NOTE The report of the Committee without its annexes appears as Official Records of the General Assembly, Sixty-third Session, Supplement No. 46. The designations employed and the presentation of material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area, or of its authorities, or concerning the delimitation of its frontiers or boundaries. The country names used in this document are, in most cases, those that were in use at the time the data were collected or the text prepared. In other cases, however, the names have been updated, where this was possible and appropriate, to reflect political changes. Scientific Annexes Annex A. Medical radiation exposures Annex B. Exposures of the public and workers from various sources of radiation INTROdUCTION 1. In the course of the research and development for and the application of atomic energy and nuclear technologies, a number of radiation accidents have occurred. Some of these accidents have resulted in significant health effects and occasionally in fatal outcomes. The application of technologies that make use of radiation is increasingly widespread around the world. Millions of people have occupations related to the use of radiation, and hundreds of millions of individuals benefit from these uses. Facilities using intense radiation sources for energy production and for purposes such as radiotherapy, sterilization of products, preservation of foodstuffs and gamma radiography require special care in the design and operation of equipment to avoid radiation injury to workers or to the public. Experience has shown that such technology is generally used safely, but on occasion controls have been circumvented and serious radiation accidents have ensued. 2. Reviews of radiation exposures from accidents have been presented in previous UNSCEAR reports. The last report containing an exclusive chapter on exposures from accidents was the UNSCEAR 1993 Report [U6]. 3. This annex is aimed at providing a sound basis for conclusions regarding the number of significant radiation accidents that have occurred, the corresponding levels of radiation exposures and numbers of deaths and injuries, and the general trends for various practices. Its conclusions are to be seen in the context of the Committee's overall evaluations of the levels and effects of exposure to ionizing radiation. 4. The Committee's evaluations of public, occupational and medical diagnostic exposures are mostly concerned with chronic exposures of …

sources and effects of ionizing radiation

OBJECTIVE. In light of the rapidly increasing frequency of pediatric CT examinations, the purpose of our study was to assess the lifetime cancer mortality risks attributable to radiation from pediatric CT.MATERIALS AND METHODS. Organ doses as a function of age-at-diagnosis were estimated for common CT examinations, and estimated attributable lifetime cancer mortality risks (per unit dose) for different organ sites were applied. Standard models that assume a linear extrapolation of risks from intermediate to low doses were applied. On the basis of current standard practice, the same exposures (milliampere-seconds) were assumed, independent of age.RESULTS. The larger doses and increased lifetime radiation risks in children produce a sharp increase, relative to adults, in estimated risk from CT. Estimated lifetime cancer mortality risks attributable to the radiation exposure from a CT in a 1-year-old are 0.18% (abdominal) and 0.07% (head)—an order of magnitude higher than for adults—although those figures st...

https://www.ajronline.org/doi/pdf/10.2214/ajr.176.2.1760289

Estimated Risks of Radiation-Induced Fatal Cancer from Pediatric CT

Medical uses of radiation have grown very rapidly over the past decade, and, as of 2007, medical uses represent the largest source of exposure to the U.S. population. Most physicians have difficulty assessing the magnitude of exposure or potential risk. Effective dose provides an approximate indicator of potential detriment from ionizing radiation and should be used as one parameter in evaluating the appropriateness of examinations involving ionizing radiation. The purpose of this review is to provide a compilation of effective doses for radiologic and nuclear medicine procedures. Standard radiographic examinations have average effective doses that vary by over a factor of 1000 (0.01-10 mSv). Computed tomographic examinations tend to be in a more narrow range but have relatively high average effective doses (approximately 2-20 mSv), and average effective doses for interventional procedures usually range from 5-70 mSv. Average effective dose for most nuclear medicine procedures varies between 0.3 and 20 mSv. These doses can be compared with the average annual effective dose from background radiation of about 3 mSv.

Effective Doses in Radiology and Diagnostic Nuclear Medicine: A Catalog

Objective To assess the cancer risk in children and adolescents following exposure to low dose ionising radiation from diagnostic computed tomography (CT) scans. Design Population based, cohort, data linkage study in Australia. Cohort members 10.9 million people identified from Australian Medicare records, aged 0-19 years on 1 January 1985 or born between 1 January 1985 and 31 December 2005; all exposures to CT scans funded by Medicare during 1985-2005 were identified for this cohort. Cancers diagnosed in cohort members up to 31 December 2007 were obtained through linkage to national cancer records. Main outcome Cancer incidence rates in individuals exposed to a CT scan more than one year before any cancer diagnosis, compared with cancer incidence rates in unexposed individuals. Results 60 674 cancers were recorded, including 3150 in 680 211 people exposed to a CT scan at least one year before any cancer diagnosis. The mean duration of follow-up after exposure was 9.5 years. Overall cancer incidence was 24% greater for exposed than for unexposed people, after accounting for age, sex, and year of birth (incidence rate ratio (IRR) 1.24 (95% confidence interval 1.20 to 1.29); P Conclusions The increased incidence of cancer after CT scan exposure in this cohort was mostly due to irradiation. Because the cancer excess was still continuing at the end of follow-up, the eventual lifetime risk from CT scans cannot yet be determined. Radiation doses from contemporary CT scans are likely to be lower than those in 1985-2005, but some increase in cancer risk is still likely from current scans. Future CT scans should be limited to situations where there is a definite clinical indication, with every scan optimised to provide a diagnostic CT image at the lowest possible radiation dose.

https://www.bmj.com/content/bmj/346/bmj.f2360.full.pdf

Cancer risk in 680 000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians

We present an overview of the various uses of the wavelet transform (WT) in medicine and biology. We start by describing the wavelet properties that are the most important for biomedical applications. In particular we provide an interpretation of the the continuous wavelet transform (CWT) as a prewhitening multiscale matched filter. We also briefly indicate the analogy between the WT and some of the the biological processing that occurs in the early components of the auditory and visual system. We then review the uses of the WT for the analysis of 1-D physiological signals obtained by phonocardiography, electrocardiography (ECG), mid electroencephalography (EEG), including evoked response potentials. Next, we provide a survey of wavelet developments in medical imaging. These include biomedical image processing algorithms (e.g., noise reduction, image enhancement, and detection of microcalcifications in mammograms), image reconstruction and acquisition schemes (tomography, and magnetic resonance imaging (MRI)), and multiresolution methods for the registration and statistical analysis of functional images of the brain (positron emission tomography (PET) and functional MRI (fMRI)). In each case, we provide the reader with same general background information and a brief explanation of how the methods work.

A review of wavelets in biomedical applications

Introduces a novel approach for accomplishing mammographic feature analysis by overcomplete multiresolution representations. The authors show that efficient representations may be identified within a continuum of scale-space and used to enhance features of importance to mammography. Methods of contrast enhancement are described based on three overcomplete multiscale representations: 1) the dyadic wavelet transform (separable), 2) the /spl phi/-transform (nonseparable, nonorthogonal), and 3) the hexagonal wavelet transform (nonseparable). Multiscale edges identified within distinct levels of transform space provide local support for image enhancement. Mammograms are reconstructed from wavelet coefficients modified at one or more levels by local and global nonlinear operators. In each case, edges and gain parameters are identified adaptively by a measure of energy within each level of scale-space. The authors show quantitatively that transform coefficients, modified by adaptive nonlinear operators, can make more obvious unseen or barely seen features of mammography without requiring additional radiation. The authors' results are compared with traditional image enhancement techniques by measuring the local contrast of known mammographic features. They demonstrate that features extracted from multiresolution representations can provide an adaptive mechanism for accomplishing local contrast enhancement. By improving the visualization of breast pathology, one can improve chances of early detection while requiring less time to evaluate mammograms for most patients. >

/pdf/mammographic-feature-enhancement-by-multiscale-analysis-2c9un5w9tz.pdf

Mammographic feature enhancement by multiscale analysis

Circle recognition through a 2D Hough Transform and radius histogramming

PURPOSE: To estimate the effective radiation dose to pediatric and adult patients at head and abdomen computed tomography (CT). MATERIALS AND METHODS: Cylindrical water-equivalent phantoms were modeled for patients aged newborn to adult, and the energy imparted per unit axial exposure was computed. To determine the energy imparted to the simulated patients of different ages undergoing head and abdomen CT examinations, x-ray technique factors were combined with measured CT axial exposures. Body-region-specific ratios were calculated for effective dose per unit energy imparted, and these ratios were corrected for patient mass to obtain the effective dose to simulated patients. RESULTS: With use of standard techniques, the energy imparted to simulated patients at CT always increased with patient size, but the effective dose was higher in children than in adults. At CT in the head and abdomen, effective doses were highest in newborns. Effective doses ranged from 1.5 to 6.0 mSv in head CT examinations and from...

An approach for the estimation of effective radiation dose at CT in pediatric patients.

A 34-year-old woman underwent embolization of a left paraorbital arteriovenous malformation guided with a bi-plane x-ray system in two sessions separated by 3 days. Imaging included 110 minutes of fluoroscopy and 46 digital subtraction angiography acquisitions. Entrance skin dose rates were determined with measurements performed on a skull phantom. The maximum possible skin dose was estimated to be 6.6 Gy, which is consistent with the temporary epilation in the right occipital region of the skull reported by the patient approximately 5 weeks later.

Radiation-induced temporary epilation after a neuroradiologically guided embolization procedure.

Introduction I. What Is Radiological Physics? II. Why Study Radiological Physics? III. Structure of This Review Book IV. Radiology Residents and the ABR Examination V. Radiology Technologists and the AART Examination 1. Matter and Radiation I. Basic Physics II. Matter III. Radiation IV. Radionuclides V. Decay Modes Review Test Answers and Explanations 2. X-Ray Production I. Generators II. X-Ray Production Processes III. X-Ray Tubes IV. Tube Loading V. Diagnostic X-Ray Beams Review Test Answers and Explanations 3. X-Ray Interactions I. Absorption and Scattering II. Photoelectric and Compton Effects III. Attenuation of Radiation IV. Radiation Units V. Radiation Detectors Review Test Answers and Explanations, 4. Analog X-Ray Imaging I . Film II. Intensifying Screens III. Scatter Removal IV. Image Intensifiers V. Television VI. Fluoroscopy Review Test Answers and Explanations

Walter Huda

Papers

Mammographic feature enhancement by multiscale analysis

Circle recognition through a 2D Hough Transform and radius histogramming

An approach for the estimation of effective radiation dose at CT in pediatric patients.

Radiation-induced temporary epilation after a neuroradiologically guided embolization procedure.

Review of Radiologic Physics