The text consists of two sections, one for those studying or practicing diagnostic radiology, nuclear medicine and radiation oncology; the other for those engaged in the study or clinical practice of radiation oncology--a new chapter, on radiologic terrorism, is specifically for those in the radiation sciences who would manage exposed individuals in the event of a terrorist event. The 17 chapters in Section I represent a general introduction to radiation biology and a complete, self-contained course especially for residents in diagnostic radiology and nuclear medicine that follows the Syllabus in Radiation Biology of the RSNA. The 11 chapters in Section II address more in-depth topics in radiation oncology, such as cancer biology, retreatment after radiotherapy, chemotherapeutic agents and hyperthermia.

Radiobiology for the Radiologist

Guidelines for Canadian Drinking Water Quality

Both laboratory and single well field tests have documented that enhanced oil recovery can be obtained from sandstone reservoirs by performing a tertiary low saline waterflood. Due to the complexity of the crude oil-brinerock interactions, the mechanism behind the low saline EOR process has been debated in the literature for the last decade. Both physical and chemical mechanisms have been proposed, but it appears that none of the suggested processes has so far been generally accepted as the main contributor to the observed low salinity EOR effect. Based on published data and new experimental results on core flooding, effects of pH and salinity on adsorption of acidic and basic organic components onto different clay minerals, clay properties like ion exchange capacity and selectivity, and oil properties, a new chemical mechanism is suggested, which agrees with documented experimental facts. At reservoir conditions, the pH of formation water is about 4 due to dissolved acidic gases like CO2 and H2S. At this pH, the clay minerals, which act as cation exchange material, are adsorbed by acidic and protonated basic components from the crude oil, and cations, especially divalent cations, from the formation water, like Ca. Injection of a low saline fluid, which promotes desorption of Ca, will create a local increase in pH close to the brine-clay interface because Ca is substituted by H from the water. A fast reaction between OH and the adsorbed acidic and protonated basic material will cause desorption of organic material from the clay. The water wetness of the rock is improved, and increased oil recovery is observed. To observe low salinity EOR effects in sandstones, a balanced initial adsorption of organic components and Ca onto the clay is needed. Both the adsorption capacity and the pH-window for adsorption/desorption of organic material is somewhat different for various types of clay minerals. A detailed knowledge of the chemical mechanism behind the low saline EOR process together with information on formation brine composition, oil properties and type of clay material present, will make it possible to evaluate the potential for increase in oil recovery by a low salinity waterflood. Introduction A great number of laboratory tests by Morrow and co-workers (Tang and Morrow, 1999a; Tang and Morrow, 1999b; Zhang and Morrow, 2006; Zhang et al., 2007b) and also by researchers at BP (Lager et al., 2007; Webb et al., 2005a; Webb et al., 2005b) have confirmed that enhanced oil recovery can be obtained when performing a tertiary low salinity waterflood, with salinity in the range of 1000-2000 ppm. Based on 14 tests from different sandstone reservoirs, Lager et al. (Lager et al., 2007) have reported that the average increase in recovery was about 14%. The laboratory observations have even been confirmed by single well tests performed in an Alaskan reservoir (Lager et al., 2008b). As increasing amounts of laboratory experiment results have been published in the last decade, various suggestions of the mechanism behind the low salinity process have appeared. Unfortunately, none of the suggested mechanisms have so far been generally accepted as the “true” mechanism. The reason is that many parameters linked to the rock, to the reservoir fluids (oil and brine), and to the injection fluid are involved. In order to give the reader a good background to understand the proposed mechanism in this paper, a list of the accepted experimental conditions is given, followed by a short recap of the previously suggested mechanisms. Conditions for low salinity effects The listed conditions for low salinity effects are mostly related to the systematic experimental work by Tang and Morrow (Tang and Morrow, 1999a), but some points has also been taken from the work by BP (Lager et al., 2007; Lager et al., 2008a).

/pdf/chemical-mechanism-of-low-salinity-water-flooding-in-1ir4r06nbq.pdf

Chemical Mechanism of Low Salinity Water Flooding in Sandstone Reservoirs

https://www.odont.uio.no/iko/english/about/organization/oral-research-lab/publications/Reseland_Bone_2004.pdf

Adiponectin and its receptors are expressed in bone-forming cells.

Purpose: The main goals were to study the safety and tolerability of the α-emitter radium-223 ( 223 Ra) in breast and prostate cancer patients with skeletal metastases. In addition, pain palliation was evaluated. Experimental Design: Fifteen prostate and 10 breast cancer patients enrolled in a phase I trial received a single i.v. injection of 223 Ra. Five patients were included at each of the dosages: 46, 93, 163, 213, or 250 kBq/kg and followed for 8 weeks. Palliative response was evaluated according to the pain scale of the European Organization for Research and Treatment of Cancer QLQ C30 questionnaire at baseline and at 1, 4, and 8 weeks after injection. Results: Weekly blood sampling during follow-up revealed mild and reversible myelosuppression with nadir 2 to 4 weeks after the injection. Importantly, for thrombocytes only grade 1 toxicity was reported. Grade 3 neutropenia and leucopenia occurred in two and three patients, respectively. Mild, transient diarrhea was observed in 10 of the 25 patients. Nausea and vomiting was more frequently observed in the highest dosage group. Serum alkaline phosphatase decreased with nadir averages of 29.5% in females and 52.1% in males. Pain relief was reported by 52%, 60%, and 56% of the patients after 7 days, 4, and 8 weeks, respectively. 223 Ra cleared rapidly from blood and was below 1% of initial level at 24 hours. Gamma camera images indicated, in accordance with pretreatment 99m Tc-MDP scans, accumulation of 223 Ra in skeletal lesions. Elimination was mainly intestinal. Median survival exceeded 20 months. Conclusions: 223 Ra was well tolerated at therapeutically relevant dosages. Phase II studies have therefore been initiated.

https://clincancerres.aacrjournals.org/content/clincanres/11/12/4451.full.pdf

First Clinical Experience with α-Emitting Radium-223 in the Treatment of Skeletal Metastases

Measurement of mobility of organic compounds in soils

A method is described for the production of 223Ra (t1/2=11.4 d) in a quality useful for endoradiotherapeutic applications. The method is based on a long term operating generator with a source of 227Ac (t1/2=21.7 years), from which 223Ra is eluted. The 227Ac was isolated from a 231Pa source using the f-element selective extraction chromatographic material TRU-resin. The purified 227Ac/227Th source was subsequently applied to another extraction chromatographic resin, containing the extractant P,P′-di(2-ethylhexyl)methanediphosphonic acid on silica (Dipex-2) and used as a generator for 223Ra. From the generator column, the yield of 223Ra was about 60 kBq per 100 kBq of 227Ac with a highly effective separation of 223Ra from the precursors. In production runs, the activity of 227Ac was found to be 6×10-6 relative to the eluted activity of 223Ra. By using a second column of Dipex-2 for additional purification, the activity of Ac was reduced to below 7×10-8 relative to 223Ra with nearly quantitative recovery of 223Ra. The described procedure resulted in a high purity 223Ra preparation, potentially useful in, e.g., targeted radiotherapy of tumors.

223Ra for endoradiotherapeutic applications prepared from an immobilized 227Ac/227Th source

The alga Selenastrum capricornutum Printz is used to investigate the potential of natural lake water to reduce cadmium toxicity. The two lakes involved differ in trophic status and in concentration and composition of dissolved organic matter, one being a typical dystrophic bog lake, the other a less humus influenced, eutrophic lake. In the dystrophic lake, the toxic effect is determined mainly by the free cadmium activity. In the eutrophic, less humus influenced lake, however, the toxic effect shows considerable seasonal variations with a toxicity far exceeding what would be expected according to the estimated free ion activity during summer. It is hypothesized that qualitative changes in the composition of the dissolved organic matter during the production period are responsible for this effect.

Seasonal variation of cadmium toxicity toward the alga Selenastrum capricornutum Printz in two lakes with different humus content

The potential usefulness of alpha-particle radioimmunotherapy in the treatment of osteosarcoma was studied in vitro by using the monoclonal antibody TP-3 and cells of three human osteosarcoma cell lines (OHS, SAOS and KPDX) differing in antigen expression. Cell survival curves were established after treatment with (a) 211At-TP-3 of different specific activities, (b) 211At-labeled bovine serum albumin (BSA), (c) free 211At and (d) external-beam X rays. The three osteosarcoma cell lines showed similar survival curves, whether treated with external-beam X rays, 211At-BSA or free 211At. The D0's were lower for free 211At than for 211At-BSA. The survival curves for 211At-TP-3 treatment, on the other hand, differed significantly among the cell lines, suggesting that sensitivity to 211At-TP-3 treatment was governed by cellular properties other than sensitivity to external-beam X rays. The cellular property most important for sensitivity to 211At-TP-3 treatment was the antigen expression. Cell inactivation after 211At-TP-3 treatment increased substantially with increasing specific activity of the 211At-TP-3. At high specific activities, the cytotoxic effect of 211At-TP-3 was significantly higher than that of 211At-BSA. In conclusion, 211At-TP-3 has the potential to give clinically favorable therapeutic ratios in the treatment of osteosarcoma.

Inactivation of human osteosarcoma cells in vitro by 211At-TP-3 monoclonal antibody: comparison with astatine-211-labeled bovine serum albumin, free astatine-211 and external-beam X rays.

Jorolf Alstad

Papers

Measurement of mobility of organic compounds in soils

223Ra for endoradiotherapeutic applications prepared from an immobilized 227Ac/227Th source

Seasonal variation of cadmium toxicity toward the alga Selenastrum capricornutum Printz in two lakes with different humus content

Inactivation of human osteosarcoma cells in vitro by 211At-TP-3 monoclonal antibody: comparison with astatine-211-labeled bovine serum albumin, free astatine-211 and external-beam X rays.

Therapeutic efficacy of the α-emitter 211At bound on microspheres compared with 90Y and 32P colloids in a murine intraperitoneal tumor model