Ionising radiation exposure from medical imaging – A review of Patient's (un) awareness

Introduction: Medical imaging is the main source of artificial radiation exposure. Evidence, however, suggests that patients are poorly informed about radiation exposure when attending diagnostic scans. This review provides an overview of published literature with a focus on nuclear medicine patients on the level of awareness of radiation exposure from diagnostic imaging. Methods: A review of available literature on awareness, knowledge and perception of ionising radiation in medical imaging was conducted. Articles that met the inclusion criteria were subjected to critical appraisal using the Mixed Methods Appraisal Tool. Results: 140 articles identified and screened for eligibility, 24 critically assessed and 4 studies included in synthesis. All studies demonstrated that patients were generally lacking awareness about radiation exposure and highlighted a lack of communication between healthcare professionals and patients with respect to radiation exposure. Conclusion: Studies demonstrate a need to better inform patients about their radiation exposure, and further studies focusing on nuclear medicine patients are particularly warranted. Implications for practice: Adequate and accurate information is crucial to ensure the principle of informed consent is present

Radiation exposure awareness from patients undergoing nuclear medicine diagnostic 99mTc-MDP bone scans and 2-deoxy-2-(18F) fluoro-D-glucose PET/computed tomography scans

INTRODUCTION: Medical imaging is on average the largest source of artificial radiation exposure worldwide. This study seeks to understand patient's awareness of radiation exposure derived from nuclear medicine diagnostic scans and assess if current information provided by leaflets is adequate. METHODS: Single-centre cross-sectional questionnaire study applied to bone scan and FDG PET/computed tomography patients, at a nuclear medicine and PET/computed tomography department over a 15-week period in 2018. Questionnaires on dose comparators were designed in collaboration with patients, public, and experts in radiation exposure. Qualitative data were analysed using thematic analysis and quantitative data using SPSS (V. 24). RESULTS: A total of 102 questionnaires were completed (bone scan = 50; FDG PET/computed tomography = 52). Across both groups, 33/102 (32.4%) patients reported having a reasonable understanding of nuclear medicine and 21/102 (20.6%) reported a reasonable knowledge of ionising radiations. When asked to compare the exposure dose of respective scans with common comparators 8/50 (16%) of bone scan patients and 11/52 (21.2%) FDG PET/computed tomography answered correctly. On leaflet information, 15/85 (17.6%) patients reported the leaflets do not provide enough information on radiation exposure and of these 10/15 (66.7%) commented the leaflets should incorporate more information on radiation exposure dose. CONCLUSION: More observational and qualitative studies in collaboration with patients are warranted to evaluate patients' understanding and preferences in communication of radiation exposure from nuclear medicine imaging. This will ensure communication tools and guidelines developed to comply with ionising radiation (medical exposure) regulation 2017 are according to patients needs and preferences

New conditional symmetries and exact solutions of nonlinear reaction-diffusion-convection equations. II

In the first part of this paper math-ph/0612078, a complete description of Q-conditional symmetries for two classes of reaction-diffusion-convection equations with power diffusivities is derived. It was shown that all the known results for reaction-diffusion equations with power diffusivities follow as particular cases from those obtained in math-ph/0612078 but not vise versa. In the second part the symmetries obtained in are successfully applied for constructing exact solutions of the relevant equations. In the particular case, new exact solutions of nonlinear reaction-diffusion-convection (RDC) equations arising in application and their natural generalizations are found

DISCUSSION PAPER: REFLECTIONS ON TECHNOLOGY IN LEXICOGRAPHY

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74810/1/j.1749-6632.1973.tb49508.x.pd

Truncation effects in superdiffusive front propagation with L\'evy flights

A numerical and analytical study of the role of exponentially truncated L\'evy flights in the superdiffusive propagation of fronts in reaction-diffusion systems is presented. The study is based on a variation of the Fisher-Kolmogorov equation where the diffusion operator is replaced by a $\lambda$-truncated fractional derivative of order $\alpha$ where $1/\lambda$ is the characteristic truncation length scale. For $\lambda=0$ there is no truncation and fronts exhibit exponential acceleration and algebraic decaying tails. It is shown that for $\lambda \neq 0$ this phenomenology prevails in the intermediate asymptotic regime $(\chi t)^{1/\alpha} \ll x \ll 1/\lambda$ where $\chi$ is the diffusion constant. Outside the intermediate asymptotic regime, i.e. for $x > 1/\lambda$, the tail of the front exhibits the tempered decay $\phi \sim e^{-\lambda x}/x^{(1+\alpha)}$, the acceleration is transient, and the front velocity, $v_L$, approaches the terminal speed $v_* = (\gamma - \lambda^\alpha \chi)/\lambda$ as $t\to \infty$, where it is assumed that $\gamma > \lambda^\alpha \chi$ with $\gamma$ denoting the growth rate of the reaction kinetics. However, the convergence of this process is algebraic, $v_L \sim v_* - \alpha /(\lambda t)$, which is very slow compared to the exponential convergence observed in the diffusive (Gaussian) case. An over-truncated regime in which the characteristic truncation length scale is shorter than the length scale of the decay of the initial condition, $1/\nu$, is also identified. In this extreme regime, fronts exhibit exponential tails, $\phi \sim e^{-\nu x}$, and move at the constant velocity, $v=(\gamma - \lambda^\alpha \chi)/\nu$.Comment: Accepted for publication in Phys. Rev. E (Feb. 2009

Multiple Components in Narrow Planetary Rings

The phase-space volume of regions of regular or trapped motion, for bounded or scattering systems with two degrees of freedom respectively, displays universal properties. In particular, drastic reductions in the volume (gaps) are observed at specific values of a control parameter. Using the stability resonances we show that they, and not the mean-motion resonances, account for the position of these gaps. For more degrees of freedom, exciting these resonances divides the regions of trapped motion. For planetary rings, we demonstrate that this mechanism yields rings with multiple components.Comment: 4 pages, 7 figures (some in colors

Postfledging Survival, Movements, and Dispersal of Ring Ouzels (Turdus torquatus)

We thank Invercauld Estate for cooperation with access to Glen Clunie. S. Redpath, J. Wilson, and S. Roos provided valuable comments on the manuscript. This study was funded by the Royal Society for the Protection of Birds, Scottish Natural Heritage, and the Cairngorms National Park Authority. J.L.L. was supported by the Natural Environment Research Council.Peer reviewedPublisher PD