• 제목/요약/키워드: Excess cancer risk

검색결과 89건 처리시간 0.02초

자궁경부암 근접치료 시 선량 검증 프로그램을 통한 임상적 위험성 평가 (Clinical Risk Evaluation Using Dose Verification Program of Brachytherapy for Cervical Cancer)

  • 강동진;신영주;강진규;정재용;이우진;백태성;이보람
    • 대한방사선기술학회지:방사선기술과학
    • /
    • 제45권6호
    • /
    • pp.553-560
    • /
    • 2022
  • The purpose of this study is to evaluate the clinical risk according to the applicator heterogeneity, mislocation, and tissue heterogeneity correction through a dose verification program during brachytherapy of cervical cancer. We performed image processing with MATLAB on images acquired with CT simulator. The source was modeled and stochiometric calibration and Monte-Carlo algorithm were applied based on dwell time and location to calculate the dose, and the secondary cancer risk was evaluated in the dose verification program. The result calculated by correcting for applicator and tissue heterogeneity showed a maximum dose of about 25% higher. In the bladder, the difference in excess absolute risk according to the heterogeneity correction was not significant. In the rectum, the difference in excess absolute risk was lower than that calculated by correcting applicator and tissue heterogeneity compared to the water-based calculation. In the femur, the water-based calculation result was the lowest, and the result calculated by correcting the applicator and tissue heterogeneity was 10% higher. A maximum of 14% dose difference occurred when the applicator mislocation was 20 mm in the Z-axis. In a future study, it is expected that a system that can independently verify the treatment plan can be developed by automating the interface between the treatment planning system and the dose verification program.

Lifetime Risk Assessment of Lung Cancer Incidence for Nonsmokers in Japan Considering the Joint Effect of Radiation and Smoking Based on the Life Span Study of Atomic Bomb Survivors

  • Shimada, Kazumasa;Kai, Michiaki
    • Journal of Radiation Protection and Research
    • /
    • 제46권3호
    • /
    • pp.83-97
    • /
    • 2021
  • Background: The lifetime risk of lung cancer incidence due to radiation for nonsmokers is overestimated because of the use of the average cancer baseline risk among a mixed population, including smokers. In recent years, the generalized multiplicative (GM)-excess relative risk (ERR) model has been developed in the life span study of atomic bomb survivors to consider the joint effect of radiation and smoking. Based on this background, this paper discusses the issues of radiation risk assessment considering smoking in two parts. Materials and Methods: In Part 1, we proposed a simple method of estimating the baseline risk for nonsmokers using current smoking data. We performed sensitivity analysis on baseline risk estimation to discuss the birth cohort effects. In Part 2, we applied the GM-ERR model for Japanese smokers to calculate lifetime attributable risk (LAR). We also performed a sensitivity analysis using other ERR models (e.g., simple additive (SA)-ERR model). Results and Discussion: In Part 1, the lifetime baseline risk from mixed population including smokers to nonsmokers decreased by 54% (44%-60%) for males and 24% (18%-29%) for females. In Part 2, comparison of LAR between SA- and GM-ERR models showed that if the radiation dose was ≤200 mGy or less, the difference between these ERR models was within the standard deviation of LAR due to the uncertainty of smoking information. Conclusion: The use of mixed population for baseline risk assessment overestimates the risk for lung cancer due to low-dose radiation exposure in Japanese males.

Public Exposure to Natural Radiation and the Associated Increased Risk of Lung Cancer in the Betare-Oya Gold Mining Areas, Eastern Cameroon

  • Joseph Emmanuel Ndjana Nkoulou II;Louis Ngoa Engola;Guy Blanchard Dallou;Saidou;Daniel Bongue;Masahiro Hosoda;Moise Godefroy Kwato Njock;Shinji Tokonami
    • Journal of Radiation Protection and Research
    • /
    • 제48권2호
    • /
    • pp.59-67
    • /
    • 2023
  • Background: This study aims to reevaluate natural radiation exposure, following up on our previous study conducted in 2019, and to assess the associated risk of lung cancer to the public residing in the gold mining areas of Betare-Oya, east Cameroon, and its vicinity. Materials and Methods: Gamma-ray spectra collected using a 7.62 cm×7.62 cm in NaI(Tl) scintillation spectrometer during a car-borne survey, in situ measurements and laboratory measurements performed in previous studies were used to determine the outdoor absorbed dose rate in air to evaluate the annual external dose inhaled by the public. For determining internal exposure, radon gas concentrations were measured and used to estimate the inhalation dose while considering the inhalation of radon and its decay products. Results and Discussion: The mean value of the laboratory-measured outdoor gamma dose rate was 47 nGy/hr, which agrees with our previous results (44 nGy/hr) recorded through direct measurements (in situ and car-borne survey). The resulting annual external dose (0.29±0.09 mSv/yr) obtained is similar to that of the previous study (0.33±0.03 mSv/yr). The total inhalation dose resulting from radon isotopes and their decay products ranged between 1.96 and 9.63 mSv/yr with an arithmetic mean of 3.95±1.65 mSv/yr. The resulting excess lung cancer risk was estimated; it ranged from 62 to 216 excess deaths per million persons per year (MPY), 81 to 243 excess deaths per MPY, or 135 excess deaths per MPY, based on whether risk factors reported by the U.S. Environmental Protection Agency, United Nations Scientific Committee on the effects of Atomic Radiation, or International Commission on Radiological Protection were used, respectively. These values are more than double the world average values reported by the same agencies. Conclusion: There is an elevated level of risk of lung cancer from indoor radon in locations close to the Betare-Oya gold mining region in east Cameroon. Therefore, educating the public on the harmful effects of radon exposure and considering some remedial actions for protection against radon and its progenies is necessary.

한국인의 초과 방사선 암 위험도 평가에 근거한 국내원전의 안전목표치 설정 방법론 (Methodology on the Safety Goal Setting of Reactor Operation based on the Radiogenic Excess Cancer Risk in Korea)

  • 장시영;정운관
    • Journal of Radiation Protection and Research
    • /
    • 제24권3호
    • /
    • pp.131-142
    • /
    • 1999
  • 통계청에서 최근에 발표한 한국인 인구통계 자료와 미국 학술원 산하 '방사선의 생물학적 영향 위원회'의 최근 보고서(BEIR-V)의 수정 상대위험 투사모델을 적용하여 한국인의 방사선 피폭에 의한 초과 암발생 위험도를 평가하였다. 인구통계 자료로부터 유도한 사소위험도(trivial risk) 및 계산된 방사선유발 초과 암 위험도를 비교한 후 사소위험도의 수준으로 개인의 피폭선량을 유지하기 위한 국내 원전의 안전운영 목표치를 유도하였다. 방사선 피폭 유발 초과 암 위험도는 0.1 Gy의 단일피폭의 경우에는 $5.5{\times}10^{-3}$, 1.0 mGy/y로 생애연속 피폭 시엔 $3.7{\times}10^{-3}$인 것으로 평가되었다. 한국인의 모든 원인에 의한 기저사망 위험도 및 사소위험도는 각각 $5.2{\times}10^{-3}$$5.2{\times}10^{-6}$인 것으로 예상되었다. 한국인의 사소위험도 및 방사선 위험도 평가 결과로부터 유도한 국내 원전운영의 안전목표치는 대략 0.05 mSv/y로, 이 값은 미국 원자력규제위원회(USNRC)가 연방규제법 10CFR50 부록 I에서 제시하고 있는 ALARA 지침값과 거의 동일한 값으로 밝혀졌다.

  • PDF

공장과 주택 슬레이트지붕의 석면 노출특성 비교 (Comparison on the Releasing Characteristics of Asbestos Fiber from Plant Slate Roof and House Slate Roof)

  • 정재원;유은철;이상준;박근태
    • 한국환경과학회지
    • /
    • 제24권7호
    • /
    • pp.927-937
    • /
    • 2015
  • This study was performed to identify and quantify the asbestos fibers released from two types of asbestos-cement slate roofs. One is a plant roof installed in 1987 which contained 15% chrysotile, and the other is a residential roof installed before 1983 which contained 12% chrysotile. The concentrations of asbestos fibers in air surrounding asbestos-cement slate roofs and in the falling water harvested from the same roofs on rainy days ranged from 0.0012 to 0.0018 f/mL and from 1,764 f/L to 10,584 f/L, respectively. The concentration of inorganic fibers in the soil around asbestos-cement slate roofs was from 217 to 348 f/g. With the above results, the excess lifetime cancer risk (ELCR) for the risk assessment of the asbestos fibers released from asbestos-cement slate based on US EPA IRIS (Integrated risk information system) model is within 5.5E-06 ~ 6.5E-06 levels which indicates that the levels do not exceed "the acceptable risk(1.0E-05)" recommended by WHO. The asbestos concentration in air, drained rainfall and soil around the plant slate roof was higher than that around residential slate roof, but the excess lifetime cancer risk (ELCR) from residential slate was higher than that from plant slate. This suggested that the enclose and encapsulation of residential roofs have priority in removal policy to minimize the exposure risk.

서울 대기 중 기체 및 입자상 다환방향족탄화수소 (PAHs)의 낮·밤 분포 특성 (Day and Night Distribution of Gas and Particle Phases Polycyclic Aromatic Hydrocarbons (PAHs) Concentrations in the Atmosphere of Seoul)

  • 임형배;김용표;이지이
    • 한국대기환경학회지
    • /
    • 제32권4호
    • /
    • pp.408-421
    • /
    • 2016
  • Day and night sampling for gas and particle phases PAHs were carried out in Seoul to characterize gas and particle phases PAHs concentrations in day and night times. There was no significant difference between day and night time for particle phase PAHs concentrations and phase distribution of PAHs, while, gas phase PAHs concentrations in daytime were about 1/2 of nighttime concentrations in both summer and winter due to photochemical reaction of gas phase PAHs during daytime. A high fraction of cancer risk for PAHs was attributed to particle phase PAHs and the excess cancer risk in winter was higher than in summer. The excess cancer risk level of total(gas+particle) PAHs in summer was partially observed when both gas and particle phase PAHs concentrations were considered as risk assessment. Based on the diagnostic ratios and factor analysis of PAHs concentrations, combustion(coal and natural gas) and vehicular emission might be the most significant contributors of PAHs and major factors for determining of PAHs concentration were different between day and night times.

수도수중 염소 소독부산물로 인한 건강위해성 평가에 관한 연구 - 서울시 수도수중 Trihalomethanes 및 Haloaceticnitriles을 중심으로 - (Health Risk Assessment of Disinfection By-products by Chlorination in Tap Water Ingestion)

  • 정용;신동천;양지연;박연신;김준성
    • Environmental Analysis Health and Toxicology
    • /
    • 제12권3_4호
    • /
    • pp.31-41
    • /
    • 1997
  • Public concerns about hazardous health effect from the exposure to organic by-products of the chlorination have been increased. There are numerous studies reporting that chlorination of drinking water produces numerous chlorinated organic by-products including THMs, HAAs, HANs. Some of these products are known to be animal carcinogens. The purpose of this study was to estimate health risk of DBPs by chlorinated drinking water ingestion in Seoul based on methodologies that have been developed for conducting risk assessment of complex-chemical-mixture. The drinking water sample was collected seperately at six water treatment plant in Seoul at March, April, 1996. In tap water of households in Seoul, DBPs were measured wilfh the mean value of 36.6 $\mu$g/L. Risk assessment processes,. which include processes for the estimation of human cancer potency using animal bioassay data and calculation of human exposure, entail uncertainties. In the exposure assessment process, exposure scenarios with various assumptions could affect the exposure amount and excess cancer risk. The reference dose of haloacetonitriles was estimated to be 0.0023 mg/kg/day by applying dibromoacetonitrile NOAEL and uncertainty factor to the mean concentration. In the first case, human excess cancer risk was estimated by the US EPA method used to set the MCL (maximum contaminant level). In the second and third case, the risk was estimated for multi-route exposure with and without adopting Monte-Carlo simulation, respectively. In the second case, exposure input parameters and cancer potencies used probability distributions, and in the third case, those values used point estimates (mean, and maximum or 95% upper-bound value). As a result, while the excess cancer risk estimated by US EPA method considering only direct ingestion tended to be underestimated, the risk which was estimated by considering multi-route exposure without Monte-Carlo simulation and then using the maximum or 95% upper-bound value as input parameters tended to be overestimated. In risk assessment for Trihalomethanes, considering multi-route exposure with adopting Monte-Carlo analysis seems to provide the most reasonable estimations.

  • PDF

Statistical Assessment on Cancer Risks of Ionizing Radiation and Smoking Based on Poisson Models

  • Tomita, Makoto;Otake, Masanori;Moon, Sung-Ho
    • Journal of the Korean Data and Information Science Society
    • /
    • 제17권2호
    • /
    • pp.581-598
    • /
    • 2006
  • In many epidemiological and medical studies, a number of cancer mortalities in categorical classification may be considered as having Poisson distribution with person-years at risk depending upon time. The cancer mortalities have been evaluated by additive or multiplicative models with regard to background and excess risks based on several covariances such as sex, age at the time of bombings, time at exposure, or ionizing radiation, cigarette smoking habits, duration of smoking habits, etc. An interest herein is to examine an additive, synergistic, or antagonistic relationship between radiation exposures and cigarette smoking habits for cancer mortalities. The results revealed a highly significant antagonistic in uence for cancer mortalities from all non-hematologic findings, lung and respiratory system with negative interaction between radiation exposures and cigarette smoking amounts.

  • PDF

Mesothelioma in Sweden: Dose-Response Analysis for Exposure to 29 Potential Occupational Carcinogenic Agents

  • Plato, Nils;Martinsen, Jan I.;Kjaerheim, Kristina;Kyyronen, Pentti;Sparen, Par;Weiderpass, Elisabete
    • Safety and Health at Work
    • /
    • 제9권3호
    • /
    • pp.290-295
    • /
    • 2018
  • Background: There is little information on the dose-response relationship between exposure to occupational carcinogenic agents and mesothelioma. This study aimed to investigate this association as well as the existence of agents other than asbestos that might cause mesothelioma. Methods: The Swedish component of the Nordic Occupational Cancer (NOCCA) study consists of 6.78 million individuals with detailed information on occupation. Mesothelioma diagnoses recorded in 1961-2009 were identified through linkage to the Swedish Cancer Registry. We determined cumulative exposure, time of first exposure, and maximum exposure intensity by linking data on occupation to the Swedish NOCCA job-exposure matrix, which includes 29 carcinogenic agents and corresponding exposure for 283 occupations. To assess the risk of mesothelioma, we used conditional logistic regression models to estimate hazard ratios and 95% confidence intervals. Results: 2,757 mesothelioma cases were identified in males, including 1,416 who were exposed to asbestos. Univariate analyses showed not only a significant excess risk for maximum exposure intensity, with a hazard ratio of 4.81 at exposure levels 1.25-2.0 fb/ml but also a clear dose-response effect for cumulative exposure with a 30-, 40-, and 50-year latency time. No convincing excess risk was revealed for any of the other carcinogenic agents included in the Swedish NOCCA job-exposure matrix. Conclusion: When considering asbestos exposure, past exposure, even for short periods, might be enough to cause mesothelioma of the pleura later in life.