; Theriot, David; Shekhani, Haris; Johnson, Jamlik-Omari; Krupinski, Elizabeth A

2018-01-20

The aim of this study was to assess the effect of overnight shifts (ONS) on radiologist fatigue, visual search pattern, and diagnostic performance. This experimental study was approved by the institutional review board. Twelve radiologists (five faculty members and seven residents) each completed two sessions: one during a normal workday ("not fatigued") and another in the morning after an ONS ("fatigued"). Each radiologist completed the Swedish Occupational Fatigue Inventory. During each session, radiologists viewed 20 bone radiographs consisting of normal and abnormal findings. Viewing time, diagnostic confidence, and eye-tracking data were recorded. Swedish Occupational Fatigue Inventory results demonstrated worsening in all five variables (lack of energy, physical exertion, physical discomfort, lack of motivation, and sleepiness) after ONS (P radiologists were more fatigued with worse diagnostic performance, a 45% increase in view time per case, a 60% increase in total gaze fixations, and a 34% increase in time to fixate on the fracture. The effects of fatigue were more pronounced in residents. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Federal Radiological Monitoring and Assessment Center Monitoring Manual Volume 2, Radiation Monitoring and Sampling

Energy Technology Data Exchange (ETDEWEB)

NSTec Aerial Measurement Systems

2012-07-31

The FRMAC Monitoring and Sampling Manual, Volume 2 provides standard operating procedures (SOPs) for field radiation monitoring and sample collection activities that are performed by the Monitoring group during a FRMAC response to a radiological emergency.

Comparison of Performance Characteristics of American College of Radiology TI-RADS, Korean Society of Thyroid Radiology TIRADS, and American Thyroid Association Guidelines.

Science.gov (United States)

Middleton, William D; Teefey, Sharlene A; Reading, Carl C; Langer, Jill E; Beland, Michael D; Szabunio, Margaret M; Desser, Terry S

2018-05-01

The American College of Radiology (ACR) Thyroid Imaging Reporting and Data System (TI-RADS) provides guidelines to practitioners who interpret sonographic examinations of thyroid nodules. The purpose of this study is to compare the ACR TI-RADS system with two other well-established guidelines. The ACR TI-RADS, the Korean Society of Thyroid Radiology (KSThR) Thyroid Imaging Reporting and Data System (TIRADS), and the American Thyroid Association guidelines were compared using 3422 thyroid nodules for which pathologic findings were available. The composition, echogenicity, margins, echogenic foci, and size of the nodules were assessed to determine whether a recommendation would be made for fine-needle aspiration or follow-up sonography when each system was used. The biopsy yield of malignant findings, the yield of follow-up, and the percentage of malignant and benign nodules that would be biopsied were determined for all nodules and for nodules 1 cm or larger. The percentage of nodules that could not be classified was 0%, 3.9%, and 13.9% for the ACR TI-RADS, KSThR TIRADS, and ATA guidelines, respectively. The biopsy yield of malignancy was 14.2%, 10.2%, and 10.0% for nodules assessed by the ACR TI-RADS, KSThR TIRADS, and ATA guidelines, respectively. The percentage of malignant nodules that were biopsied was 68.2%, 78.7%, and 75.9% for the ACR TI-RADS, the KSThR TIRADS, and the ATA guidelines, respectively, whereas the percentage of malignant nodules that would be either biopsied or followed was 89.2% for the ACR TI-RADS. The percentage of benign nodules that would be biopsied was 47.1%, 79.7%, and 78.1% for the ACR TI-RADS, the KSThR TIRADS, and the ATA guidelines, respectively. The percentage of benign nodules that would be either biopsied or followed was 65.2% for the ACR TI-RADS. The ACR TI-RADS performs well when compared with other well-established guidelines.

The use of importance sampling in a trial assessment to obtain converged estimates of radiological risk

International Nuclear Information System (INIS)

Johnson, K.; Lucas, R.

1986-12-01

In developing a methodology for assessing potential sites for the disposal of radioactive wastes, the Department of the Environment has conducted a series of trial assessment exercises. In order to produce converged estimates of radiological risk using the SYVAC A/C simulation system an efficient sampling procedure is required. Previous work has demonstrated that importance sampling can substantially increase sampling efficiency. This study used importance sampling to produce converged estimates of risk for the first DoE trial assessment. Four major nuclide chains were analysed. In each case importance sampling produced converged risk estimates with between 10 and 170 times fewer runs of the SYVAC A/C model. This increase in sampling efficiency can reduce the total elapsed time required to obtain a converged estimate of risk from one nuclide chain by a factor of 20. The results of this study suggests that the use of importance sampling could reduce the elapsed time required to perform a risk assessment of a potential site by a factor of ten. (author)

A project: 'Radiological protection in radiology', IAEA - Universidad Central de Venezuela

International Nuclear Information System (INIS)

Diaz, A.R.; Salazar, G.; Fermin, R.; Gonzalez, M.

2001-01-01

For several years a reference center of the UCV has been working on the project VEN/9/007 on dose reduction in diagnostic radiology sponsored by the IAEA. The dose and quality image was evaluated for different types of radiological study (conventional radiology, CT, mammography, interventional radiology) in different facilities at Caracas and others regions of the Venezuela. TL dosimeters were used to assess dose and reduction in dose. Based on the recommendations given by CEC documents on diagnostic quality criteria, a quality control program in radiological protection of patients and staff has been developed, for example: Pilot study by using TLD in personnel radiation monitoring. Comparative study between high and low kVp in chest. Evaluation and dose reduction in chest pediatric. Reduction of radiation dose in studies of billiards via Quality Image and reduction of the dose in studies of colon by enema. Radiation dose of staff in fluoroscopy procedures. Evaluation and dose reduction in dental radiography in public Institutions. A mammography accreditation program for Venezuela, applied to public hospitals. (author)

Radiologically detectable musculoskeletal involvement in systemic lupus erythematosus

International Nuclear Information System (INIS)

Jimenez, M. M.; Manjon, P.; Diaz de Bustamante, T.; Galindo, M.; Buj, M. J.; Cabezudo, J.

2000-01-01

We show a wide spectrum of musculoskeletal involvement in systemic lupus erythematosus (SLE) that can be detected by radiological examination. We determined the indications of different imaging techniques in the diagnosis and follow-up of this disease. We reviewed the clinical and radiological histories of 37 patients diagnosed as having SLE on the basis of serological and musculoskeletal criteria. We assessed the personal data of each patient, the association of the disease with autoimmune processes, serology, treatment and radiological findings using plain X ray, ultrasound, computed tomography (CT) and magnetic resonance (MR). Of the 37 cases reviewed, only ten presented changes in one or more of the imaging studies performed. the most common radiological finding was symmetric poly arthritis located at different sites. Other signs included avascular necrosis (late and early), inflammation and tendon and/or ligament rupture, nonerosive deforming arthropathies , soft tissue calcifications and arthritis (staphylococcal and tuberculous). A direct correlation was established between the anticardiolipin antibody titer, steroid doses and avascular necrosis. In SLE, radiologically detectable osteoarticular lesions are uncommon. Symmetric polyarthritis is the earliest lesion and that occurring most frequently. Other signs do not appear as often, with the exception of osteonecrosis, which usually occurs late. It developed early and was unusually aggressive in two youths with elevated anticardiolipin antibody titers and substantial systemic involvement in our series. The contributions of ultrasound and MR in the assessment of musculoskeletal involvement in SLE are especially relevant in the study of inflammations and tendon rupture and in the management of avascular necrosis, respectively. (Author) 17 refs

Research and development in radiological protection

International Nuclear Information System (INIS)

Butragueno, J. L.; Villota, C.; Gutierrez, C.; Rodriguez, A.

2004-01-01

The objective of Radiological Protection is to guarantee that neither people, be they workers or members of the public, or the environment are exposed to radiological risks considered by society to be unacceptable. Among the various resources available to meet this objective is Research and Development (R and D), which is carried out in three areas: I. Radiological protection of persons: (a) knowledge of the biological effects of radiations, in order to determine the relationship that exists between radiation exposure dose and its effects on health; (b) the development of new personal dosimetry techniques in order to adapt to new situations, instrumental techniques and information management technologies allowing for better assessment of exposure dose; and (c) development of the principle of radiological protection optimisation (ALARA), which has been set up internationally as the fundamental principle on which radiological protection interventions are based. II. Assessment of environmental radiological impact, the objective of which is to assess the nature and magnitude of situations of exposure to ionising radiations as a result of the controlled or uncontrolled release of radioactive material to the environment, and III.Reduction of the radiological impact of radioactive wastes, the objective of which is to develop radioactive material and waste management techniques suitable for each situation, in order to reduce the risks associated with their definitive management or their release to the environment. Briefly described below are the strategic lines of R and D of the CSN, the Electricity Industry, Ciemat and Enresa in the aforementioned areas. (Author)

RESRAD: an analysis method of the exposure via to ionizing radiation, used on radiological risk assessment in sites with problems of soil contamination

International Nuclear Information System (INIS)

Oliveira Loureiro, C. de; Yu, C.

1995-01-01

A microcomputer program, denominated RESRAD, was presented and described as an analytical tool to perform pathway analysis and radiological risk assessment. Nine exposure pathways are implemented in the code. They are the following: external radiation; dust inhalation; inhalation of radon; and, ingestion of plant, meat, milk, water, aquatic food, and soil. The U.S. Department of Energy (US-DOE) has recommended the use of RESRAD, as a radiological risk assessment package, for completing the pathway analysis needed to derive specific soil-guidelines and to support the ALARA evaluation. Since its conception, the RESRAD code has been continuously improved and updated to accommodate comments and suggestions from its users and to incorporate new features to improve its capability and flexibility. Version 5.0 consolidates the last major RESRAD updates. The package is intentionally user-friendly and operates with a menu system from which the user can access the data input screens, run the RESRAD calculations and view the output. (author). 4 refs, 1 fig, 1 tab

Radiology in Medical Education: A Pediatric Radiology Elective as a Template for Other Radiology Courses.

Science.gov (United States)

Hilmes, Melissa A; Hyatt, Eddie; Penrod, Cody H; Fleming, Amy E; Singh, Sudha P

2016-03-01

Traditionally, the pediatric radiology elective for medical students and pediatric residents constituted a morning teaching session focused mainly on radiography and fluoroscopy. A more structured elective was desired to broaden the exposure to more imaging modalities, create a more uniform educational experience, and include assessment tools. In 2012, an introductory e-mail and formal syllabus, including required reading assignments, were sent to participants before the start date. A rotating weekly schedule was expanded to include cross-sectional imaging (ultrasound, CT, MR) and nuclear medicine. The schedule could accommodate specific goals of the pediatric resident or medical student, as requested. Starting in 2013, an online pre-test and post-test were developed, as well as an online end-of-rotation survey specific to the pediatric radiology elective. Taking the Image Gently pledge was required. A scavenger hunt tool, cue cards, and electronic modules were added. Pre-test and post-test scores, averaged over 2 years, showed improvement in radiology knowledge, with scores increasing by 27% for medical students and 21% for pediatric residents. Surveys at the end of the elective were overwhelmingly positive, with constructive criticism and complimentary comments. We have successfully created an elective experience in radiology that dedicates time to education while preserving the workflow of radiologists. We have developed tools to provide a customized experience with many self-directed learning opportunities. Our tools and techniques are easily translatable to a general or adult radiology elective. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Data analysis and review of radiology services at Glasgow 2014 Commonwealth Games

International Nuclear Information System (INIS)

Bethapudi, Sarath; Ritchie, David; Bongale, Santosh; Gordon, Jonny; MacLean, John; Mendl, Liz

2015-01-01

Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9 % were magnetic resonance imaging (MRI) scans, 22 % were diagnostic ultrasound (US) examinations, 33.1 % were radiographs, 4.3 % were computed tomography (CT) scans and 2.7 % were imaging-guided interventional procedures. 88 % of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events. (orig.)

Data analysis and review of radiology services at Glasgow 2014 Commonwealth Games.

Science.gov (United States)

Bethapudi, Sarath; Ritchie, David; Bongale, Santosh; Gordon, Jonny; MacLean, John; Mendl, Liz

2015-10-01

Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9% were magnetic resonance imaging (MRI) scans, 22% were diagnostic ultrasound (US) examinations, 33.1% were radiographs, 4.3% were computed tomography (CT) scans and 2.7% were imaging-guided interventional procedures. 88% of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events.

Data analysis and review of radiology services at Glasgow 2014 Commonwealth Games

Energy Technology Data Exchange (ETDEWEB)

Bethapudi, Sarath [County Durham Darlington Foundation NHS Trust, Durham (United Kingdom); Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); Ritchie, David [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); Greater Glasgow and Clyde Hospitals NHS Trust, Western Infirmary, Glasgow (United Kingdom); Bongale, Santosh [Glasgow 2014 Commonwealth Games, Immediate Care Department, Glasgow (United Kingdom); NHS Greater Glasgow and Clyde, Royal Alexandra Hospital, Paisley (United Kingdom); Gordon, Jonny [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); NHS Greater Glasgow and Clyde, Glasgow (United Kingdom); MacLean, John [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom); National Stadium Sports Medicine Centre, Glasgow (United Kingdom); Mendl, Liz [Glasgow 2014 Commonwealth Games, Glasgow (United Kingdom)

2015-10-15

Medical services at the Glasgow 2014 Commonwealth Games (CWG) were provided though a purpose-built medical polyclinic, which had a fully equipped radiology department along with other services, set up within the main Games Village. Data analysis of radiology services offered at CWG has not been published before. Imaging services within the polyclinic, Athletes Village, Glasgow 2014 CWG. The aim of the paper is to analyse data on radiological investigations and assess the demand and distribution of workload on imaging services at CWG 2014. Data on radiology investigations at the CWG 2014 was retrieved from the Carestream picture archiving and communication system (PACS) and Pharmasys (CWG official centralised electronic database system) and analysed. Six hundred ninety-seven diagnostic and interventional procedures were performed. Of these 37.9 % were magnetic resonance imaging (MRI) scans, 22 % were diagnostic ultrasound (US) examinations, 33.1 % were radiographs, 4.3 % were computed tomography (CT) scans and 2.7 % were imaging-guided interventional procedures. 88 % of imaging was performed on athletes and the remainder were performed on team officials and workforce. Demand on radiology services gradually picked up through the pre-competition period and peaked half way through the CWG. Radiology played a vital role in the successful provision of medical services at the Glasgow 2014 CWG. High demand on imaging services can be expected at major international sporting events and therefore pre-event planning is vital. Having back-up facilities in case of technical failure should be given due importance when planning radiology services at future CWG events. (orig.)

Strengthening the scientific basis of radiological protection

International Nuclear Information System (INIS)

Lazo, Edward

2016-01-01

, 1998 and 2007). With these analyses, the CRPPH has assessed the possible implications that emerging scientific results (e.g. recent findings on radiation effects on the lens of the eye), or that possible results (e.g. ongoing epidemiological studies that could show statistically significant cancer risks, or that could show no cancer risks at doses below 50 mSv) could have for the way that radiological protection is regulated and applied. The latest report in this series, Radiological Protection Science and Application (NEA, 2016), performs such an assessment for today's level of scientific understanding. (author)

Radiology education: a radiology curriculum for all medical students?

Science.gov (United States)

Zwaan, Laura; Kok, Ellen M; van der Gijp, Anouk

2017-09-26

Diagnostic errors in radiology are frequent and can cause severe patient harm. Despite large performance differences between radiologists and non-radiology physicians, the latter often interpret medical images because electronic health records make images available throughout the hospital. Some people argue that non-radiologists should not diagnose medical images at all, and that medical school should focus on teaching ordering skills instead of image interpretation skills. We agree that teaching ordering skills is crucial as most physicians will need to order medical images in their professional life. However, we argue that the availability of medical images is so ubiquitous that it is important that non-radiologists are also trained in the basics of medical image interpretation and, additionally in recognizing when radiological consultancy should be sought. In acute situations, basic image interpretations skills can be life-saving. We plead for a radiology curriculum for all medical students. This should include the interpretation of common abnormalities on chest and skeletal radiographs and a basic distinction of normal from abnormal images. Furthermore, substantial attention should be given to the correct ordering of radiological images. Finally, it is critical that students are trained in deciding when to consult a radiologist.

Monitoring techniques for the impact assessment during nuclear and radiological emergencies: current status and the challenges

International Nuclear Information System (INIS)

Pradeepkumar, K.S.; Sharma, D.N.

2003-01-01

Preparedness and response capability for Nuclear and Radiological emergencies, existing world over, are mainly based on the requirement of responding to radiation emergency caused by nuclear or radiological accidents. Cosmos satellite accident, plutonium contamination at Polaris, nuclear accidents like Kystium, Windscale, TMI and Chernobyl, radiological accidents at Goiania etc have demonstrated the requirement of improved radiation monitoring techniques. For quick decision making, state of the art monitoring methodology which can support quantitative and qualitative impact assessment is essential. Evaluation of radiological mapping of the area suspected to be contaminated needs ground based as well as aerial based monitoring systems to predict the level of radioactive contamination on ground. This will help in delineating the area and deciding the required countermeasures, based on the quantity and type of radionuclides responsible for it. The response can be successful with the effective use of i) Early Warning System ii) Mobile Monitoring System and iii) Aerial Gamma Spectrometric System. Selection of the monitoring methodology and survey parameters and assessment of situation using available resources etc. are to be optimized depending on the accident scenario. Recently, many countries and agencies like IAEA have expressed the requirement for responding to other types of nuclear/radiological emergencies i.e, man made radiation emergency situations aimed at harming public at large that can also lead to environmental contamination and significant exposure to public. Reports of lost / misplaced / stolen radioactive sources from many countries are alarming as safety and security of these radioactive sources are under challenge. The monitoring methodology has to take into account of the increase in such demands and more periodic monitoring in suspected locations is to be carried out. Detection of orphan sources possible amidst large heap of metallic scraps may pose

[eLearning-radiology.com--sustainability for quality assurance].

Science.gov (United States)

Ketelsen, D; Talanow, R; Uder, M; Grunewald, M

2009-04-01

The aim of the study was to analyze the availability of published radiological e-learning tools and to establish a solution for quality assurance. Substantial pubmed research was performed to identify radiological e-learning tools. 181 e-learning programs were selected. As examples two databases expanding their programs with external links, Compare (n = 435 external links) and TNT-Radiology (n = 1078 external links), were evaluated. A concept for quality assurance was developed by an international taskforce. At the time of assessment, 56.4 % (102 / 181) of the investigated e-learning tools were accessible at their original URL. A subgroup analysis of programs published 5 to 8 years ago showed significantly inferior availability to programs published 3 to 5 years ago (p eLearning-radiology.com was developed by the taskforce and published online. This tool allows authors to present their programs and users to evaluate the e-learning tools depending on several criteria in order to remove inoperable links and to obtain information about the complexity and quality of the e-learning tools. More than 50 % of investigated radiological e-learning tools on the Internet were not accessible after a period of 5 to 8 years. As a consequence, an independent, international tool for quality assurance was designed and published online under www.eLearning-radiology.com .

Is radiological evaluation as good as computer-based volumetry to assess hippocampal atrophy in Alzheimer's disease?

Energy Technology Data Exchange (ETDEWEB)

Boutet, Claire; Drier, Aurelie; Dormont, Didier; Lehericy, Stephane [Groupe Hospitalier Pitie-Salpetriere, Department of Neuroradiology, AP-HP, Paris Cedex 13 (France); Universite Pierre et Marie Curie-Paris 6, Centre de Recherche de l' Institut du Cerveau et de la Moelle epiniere, UMR-S975, Paris (France); Inserm, Paris (France); CNRS, Paris (France); ICM-Institut du Cerveau et de la Moelle epiniere, Paris (France); Chupin, Marie; Colliot, Olivier [Universite Pierre et Marie Curie-Paris 6, Centre de Recherche de l' Institut du Cerveau et de la Moelle epiniere, UMR-S975, Paris (France); Inserm, Paris (France); CNRS, Paris (France); ICM-Institut du Cerveau et de la Moelle epiniere, Paris (France); Equipe Cogimage-CRICM, Paris Cedex 13 (France); Sarazin, Marie [Universite Pierre et Marie Curie-Paris 6, Centre de Recherche de l' Institut du Cerveau et de la Moelle epiniere, UMR-S975, Paris (France); Inserm, Paris (France); CNRS, Paris (France); ICM-Institut du Cerveau et de la Moelle epiniere, Paris (France); Groupe Hospitalier Pitie-Salpetriere, Department of Neurology, Institut de la Memoire et de la Maladie d' Alzheimer-IM2A, Paris Cedex 13 (France); Mutlu, Gurkan [Groupe Hospitalier Pitie-Salpetriere, Urgences Cerebro-Vasculaires, Universite Pierre et Marie Curie-Paris 6, Paris Cedex 13 (France); Hopital Saint-Louis, Inserm, Universite Paris 7-Denis Diderot, Paris (France); Pellot, Audrey [Groupe Hospitalier Pitie-Salpetriere, Department of Neuroradiology, AP-HP, Paris Cedex 13 (France); Collaboration: And the Alzheimer' s Disease Neuroimaging Initiative

2012-12-15

Hippocampus volumetry is a useful surrogate marker for the diagnosis of Alzheimer's disease (AD). Our purpose was to compare visual assessment of medial temporal lobe atrophy made by radiologists with automatic hippocampal volume and to compare their performances for the classification of AD, mild cognitive impairment (MCI) and cognitively normal (CN). We studied 30 CN, 30 MCI and 30 AD subjects. Six radiologists with two levels of expertise performed two readings of medial temporal lobe atrophy. Medial temporal lobe atrophy was evaluated on coronal three-dimensional T1-weighted images using Scheltens scale and compared with hippocampal volume obtained using a fully automatic segmentation method (Spearman's rank coefficient). Visual assessment of medial temporal lobe atrophy was correlated with hippocampal volume (p < 0.01). Classification performances between MCI converter and CN was better using volumetry than visual assessment of non-expert readers whereas classification of AD and CN did not differ between visual assessment and volumetry except for the first reading of one non-expert (p = 0.03). Visual assessment of medial temporal lobe atrophy by radiologists was well correlated with hippocampal volume. Radiological assessment is as good as computer-based volumetry for the classification of AD, MCI non-converter and CN and less good for the classification of MCI converter versus CN. Use of Scheltens scale for assessing hippocampal atrophy in AD seems thus justified in clinical routine. (orig.)

Sequestration Coating Performance Requirements for Mitigation of Contamination from a Radiological Dispersion Device

International Nuclear Information System (INIS)

Drake, J.

2009-01-01

Immediate action would be necessary to minimize the effects of a radiological 'dirty bomb' detonation in a major city. After a dirty bomb has been detonated, vehicular and pedestrian traffic, as well as weather effects, would increase the spread of loose contamination, making control and recovery more difficult and costly. While contaminant migration and chemical binding into surface materials can be relatively rapid, the immediate treatment of surfaces with large quantities of an appropriate compound could alleviate much of the difficulty in decontamination. The EPA's National Homeland Security Research Center (NHSRC), in collaboration with ASTM International, is currently developing performance standards for materials which could be applied to exterior surfaces contaminated by an RDD to mitigate the spread and migration of radioactive contamination. These performance standards are being promulgated via an ASTM Standard Specification to be published by ASTM International. Test methods will be developed to determine if candidate coatings meet the performance requirements stipulated in the ASTM performance standard. These test methods will be adapted from existing standard methods, or will be devised through laboratory research. The final set of test methods will be codified in an ASTM or other standard test method. The principal market for products described in the ASTM performance standard would be federal, state and local government emergency responders and response planners, decontamination service providers and those whose interests include protection and recovery of real estate potentially at risk from radiological terrorism. (authors)

Machine learning and radiology.

Science.gov (United States)

Wang, Shijun; Summers, Ronald M

2012-07-01

In this paper, we give a short introduction to machine learning and survey its applications in radiology. We focused on six categories of applications in radiology: medical image segmentation, registration, computer aided detection and diagnosis, brain function or activity analysis and neurological disease diagnosis from fMR images, content-based image retrieval systems for CT or MRI images, and text analysis of radiology reports using natural language processing (NLP) and natural language understanding (NLU). This survey shows that machine learning plays a key role in many radiology applications. Machine learning identifies complex patterns automatically and helps radiologists make intelligent decisions on radiology data such as conventional radiographs, CT, MRI, and PET images and radiology reports. In many applications, the performance of machine learning-based automatic detection and diagnosis systems has shown to be comparable to that of a well-trained and experienced radiologist. Technology development in machine learning and radiology will benefit from each other in the long run. Key contributions and common characteristics of machine learning techniques in radiology are discussed. We also discuss the problem of translating machine learning applications to the radiology clinical setting, including advantages and potential barriers. Copyright © 2012. Published by Elsevier B.V.

Probabilistic assessment of the radiological consequences of radioactive waste disposal

International Nuclear Information System (INIS)

Smith, C.F.; Cohen, J.J.

1989-01-01

Conventional methods for prediction of radiological dose consequence of low level radioactive waste (LLW) disposal generally involve application of deterministic calculational modeling. Since the selection of parametric input values for such analyses is made on a conservative ('worst case') basis, the results can be subject to criticism as being unrealistically high. To address this problem, a method for probabilistic assessment has been developed in which input parameters are expressed as probability distribution functions. An example calculation is presented for the impacts from migration of Carbon-14 to a close-in well. (author). 4 refs.; 1 tab

Guidelines for a radiology department

International Nuclear Information System (INIS)

1981-05-01

This manual presents guidelines for hospitals on a radiology quality assurance and dose measurement audit program and a system of planned actions that monitor and record the performance and effectiveness of the radiological service

Assessment of management alternatives for LWR wastes. Volume 5. Assessment of the radiological impact to the public resulting from discharges of radioactive effluents

International Nuclear Information System (INIS)

Centner, B.

1993-01-01

This report deals with the assessment of the radiological impact to the public resulting from discharges of radioactive effluents (liquid and gaseous) in connection with the implementation of the Belgian scenario for the management of PWR waste. Both individual and collective doses have been estimated for a critical group of the population living around the nuclear power plants concerned. This study is part of an overall theoretical exercise aimed at evaluating a selection of management wastes for LWR waste based on economical and radiological criteria

Comparative cath-lab assessment of coronary stenosis by radiology technician, junior and senior interventional cardiologist in patients treated with coronary angioplasty.

Science.gov (United States)

Brunetti, Natale Daniele; Delli Carri, Felice; Ruggiero, Maria Assunta; Cuculo, Andrea; Ruggiero, Antonio; Ziccardi, Luigi; De Gennaro, Luisa; Di Biase, Matteo

2014-03-01

Exact quantification of plaque extension during coronary angioplasty (PCI) usually falls on interventional cardiologist (IC). Quantitative coronary stenosis assessment (QCA) may be possibly committed to the radiology technician (RT), who usually supports cath-lab nurse and IC during PCI. We therefore sought to investigate the reliability of QCA performed by RT in comparison with IC. Forty-four consecutive patients with acute coronary syndrome underwent PCI; target coronary vessel size beneath target coronary lesion (S) and target coronary lesion length (L) were assessed by the RT, junior IC (JIC), and senior IC (SIC) and then compared. SIC evaluation, which determined the final stent selection for coronary stenting, was considered as a reference benchmark. RT performance with QCA support in assessing target vessel size and target lesion length was not significantly different from SIC (r = 0.46, p < 0.01; r = 0.64, p < 0.001, respectively) as well as JIC (r = 0.79, r = 0.75, p < 0.001, respectively). JIC performance was significantly better than RT in assessing target vessel size (p < 0.05), while not significant when assessing target lesion length. RT may reliably assess target lesion by using adequate QCA software in the cath-lab in case of PCI; RT performance does not differ from SIC.

Implementation of the National Incident Management System (NIMS)/Incident Command System (ICS) in the Federal Radiological Monitoring and Assessment Center(FRMAC) - Emergency Phase

International Nuclear Information System (INIS)

NSTec Environmental Restoration

2007-01-01

Homeland Security Presidential Directive HSPD-5 requires all federal departments and agencies to adopt a National Incident Management System (NIMS)/Incident Command System (ICS) and use it in their individual domestic incident management and emergency prevention, preparedness, response, recovery, and mitigation programs and activities, as well as in support of those actions taken to assist state and local entities. This system provides a consistent nationwide template to enable federal, state, local, and tribal governments, private-sector, and nongovernmental organizations to work together effectively and efficiently to prepare for, prevent, respond to, and recover from domestic incidents, regardless of cause, size, or complexity, including acts of catastrophic terrorism. This document identifies the operational concepts of the Federal Radiological Monitoring and Assessment Center's (FRMAC) implementation of the NIMS/ICS response structure under the National Response Plan (NRP). The construct identified here defines the basic response template to be tailored to the incident-specific response requirements. FRMAC's mission to facilitate interagency environmental data management, monitoring, sampling, analysis, and assessment and link this information to the planning and decision staff clearly places the FRMAC in the Planning Section. FRMAC is not a mitigating resource for radiological contamination but is present to conduct radiological impact assessment for public dose avoidance. Field monitoring is a fact-finding mission to support this effort directly. Decisions based on the assessed data will drive public protection and operational requirements. This organizational structure under NIMS is focused by the mission responsibilities and interface requirements following the premise to provide emergency responders with a flexible yet standardized structure for incident response activities. The coordination responsibilities outlined in the NRP are based on the NIMS

Relationship Between Academic Performance and Student Self-Assessment of Clinical Performance in the College of Podiatric Medicine and Surgery.

Science.gov (United States)

Yoho, Robert M; Vardaxis, Vassilios; Millonig, Kelsey

2016-05-01

Student self-assessment is viewed as an important tool in medical education. We sought to identify the relationship between student academic performance and third-year clinical performance self-assessment. No such study exists in podiatric medical education. Third-year podiatric medical students from the classes of 2012 through 2014 completed a self-assessment of their performance for each of five broad clinical podiatric medical domains (Professionalism, Medicine, Radiology, Surgery, and Biomechanics/Orthopedics). The assessment was completed after students finished the first 12 weeks of their third-year clinical rotations (PRE) and a second time at the conclusion of the third year (POST). The mean self-assessment score for PRE and POST surveys for all combined domains was determined for each student. This mean was compared with the student's 3-year cumulative grade point average (GPA). Students' clinical experiences for the year were essentially identical. No statistically significant correlation was identified between cumulative GPA and the PRE and POST clinical self-assessments or with the change between PRE and POST assessments based on the Pearson correlation test for each class separately or on the pooled data. Published studies in allopathic medical education have shown that students with lower GPAs tend to rate their clinical performance higher in initial clinical performance self-assessment. Our results show that student academic performance was not correlated with clinical performance self-assessment. These findings may be due to the explicit description of successful clinical competency completion, the orientation students receive before the start of clinical training, and the continuous feedback received from clinical preceptors.

Quantitative imaging biomarkers: a review of statistical methods for technical performance assessment.

Science.gov (United States)

Raunig, David L; McShane, Lisa M; Pennello, Gene; Gatsonis, Constantine; Carson, Paul L; Voyvodic, James T; Wahl, Richard L; Kurland, Brenda F; Schwarz, Adam J; Gönen, Mithat; Zahlmann, Gudrun; Kondratovich, Marina V; O'Donnell, Kevin; Petrick, Nicholas; Cole, Patricia E; Garra, Brian; Sullivan, Daniel C

2015-02-01

Technological developments and greater rigor in the quantitative measurement of biological features in medical images have given rise to an increased interest in using quantitative imaging biomarkers to measure changes in these features. Critical to the performance of a quantitative imaging biomarker in preclinical or clinical settings are three primary metrology areas of interest: measurement linearity and bias, repeatability, and the ability to consistently reproduce equivalent results when conditions change, as would be expected in any clinical trial. Unfortunately, performance studies to date differ greatly in designs, analysis method, and metrics used to assess a quantitative imaging biomarker for clinical use. It is therefore difficult or not possible to integrate results from different studies or to use reported results to design studies. The Radiological Society of North America and the Quantitative Imaging Biomarker Alliance with technical, radiological, and statistical experts developed a set of technical performance analysis methods, metrics, and study designs that provide terminology, metrics, and methods consistent with widely accepted metrological standards. This document provides a consistent framework for the conduct and evaluation of quantitative imaging biomarker performance studies so that results from multiple studies can be compared, contrasted, or combined. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

A new approach to performance assessment of barriers in a repository. Executive summary, draft, technical appendices. Final report

International Nuclear Information System (INIS)

Mueller-Hoeppe, N.; Krone, J.; Niehues, N.; Poehler, M.; Raitz von Frentz, R.; Gauglitz, R.

1999-06-01

Multi-barrier systems are accepted as the basic approach for long term environmental safe isolation of radioactive waste in geological repositories. Assessing the performance of natural and engineered barriers is one of the major difficulties in producing evidence of environmental safety for any radioactive waste disposal facility, due to the enormous complexity of scenarios and uncertainties to be considered. This report outlines a new methodological approach originally developed basically for a repository in salt, but that can be transferred with minor modifications to any other host rock formation. The approach is based on the integration of following elements: (1) Implementation of a simple method and efficient criteria to assess and prove the tightness of geological and engineered barriers; (2) Using the method of Partial Safety Factors in order to assess barrier performance at certain reasonable level of confidence; (3) Integration of a diverse geochemical barrier in the near field of waste emplacement limiting systematically the radiological consequences from any radionuclide release in safety investigations and (4) Risk based approach for the assessment of radionuclide releases. Indicative calculations performed with extremely conservative assumptions allow to exclude any radiological health consequences from a HLW repository in salt to a reference person with a safety level of 99,9999% per year. (orig.)

Emergency radiology

International Nuclear Information System (INIS)

Keats, T.E.

1986-01-01

This book is the German, translated version of the original published in 1984 in the U.S.A., entitled 'Emergency Radiology'. The publication for the most part is made up as an atlas of the radiological images presenting the findings required for assessment of the emergency cases and their first treatment. The test parts' function is to explain the images and give the necessary information. The material is arranged in seven sections dealing with the skull, the facial part of the skull, the spine, thorax, abdominal region, the pelvis and the hip, and the limbs. With 690 figs [de

eLearning-radiology.com. Sustainability for quality assurance

International Nuclear Information System (INIS)

Ketelsen, D.; Talanow, R.; Uder, M.; Grunewald, M.

2009-01-01

Purpose: The aim of the study was to analyze the availability of published radiological e-learning tools and to establish a solution for quality assurance. Materials and Methods: Substantial pubmed research was performed to identify radiological e-learning tools. 181 e-learning programs were selected. As examples two databases expanding their programs with external links, Compare (n = 435 external links) and TNT-Radiology (n = 1078 external links), were evaluated. A concept for quality assurance was developed by an international taskforce. Results: At the time of assessment, 56.4 % (102/181) of the investigated e-learning tools were accessible at their original URL. A subgroup analysis of programs published 5 to 8 years ago showed significantly inferior availability to programs published 3 to 5 years ago (p < 0.01). The analysis of external links showed 49.2 % and 61.0 % accessible links for the programs Compare (published 2003) and TNT-Radiology (published 2006), respectively. As a consequence, the domain www.eLearning-radiology.com was developed by the taskforce and published online. This tool allows authors to present their programs and users to evaluate the e-learning tools depending on several criteria in order to remove inoperable links and to obtain information about the complexity and quality of the e-learning tools. (orig.)

Determining the suitability of materials for disposal at sea under the London Convention 1972: A radiological assessment procedure

International Nuclear Information System (INIS)

2003-10-01

on conducting specific assessments to determine whether candidate materials for disposal at sea contained de minimis levels of radioactivity. This report contains guidance on performing specific assessments of candidate materials to determine whether the materials are de minimis in the meaning of the London Convention 1972. It follows the guidelines adopted by the Twenty-first Consultative Meeting of the London Convention 1972 that incorporate a Stepwise Evaluation Procedure for screening candidate material to determine if it can be treated as 'non-radioactive' (i.e. de minimis) under the Convention. Material that cannot be readily defined as de minimis on the basis of Steps 1 to 5 of the Stepwise Evaluation Procedure require a specific assessment at Step 6. Such an assessment is the subject of this report. The assessment process described in this report is based on an inherently conservative procedure consistent with the precautionary approach, provided for under the London Convention 1972. Its purpose is to ensure the use of conservative models and cautious assumptions that result in the overestimation of the doses due to candidate materials that might be disposed of at sea in near coastal waters under de minimis provisions. Accordingly, the radiological consequences of disposal at sea of de minimis materials in other areas of the continental shelf and deeper waters will result in much lower radiation exposures than those considered here. It must be stressed that any candidate materials designated as de minimis must comply with all other provisions of the Convention. Section 2 provides a summary of the Stepwise Evaluation Procedure as detailed in the guidelines and background information necessary to understand the context of this guidance. Section 3 describes in detail a procedure to conduct the specific radiological assessment of the disposal of a candidate material. It contains a schematic diagram illustrating the specific assessment process and components of

Educational treasures in Radiology: The Radiology Olympics - striving for gold in Radiology education

OpenAIRE

Talanow, Roland

2010-01-01

This article focuses on Radiology Olympics (www.RadiologyOlympics.com) - a collaboration with the international Radiology community for Radiology education, Radiolopolis (www.Radiolopolis.com). The Radiology Olympics honour the movers and shakers in Radiology education and offer an easy to use platform for educating medical professionals based on Radiology cases.

Stockholm Safety Conference. Analysis of the sessions on radiological protection, licensing and risk assessment

International Nuclear Information System (INIS)

Gea, A.

1981-01-01

A summary of the sessions on radiological protection, licensing and risk assessment in the safety conference of Stockholm is presented. It is considered the new point of view of the nuclear safety, probabilistic analysis, components failures probability and accident analysis. They are included conclusions applicable in many cases to development countries. (author)

Radiology

International Nuclear Information System (INIS)

Bigot, J.M.; Moreau, J.F.; Nahum, H.; Bellet, M.

1990-01-01

The 17th International Congress of Radiology was conducted in two separate scientific sessions, one for radiodiagnosis and one for radiation oncology. Topics covered are: Radiobiology -radioprotection; imaging and data processing; contrast media; MRI; nuclear medicine; radiology and disasters; radiology of tropical diseases; cardiovascular radiology; interventional radiology; imaging of trauma; imaging of chest, gastro-intestinal tract, breast and genito-urinary tract; imaging in gynecology;imaging in oncology; bone and joint radiology; head and neck-radiology; neuro-radiology. (H.W.). refs.; fig.; tabs

Virtual Raters for Reproducible and Objective Assessments in Radiology

Science.gov (United States)

Kleesiek, Jens; Petersen, Jens; Döring, Markus; Maier-Hein, Klaus; Köthe, Ullrich; Wick, Wolfgang; Hamprecht, Fred A.; Bendszus, Martin; Biller, Armin

2016-04-01

Volumetric measurements in radiologic images are important for monitoring tumor growth and treatment response. To make these more reproducible and objective we introduce the concept of virtual raters (VRs). A virtual rater is obtained by combining knowledge of machine-learning algorithms trained with past annotations of multiple human raters with the instantaneous rating of one human expert. Thus, he is virtually guided by several experts. To evaluate the approach we perform experiments with multi-channel magnetic resonance imaging (MRI) data sets. Next to gross tumor volume (GTV) we also investigate subcategories like edema, contrast-enhancing and non-enhancing tumor. The first data set consists of N = 71 longitudinal follow-up scans of 15 patients suffering from glioblastoma (GB). The second data set comprises N = 30 scans of low- and high-grade gliomas. For comparison we computed Pearson Correlation, Intra-class Correlation Coefficient (ICC) and Dice score. Virtual raters always lead to an improvement w.r.t. inter- and intra-rater agreement. Comparing the 2D Response Assessment in Neuro-Oncology (RANO) measurements to the volumetric measurements of the virtual raters results in one-third of the cases in a deviating rating. Hence, we believe that our approach will have an impact on the evaluation of clinical studies as well as on routine imaging diagnostics.

Use of Low-Fidelity Simulation Laboratory Training for Teaching Radiology Residents CT-Guided Procedures.

Science.gov (United States)

Picard, Melissa; Nelson, Rachel; Roebel, John; Collins, Heather; Anderson, M Bret

2016-11-01

To determine the benefit of the addition of low-fidelity simulation-based training to the standard didactic-based training in teaching radiology residents common CT-guided procedures. This was a prospective study involving 24 radiology residents across all years in a university program. All residents underwent standard didactic lecture followed by low-fidelity simulation-based training on three common CT-guided procedures: random liver biopsy, lung nodule biopsy, and drain placement. Baseline knowledge, confidence, and performance assessments were obtained after the didactic session and before the simulation training session. Approximately 2 months later, all residents participated in a simulation-based training session covering all three of these procedures. Knowledge, confidence, and performance data were obtained afterward. These assessments covered topics related to preprocedure workup, intraprocedure steps, and postprocedure management. Knowledge data were collected based on a 15-question assessment. Confidence data were obtained based on a 5-point Likert-like scale. Performance data were obtained based on successful completion of predefined critical steps. There was significant improvement in knowledge (P = .005), confidence (P simulation-based training to the standard didactic curriculum for all procedures. This study suggests that the addition of low-fidelity simulation-based training to a standard didactic-based curriculum is beneficial in improving resident knowledge, confidence, and tested performance of common CT-guided procedures. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Radiological Impact Assessment in Disposal of Treated Sludge

International Nuclear Information System (INIS)

Khairuddin Mohamad Kontol; Ismail Sulaiman; Faizal Azrin Abdul Razalim

2015-01-01

Sludge and scales produced during oil and gas production contain enhanced naturally occurring radioactive material (NORM). Sludge and scales are under the jurisdiction of Department of Environment (DOE) and also Atomic Energy Licensing Board (AELB). AELB has issued a guideline regarding the disposal of sludge and scales as in its guideline (LEM/TEK/30 SEM.2, 1996). In this guideline, Radiological Impact Assessment (RIA) should be carried out on all proposed disposals and has to demonstrate that no member of public will be exposed to more than 1 mSv/y. This paper presented RIA analysis using RESRAD computer code for the disposal of treated sludge. RESRAD (RESidual RADioactive) developed by Argonne National Laboratory is to estimate radiation doses and risks from residual radioactive materials. The dose received by the member of public is found to be well below the stipulated limit. (author)

Improving efficiency in the radiology department

Energy Technology Data Exchange (ETDEWEB)

Towbin, Alexander J.; Perry, Laurie A. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States); Larson, David B. [Stanford University School of Medicine, Department of Radiology, Stanford, CA (United States)

2017-06-15

The modern radiology department is built around the flow of information. Ordering providers request imaging studies to be performed, technologists complete the work required to perform the imaging studies, and radiologists interpret and report on the imaging findings. As each of these steps is performed, data flow between multiple information systems, most notably the radiology information system (RIS), the picture archiving and communication system (PACS) and the voice dictation system. Even though data flow relatively seamlessly, the majority of our systems and processes are inefficient. The purpose of this article is to describe the radiology value stream and describe how radiology informaticists in one department have worked to improve the efficiency of the value stream at each step. Through these examples, we identify and describe several themes that we believe have been crucial to our success. (orig.)

Systematic Layout Planning of a Radiology Reporting Area to Optimize Radiologists' Performance.

Science.gov (United States)

Benitez, Guilherme Brittes; Fogliatto, Flavio Sanson; Cardoso, Ricardo Bertoglio; Torres, Felipe Soares; Faccin, Carlo Sasso; Dora, José Miguel

2018-04-01

Optimizing radiologists' performance is a major priority for managers of health services/systems, since the radiologists' reporting activity imposes a severe constraint on radiology productivity. Despite that, methods to optimize radiologists' reporting workplace layout are scarce in the literature. This study was performed in the Radiology Division (RD) of an 850-bed University-based general hospital. The analysis of the reporting workplace layout was carried out using the systematic layout planning (SLP) method, in association with cluster analysis as a complementary tool in early stages of SLP. Radiologists, architects, and hospital managers were the stakeholders consulted for the completion of different stages of the layout planning process. A step-by-step description of the proposed methodology to plan an RD reporting layout is presented. Clusters of radiologists were defined using types of exams reported and their frequency of occurrence as clustering variables. Sectors with high degree of interaction were placed in proximity in the new RD layout, with separation of noisy and quiet areas. Four reporting cells were positioned in the quiet area, grouping radiologists by subspecialty, as follows: cluster 1-abdomen; cluster 2-musculoskeletal; cluster 3-neurological, vascular and head & neck; cluster 4-thoracic and cardiac. The creation of reporting cells has the potential to limit unplanned interruptions and enhance the exchange of knowledge and information within cells, joining radiologists with the same expertise. That should lead to improvements in productivity, allowing managers to more easily monitor radiologists' performance.

Validation of a physically based catchment model for application in post-closure radiological safety assessments of deep geological repositories for solid radioactive wastes.

Science.gov (United States)

Thorne, M C; Degnan, P; Ewen, J; Parkin, G

2000-12-01

The physically based river catchment modelling system SHETRAN incorporates components representing water flow, sediment transport and radionuclide transport both in solution and bound to sediments. The system has been applied to simulate hypothetical future catchments in the context of post-closure radiological safety assessments of a potential site for a deep geological disposal facility for intermediate and certain low-level radioactive wastes at Sellafield, west Cumbria. In order to have confidence in the application of SHETRAN for this purpose, various blind validation studies have been undertaken. In earlier studies, the validation was undertaken against uncertainty bounds in model output predictions set by the modelling team on the basis of how well they expected the model to perform. However, validation can also be carried out with bounds set on the basis of how well the model is required to perform in order to constitute a useful assessment tool. Herein, such an assessment-based validation exercise is reported. This exercise related to a field plot experiment conducted at Calder Hollow, west Cumbria, in which the migration of strontium and lanthanum in subsurface Quaternary deposits was studied on a length scale of a few metres. Blind predictions of tracer migration were compared with experimental results using bounds set by a small group of assessment experts independent of the modelling team. Overall, the SHETRAN system performed well, failing only two out of seven of the imposed tests. Furthermore, of the five tests that were not failed, three were positively passed even when a pessimistic view was taken as to how measurement errors should be taken into account. It is concluded that the SHETRAN system, which is still being developed further, is a powerful tool for application in post-closure radiological safety assessments.

Radiological impact assessment of the domestic on-road transportation of radioactive isotope wastes

Energy Technology Data Exchange (ETDEWEB)

Seo, Myung Hwan; Hong, Sung Wook; Park, Jin Beak [Korea Radioactive Waste Agency, Technology Institute, Daejeon (Korea, Republic of)

2016-09-15

Korea Radioactive Waste Agency (KORAD) began to operate the low and intermediate level radioactive waste disposal facility in Gyeongju and to transport the radioactive waste containing radioactive isotopes from Daejeon to the disposal facility for the first time at 2015. For this radioactive waste transportation, in this study, radiological impact assessment is carried out for workers and public. The dose rate to workers and public during the transportation is estimated with consideration of the transportation scenarios and is compared with the Korean regulatory limit. The sensitivity analysis is carried out by considering both the variation of release ratios of the radioactive isotopes from the waste and the variation of the distances between the radioactive waste drum and worker during loading and unloading of radioactive waste. As for all the transportation scenarios, radiological impacts for workers and public have met the regulatory limits.

Modelling of the radiological impact of radioactive waste dumping in the Arctic Seas. Report of the Modelling and Assessment Working Group of the International Arctic Seas Assessment Project (IASAP)

International Nuclear Information System (INIS)

2003-01-01

The work is summarized carried out by the Modelling and Assessment Working Group in 1994-1996. The Modelling and Assessment Working Group was established within the framework of the International Arctic Seas Assessment Project (IASAP) launched by the IAEA in 1993 with the objectives of modelling the environmental dispersal and transport of nuclides to be potentially released from the dumped objects and of assessing the associated radiological impact on man and biota. Models were developed to model the dispersal of the pollutants and for the assessment of the radiological consequences of the releases from the dumped wastes in the Arctic. The results of the model intercomparison exercise were used as a basis on which to evaluate the estimate of concentration fields when detailed source term scenarios were used and also to assess the uncertainties in ensuing dose calculations. The descriptions and modelling work was divided into three main phases: description of the area, collection of relevant and necessary information; extension to and development of predictive models including an extensive model inter-comparison and finally prediction of radiological impact, used in the evaluation of the need and options for remediation

Pediatric radiology

International Nuclear Information System (INIS)

Benz-Bohm, G.

1997-01-01

Pediatric radiology is an important subsection of diagnostic radiology involving specific difficulties, but unfortunately is quite too often neglected as a subject of further education and training. The book therefore is not intended for specialists in the field, but for radiologists wishing to plunge deeper into the matter of pediatric radiology and to acquire a sound, basic knowledge and information about well-proven modalities, the resulting diagnostic images, and interpretation of results. The book is a compact guide and a helpful source of reference and information required for every-day work, or in special cases. With patients who are babies or children, the challenges are different. The book offers all the information needed, including important experience from pediatric hospital units that may be helpful in diagnostic evaluation, information about specific dissimilarities in anatomy and physiology which affect the imaging results, hints for radiology planning and performance, as well as information about the various techniques and their indication and achievements. The book presents a wide spectrum of informative and annotated images. (orig./CB) [de

Determining the Suitability of Materials for Disposal at Sea under the London Convention 1972 and London Protocol 1996: A Radiological Assessment Procedure. 2015 Edition

International Nuclear Information System (INIS)

2015-01-01

This publication provides guidance on performing specific assessments of candidate materials for dumping at sea, to determine whether the materials are de minimis in the meaning of the Convention on the Prevention of Marine Pollution by Dumping of Wastes and Other Matter 1972 (the London Convention 1972) and the related Protocol 1996 (the London Protocol 1996). It presents a detailed radiological procedure to assess doses to workers and members of the public and doses to marine flora and fauna related to the dumping of materials at sea. The procedures in this publication follow the requirements to protect the environment in the IAEA Safety Standards and in the recommendations by the International Commission of Radiological Protection. It is expected to be used by national regulatory authorities responsible for authorizing disposal at sea of candidate materials as well as by those companies and individuals applying to obtain permission to dispose these materials at sea

The American Board of Radiology perspective on maintenance of certification: Part IV: Practice quality improvement in radiologic physics

International Nuclear Information System (INIS)

Frey, G. Donald; Ibbott, Geoffrey S.; Morin, Richard L.; Paliwal, Bhudatt R.; Thomas, Stephen R.; Bosma, Jennifer

2007-01-01

Recent initiatives of the American Board of Medical Specialties (ABMS) in the area of maintenance of certification (MOC) have been reflective of the response of the medical community to address public concerns regarding quality of care, medical error reduction, and patient safety. In March 2000, the 24 member boards of the ABMS representing all medical subspecialties in the USA agreed to initiate specialty-specific maintenance of certification (MOC) programs. The American Board of Radiology (ABR) MOC program for diagnostic radiology, radiation oncology, and radiologic physics has been developed, approved by the ABMS, and initiated with full implementation for all three disciplines beginning in 2007. The overriding objective of MOC is to improve the quality of health care through diplomate-initiated learning and quality improvement. The four component parts to the MOC process are: Part I: Professional standing, Part II: Evidence of life long learning and periodic self-assessment, Part III: Cognitive expertise, and Part IV: Evaluation of performance in practice (with the latter being the focus of this paper). The key components of Part IV require a physicist-based response to demonstrate commitment to practice quality improvement (PQI) and progress in continuing individual competence in practice. Diplomates of radiologic physics must select a project to be completed over the ten-year cycle that potentially can improve the quality of the diplomate's individual or systems practice and enhance the quality of care. Five categories have been created from which an individual radiologic physics diplomate can select one required PQI project: (1) Safety for patients, employees, and the public, (2) accuracy of analyses and calculations, (3) report turnaround time and communication issues, (4) practice guidelines and technical standards, and (5) surveys (including peer review of self-assessment reports). Each diplomate may select a project appropriate for an individual

Radiology in the 21st century

International Nuclear Information System (INIS)

Carson, P.L.; Seltzer, S.E.; Gore, J.C.; Heiiman, R.S.; Abrams, H.L.; Davis, K.A.; Henkelman, M.R.

1987-01-01

On the leading edge in ''high-tech'' medicine, radiology is experiencing several revolutions simultaneously that promise an exciting future. New imaging methods and digital technologies not only offer novel ways to view tissues but also provide opportunities for quantitative evaluation of function and even permit determination of metabolic status. New approaches to technology assessment are being explored that alter the ways in which equipment and procedures are introduced into clinical medicine. With the plethora of radiology services available, the radiologist must serve as a consultant in the triage of patients in radiology and the dissemination of information from radiology. For similar reasons, training in diagnostic radiology may eventually accommodate to the concept of specialization along organ-system lines. Without question, radiology is destined for an exciting period as it moves into the 21st century

Methodology used by the spanish nuclear regulatory body in the radiological impact assessment

International Nuclear Information System (INIS)

Diaz de la Cruz, F.

1979-01-01

The radiological risk assessment derived from the operation of a nuclear power plant is done in Spain with methods taken basically from the U.S.N.R.C. regulatory guides. This report presents the way followed by the Spanish Regulatory Body in order to arrive to an official decision on the acceptability of a nuclear plant in the different steps of the licensing. (author)

Natural language processing using online analytic processing for assessing recommendations in radiology reports.

Science.gov (United States)

Dang, Pragya A; Kalra, Mannudeep K; Blake, Michael A; Schultz, Thomas J; Stout, Markus; Lemay, Paul R; Freshman, David J; Halpern, Elkan F; Dreyer, Keith J

2008-03-01

The study purpose was to describe the use of natural language processing (NLP) and online analytic processing (OLAP) for assessing patterns in recommendations in unstructured radiology reports on the basis of patient and imaging characteristics, such as age, gender, referring physicians, radiology subspecialty, modality, indications, diseases, and patient status (inpatient vs outpatient). A database of 4,279,179 radiology reports from a single tertiary health care center during a 10-year period (1995-2004) was created. The database includes reports of computed tomography, magnetic resonance imaging, fluoroscopy, nuclear medicine, ultrasound, radiography, mammography, angiography, special procedures, and unclassified imaging tests with patient demographics. A clinical data mining and analysis NLP program (Leximer, Nuance Inc, Burlington, Massachusetts) in conjunction with OLAP was used for classifying reports into those with recommendations (I(REC)) and without recommendations (N(REC)) for imaging and determining I(REC) rates for different patient age groups, gender, imaging modalities, indications, diseases, subspecialties, and referring physicians. In addition, temporal trends for I(REC) were also determined. There was a significant difference in the I(REC) rates in different age groups, varying between 4.8% (10-19 years) and 9.5% (>70 years) (P OLAP revealed considerable differences between recommendation trends for different imaging modalities and other patient and imaging characteristics.

A review of the uncertainties in the assessment of radiological consequences of spent nuclear fuel disposal

International Nuclear Information System (INIS)

Wiborgh, M.; Elert, M.; Hoeglund, L.O.; Jones, C.; Grundfelt, B.; Skagius, K.; Bengtsson, A.

1992-06-01

Radioactive waste disposal systems for spent nuclear fuel are designed to isolate the radioactive waste from the human environment for long period of time. The isolation is provided by a combination of engineered and natural barriers. Safety assessments are performed to describe and quantify the performance of the individual barriers and the disposal system over long-term periods. These assessments will always be associated with uncertainties. Uncertainties can originate from the variability of natural systems and will also be introduced in the predictive modelling performed to quantitatively evaluate the behaviour of the disposal system as a consequence of the incomplete knowledge about the governing processes. Uncertainties in safety assessments can partly be reduced by additional measurements and research. The aim of this study has been to identify uncertainties in assessments of radiological consequences from the disposal of spent nuclear fuel based on the Swedish KBS-3 concept. The identified uncertainties have been classified with respect to their origin, i.e. in conceptual, modelling and data uncertainties. The possibilities to reduce the uncertainties are also commented upon. In assessments it is important to decrease uncertainties which are of major importance for the performance of the disposal system. These could to some extent be identified by uncertainty analysis. However, conceptual uncertainties and some type of model uncertainties are difficult to evaluate. To be able to decrease uncertainties in conceptual models, it is essential that the processes describing and influencing the radionuclide transport in the engineered and natural barriers are sufficiently understood. In this study a qualitative approach has been used. The importance of different barriers and processes are indicated by their influence on the release of some representative radionuclides. (122 refs.) (au)

RADIOPROTECTION CAMPAIGN AND CARD: EDUCATIONAL STRATEGIES THAT REDUCE CHILDREN'S EXCESSIVE EXPOSURE TO RADIOLOGICAL EXAMS.

Science.gov (United States)

Bernardo, Mônica Oliveira; Almeida, Fernando Antonio de; Morgado, Flavio

2017-01-01

To analyze the results of an initiative aimed at improving the reasonable use of radiological examinations, ensuring their technical quality, implementing a radioprotection campaign that includes training of the professional team, and introducing the radioprotection card for children under 12 years old as a tool for parents and doctors to control children's exposure to radiation. The study was held in a health care insurance system covering 140,000 people. A radioprotection campaign was implemented according to Image Gently • protocols, ensuring the lowest dose of radiation and the quality of examinations, and the radioprotection card was implemented. To assess the effectiveness of these actions, the number of radiological examinations performed at the pediatric emergency room in a period of one year preceding the campaign was compared with the number of radiological examinations performed one year after the campaign. The campaign was well accepted by all professionals, families, and patients involved. In the year following the implementation of radioprotection strategies, there was a 22% reduction of radiological examinations performed at the pediatric emergency room. There was also a 29% reduction in the request of two or more radiological examinations for the same child or examinations with two or more incidences. The campaign and the radioprotection card for children under 12 years old proved to be feasible strategies and correlated with a reduction in radiological examinations requested and performed at the pediatric emergency room.

The Future of Radiology

Directory of Open Access Journals (Sweden)

Alexander R. Margulis

2011-07-01

Full Text Available It has been my good fortune to live and practice radiology during a long period of momentous change – to see the transformation of the discipline from a supportive service into a mainstream, essential branch of clinical medicine. I remember wearing red goggles to adapt my vision before performing fluoroscopy; observing the horrible, now thankfully obsolete, practice of ventriculography, which was considered advanced neuroradiology; and performing other, now rarely prescribed procedures, such as double-contrast barium enemas and intravenous pyelography. Witnessing the beginnings of interventional radiology, I suggested its name in an editorial. I also had the good fortune to see the introduction of computed tomography (CT and a technology first known as nuclear magnetic resonance imaging. Together with fellow members of a committee of the American College of Radiology and editors of prestigious radiological journals, I took part in changing the name of the latter modality to MRI, freeing it from threatening implications. Looking back on these experiences, one lesson stands out above all: Innovation and transformation never cease. Looking forward, it is clear that radiology, along with the rest of medicine, is now undergoing further momentous changes that will affect the future of all those already practicing as well as those yet to start their careers.

Perspectives on dosimetric uncertainties and radiological assessments of radioactive waste management

International Nuclear Information System (INIS)

Smith, G.M.; Pinedo, P.; Cancio, D.

1997-01-01

The purpose of this paper is to raise some issues concerning uncertainties in the estimation of doses of ionizing radiation arising from waste management practices and the contribution to those uncertainties arising from dosimetry modelling. The intentions are: (a) to provide perspective on the relative uncertainties in the different aspects of radiological assessments of waste management; (b) to give pointers as to where resources could best be targeted as regards reduction in overall uncertainties; and (c) to provide regulatory insight to decisions on low dose management as related to waste management practices. (author)

Quality management systems in radiology

Directory of Open Access Journals (Sweden)

Geoffrey K. Korir

2013-08-01

Objective: To assess the level of quality management systems in X-ray medical facilities in Kenya. Methods: Quality management inspection, quality control performance tests and patient radiation exposure were assessed in 54 representative X-ray medical facilities. Additionally, a survey of X-ray examination frequency was conducted in 140 hospitals across the country. Results: The overall findings placed the country’s X-ray imaging quality management systems at 61±3% out of a possible 100%. The most and the least quality assurance performance indicators were general radiography X-ray equipment quality control tests at 88±4%, and the interventional cardiology adult examinations below diagnostic reference level at 25±1%, respectively. Conclusions: The study used a systematic evidence-based approach for the assessment of national quality management systems in radiological practice in clinical application, technical conduct of the procedure, image quality criteria, and patient characteristics as part of the quality management programme.

Radiological consequences of radioactive effluents

International Nuclear Information System (INIS)

Clarke, R.H.

1979-01-01

A study of the differential radiological impact of the nuclear fuel cycle with and without plutonium recycle is being undertaken jointly by the National Radiological Protection Board and the Commissariat a l'Energie Atomique (CEA). A summary is given of the development of the methodology detailed in their first report to the Commission of the European Communities (CEC) (NRPB/CEA, A methodology for evaluating the radiological consequences of radioactive effluents released in normal operations. Luxembourg, CEC Doc. V/3011/75 EN (1979)). The Collective Effective Dose Equivalent Commitment was used in an attempt to assess the total health detriment. The application of the methodology within particular member states of the European Community has been discussed at seminars. Sensitivity analysis can identify the more important parameters for improving the accuracy of the assessment. (UK)

Natural radioactivity level and radiological hazard assessment of commonly used building material in Xining, China

International Nuclear Information System (INIS)

Shigang Chao; Xinwei Lu; Mengmeng Zhang; Long Pang

2014-01-01

Natural radioactivity of the commonly used building materials in Xining of China was measured using gamma-ray spectrometer system comprising a NaI(Tl) detector. Radioactivity concentrations of 226 Ra, 232 Th and 40 K in the studied samples range from 11.6 to 120.6, 10.2 to 107.1 and 228.0 to 1,036.2 Bq kg -1 , respectively. The concentrations for these natural radionuclides were compared with the reported data of other countries and the mean value for soil. Radium equivalent activity, indoor air absorbed dose rate, annual effective dose rate as well as external and internal hazard indices were calculated to assess radiological hazards for people living in dwelling made of the building materials. The radiological hazard assessment results show that the studied building materials, except for some aerated concrete block samples, are safe for use in construction of dwellings in the study area and do not pose any significant source of radiation hazard. (author)

Guidelines for radiological interventions

International Nuclear Information System (INIS)

Kauffmann, G.W.

1998-01-01

The German Radiological Society, in cooperation with other German professional bodies, set up draft Guidelines for Radiological Interventions and submitted them to the professional community for discussion. The Guidelines are meant to assess the potential of radiological interventions as treatment alternatives to surgery or aggressive therapy such as chemotherapy. In fact, technical practicability on its own is insufficient to warrant intervention. The Guidelines are systematically compiled notions and recommendations whose aim it is to provide support to physicians and patients in choosing suitable medical care provisions (prevention, diagnosis, therapy, aftertreatment) in specific circumstances. A complete Czech translation of the Guidelines is given. (P.A.)

Radiological dose assessment related to management of naturally occurring radioactive materials generated by the petroleum industry

International Nuclear Information System (INIS)

Smith, K.P.; Blunt, D.L.; Williams, G.P.; Tebes, C.L.

1995-01-01

A preliminary radiological dose assessment related to equipment decontamination, subsurface disposal, landspreading, equipment smelting, and equipment burial was conducted to address concerns regarding the presence of naturally occurring radioactive materials in production waste streams. The assessment evaluated the relative dose of these activities and included a sensitivity analysis of certain input parameters. Future studies and potential policy actions are recommended

Performance assessment and licensing issues for United States commercial near-surface low-level radioactive waste disposal facilities

International Nuclear Information System (INIS)

Birk, S.M.

1997-10-01

The final objective of performance assessment for a near-surface LLW disposal facility is to demonstrate that potential radiological impacts for each of the human exposure pathways will not violate applicable standards. This involves determining potential pathways and specific receptor locations for human exposure to radionuclides; developing appropriate scenarios for each of the institutional phases of a disposal facility; and maintaining quality assurance and control of all data, computer codes, and documentation. The results of a performance assessment should be used to demonstrate that the expected impacts are expected to be less than the applicable standards. The results should not be used to try to predict the actual impact. This is an important distinction that results from the uncertainties inherent in performance assessment calculations. The paper discusses performance objectives; performance assessment phases; scenario selection; mathematical modeling and computer programs; final results of performance assessments submitted for license application; institutional control period; licensing issues; and related research and development activities

Fetal dose in radiology, nuclear medicine and radiotherapy; Dosis fetal en radiodiagnostico, medicina nuclear y radioterapia

Energy Technology Data Exchange (ETDEWEB)

Rosales, F. J.; Martinez, L. C.; Candela, C.

2015-07-01

Sometimes irradiation of the fetus in the mother's womb is inevitable in the field of diagnostic radiology, nuclear medicine and radiotherapy, either through ignorance a priori status of this pregnancy, either because for clinical reasons it is necessary to perform the radiological study or treatment. In the first cases, know the dose at which it has exposed the fetus is essential when assessing the associated risk, while in the second it is when assessing the justification of the test. (Author)

Relevant training issues for introduction of digital radiology: Results of a survey

International Nuclear Information System (INIS)

Peer, S.; Faulkner, K.; Torbica, P.; Peer, R.; Busch, H. P.; Vetter, S.; Neofotistou, E.; Back, C.; Bosmans, H.; Vano, E.

2005-01-01

Council Directive 97/43/Euratom establishes the need for adequate training of radiology staff. The transition to digital radiology implies changes in various imaging aspects, which are not sufficiently covered by current institutional training programmes. This work aimed to assess how professionals, experienced in digital imaging, acquired their expertise and hence, what form institutional training should take. Within DIMOND III, a survey on training and resources was performed among radiology professionals. A lack of institutional education for digital radiology was found. In the transition to digital radiology, 30-35% train on the job and another 23-28% receive training from digital equipment vendors. A general agreement exists on the need for new quality criteria and strategies for dose management. Issues relevant for conventional/digital transition are only sparsely covered in EC training programmes. Based on these results, a set of training issues was produced, to be included in future European guidelines. (authors)

Radiological risk assessment for the public under the loss of medium and large sources using bayesian methodology

International Nuclear Information System (INIS)

Kim, Joo Yeon; Jang, Han Ki; Lee, Jai Ki

2005-01-01

Bayesian methodology is appropriated for use in PRA because subjective knowledges as well as objective data are applied to assessment. In this study, radiological risk based on Bayesian methodology is assessed for the loss of source in field radiography. The exposure scenario for the lost source presented in U.S. NRC is reconstructed by considering the domestic situation and Bayes theorem is applied to updating of failure probabilities of safety functions. In case of updating of failure probabilities, it shows that 5% Bayes credible intervals using Jeffreys prior distribution are lower than ones using vague prior distribution. It is noted that Jeffreys prior distribution is appropriated in risk assessment for systems having very low failure probabilities. And, it shows that the mean of the expected annual dose for the public based on Bayesian methodology is higher than the dose based on classical methodology because the means of the updated probabilities are higher than classical probabilities. The database for radiological risk assessment are sparse in domestic. It summarizes that Bayesian methodology can be applied as an useful alternative for risk assessment and the study on risk assessment will be contributed to risk-informed regulation in the field of radiation safety

Radiological Instrumentation Assessment for King County Wastewater Treatment Division

International Nuclear Information System (INIS)

Strom, Daniel J.; McConn, Ronald J.; Brodzinski, Ronald L.

2005-01-01

The King County Wastewater Treatment Division (WTD) have concern about the aftermath of a radiological dispersion event (RDE) leading to the introduction of significant quantities of radioactive material into its combined sanitary and storm sewer system. Radioactive material could come from the use of a radiological dispersion device (RDD). RDDs include 'dirty bombs' that are not nuclear detonations but are explosives designed to spread radioactive material. Radioactive material also could come from deliberate introduction or dispersion of radioactive material into the environment, including waterways and water supply systems. Volume 2 of PNNL-15163 assesses the radiological instrumentation needs for detection of radiological or nuclear terrorism, in support of decisions to treat contaminated wastewater or to bypass the West Point Treatment Plant (WPTP), and in support of radiation protection of the workforce, the public, and the infrastructure of the WPTP. Fixed radiation detection instrumentation should be deployed in a defense-in-depth system that provides (1) early warning of significant radioactive material on the way to the WPTP, including identification of the radionuclide(s) and estimates of the soluble concentrations, with a floating detector located in the wet well at the Interbay Pump Station and telemetered via the internet to all authorized locations; (2) monitoring at strategic locations within the plant, including (2a) the pipe beyond the hydraulic ram in the bar screen room; (2b) above the collection funnels in the fine grit facility; (2c) in the sampling tank in the raw sewage pump room; and (2d) downstream of the concentration facilities that produce 6% blended and concentrated biosolids. Engineering challenges exist for these applications. It is necessary to deploy both ultra-sensitive detectors to provide early warning and identification and detectors capable of functioning in high-dose rate environments that are likely under some scenarios

Problem-based learning and radiology

International Nuclear Information System (INIS)

Thurley, P.; Dennick, R.

2008-01-01

The Royal College of Radiologists recently published documents setting out guidelines to improve the teaching of radiology to medical students. These included recommendations that clinicians who teach radiology should be aware of newer educational techniques, such as problem-based learning, and should be involved in the development of curricula and assessment in medical schools. This review aims to introduce the educational theories behind problem-based learning and describe how a problem-based learning tutorial is run. The relevance of problem-based learning to radiology and the potential advantages and disadvantages are discussed

Clinical operations management in radiology.

Science.gov (United States)

Ondategui-Parra, Silvia; Gill, Ileana E; Bhagwat, Jui G; Intrieri, Lisa A; Gogate, Adheet; Zou, Kelly H; Nathanson, Eric; Seltzer, Steven E; Ros, Pablo R

2004-09-01

Providing radiology services is a complex and technically demanding enterprise in which the application of operations management (OM) tools can play a substantial role in process management and improvement. This paper considers the benefits of an OM process in a radiology setting. Available techniques and concepts of OM are addressed, along with gains and benefits that can be derived from these processes. A reference framework for the radiology processes is described, distinguishing two phases in the initial assessment of a unit: the diagnostic phase and the redesign phase.

Improving Novice Radiology Trainees' Perception Using Fine Art.

Science.gov (United States)

Goodman, Thomas Rob; Kelleher, Michael

2017-10-01

To determine if fine art perception training improved performance in novice radiology trainees. On the first day of their residency, 15 radiology residents underwent a basic radiology perception test in which they were shown 15 different radiographs that each had a significant abnormality. This was followed by a focused session of interpretation training at a local art gallery where art experts taught the trainees how to thoroughly analyze a painting. After this fine art session, the residents were once again shown 15 different radiographs and asked, in the same manner as before, to identify the location of the abnormality. The results of both radiograph assessments were then compared. The 15 residents correctly identified the areas of abnormality on 35 of 225 cases pre-art training with a mean score of 2.33 and a SD of 1.4. After art training, the figure for correctly identifying the area of abnormality rose to 94 of 225 cases with a mean score of 6.27 and a SD of 1.79 (P art gallery may be a novel, effective transitional starting point for novice radiology trainees. Copyright © 2017. Published by Elsevier Inc.

Quality assurance in diagnostic radiology

International Nuclear Information System (INIS)

1982-01-01

The present guide endeavours to provide an outline of the type of quality assurance programme to be recommended for (1) routine implementation by those performing radiodiagnostic procedures (medical radiology technicians, medical physicists, and radiologists), (2) for application by the responsible national authorities, and (3) for use by international bodies such as the International Society of Radiology (ISR), the International Commission on Radiological Protection (ICRP), and the International Commission on Radiation Units and Measurements (ICRU)

The economics of interventional radiology

International Nuclear Information System (INIS)

Price, G.W.

1988-01-01

At a time when policy makers and regulators are scheming to reduce the costs and utilization of medical services, interventional radiology is poised for growth. Part of this potential for growth is based on wider acceptance of the procedures performed by interventional radiologists. A second factor in the growth potential is the relative value in cost of these procedures compared with alternative therapies. The author presents a discussion of the differences in the relative value of these procedures when performed by physicians of different specialties. This paper reviews the status of the economic climate in the health care delivery system and the role and potential growth of interventional radiology. This includes a review of current data on the utilization of interventional radiology procedures in the Medicare program. This overview includes a discussion of the initiatives of the federal government which directly impact interventional radiology

Radiology education: a glimpse into the future

Energy Technology Data Exchange (ETDEWEB)

Scarsbrook, A.F. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom)]. E-mail: andyscarsbrook1@aol.com; Graham, R.N.J. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom); Perriss, R.W. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom)

2006-08-15

The digital revolution in radiology continues to advance rapidly. There are a number of interesting developments within radiology informatics which may have a significant impact on education and training of radiologists in the near future. These include extended functionality of handheld computers, web-based skill and knowledge assessment, standardization of radiological procedural training using simulated or virtual patients, worldwide videoconferencing via high-quality health networks such as Internet2 and global collaboration of radiological educational resources via comprehensive, multi-national databases such as the medical imaging resource centre initiative of the Radiological Society of North America. This article will explore the role of e-learning in radiology, highlight a number of useful web-based applications in this area, and explain how the current and future technological advances might best be incorporated into radiological training.

Radiology education: a glimpse into the future

International Nuclear Information System (INIS)

Scarsbrook, A.F.; Graham, R.N.J.; Perriss, R.W.

2006-01-01

The digital revolution in radiology continues to advance rapidly. There are a number of interesting developments within radiology informatics which may have a significant impact on education and training of radiologists in the near future. These include extended functionality of handheld computers, web-based skill and knowledge assessment, standardization of radiological procedural training using simulated or virtual patients, worldwide videoconferencing via high-quality health networks such as Internet2 and global collaboration of radiological educational resources via comprehensive, multi-national databases such as the medical imaging resource centre initiative of the Radiological Society of North America. This article will explore the role of e-learning in radiology, highlight a number of useful web-based applications in this area, and explain how the current and future technological advances might best be incorporated into radiological training

Study of the Radiological Impact of the Coal Fired Power Plants on the Environment. The As Pontes coal-fired Power Plant

International Nuclear Information System (INIS)

Cancio, D.; Robles, B.; Mora, J. C.

2009-01-01

As part of the Study carried out to determine the radiological impact of the four main Spanish coal-fired power plants, the Study on the As Pontes Coal-Fired Coal Power Plant was finalized. In the Report containing the study are included every measurement performed, as well as the modelling and evaluations carried out in order to assess the radiological impact. The general conclusion obtained is that under a radiological point of view, the impact of this installation on the public and the environment is very small. Also the radiological impact on the workers of the installation was assessed, obtaining too very small increases over the natural background. (Author) 61 refs.

Methods for assessing the long term radiological consequences of radionuclide entry into groundwater

International Nuclear Information System (INIS)

Maul, P.R.

1983-01-01

The methods have been developed to model the transport of radionuclides in groundwater, based on an analytical approach to the governing transport equations, are sufficiently general to enable assessments to be made of the long term radiological significance of groundwater contamination for a range of possible problems. Although the methods are not as flexible as those based on numerical solutions of the transport equations, they have several advantages, including reduced computing time. The methods described can be used to identify critical parameters and assess the significance of data uncertainties in ground-water transport calculations. Such an analysis, combined with experimental measurements where necessary, can provide a sound basis for assessing potential radiation hazards. (U.K.)

Effective doses in paediatric radiology

International Nuclear Information System (INIS)

Iacob, Olga; Diaconescu, Cornelia; Roca, Antoaneta

2001-01-01

Because of their longer life expectancy, the risk of late manifestations of detrimental radiation effects is greater in children than in adults and, consequently, paediatric radiology gives ground for more concern regarding radiation protection than radiology of adults. The purpose of our study is to assess in terms of effective doses the magnitude of paediatric patient exposure during conventional X-ray examinations, selected for their high frequency or their relatively high doses to the patient. Effective doses have been derived from measurements of dose-area product (DAP) carried out on over 900 patients undergoing X-ray examinations, in five paediatric units. The conversion coefficients for estimating effective doses are those calculated by the NRPB using Monte-Carlo technique on a series of 5 mathematical phantoms representing 0, 1, 5, 10 and 15 year old children. The annual frequency of X-ray examinations necessary for collective dose calculation are those reported in our last national study on medical exposure, conducted in 1995. The annual effective doses from all medical examinations for the average paediatric patient are as follows: 1.05 mSv for 0 year old, 0.98 mSv for 1 year old, 0.53 mSv for 5 year old, 0.65 mSv for 10 year old and 0.70 mSv for 15 year old. The resulting annual collective effective dose was evaluated at 625 man Sv with the largest contribution of pelvis and hip examinations (34%). The annual collective effective associated with paediatric radiology in Romania represent 5% of the annual value resulting from all diagnostic radiology. Examination of the chest is by far the most frequent procedure for children, accounting for about 60 per cent of all annually performed X-ray conventional examinations. Knowledge of real level of patient dose is an essential component of quality assurance programs in paediatric radiology. (authors)

Introductory lecture series for first-year radiology residents: implementation, investment and assessment.

Science.gov (United States)

Chapman, Teresa; Chew, Felix S

2013-03-01

A lecture series aimed at providing new radiology residents a rapid course on the fundamental concepts of professionalism, safety, and interpretation of diagnostic imaging was established. Evaluation of the course's educational value was attempted through surveys. Twenty-six live 45-minute lectures presented by 16 or 17 faculty members were organized exclusively for the first class of radiology residents, held over a 2-month period at the beginning of certain weekdays. Online surveys were conducted after the course to gather feedback from residents. Average resident rotation evaluation scores were measured over the first semester for the two classes before and after this new course implementation. The lecture series was successfully organized and implemented. A total of 33 residents sat through the course over three summers. Faculty reported a reasonable number of preparation hours, and 100% of residents indicated they valued the course. Comparison of class average evaluation scores before and after the existence of this 2-month course did not significantly change. This collection of introductory lectures on professionalism, safety, and diagnostic imaging, delivered early in the first year of the radiology residency, requires a reasonable number of invested preparation hours by the faculty but results in a universal increase in resident confidence. However, we were unable to demonstrate an objective improvement in resident performance on clinical rotations. Copyright © 2013 AUR. Published by Elsevier Inc. All rights reserved.

Evaluation system for the analysis of the radiological consequences (RASCAL)

International Nuclear Information System (INIS)

Miguel Martinez, M. J. de

2011-01-01

The code currently employed by the Spanish Nuclear power is the IRDAM (Interactive Rapid Dose Assessment Model). This code will now be replaced by the RASCAL (Radiological Assessment System for Consequence Analysis) version 4.0. This is a significant improvement in dose calculation for escapes to the atmosphere for radioactive emergencies. The main objective is to highlight the most significant changes introduced in the RASCAL when performing these dose estimates.

Radiological dose assessment related to management of naturally occurring radioactive materials generated by the petroleum industry

International Nuclear Information System (INIS)

Smith, K.P.; Blunt, D.L.; Williams, G.P.

1996-09-01

A preliminary radiological dose assessment of equipment decontamination, subsurface disposal, landspreading, equipment smelting, and equipment burial was conducted to address concerns regarding the presence of naturally occurring radioactive materials (NORM) in production waste streams. The assessment estimated maximum individual dose equivalents for workers and the general public. Sensitivity analyses of certain input parameters also were conducted. On the basis of this assessment, it is concluded that (1) regulations requiring workers to wear respiratory protection during equipment cleaning operations are likely to result in lower worker doses, (2) underground injection and downhole encapsulation of NORM wastes present a negligible risk to the general public, and (3) potential doses to workers and the general public related to smelting NORM-contaminated equipment can be controlled by limiting the contamination level of the initial feed. It is recommended that (1) NORM wastes be further characterized to improve studies of potential radiological doses; (2) states be encouraged to permit subsurface disposal of NORM more readily, provided further assessments support this study; results; (3) further assessment of landspreading NORM wastes be conducted; and (4) the political, economic, sociological, and nonradiological issues related to smelting NORM-contaminated equipment be studied to fully examine the feasibility of this disposal option

How Secure Is Your Radiology Department? Mapping Digital Radiology Adoption and Security Worldwide.

Science.gov (United States)

Stites, Mark; Pianykh, Oleg S

2016-04-01

Despite the long history of digital radiology, one of its most critical aspects--information security--still remains extremely underdeveloped and poorly standardized. To study the current state of radiology security, we explored the worldwide security of medical image archives. Using the DICOM data-transmitting standard, we implemented a highly parallel application to scan the entire World Wide Web of networked computers and devices, locating open and unprotected radiology servers. We used only legal and radiology-compliant tools. Our security-probing application initiated a standard DICOM handshake to remote computer or device addresses, and then assessed their security posture on the basis of handshake replies. The scan discovered a total of 2774 unprotected radiology or DICOM servers worldwide. Of those, 719 were fully open to patient data communications. Geolocation was used to analyze and rank our findings according to country utilization. As a result, we built maps and world ranking of clinical security, suggesting that even the most radiology-advanced countries have hospitals with serious security gaps. Despite more than two decades of active development and implementation, our radiology data still remains insecure. The results provided should be applied to raise awareness and begin an earnest dialogue toward elimination of the problem. The application we designed and the novel scanning approach we developed can be used to identify security breaches and to eliminate them before they are compromised.

Radiological analyses of France Telecom surge arresters. Study performed for the CGT FAPT Cantal

International Nuclear Information System (INIS)

2010-02-01

This document reports the radiological characterization of various versions of surge arresters used in the past to protect telephone lines against over-voltages. These equipment, which use various radioactive materials, were assessed by gamma radiation flow measurements, alpha-beta-gamma count rate measurements, dose rate measurements, gamma spectrometry analyses, tritium emanation test, radon 222 emanation test, smearing. Recommendations are formulated to manage radioactive surge arresters which are still being operated

DOEZOR2: a code to assess the radiological impact of effluent discharges

International Nuclear Information System (INIS)

Martin Garcia, J.E.; Gomez Rodriguez, C.A.; Gimeno Blesa, M.E.; GARCIA ACOSTA, F.

2010-01-01

DOEZOR2 (DOsis al Exterior en ZORita v. 2) comprises a suite of models and data management tools which can be used to perform the radiological impact assessments of routine and continuous discharges from nuclear power plants and nuclear fuel cycle facilities for regulatory purposes. The Code is based on Radiation Protection 72 and the Regulatory Guide 1.109 (USNRC) methodology. The code development was carried out by SOCOIN (Gas Natural Fenosa Group) and is implemented in Jose Cabrera NPP (or Zorita NPP). DOEZOR has been operating during ten years and is about to be updated in order to consider realistic doses methodology. The new software differs from its predecessor in a number of ways, including a new user interface, new radionuclides and several new capacities (realistic dose). The model is developed to estimate radiological consequences of emissions from nuclear power plants. Internal exposure via inhalation and ingestion, external exposure from clouds and radioactivity deposited on the ground are included in the model. DOEZOR2 has been developed in Visual Fortran, using user friendly windows environment and modular architecture (easy to implement for other uses and installations). The main features of the code include: - Annual discharge to the atmospheric or river environment can be modelled. - Dynamic systems dispersion of radionuclides released to the river (two reservoirs). - A comprehensive list of exposure pathways. - A suite of environmental transfer models to estimate the transfer of radionuclides through the environment. - Site specific data (parameters of life habits). - Results in terms of individual doses (three age's groups), using effective dose as defined in Council Directive 96/29/EURATOM and dose coefficients from U.S. Federal Guidance Report 13. - Results in 'MS Word form' for periodic information to authorities. This software could be implemented anywhere, considering the particular characteristic of the site for the plant or facility

Design aspects of radiological safety in nuclear facilities

International Nuclear Information System (INIS)

Patkulkar, D.S.; Purohit, R.G.; Tripathi, R.M.

2014-01-01

In order to keep operational performance of a nuclear facility high and to keep occupational and public exposure ALARA, radiological safety provisions must be reviewed at the time of facility design. Deficiency in design culminates in deteriorated system performance and non adherence to safety standards and could sometimes result in radiological incident. Important radiological aspects relevant to safety were compiled based on operating experiences, design deficiencies brought out from past nuclear incidents, experience gained during maintenance, participation in design review of upcoming nuclear facilities and radiological emergency preparedness

Radiological assessment of water treatment processes in a water treatment plant in Saudi Arabia: Water and sludge radium content, radon air concentrations and dose rates

Energy Technology Data Exchange (ETDEWEB)

Al-Jaseem, Q.Kh., E-mail: qjassem@kacst.edu.sa [Nuclear Science Research Institute (NSRI), King Abdulaziz City for Science and Technology (KACST), P.O. Box 6086, Riyadh 11442 (Saudi Arabia); Almasoud, Fahad I. [Nuclear Science Research Institute (NSRI), King Abdulaziz City for Science and Technology (KACST), P.O. Box 6086, Riyadh 11442 (Saudi Arabia); Ababneh, Anas M. [Physics Dept., Faculty of Science, Islamic University in Madinah, Al-Madinah, P.O. Box 170 (Saudi Arabia); Al-Hobaib, A.S. [Nuclear Science Research Institute (NSRI), King Abdulaziz City for Science and Technology (KACST), P.O. Box 6086, Riyadh 11442 (Saudi Arabia)

2016-09-01

There is an increase demand for clean water sources in Saudi Arabia and, yet, renewable water resources are very limited. This has forced the authorities to explore deep groundwater which is known to contain large concentrations of radionuclides, mainly radium isotopes. Lately, there has been an increase in the number of water treatment plants (WTPs) around the country. In this study, a radiological assessment of a WTP in Saudi Arabia was performed. Raw water was found to have total radium activity of 0.23 Bq/L, which exceeds the international limit of 0.185 Bq/L (5 pCi/L). The WTP investigated uses three stages of treatment: flocculation/sedimentation, sand filtration and reverse osmosis. The radium removal efficiency was evaluated for each stage and the respective values were 33%, 22% and 98%. Moreover, the activity of radium in the solid waste generated from the WTP in the sedimentation and sand filtrations stages were measured and found to be 4490 and 6750 Bq/kg, respectively, which exceed the national limit of 1000 Bq/kg for radioactive waste. A radiological assessment of the air inside the WTP was also performed by measuring the radon concentrations and dose rates and were found in the ranges of 2–18 Bq/m{sup 3} and 70–1000 nSv/h, respectively. The annual effective dose was calculated and the average values was found to be 0.3 mSv which is below the 1 mSv limit. - Highlights: • Radiological assessment of groundwater treatment plant was performed. • Radium Removal efficiency was calculated for different stages during water treatment. • Radium concentrations in sludge were measured and found to exceed the national limit for radioactive waste. • Air radon concentrations and dose rates were monitored in the water treatment plant. • The Reverse Osmosis (RO) unit was found to record the highest air radon concentrations and dose rates.

Image Quality in Vascular Radiology

International Nuclear Information System (INIS)

Vanhavere, F.; Struelens, L.

2005-01-01

In vascular radiology, the radiologists use the radiological image to diagnose or treat a specific vascular structure. From literature, we know that related doses are high and that large dose variability exists between different hospitals. The application of the optimization principle is therefore necessary and is obliged by the new legislation. So far, very little fieldwork has been performed and no practical instructions are available to do the necessary work. It's indisputable that obtaining quantitative data is of great interest for optimization purposes. In order to gain insight into these doses and the possible measures for dose reduction, we performed a comparative study in 7 hospitals. Patient doses will be measured and calculated for specific procedures in vascular radiology and evaluated against their most influencing parameters. In view of optimization purposes, a protocol for dose audit will be set-up. From the results and conclusions in this study, experimentally based guidelines will be proposed, in order to improve clinical practice in vascular radiology

[Controlling instruments in radiology].

Science.gov (United States)

Maurer, M

2013-10-01

Due to the rising costs and competitive pressures radiological clinics and practices are now facing, controlling instruments are gaining importance in the optimization of structures and processes of the various diagnostic examinations and interventional procedures. It will be shown how the use of selected controlling instruments can secure and improve the performance of radiological facilities. A definition of the concept of controlling will be provided. It will be shown which controlling instruments can be applied in radiological departments and practices. As an example, two of the controlling instruments, material cost analysis and benchmarking, will be illustrated.

Referring physicians' experiences of outsourcing radiological examinations – A variety of views on the consequences

International Nuclear Information System (INIS)

Olofsson, P.T.; Blomqvist, L.; Fridell, K.; Aspelin, P.

2016-01-01

Introduction: There are strengths, weaknesses, opportunities and challenges when outsourcing advanced radiological examinations such as magnetic resonance examinations from university hospitals to external private institutions. Aim: The aim of this study was to explore the experiences of referring physicians when their referrals for radiological examinations are outsourced from a university hospital in Stockholm, Sweden. Method: This qualitative study is a part of a larger study investigating the consequences of outsourcing referrals for radiological examinations from a university hospital to private external units. Ten referring physicians from orthopedic and oncology departments, representing clinics with large volumes of radiological referrals at a university hospital, were interviewed. Results: The results showed that the requirements for radiological services differ between these specialties. The overall opinion was that examinations performed by external radiology departments needed additional re-assessment work which causes higher costs for their clinics. This indicates that there is insufficient communication between referring physicians and the radiological department at the University Hospital. Conclusions: For better planning of radiological services, radiology departments must consider the referring physicians' needs and develop suitable contract when organizing the practice of outsourcing. The management structure in radiology departments and communication between referring physicians and radiologists in the radiology departments should be studied further, to promote better understanding and improve the efficiency of the outsourcing process. - Highlights: • The requirements for radiological services differ between specialties. • Outsourced examinations need more frequent re-assessment. • Outsourced examinations cause higher costs for referring departments. • Outsourcing radiological examinations entail more administrative work. �

Radiological Assessment Survey of the Vance road Facility Source Vault Building Materials, Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

Morton, J. R.

2000-01-01

From the 1950s, the Vance Road laboratory was the site of extensive nuclear medical research and involved the used of numerous radionuclides. These nuclides were stored in a source vault stored on the first floor of the facility. Nuclear medical research is no longer conducted in this facility, and the source vault was remediated in preparation for converting the area to office space and general use. The Environmental Survey and Site Assessment Program (ESSAP) of ORISE performed a radiological assessment survey of the source vault and its associated miscellaneous building materials and laboratory equipment in preparation for the conversion to general use space

Virtual radiology rounds: adding value in the digital era

International Nuclear Information System (INIS)

Fefferman, Nancy R.; Strubel, Naomi A.; Prithiani, Chandan; Chakravarti, Sujata; Caprio, Martha; Recht, Michael P.

2016-01-01

To preserve radiology rounds in the changing health care environment, we have introduced virtual radiology rounds, an initiative enabling clinicians to remotely review imaging studies with the radiologist. We describe our initial experience with virtual radiology rounds and referring provider impressions. Virtual radiology rounds, a web-based conference, use remote sharing of radiology workstations. Participants discuss imaging studies by speakerphone. Virtual radiology rounds were piloted with the Neonatal Intensive Care Unit (NICU) and the Congenital Cardiovascular Care Unit (CCVCU). Providers completed a survey assessing the perceived impact and overall value of virtual radiology rounds on patient care using a 10-point scale. Pediatric radiologists participating in virtual radiology rounds completed a survey assessing technical, educational and clinical aspects of this methodology. Sixteen providers responded to the survey; 9 NICU and 7 CCVCU staff (physicians, nurse practitioners and fellows). Virtual radiology rounds occurred 4-5 sessions/week with an average of 6.4 studies. Clinicians rated confidence in their own image interpretation with a 7.4 average rating for NICU and 7.5 average rating for CCVCU. Clinicians unanimously rated virtual radiology rounds as adding value. NICU staff preferred virtual radiology rounds to traditional rounds and CCVCU staff supported their new participation in virtual radiology rounds. Four of the five pediatric radiologists participating in virtual radiology rounds responded to the survey reporting virtual radiology rounds to be easy to facilitate (average rating: 9.3), to moderately impact interpretation of imaging studies (average rating: 6), and to provide substantial educational value for radiologists (average rating: 8.3). All pediatric radiologists felt strongly that virtual radiology rounds enable increased integration of the radiologist into the clinical care team (average rating: 8.8). Virtual radiology rounds are a

Virtual radiology rounds: adding value in the digital era

Energy Technology Data Exchange (ETDEWEB)

Fefferman, Nancy R.; Strubel, Naomi A.; Prithiani, Chandan; Chakravarti, Sujata; Caprio, Martha; Recht, Michael P. [New York University School of Medicine, Department of Radiology, New York, NY (United States)

2016-11-15

To preserve radiology rounds in the changing health care environment, we have introduced virtual radiology rounds, an initiative enabling clinicians to remotely review imaging studies with the radiologist. We describe our initial experience with virtual radiology rounds and referring provider impressions. Virtual radiology rounds, a web-based conference, use remote sharing of radiology workstations. Participants discuss imaging studies by speakerphone. Virtual radiology rounds were piloted with the Neonatal Intensive Care Unit (NICU) and the Congenital Cardiovascular Care Unit (CCVCU). Providers completed a survey assessing the perceived impact and overall value of virtual radiology rounds on patient care using a 10-point scale. Pediatric radiologists participating in virtual radiology rounds completed a survey assessing technical, educational and clinical aspects of this methodology. Sixteen providers responded to the survey; 9 NICU and 7 CCVCU staff (physicians, nurse practitioners and fellows). Virtual radiology rounds occurred 4-5 sessions/week with an average of 6.4 studies. Clinicians rated confidence in their own image interpretation with a 7.4 average rating for NICU and 7.5 average rating for CCVCU. Clinicians unanimously rated virtual radiology rounds as adding value. NICU staff preferred virtual radiology rounds to traditional rounds and CCVCU staff supported their new participation in virtual radiology rounds. Four of the five pediatric radiologists participating in virtual radiology rounds responded to the survey reporting virtual radiology rounds to be easy to facilitate (average rating: 9.3), to moderately impact interpretation of imaging studies (average rating: 6), and to provide substantial educational value for radiologists (average rating: 8.3). All pediatric radiologists felt strongly that virtual radiology rounds enable increased integration of the radiologist into the clinical care team (average rating: 8.8). Virtual radiology rounds are a

Radiological impact of the Argentine Nuclear Programme

International Nuclear Information System (INIS)

Gonzalez, A.J.

1983-01-01

An assessment is made of the radiological impact resulting from the activities carried out so far under the Argentine Nuclear Programme, together with a prediction of the impact which could result from the future activities planned under that Programme. The average individual risks and the radiological detriment due to the various activities are determined in terms of the average individual effective dose equivalents and the collective effective dose equivalent commitments. The assessments cover exposures of occupationally exposed workers and the public. The data obtained indicate that both the risks and the resultant detriment are reasonably comparable with those derived from other similar programmes. Moreover, they clearly indicate that the radiological impact of the Programme is tending to decrease with time so that it can be assumed that the radiological impact per unit of practice will be even lower in future. (author)

Radiology findings in adult patients with vocal fold paralysis

Energy Technology Data Exchange (ETDEWEB)

Robinson, S. [Helsinki Medical Imaging Centre, University of Helsinki, Haartmaninkatu, Helsinki (Finland)]. E-mail: s.robinson@dzu.at; Pitkaeranta, A. [Department of Otorhinolaryngology, Haartmaninkatu, Helsinki (Finland)

2006-10-15

Aim: To compile imaging findings in patients with vocal fold paralysis. Materials and methods: A retrospective analysis of the medical charts of 100 consecutive patients, admitted to our department with vocal fold paralysis was undertaken. After laryngoscopy, patients were referred for radiological work-up depending on their clinical history and clinical findings. Ultrasound of the neck and/or contrast-enhanced spiral computed tomography (CT) of the neck and mediastinum was performed, extending to include the whole chest if necessary. In one patient, CT of the brain and in two patients, magnetic resonance angiography was undertaken. Analysis of the clinical and radiological data was performed to assess the most frequent causes for vocal fold paralysis. Results: In 66% of patients, the paralysis was related to previous surgery. Thirty-four percent of cases were labelled idiopathic after clinical examination. After imaging and follow-up, only 8% remained unexplained. Nine patients suffered from neoplasms, four from vascular disease, and 12 from infections. One patient developed encephalomyelitis disseminata on follow-up. Conclusion: Thorough radiological work-up helps to reduce the amount of idiopathic cases of vocal fold paralysis and guides appropriate therapy.

Radiology findings in adult patients with vocal fold paralysis

International Nuclear Information System (INIS)

Robinson, S.; Pitkaeranta, A.

2006-01-01

Aim: To compile imaging findings in patients with vocal fold paralysis. Materials and methods: A retrospective analysis of the medical charts of 100 consecutive patients, admitted to our department with vocal fold paralysis was undertaken. After laryngoscopy, patients were referred for radiological work-up depending on their clinical history and clinical findings. Ultrasound of the neck and/or contrast-enhanced spiral computed tomography (CT) of the neck and mediastinum was performed, extending to include the whole chest if necessary. In one patient, CT of the brain and in two patients, magnetic resonance angiography was undertaken. Analysis of the clinical and radiological data was performed to assess the most frequent causes for vocal fold paralysis. Results: In 66% of patients, the paralysis was related to previous surgery. Thirty-four percent of cases were labelled idiopathic after clinical examination. After imaging and follow-up, only 8% remained unexplained. Nine patients suffered from neoplasms, four from vascular disease, and 12 from infections. One patient developed encephalomyelitis disseminata on follow-up. Conclusion: Thorough radiological work-up helps to reduce the amount of idiopathic cases of vocal fold paralysis and guides appropriate therapy

Assessment of radiation protection awareness and knowledge about radiological examination doses among Italian radiographers.

Science.gov (United States)

Paolicchi, F; Miniati, F; Bastiani, L; Faggioni, L; Ciaramella, A; Creonti, I; Sottocornola, C; Dionisi, C; Caramella, D

2016-04-01

To evaluate radiation protection basic knowledge and dose assessment for radiological procedures among Italian radiographers A validated questionnaire was distributed to 780 participants with balanced demographic characteristics and geographic distribution. Only 12.1 % of participants attended radiation protection courses on a regular basis. Despite 90 % of radiographers stating to have sufficient awareness of radiation protection issues, most of them underestimated the radiation dose of almost all radiological procedures. About 5 % and 4 % of the participants, respectively, claimed that pelvis magnetic resonance imaging and abdominal ultrasound exposed patients to radiation. On the contrary, 7.0 % of the radiographers stated that mammography does not use ionising radiation. About half of participants believed that radiation-induced cancer is not dependent on age or gender and were not able to differentiate between deterministic and stochastic effects. Young radiographers (with less than 3 years of experience) showed a higher level of knowledge compared with the more experienced radiographers. There is a substantial need for radiographers to improve their awareness of radiation protection issues and their knowledge of radiological procedures. Specific actions such as regular training courses for both undergraduate and postgraduate students as well as for working radiographers must be considered in order to assure patient safety during radiological examinations. • Radiographers should improve their knowledge on radiation protection issues. • Only 12.1 % of participants attended radiation protection courses on a regular basis. • Specific actions must be considered in order to increase knowledge and awareness.

Radiological findings and interventions for iatrogenic vascular injuries

International Nuclear Information System (INIS)

Lee, Kyoung Ho; Chung, Jin Wook; Kim, Tae Kyoung; Han, Sang Wook; Lee, Jong Seog; Park, Jae Hyung; Kim, Jong Hyo; Han, Man Chung

1998-01-01

The purpose of this study is to evaluate the radiological findings and effectiveness of radiological interventions in patients with iatrogenic vascular injuries. We analyzed 50 patients with iatrogenic vascular injuries treated with radiological intervention. The causes of injuries were surgery (n=20), cardiovascular intervention (n=15), non-cardiovascular radiological intervention (n=14), and endoscopic intervention (n=1). The injury had resulted in hemorrhage in 35 cases. The iliac and/or femoral, hepatic, and renal vessels were commonly injured. Angiography, ultrasonography with Doppler examination, CT, and CT angiography were performed to diagnose vascular injuries and guide the radiological intervention. The mean follow-up period was 23 months and in 16 cases was more than one year. the major radiological findings were extravasation, pseudoaneurysm, arteriovenous shunt, or vascular obstruction. To control these lesions, radiological interventions such as embolization (n=36), local urokinase administration, stent insertion, foreign body removal, ultrasonography-guided compression, or stent-graft insertion were performed. The clinical problems were immediately controlled by the single trials of radiological interventions and did not recur in 40 cases (80%). Radiological examinations and interventions are useful in cases with iatrogenic vascular injuries. (author). 14 refs., 4 figs

Radiological Characterization and Final Facility Status Report Tritium Research Laboratory

International Nuclear Information System (INIS)

Garcia, T.B.; Gorman, T.P.

1996-08-01

This document contains the specific radiological characterization information on Building 968, the Tritium Research Laboratory (TRL) Complex and Facility. We performed the characterization as outlined in its Radiological Characterization Plan. The Radiological Characterization and Final Facility Status Report (RC ampersand FFSR) provides historic background information on each laboratory within the TRL complex as related to its original and present radiological condition. Along with the work outlined in the Radiological Characterization Plan (RCP), we performed a Radiological Soils Characterization, Radiological and Chemical Characterization of the Waste Water Hold-up System including all drains, and a Radiological Characterization of the Building 968 roof ventilation system. These characterizations will provide the basis for the Sandia National Laboratory, California (SNL/CA) Site Termination Survey .Plan, when appropriate

Assessment of the radiological risks of road transport accidents involving Type A packages

International Nuclear Information System (INIS)

Lange, F.; Fett, H.J.; Schwarz, G.; Raffestin, D.; Schneider, T.; Gelder, R.; S. Hughes, J.; B. Shaw, K.; Hedberg, B.; Simenstad, P.; Svahn, B.; Heinen, J.F.A. van; Jansma, R.

2001-01-01

An assessment and evaluation of the potential radiological risks of transport accidents involving Type A package shipments by road have been performed by five EU Member States, France, Germany, Sweden, The Netherlands, and the UK. The analysis involved collection and analysis of information on a national basis related to the type, volume, and characteristics of Type A package consignments, the associated radioactive traffic, and the expected frequency and consequences of potential vehicular road transport accidents. It was found that the majority of Type A packaged radioactive material shipments by road is related to applications of non-special form radioactive material, i.e. radiopharmaceuticals, radiochemicals etc., in medicine, research, and industry and special form material contained in radiography and other radiation sources, e.g. gauging equipment. The annual volumes of Type A package shipments of radiopharmaceuticals and radiochemicals by road differ considerably between the participating EU Member States from about 12,000 Type A packages in Sweden to about 240,000 in the Netherlands. The broad range reflects to a large extent the supply of radioactive material for the national populations and the production and distribution operations prevailing in the participating EU Member States (some are producer countries, others are not!). Very few standard package designs weighing from about 1-25 kg are predominant in Type A package shipments in all participating countries. Type A packages contain typically a range of radioactivity from a few mega becquerels to a few tens of giga becquerels, the average package activity contents is in terms of fractions of A 2 about 0.01, i.e. about one hundredth of a Type A package contents limits. Based on a probabilistic risk assessment method it has been concluded that the expected frequencies of occurrence of vehicular road transport accidents with the potential to result in an environmental release - including radiologically

New safety performance indicators for safety assessment of radioactive waste disposal facilities. Cuban experience

International Nuclear Information System (INIS)

Peralta Vital, J.L.; Castillo, R.G.; Olivera, J.

2002-01-01

The paper shows the Cuban experience on implementing geological disposal of radioactive waste and the necessity for identifying new safety performance indicators for the safety assessment (SA) of radioactive waste disposal facilities. The selected indicator was the concentration of natural radioactive elements (U, Ra, Th, K) in the Cuban geologic environment. We have carried out a group of investigations, which have allowed characterising the concentration for the whole Country, creating a wide database where this indicator is associated with the lithology. The main lithologies in Cuba are: the sedimentary rocks (70 percent of national occurrence), which are present in the three regions (limestone and lutite), and finally the igneous and metamorphic rocks. The results show the concentrations ranges of the natural radionuclides associated fundamentally to the variation in the lithology and geographical area of the Country. In Cuba, the higher concentration (ppm) of Uranium and Radium are referenced to the Central region associated to Skarn, while for Thorium (ppm) and Potassium (%), in the East region the concentration peaks in Tuffs have been found. The concentrations ranges obtained are preliminary, they characterise the behaviour of this parameter for the Cuban geology, but they do not represent limits for safety assessment purposes yet. Also other factors should be taken into account as the assessment context, time scales and others assumptions before establishing the final concentration limits for the natural radionuclides as a radiological and nuclear safety performance indicator complementary to dose and risk for safety assessment for radiological and nuclear facilities. (author)

Performance assessment for continuing and future operations at Solid Waste Storage Area 6

International Nuclear Information System (INIS)

1994-02-01

This radiological performance assessment for the continued disposal operations at Solid Waste Storage Area 6 (SWSA 6) on the Oak Ridge Reservation (ORR) has been prepared to demonstrate compliance with the requirements of the US DOE. The analysis of SWSA 6 required the use of assumptions to supplement the available site data when the available data were incomplete for the purpose of analysis. Results indicate that SWSA 6 does not presently meet the performance objectives of DOE Order 5820.2A. Changes in operations and continued work on the performance assessment are expected to demonstrate compliance with the performance objectives for continuing operations at the Interim Waste Management Facility (IWMF). All other disposal operations in SWSA 6 are to be discontinued as of January 1, 1994. The disposal units at which disposal operations are discontinued will be subject to CERCLA remediation, which will result in acceptable protection of the public health and safety

Performance assessment for continuing and future operations at Solid Waste Storage Area 6

Energy Technology Data Exchange (ETDEWEB)

1994-02-01

This radiological performance assessment for the continued disposal operations at Solid Waste Storage Area 6 (SWSA 6) on the Oak Ridge Reservation (ORR) has been prepared to demonstrate compliance with the requirements of the US DOE. The analysis of SWSA 6 required the use of assumptions to supplement the available site data when the available data were incomplete for the purpose of analysis. Results indicate that SWSA 6 does not presently meet the performance objectives of DOE Order 5820.2A. Changes in operations and continued work on the performance assessment are expected to demonstrate compliance with the performance objectives for continuing operations at the Interim Waste Management Facility (IWMF). All other disposal operations in SWSA 6 are to be discontinued as of January 1, 1994. The disposal units at which disposal operations are discontinued will be subject to CERCLA remediation, which will result in acceptable protection of the public health and safety.

Comparison of the distribution of non-radiological and radiological fatal risk in Ontario industries (addendum)

International Nuclear Information System (INIS)

Davis, C.K.; Forbes, W.F.; Hayward, L.M.

1986-09-01

Occupational limits for exposure to ionizing radiation, in force in Canada, are based on recommendations of international bodies, particularly the International Commission on Radiological Protection (ICRP). To determine whether the ICRP assertions concerning the similarity of the distributions of occupational risk at the higher risk levels (from non-radiation and from radiation work) to Canada a study of the high end of the distributions of non-radiological risk of occupational fatalities in the province of Ontario was performed. For the present study total doses from exposure to sources of ionizing radiation for Ontario workers were converted to relative risk rates to allow direct comparison with the non-radiological results. In addition, absolute values for the radiological risk rates (RRR) were derived. The radiological risk estimates are based on workers who work both from nuclear reactions and from X-rays. The conclusion is made that the radiological and non-radiological risk rate (NRRR) distributions are similar in shape, but the RRR are approximately 1 to 27 percent of the NRRR, depending on the industry concerned

Patient exposure evaluation in Romanian radiological departments

International Nuclear Information System (INIS)

Girjoaba, O.; Cucu, A.

2012-01-01

Purpose: A nation-wide evaluation of ionizing radiation exposure of the Romanian population due to the radiological examinations is performed in accordance with European Directive 97/43 EURATOM implemented in national regulations. Method: The study is applied to the collected data from radiological departments from Romanian hospitals during 2010. The radiological examinations were grouped in three categories: conventional diagnostic radiology, interventional radiology and computed tomography. The annual collective dose was determined from the reported data about the mean effective doses and the frequency for each type of radiological examination, in conformity with the national regulations. Regarding the frequency aspects, the results include the age and gender distributions. Major results: More then 6 million radiological examinations were performed in 2010, Romania having a population about of 20.3 million inhabitants. The collective effective dose for 2010 resulted from the study is 152 mSv per 1000 inhabitants. Conclusions: Medical practitioners must select the best medical imaging investigation for each clinical case taking into account the importance of keeping the patient dose as low as possible. Medical physicists should be strongly involved in the establishing of the dosimetry procedures. (author)

Semi-portable whole body counter deployable during post-radiological accident

International Nuclear Information System (INIS)

Panchal, C.G.; Bansode, P.Y.; Vinod, M.; Sarade, Bhagyashree; Jain, R.K.; Jakati, R.K.; Pithawa, C.K.

2012-01-01

A versatile whole body counter with the state of art electronics has been indigenously designed and developed which can be readily deployed for use during nuclear emergency. This instrument is designed to quickly identify and quantify the activity of high energy photon emitters accumulated particularly in vital organs like thyroid, lungs besides the body of the victims of the radiological incident or accident. Special features of the instruments are swivel type detectors assembly mountable on a wall or table top and detachable collimator configurable to assess the internal contamination selectively to meet protective measures of the radiological accidents, mechanically rugged and functionally reliable to perform in contaminated environmental field conditions. (author)

Streamlining interventional radiology admissions: The role of the interventional radiology clinic and physician's assistant

International Nuclear Information System (INIS)

White, R.I. Jr.; Rizer, D.M.; Shuman, K.; White, E.J.; Adams, P.; Doyle, K.; Kinnison, M.

1987-01-01

During a 5-year period (1982-1987), 376 patients were admitted to an interventional radiology service where they were managed by the senior physician and interventional radiology fellows. Sixty-eight percent of patients were admitted for angioplasty and 32% for elective embolotherapy/diagnostic angiography. A one-half-day, twice weekly interventional radiology clinic and employment of a physician's assistant who performed preadmission history and physicals and wrote orders accounted, in part, for a decrease in hospital stay length from 3.74 days (1982-1983) to 2.41 days (1986-1987). The authors conclude that use of the clinic and the physician's assistant streamlines patient flow and the admitting process and is partially responsible for a decreased length of stay for patients admitted to an interventional radiology service

Radiation protection during radiological examinations of children

International Nuclear Information System (INIS)

Claus, D.; Gillet, R.; Wambersie, A.

The dose delivered to children during radiological examinations were assessed and their variations compared with an experimental model. It is shown how to make good radiological examinations limiting the dose delivered to children and reducing the hazard to the medical staff [fr

Radiologic assessment of spinal CSF leakage in spontaneous intracranial hypotension

International Nuclear Information System (INIS)

Han, Chang Jin; Kim, Ji Hyung; Kim, Jang Sung; Kim, Sun Yong; Suh, Jung Ho

1999-01-01

To assess the usefulness of imaging modalities in the detection of spinal CSF leakage in spontaneous intracranial hypotension. Fifteen patients who complained of postural headache without any preceding cause showed typical brain MR findings of intracranial hypotension, including radiologically confirmed CSF leakage. All fifteen underwent brain MRI and radionuclide cisternography. CT myelography was performed in eight patients and spinal MRI in six. Medical records, imaging findings and the incidence of spinal CSF leakage during each modality were retrospectively reviewed. CSF leakage was most common at the cervicothoracic junction, where in seven of 15 cases it was seen on radionuclide cisternography as increased focal paraspinal activity. Leakage was noted at the mid-tho-racic level in three patients, at the upper thoracic level in two, and at the cervical and lumbar levels in the remaining two. In two patients multiple CSF leaks were noted, and in all, early radioactive accumulation in the bladder was visualized. CT myelography revealed extrathecal and paraspinal contrast leakage in three of eight patients, and among those who underwent spinal MRI, dural enhancement was observed at the site of CSF leakage in all six, abnormal CSF signal in the neural foramen in one, and epidural CSF collection in one. Radionuclide cisternography is a useful method for the detection of CSF leakage in spontaneous intracranial hypotension. CT myelography and spinal MRI help determine the precise location of leakage

Radiological assessment of long-term effects at the Semipalatinsk test site. NATO-Semipalatinsk Project 1995/96