Recognising the consumption of tuna fish as a major foodstuff in Maldivian diet, the presence of naturally occurring radionuclides in Yellowfin and Skipjack tuna are determined by using HPGe gamma-ray spectrometry to evaluate the health hazards to Maldivians. The samples were collected from different atolls of Maldives adjacent to the coastal waters of Indian Ocean. The activity concentrations (Bq kg-1) in Yellowfin tuna for 226Ra, 232Th and 40K are in the ranges of 4.2 ± 1.8-10.5 ± 1.1, 1.3 ± 0.3-3.2 ± 0.7 and 589 ± 29-697 ± 34, respectively while in Skipjack tuna the respective ranges are 3.9 ± 0.5-13.2 ± 1.1, 1.3 ± 0.3-2.7 ± 0.6 and 511 ± 28-681 ± 35. The committed effective dose (mean 263 μSv y-1) received by an individual due to the dietary intake of Yellowfin tuna falling below the UNSCEAR referenced global internal dose limit of 290 μSv y-1; while for Skipjack tuna, the estimated dose (mean 365 μSv y-1) exceeds the world average limiting value. The carcinogenic risk was found to be well below the ICRP referenced acceptable limit of 2.5 × 10-3. The present study indicates that the radiation dose to Maldivian via the consumption of Yellowfin tuna poses an insignificant threat to the public health. However, prolonged consumption of Skipjack tuna fish from the studied areas may pose a cumulative risk to the public health.
It is well known that ionizing radiation has an onco-genetic activity and has been implicated in the causation of brain tumors. However, when a new growth appears adjacent to the site of previous tumor, the diagnosis is more toward recurrence. In addition to that, the possible cause might be overlooked, when it occurs many years after radiation treatment. We report a case of radiation-induced meningioma developed 20 years after the patient received radiotherapy for pituitary adenoma.
In Malaysia technologically enhanced naturally occurring radioactive materials (TENORM) wastes are mainly the product of the oil and gas industry and mineral processing. Among these TENORM wastes are tin tailing, tin slag, gypsum and oil sludge. Mineral processing and oil and gas industries produce large volume of TENORM wastes that has become a radiological concern to the authorities. A study was carried out to assess the radiological risk related to workers working at these disposal sites and landfills as well as to the members of the public should these areas be developed for future land use. Radiological risk was assessed based on the magnitude of radiation hazard, effective dose rates and excess cancer risks. Effective dose rates and excess cancer risks were estimated using RESRAD 6.4 computer code. All data on the activity concentrations of NORM in wastes and sludges used in this study were obtained from the Atomic Energy Licensing Board, Malaysia, and they were collected over a period of between 5 and 10 y. Results obtained showed that there was a wide range in the total activity concentrations (TAC) of nuclides in the TENORM wastes. With the exception of tin slag and tin tailing-based TENORM wastes, all other TENORM wastes have TAC values comparable to that of Malaysia's soil. Occupational Effective Dose Rates estimated in all landfill areas were lower than the 20 mSv y(-1) permissible dose limit. The average Excess Cancer Risk Coefficient was estimated to be 2.77×10(-3) risk per mSv. The effective dose rates for residents living on gypsum and oil sludge-based TENORM wastes landfills were estimated to be lower than the permissible dose limit for members of the public, and was also comparable to that of the average Malaysia's ordinary soils. The average excess cancer risk coefficient was estimated to be 3.19×10(-3) risk per mSv. Results obtained suggest that gypsum and oil sludge-based TENORM wastes should be exempted from any radiological regulatory control and should be considered radiologically safe for future land use.
One way sunlight causes skin cancer is by suppressing anti-tumor immunity. A major mechanism involves altering mast cell migration via the C-X-C motif chemokine receptor 4-C-X-C motif chemokine ligand 12 (CXCR4-CXCL12) chemokine pathway. We have discovered that pharmacologically blocking this pathway with the CXCR4 antagonist AMD3100 prevents both UV radiation-induced immune suppression and skin cancer. The majority of control mice receiving UV-only developed histopathologically confirmed squamous cell carcinomas. In contrast, skin tumor incidence and burden was significantly lower in AMD3100-treated mice. Perhaps most striking was that AMD3100 completely prevented the outgrowth of latent tumors that occurred once UV irradiation ceased. AMD3100 protection from UV immunosuppression and skin cancer was associated with reduced mast cell infiltration into the skin, draining lymph nodes, and the tumor itself. Thus a major target of CXCR4 antagonism was the mast cell. Our results indicate that interfering with UV-induced CXCL12 by antagonizing CXCR4 significantly inhibits skin tumor development by blocking UV-induced effects on mast cells. Hence, the CXCR4-CXCL12 chemokine pathway is a novel therapeutic target in the prevention of UV-induced skin cancer.
Second cancer induction in the contralateral breast (CB) is an issue of some concern in breast radiotherapy especially for women under the age of 45 years at the time of treatment. The CB dose from 2-field and 3-field techniques in post-mastectomy chest wall irradiations in an anthropomorphic phantom as well as in patients were measured using thermoluminescent dosimeters (TLDs) at the local radiotherapy center. Breast and chest wall radiotherapy treatments were planned conformally (3D-CRT) and delivered using 6-MV photons. The measured CB dose at the surface fell sharply with distance from the field edge. However, the average ratio of the measured to the calculated CB dose using the pencil beam algorithm at the surface was approximately 53%. The mean and median measured internal dose at the posterior border of CB in a phantom was 5.47+/-0.22 cGy and 5.44 cGy, respectively. The internal CB dose was relatively independent of depth. In the present study the internal CB dose is 2.1-4.1% of the prescribed dose which is comparable to the values reported by other authors.
Malaysia, a rapidly growing industrial country, is susceptible to pollution via large-scale industrial engagements and associated human activities. One particular concern is the potential impact upon the quality of locally resourced vegetables, foodstuffs that contain important nutrients necessary for good health, forming an essential part of the Malaysian diet. As a part of this, it is of importance for there to be accurate knowledge of radioactive material uptake in these vegetables, not least in respect of any public health detriment. Herein, using HPGe γ-ray spectrometry, quantification has been performed of naturally occurring radionuclides in common edible vegetables and their associated soils. From samples analyses, the soil activity concentration ranges (in units of Bq/kg) for (226)Ra, (232)Th and (40)K were respectively 1.33-30.90, 0.48-26.80, 7.99-136.5 while in vegetable samples the ranges were 0.64-3.80, 0.21-6.91, 85.53-463.8. Using the corresponding activities, the transfer factors (TFs) from soil-to-vegetables were estimated, the transfers being greatest for (40)K, an expected outcome given the essentiality of this element in support of vigorous growth. The TFs of (226)Ra and (232)Th were found to be in accord with available literature data, the values indicating the mobility of these radionuclides to be low in the studied soils. Committed effective dose and the associated life-time cancer risk was estimated, being found to be below the permissible limit proposed by UNSCEAR. Results for the studied media show that the prevalent activities and mobilities pose no significant threat to human health, the edible vegetables being safe for consumption.
A pacemaker, which is used for heart resynchronization with electrical impulses, is used to manage many clinical conditions. Recently, the frequency of pacemaker implantation procedures has increased to more than 50% worldwide. During this procedure, patients can be exposed to excessive radiation exposure. Wide range of doses has been reported in previous studies, suggesting that optimization of this procedure has not been fulfilled yet. The current study evaluated patient radiation exposure during cardiac pacemaker procedures and quantified the patient effective dose. A total of 145 procedures were performed for five pacemaker procedures (VVI, VVIR, VVD, VVDR, and DDDR) at two hospitals. Patient doses were measured using the kerma-area product meter. Effective doses were estimated using software based on Monte Carlo simulation from the National Radiological Protection Board (NRPB, now The Health Protection Agency). The effective dose values were used to estimate cancer risk from the pacemaker procedure. Patient demographic data and exposure parameters for fluoroscopy and radiography were quantified. The mean patient doses ± SD per procedure (Gycm2) for VVI, VVIR, VVD, VVDR, and DDDR were 1.52 ± 0.13 (1.43-1.61), 3.28 ± 2.34 (0.29-8.73), 3.04 ± 1.67 (1.57-4.86), 6.04 ± 2.326 3.29-8.58), and 8.8 ± 3.6 (4.5-26.20), respectively. The overall patient effective dose was 1.1mSv per procedure. It is obvious that the DDDR procedure exposed patients to the highest radiation dose. Patient dose variation can be attributed to procedure type, exposure parameter settings, and fluoroscopy time. The results of this study showed that patient doses during different pacemaker procedures are lower compared to previous reported values. Patient risk from pacemaker procedure is low, compared to other cardiac interventional procedures. Patients' exposures were mainly influenced by the type of procedures and the clinical indication.