Expression levels of K_(ATP)channel subunits and morphological changes in the mouse liver after exposure to radiation

BACKGROUND ATP sensitive K+(K_(ATP))channels are ubiquitously distributed in various of cells and tissues,including the liver.They play a role in the pathogenesis of myocardial and liver ischemia.AIM To evaluate the radiation-induced changes in the expression of K_(ATP)channel subunits in the mouse liver to understand the potential role of K_(ATP)channels in radiation injury.METHODS Adult C57BL/6 mice were randomly exposed toγ-rays at 0 Gy(control,n=2),0.2 Gy(n=6),1 Gy(n=6),or 5 Gy(n=6).The livers were removed 3 and 24 h after radiation exposure.Hematoxylin and eosin staining was used for morphological observation;immunohistochemical staining was applied to determine the expression of K_(ATP)channel subunits in the liver tissue.RESULTS Compared with the control group,the livers exposed to 0.2 Gyγ-ray showed an initial increase in the expression of Kir6.1 at 3 h,followed by recovery at 24 h after exposure.Exposure to a high dose of 5.0 Gy resulted in decreased expression of Kir6.1 and increased expression of SUR2B at 24 h.However,the expression of Kir6.2,SUR1,or SUR2A had no remarkable changes at 3 and 24 h after exposure to any of these doses.CONCLUSION The expression levels of Kir6.1 and SUR2B in mouse liver changed differently in response to different radiation doses,suggesting a potential role for them in radiation-induced liver injury.

Radiation exposure during image-guided endoscopic procedures: The next quality indicator for endoscopic retrograde cholangiopancreatography

Endoscopic retrograde cholangiopancreatography(ERCP) is one of the most frequently used image-guided procedures in gastrointestinal endoscopy. Post-ERCP pancreatitis is an important concern, and prophylaxis, cannulation and other related technical procedures have been well documented by endoscopists. In addition, medical radiation exposure is of great concern in the general population because of its rapidly increasing frequency and its potential carcinogenic effects. International organizations and radiological societies have established diagnostic reference levels, which guide proper radiation use and serve as global standards for all procedures that use ionizing radiation. However, data on gastrointestinal fluoroscopic procedures are still lacking because the demand for these procedures has recently increased. In this review, we present the current status of quality indicators for ERCP and the methods for measuring radiation exposure in the clinical setting as the next quality indicator for ERCP. To reduce radiation exposure, knowledge of its adverse effects and the procedures for proper measurement and protection are essential. Additionally, further studies on the factors that affect radiation exposure, exposure management and diagnostic reference levels are necessary. Then, we can discuss how to manage medical radiation use inthese complex fluoroscopic procedures. This knowledge will help us to protect not only patients but also endoscopists and medical staff in the fluoroscopy unit.

Medical Radiation Exposure and Human Carcinogenesis-Genetic and Epigenetic Mechanisms

Ionizing radiation （IR） is a potential carcinogen. Evidence for the carcinogenic effect of IR radiation has been shown after long-term animal investigations and observations on survivors of the atom bombs in Hiroshima and Nagasaki. However, IR has been widely used in a controlled manner in the medical imaging for diagnosis and monitoring of various diseases and also in cancer therapy. The collective radiation dose from medical imagings has increased six times in the last two decades, and grow continuously day to day. A large number of evidence has revealed the increased cancer risk in the people who had frequently exposed to x-rays, especially in childhood. It has also been shown that secondary malignancy may develop within the five years in cancer survivors who have received radiotherapv, because of IR-mediated damage to healthy cells. In this article, we review the current knowledge about the role of medical x-ray exposure in cancer development in humans, and recently recognized epigenetic mechanisms in IR-induced carcinogenesis.

Percutaneous kidney stone surgery and radiation exposure: A review

During the past 3 decades,radiation exposure(RE)has increased drastically among patients undergoing percutaneous nephrolithotomy(PCNL),thus potentially causing new cases of cancer each year.The effective dose received by patients comes from pre-and postoperative computed tomography(CT)and intraoperative fluoroscopy(FL).We reviewed literature to find novel techniques and approaches that help to decrease RE of patients and personnel.We performed PubMed search using keywords percutaneous nephrolithotomy,intraoperative fluoroscopy,radiation exposure,imaging,percutaneous access,ultrasound,computed tomography,endoscopy,reconstruction,innovations,and augmented reality.Forty-four relevant articles were included in this review.As much as 20%of patients with first diagnosed urolithiasis exceed background RE level almost 17-fold.For diagnosing purposes using low-dose and ultra-low-dose CT,as well as low-dose dual energy scan protocols can be efficient ways to decrease RE while maintaining decent accuracy.Patients with urinary stones can be effectively monitored with digital tomosynthesis,ultrasound alone or ultrasound combined with plain film of the abdomen.Percutaneous access(PCA)into the kidney can be performed with reduced or even no RE,using novel PCA methods.REs from conventional imaging techniques during diagnosis and treatment increase probability of non-stochastic radiation effects.Urologists should be aware of protocols that decrease RE from CT and FL in diagnosis and management of urinary stones.Consideration of recently developed imaging modalities and PCA techniques will also aid in adherence to the“as low as reasonably achievable”principle.

Effect of Radioactive Minerals Potentiality and Primordial Nuclei Distribution on Radiation Exposure Levels within Muscovite Granite, Wadi Nugrus, Southeastern Desert, Egypt

The studied area at Wadi Nugrus, Southeastern Desert, Egypt, is located between lat. 24°41'00'' and 24°41'35''N and long. 34°36'47'' and 34°37'09''E. The rock types are represented by layered metagabbros, biotite schists, gneisses, granodiorites, and Muscovite granites. The muscovite granite of Wadi Nugrus, is small exposure in size (~5.0 km2), emplaced along NW-SE trend, with about 0.5 - 4.5 Km in length and 100 - 250 m in width and intruding the biotite schists. The studied muscovite granite is composed mainly of plagioclases, potash feldspars, quartz, biotite and muscovite. The recorded minerals assemblage can be classified into secondary U-minerals (uranophane and meta-autunite), U-bearing minerals (uranothorite and columbite) and accessory minerals (zircon, flourite, allanite, zinnwaldite and hematite). The U/eU is more unity where, the measured chemical uranium is higher than the measured equivalent uranium in the most analyzed samples especially in trenches, which reflect disequilibrium state. The activity concentrations range from 251.72 to 1096.2 Bq·kg-1 for 232Th, from 494 to 2593.5 Bq·kg-1 for 226Ra, and from 1314.6 to 1846.7 Bq·kg-1 for 40K. The obtained radiological data show that the average internal and external hazard indices are 9.11 and 5.78, respectively which are more than unity and highly exceeding the permissible limits (International Commission on Radiation Protection, ICRP). The internal and external hazards are mainly due to 226Ra nuclei while the absorbed dose rate (nGy/h) is related to 232Th nuclei. The contributions of the three nuclei in the total absorbed dose rates and internal and external hazardous, for 226Ra, it contributes by 72% in Hin, 57% in Hex and 55% of DR, for 232Th it contributes by 24% in Hin, 37% in Hex and 36.9% of DR, while for 40K it contributes by 4.1% in Hin, 6.4% in Hex and 8.1% of DR.

Are we aware of radiation: A study about necessity of diagnostic Xray exposure

BACKGROUND Total exposure to ionizing radiation has nearly doubled in the last two decades.This increase is primarily due to increased computed tomography(CT)exposure.Concerns have been raised about the risks associated with patients'exposure to medical imaging radiation,which can increase a person's lifetime risk of developing cancer.Preventing unnecessary examinations becomes critical at this point.To avoid unnecessary examinations,it is necessary to understand the demanding process.AIM To ascertain clinicians'awareness of and reasons for requesting a CT examination.METHODS We developed an online questionnaire that included 20 questions about clinicians'awareness of radiation safety and their reasons for requesting a CT examination,as well as demographic information such as age,gender,and year of medical practice experience.Additionally,we asked participants the number of CT scans requested in a month,the patients'questions and approaches about the imaging method,the effect of the patient's previous imaging history on the current imaging request,whether they believed that they had sufficient information about radiation doses,and whether they requested CT without an indication.We administered the questionnaire to clinicians from a variety of different professions in four different cities.RESULTS A total of 195 clinicians participated.Internal medicine specialists were the most crowded group(38/195,19.5%).Mean age of the population was 33.66±5.92 years.Mean year of experience was 9.01±5.96.Mean number of requested CT scans in a month was 36.88±5.86.Forty-five(23.1%)participants stated that they requested CT scans without clinical indication.The most common reasons for CT scan requests were work load,fear of malpractice,and patient demand/insistence.CONCLUSION CT scan requests are influenced by a variety of factors,both internal and external to the doctors and patients.Raising awareness of radiation safety and reducing fear of malpractice by limiting the number of patients per physician may result in a reduction in unnecessary CT examinations and ionizing radiation exposure.

Knowledge of radiation exposure associated with common trauma imaging modalities among orthopaedic surgeons,emergency medicine physicians,and general surgeons in the United States

BACKGROUND:Few contemporary studies have assessed physicians’knowledge of radiation exposure associated with common imaging studies,especially in trauma care.The purpose of this study was to assess the knowledge of physicians involved in caring for trauma patients regarding the effective radiation doses of musculoskeletal(MSK)imaging studies routinely utilized in the trauma setting.METHODS:An electronic survey was distributed to United States orthopaedic surgery,general surgery,and emergency medicine(EM)residency programs.Participants were asked to estimate the radiation dose for common imaging modalities of the pelvis,lumbar spine,and lower extremity,in terms of chest X-ray(CXR)equivalents.Physician estimates were compared to the true effective radiation doses.Additionally,participants were asked to report the frequency of discussing radiation risk with patients.RESULTS:A total of 218 physicians completed the survey;102(46.8%)were EM physicians,88(40.4%)wereorthopaedicsurgeons,and28(12.8%)weregeneralsurgeons.Physicians underestimated the effective radiation doses of nearly all imaging modalities,most notably for pelvic computed tomaography(CT)(median 50 CXR estimation vs.162 CXR actual)and lumbar CT(median 50 CXR estimation vs.638 CXR actual).There was no difference between physician specialties regarding estimation accuracy(P=0.133).Physicians who regularly discussed radiation risks with patients more accurately estimated radiation exposure(P=0.007).CONCLUSION:The knowledge among orthopaedic and general surgeons and EM physicians regarding the radiation exposure associated with common MSK trauma imaging is lacking.Further investigation with larger scale studies is warranted,and additional education in this area may improve care.

Reduction of radiation exposure in catheter ablation of atrial fibrillation: Lesson learned

Over the last decades, the concern for the radiation injury hazard to the patients and the professional staff has increased in the medical community. Since there is no magnitude of radiation exposure that is known to be completely safe, the use of ionizing radiation during medical diagnostic or interventional procedures should be as low as reasonably achievable(ALARA principle). Nevertheless, in cardiovascular medicine, radiation exposure for coronary percutaneous interventions or catheter ablation of cardiac arrhythmias may be high: for ablation of a complex arrhythmia, such as atrial fibrillation, the mean dose can be > 15 m Sv and in some cases > 50 m Sv. In interventional electrophysiology, although fluoroscopy has been widely used since the beginning to navigate catheters in the heart and the vessels and to monitor their position, the procedure is not based on fluoroscopic imaging. Therefore, nonfluoroscopic three-dimensional systems can be used to navigate electrophysiology catheters in the heart with no or minimal use of fluoroscopy. Although zerofluoroscopy procedures are feasible in limited series, there may be difficulties in using no fluoroscopy on a routine basis. Currently, a significant reduction in radiation exposure towards near zero-fluoroscopy procedures seems a simpler task to achieve, especially in ablation of complex arrhythmias, such as atrial fibrillation. The data reported in the literature suggest the following three considerations. First, the use of the non-fluoroscopic systems is associated with a consistent reduction in radiation exposure in multiple centers: the more sophisticated and reliable this technology is, the higher the reduction in radiation exposure. Second, the use of these systems does not automatically lead to reduction of radiation exposure, but an optimized workflow should be developed and adopted for a safe non-fluoroscopic navigation of catheters. Third, at any level of expertise, there is a specific learning curve for the operators in the non-fluoroscopic manipulation of catheters; however, the learning curve is shorter for more experienced operators compared to less experienced operators.

Fetal radiation exposure: Is monitoring really needed?

The effect of fetal radiation during endoscopic retro-grade cholangiopancreatography (ERCP) on pregnant women is a very interesting topic. Smith et al recently estimated the fetal radiation exposure in pregnant women undergoing ERCPs using thermoluminescent dosimeters (TLDs). The authors concluded that TLDs are unnecessary during ERCP with modified techniques. We believe that an extreme caution is needed in clinical practice before drawing such conclusions when they are not strongly supported by enough experimental evidence. Therefore, we recommend that fetal radiation exposure be monitored in clinical practice by using dosimeters, bearing in mind that all relevant techniques to control and minimize the exposure must be applied.

Electromagnetic Radiation Exposure from Nearby Cellular Base Stations in the Gaza Strip, Palestine: A Concern for Public Health

The widespread mobile station’s antennas and the continued increase in the number of mobile phones users throughout the Gaza strip causing great panic in the population relating the debate overexposure to electromagnetic radiation EMR emitted from the antennas of mobile base stations. Therefore, this study was conducted to measure the levels of electromagnetic radiation emitted from the antennas of cellular base stations in Gaza governorate as well as to evaluate the citizen’s awareness and practices regarding potential health risks and mitigation methods of exposure to electromagnetic radiation emitted from cellular base stations, respectively. Fifty cellular base stations out of 197 stations were selected depending on the criteria of selecting one site per kilometer using Global Positioning System (GPS). Electromagnetic power density, electric field strength, and the magnetic field strength emitted from cellular base stations were measured using Narda-550. Assessment tool for observation was used to collect operational information of each station. A structured questionnaire with four-level Likert rating scale was used to survey 384 mobile phone users from the areas surrounding the selected cellular base stations. The results showed that the electromagnetic radiation levels of all stations were low and less than the national and international acceptable limits. Furthermore, the awareness of participant about health risks that could result from exposure to electromagnetic radiation emitted from cellular base stations and mobile phones was low. Nevertheless, the participant’s practices in mitigating the adverse impacts of electromagnetic radiation emitted from cellular base stations and mobile phones on their health were good.

Exposure of the Population of Ngaoundere-Cameroon to Ionizing Radiation Related to Medical Diagnosis in 2018

Background: Medical applications are the main source of exposure to ionizing radiation of human origin. Our objective was to determine the data on exposure to ionizing radiation of medical origin of the population of Ngaoundéré in 2018. Methodology: It was a cross-sectional descriptive study conducted within a period of one year, in the different hospitals of Ngaoundéré, with a functional medical imaging service. The variables studied were age, sex, type of examination, anatomical region and effective dose. The statistical analysis was performed using the Microsoft Office 2016 software, Sphinx V5;the effective dosage was calculated using the Internet Dose calculation Module. Results: In 2018, 4136 diagnostic acts using ionizing radiation were carried out;it concerned only conventional radiology with an average of 0.02 per capita. The total collective dose received by the population was 8300 mSv, and an average dose of 0.040 mSv per inhabitant. The proportion of the population that has actually benefited from a conventional radiology examination is 2.07%, an individual effective average dose of 2 mSv. The most frequent acts involved the thorax, limbs, spine and pelvis with respectively 53.9%;19.6%;14.3% and 6.7%. Acts involving the spine, pelvis and hip, skull and abdomen contributed to the majority of the collective effective dose respectively with 45.75%, 25.96%, 10.53% and 8.84%. The age group performing most exams in men is 25 to 49 and 25 to 54 in women;the number of acts is higher among men 2457 (59.4%) acts compared to women 1679 (40.6%) acts. The collective dose per sex is higher among women with 4487.22 mSv (54.06%) compared to men with 3812.98 mSv (45.94%). Conclusion: Only 2.07% of population of Ngaoundere benefited from a conventional radiology examination in 2018 with an individual effective average dose of 2 mSv. The annual per capita number of acts is 0.02 and annual per capita effective dose is 0.040 mSv in Ngaoundéré in 2018.

Monte Carlo calculation of the exposure of Chinese female astronauts to earth’s trapped radiation on board the Chinese Space Station

With the development of China’s crewed space mission,the space radiation risk for astronauts is increasingly prominent.This paper describes a simulation of the radiation doses experienced by a Chinese female voxel phantom on board the Chinese Space Station(CSS)performed using the Monte Carlo N-Particle(MCNP)software.The absorbed dose,equivalent dose,and effective dose experienced by the voxel phantom and its critical organs are discussed for different levels of shielding of the Tianhe core module.The risk of space-radiation exposure is then assessed by comparing these doses with the current risk limits in China(the skin dose limit for short-term low-earth-orbit missions)and the NASA figures(National Council on Radiation Protection and Measurements Report No.98)for female astronauts.The results obtained can be used to guide and optimize the radiation protection provided for manned space missions.

Reports of a Possible Causal Link between Brain,Head,and Neck Tumors and Radiation Exposure during Coronary Interventional Procedures:A Sobering Look at the Data

Radiation exposure is a hazard for patients and physicians during fluoroscopically-guided procedures.Invasive cardiologists are exposed to high levels of scatter radiation and both increasing procedural complexity and higher operator volumes contribute to exposure above recommended thresholds.Standard shielding does not offer suffi cient protection to the head and neck region and the potential for negative biological,subclinical,and clinical effects exists.Large population studies suggest that cranial exposure to low dose radiation increases the risks of tumor development.In addition,modest doses of therapeutic cranial radiation have been linked with the development of brain cancer.Although a causal association between scatter radiation in the cath lab and brain cancer does not currently exist,given the known detrimental effects of radiation exposure to the head and neck region support a focus on potential methods of protection for both the patient and the operator.

Prospective Study of Low-and Standard-dose Chest CT for Pulmonary Nodule Detection:A Comparison of Image Quality,Size Measurements and Radiation Exposure

Objective:To comprehensively and accurately analyze the out-performance of low-dose chest CT(LDCT)vs.standard-dose CT(SDCT).Methods:The image quality,size measurements and radiation exposure for LDCT and SDCT protocols were evaluated.A total of 117 patients with extra-thoracic malignancies were prospectively enrolled for non-enhanced CT scanning using LDCT and SDCT protocols.Three experienced radiologists evaluated subjective image quality independently using a 5-point score system.Nodule detection efficiency was compared between LDCT and SDCT based on nodule characteristics(size and volume).Radiation metrics and organ doses were analyzed using Radimetrics.Results:The images acquired with the LDCT protocol yielded comparable quality to those acquired with the SDCT protocol.The sensitivity of LDCT for the detection of pulmonary nodules(n=650)was lower than that of SDCT(n=660).There was no significant difference in the diameter and volume of pulmonary nodules between LDCT and SDCT(for BMI<22 kg/m^(2),4.37 vs.4.46 mm,and 43.66 vs.46.36 mm^(3);for BMI>22 kg/m^(2),4.3 vs.4.41 mm,and 41.66 vs.44.86 mm^(3))(P>0.05).The individualized volume CT dose index(CTDI_(vol)),the size specific dose estimate and effective dose were significantly reduced in the LDCT group compared with the SDCT group(all P<0.0001).This was especially true for dose-sensitive organs such as the lung(for BMI<22 kg/m^(2),2.62 vs.12.54 mSV,and for BMI>22 kg/m^(2),1.62 vs.9.79 mSV)and the breast(for BMI<22 kg/m^(2),2.52 vs.10.93 mSV,and for BMI>22 kg/m^(2),1.53 vs.9.01 mSV)(P<0.0001).Conclusion:These results suggest that with the increases in image noise,LDCT and SDCT exhibited a comparable image quality and sensitivity.The LDCT protocol for chest scans may reduce radiation exposure by about 80% compared to the SDCT protocol.

Using ArcGIS to Measure the Rate Of Radiation Exposure in Marshes Environment in Southern Iraq

Both Arc GIS 9.2 and ERDAS 9.1 software were used to analyze the concentrations in radiation exposure of marshlands in southern Iraq during June 2009 and January 2010. It was measured radiation exposure rates above the soil and water surface, and also measured radioactivity in the environmental models （soil, plants, sediment and water） for all the selected sites of the study area. Furthermore, it has＂ been measuring the level of radioactive contamination concentration of the isotope Bi-214 and Ac-228 and K-40 as well as peer-Cs-137-resulting from the operations of nuclear fission and measured the background radiation compared with other regions. Environmental samples （soil-water-plant-deposits） were taken and measuring the concentration ratio of radioisotopes in using the system account gentle rays Kama multi-channel and using the counter--Nal-tinged element--thallium--Type-WIZARD-1470 as well as a LB 1200. The results showed the regions of the marshes of radioactive contamination now.

Assessment of Radiation Hazard from External and Internal Exposures at Adham and Surroundings in KSA

Twenty-eight environmental samples (eight well water, sixteen granitic rocks and four soils) were collected from different parts of Adham governorate (Adham, Haqal and Al-Jaizah), to assess the radiological hazard and cancer risk from different perspectives. Adham is situated in a valley between two granitic mountain chains, where much of water supply for drinking, house use and irrigation comes from wells collecting water rains. The activity concentrations of naturally occurring 40K, 226Ra and 232Th and radionuclides were measured by gamma-ray spectrometry for all samples using RGK-1, RGU-1 and RGTh-1, IAEA reference standards issued by the International Atomic Energy Agency, for detector efficiency calibration. The measured values were utilized to evaluate the internal and external exposures both outdoors and indoors. Different standard room models were adopted for this respect to evaluate the indoor gamma-rays exposure from construction materials as well as internal exposure to radon gas emanating from them. Radon concentration indoors, exceeded the upper reference level in dwellings set at 300 Bq/m3 by the world health organization, in many scenarios. The mean value of the total excess lifetime cancer risk (due to external exposure from gamma-rays) was 2.29 × 10-3, above the world average value of 1.45 × 10-3. Furthermore, the measured radon concentrations in all water samples exceeded the EPA (Environmental Protection Agency) 11.1 Bq·L-1 standard for drinking water, ranging from 12 to 38 Bq·L-1 with a mean value of 27 Bq·L-1. The total annual effective dose (due to inhalation and ingestion) from radon in water, ranged from 58 to 192 μSv/y (for adults) exceeding the international permissible limit of 100 μSv/y, in seven out of eight samples. According to obtained results, the internal exposure from radon in directly used water from wells, might be the major reason of any suspected radiological health hazard especially in Haqal. The second reason might be the internal exposure from indoor radon gas inhalation in poorly ventilated dwellings.

Radiation Exposure during Dynamic Hip Screw Fixation: A Comparative Study

Background: The safe amount of radiation permissible during fixation of neck of femur fractures has long been studied. Factors including surgeons’ experience have been highlighted. We aimed in this study to compare different factors for quality and safety improvement. Methods: It was a retrospective study, including all patients who had undergone a standard DHS fixation between January 2018 and June 2019 for inter-trochanteric neck of femur fractures. Two groups were stratified;(Group A) had the procedure performed by a specialist non-consultant surgeon (NCG) and (Group B) by an established consultant (CG). The Dose Area Product (DAP) and the duration of radiation exposure were recorded. Results: Over a period of 18 months, 91 cases were included with a mean age of 82 years old. The mean weight was 62 kg. 42 patients had complex fractures, and 49 patients had simple fractures. 12% of patients were ASA II, 70% of cases were ASA III and 18% of the patients were ASA IV. The mean DAP for group A was 345.131 CGYCM2 (SD 273.65) and for group B 234.63 CGYCM2 (SD 165.30). The time of exposure was 8.6 sec and 13.16 sec in groups B and A respectively. Conclusion: The data collected from this study were comparable to others. The amount of radiation exposure was of difference related to the decision-making intra-operatively. Other factors were not statistically significant.

Three-Dimensional Rotational Angiography in Congenital Heart Disease:Estimation of Radiation Exposure

Objectives: There is an increasing use of three-dimensional rotational angiography (3D-RA) during catheterization of congenital heart disease. Dose-area-product (DAP) measured by the angiography system and computed-tomography dose index (CTDI) do not appear practical for dose assessment. Hence, we performed real dose measurements in anthropomorphic phantoms. Methods: Three different anthropomorphic phantoms (10 kg, 19 kg and 73 kg bodyweight) equipped with thermoluminescent dosimeters (TLD) were used. We used a typical standard diagnostic program and a low-dose program. The effective dose (ED) was calculated according to the International Commission on Radiological Protection (ICRP) 103. The 3D distribution of radiation in the body was assessed. Results: ED for the male 10 kg phantom was 0.192 mSv in the diagnostic program and 0.050 mSv (male) in the low-dose program. The 19 kg phantom received an ED of 0.205 mSv (male) in the diagnostic program. In the low-dose program the ED reached 0.058 mSv (male). The male adult 73 kg phantom was exposed with an ED of 0.730 mSv in the diagnostic program and 0.282 mSv in the low-dose program. ED for the female phantoms was slightly higher for both acquisition-programs. Dose distribution was inhomogeneous with a dose maximum in the esophageal region behind the heart, whereas in the brain, intestine and gonads we found nearly no radiation. Conclusions: 3D-RA imaging in the interventional catheter laboratory is possible with an effective dose lower than 1 mSv. With its potential to reduce fluoroscopic time and the number of control angiographies in catheterization and intervention in complex anatomy, it can decrease the radiation dose.

Operando measurement of lattice deformation profiles of synchrotron radiation monochromator

This study presents a new method for characterizing the thermal lattice deformation of a monochromator with high precision under service conditions and first reports the operando measurements of nanoscale thermal lattice deformation on a double-crystal monochromator at different incident powers.The nanoscale thermal lattice deformation of the monochromator first crystal was obtained by analyzing the intensity of the distorted DuMond diagrams.DuMond diagrams of the 333 diffraction index,sensitive to lattice deformation,were obtained directly using a 2D detector and an analyzer crystal orthogonal to the monochromator.With increasing incident power and power density,the maximum height of the lattice deformation increased from 3.2 to 18.5 nm,and the deformation coefficient of the maximum height increased from 1.1 to 3.2 nm/W.The maximum relative standard deviation was 4.2%,and the maximum standard deviation was 0.1 nm.Based on the measured thermal deformations,the flux saturation phenomenon and critical point for the linear operation of the monochromator were predicted with increasing incident power.This study provides a simple solution to the problem of the lower precision of synchrotron radiation monochromator characterizations compared to simulations.