Risk of lung cancer mortality in nuclear workers from internal exposure to alpha particle-emitting radionuclides

BACKGROUND: Carcinogenic risks of internal exposures to alpha-emitters (except radon) are poorly understood. Since exposure to alpha particles-particularly through inhalation-occurs in a range of settings, understanding consequent risks is a public health priority. We aimed to quantify dose-response relationships between lung dose from alpha-emitters and lung cancer in nuclear workers. METHODS: We conducted a case-control study, nested within Belgian, French, and UK cohorts of uranium and plutonium workers. Cases were workers who died from lung cancer; one to three controls were matched to each. Lung doses from alpha-emitters were assessed using bioassay data. We estimated excess odds ratio (OR) of lung cancer per gray (Gy) of lung dose. RESULTS: The study comprised 553 cases and 1,333 controls. Median positive total alpha lung dose was 2.42 mGy (mean: 8.13 mGy; maximum: 316 mGy); for plutonium the median was 1.27 mGy and for uranium 2.17 mGy. Excess OR/Gy (90% confidence interval)-adjusted for external radiation, socioeconomic status, and smoking-was 11 (2.6, 24) for total alpha dose, 50 (17, 106) for plutonium, and 5.3 (-1.9, 18) for uranium. CONCLUSIONS: We found strong evidence for associations between low doses from alpha-emitters and lung cancer risk. The excess OR/Gy was greater for plutonium than uranium, though confidence intervals overlap. Risk estimates were similar to those estimated previously in plutonium workers, and in uranium miners exposed to radon and its progeny. Expressed as risk/equivalent dose in sieverts (Sv), our estimates are somewhat larger than but consistent with those for atomic bomb survivors.See video abstract at, http://links.lww.com/EDE/B232

The Circadian Neuropeptide PDF Signals Preferentially through a Specific Adenylate Cyclase Isoform AC3 in M Pacemakers of Drosophila

To synchronize a network of pacemakers in the Drosophila brain, a neuropeptide receptor specifically associates with adenylate cyclase 3 to create a “circadian signalosome.

Updated biokinetic model for systemic americium

International audienceThe biokinetic model for systemic americium (Am) currently recommended by the International Commission on Radiological Protection (ICRP) for application to occupational intake of Am is based on information available through the early 1990s. Much additional information on Am biokinetics has been developed in the past 25 y, including measurements of retention and excretion of 241Am in many workers with 241Am burdens and post mortem measurements of 241Am in tissues of some of those workers. The ICRP's current Am model is reasonably consistent with the updated information, with the main exception that the current model apparently overestimates 24-hour urinary Am as a fraction of skeletal or systemic Am at late times after intake. This paper provides an overview of current information on the systemic kinetics of Am in adult human subjects and laboratory animals and presents an updated biokinetic model for systemic Am that addresses the discrepancies between the current database and current ICRP systemic model for Am. This model is applied in Part 4 (to appear) of an ICRP series of reports on intake of radionuclides by workers called the OIR (Occupational Intake of Radionuclides) series. © 2019 Not subject to copyright in the USA. Contribution of Oak Ridge National Laboratory

A simple algorithm for solving the inverse problem of interpretation of uncertain individual measurements in internal dosimetry

The individual monitoring of internal exposure of workers comprises two steps: measurement and measurement interpretation. The latter consists in reconstructing the intake of a radionuclide from the activity measurement and calculating the dose using a biokinetic model of the radionuclide behavior in the human body. Mathematically, reconstructing the intake is solving an inverse problem described by a measurement-model equation. The aim of this paper is to propose a solution to this inverse problem when the measurement-model parameters are considered as uncertain. For that, an analysis of the uncertainty on the intake calculation is performed taking into account the dispersion of the measured quantity and the uncertainties of the measurement-model parameters. It is shown that both frequentist and Bayesian approaches can be used to solve the problem according to the measurement-model formulation. A common calculation algorithm is proposed to support both approaches and applied to the examples of tritiated water intake and plutonium inhalation by a worker. © 2009 Health Physics Society

Dependence of the dose estimate on the time pattern of intake by the example of tritiated water intakes

The uncertainties related to activity measurement and time pattern of intake in routine monitoring of internal exposure are considered through the example of tritiated water intakes. For this purpose, a combination of intake-to-bioassay and bioassay-to-intake calculations with Monte Carlo integration technique is introduced as a method of investigation. The time pattern of intake and the measured activity are defined as random input quantities. The probability density functions (PDFs) of the input quantities are defined and a Monte Carlo integration is performed to obtain the PDF of the output quantity which is either the value of intake estimated from a measured value of activity or the estimated activity from a given value of intake. Different possible estimates of the intake are considered: some represent the parameters of the PDF of the output quantity, others are derived from the commonly used constant chronic, ICC, and mid-point, I1/2, methods. The combinations of activity and intake estimates that would provide a stable estimate of the initial intake in intake-to-bioassay and bioassay-to-intake calculations were studied. Several intake estimates satisfying this requirement can be chosen depending on the task to be solved by adjusting the proper activity estimate. © The Author 2007. Published by Oxford University Press. All rights reserved

Absorption of plutonium compounds in the respiratory tract

In order to optimise the monitoring of potentially exposed workers, it is desirable to determine specific values of absorption for the compounds handled. This study derives specific values of absorption rates for different chemical forms of plutonium from in vitro and animal (monkeys, dogs, mice, rats) experiments, and from human contamination cases. Different published experimental data have been reinterpreted here to derive values for the absorption parameters, fr, sr and ss, used in the human respiratory tract model currently adopted by the International Commission on Radiological Protection (ICRP). The consequences of the use of these values were investigated by calculating related committed effective doses per unit intake. Average and median estimates were calculated for fr, sr, and ss for each plutonium compound, that can be used as default values for specific chemical forms instead of the current reference types. Nevertheless, it was shown that the use of the current ICRP reference absorption types provides reasonable approximations. Moreover, this work provides estimates of the variability in pulmonary absorption and, therefore, facilitates analyses of the uncertainties associated with assessments, either from bioassay measurements or from prospective calculations, of intake and dose. © IOP Publishing Ltd

Modeling the imprecision in prospective dosimetry of internal exposure to uranium

The dosimetry of internal exposure to radionuclides is performed on the basis of biokinetic and dosimetric models. For prospective purpose, the organ or effective dose resulting from potential conditions of exposure can be calculated by applying these models with dedicated software. However, it is acknowledged that a significant uncertainty is associated with such calculation due to the variability of individual cases and to the possible lack of knowledge about some factors influencing the dosimetry. This uncertainty has been studied in a range of situations by modeling the uncertainty on the model parameters by probability distributions and propagating this uncertainty onto the dose result by Monte Carlo calculation. However, while probability distributions are well adapted to model the known variability of a parameter, they may lead to an unrealistically low estimate of the uncertainty due to a lack of knowledge about some input parameters. Here we present a mathematical method, based on the Dempster-Shafer theory, to deal with such imprecise knowledge. We apply this method to the prospective dosimetry of inhaled uranium dust in the nuclear fuel cycle when its physico-chemical properties are not precisely known. The results show an increased estimation of the range of uncertainty as compared to the application of a probabilistic method. This Dempster-Shafer method may valuably be applied in future prospective dosimetry of internal exposure in order to more realistically estimate the uncertainty resulting from an imprecise knowledge of the parameters of the dose calculation. © 2009 Health Physics Society

Some elements for a revision of the americium reference biokinetic model

The interpretation of individual activity measurement after a contamination by 241Am or its parent nuclide 241Pu is based on the reference americium (Am) biokinetic model published by the International Commission on Radiological Protection in 1993 [International Commission on Radiological Protection. Age-dependent doses to members of the public from intake of radionuclides: Part 2 Ingestion dose coefficients. ICRP Publication 67. Ann. ICRP 23(3/4) (1993)]. The authors analysed the new data about Am biokinetics reported afterwards to propose an update of the current model. The most interesting results, from the United States Transuranium and Uranium Registries post-mortem measurement database [Filipy, R. E. and Russel, J. J. The United States Transuranium and Uranium Registries as sources for actinide dosimetry and bioeffects. Radiat. Prot. Dosim. 105(1-4), 185-187 (2003)] and the long-term follow-up of cases of inhalation intake [Malátová, I., Foltánová, Š., Becková, V., Filgas, R., Pospíšilová, H. and Hölgye, Z. Assessment of occupational doses from internal contamination with 241Am. Radiat. Prot. Dosim. 105(1-4), 325-328 (2003)], seemed to show that the current model underestimates the retention in the massive soft tissues and overestimates the retention in the skeleton and the late urinary excretion. However, a critical review of the data demonstrated that all were not equally reliable and suggested that only a slight revision of the model, possibly involving a change in the balance of activity between massive soft tissues, cortical and trabecular bone surfaces, may be required. © The Author 2007. Published by Oxford University Press. All rights reserved