Retrospective and emergency dosimetry in response to radiological incidents and nuclear mass-casualty events: A review

Investigation of zinc polycarboxylate cement used in dental treatments in terms of retrospective dosimeter

Zinc polycarboxylate cement is one of the few dental materials that demonstrate true adhesion to tooth structure. It is suitable for use in living organisms without causing harm. Its strong adhesion to teeth and low level of irritancy are two important parameters for the dental applications. In this study, the dosimetry properties of zinc polycarboxylate cement using thermoluminescence (TL) method were investigated and determined the effectiveness of its use as a good dosimeter. According to the results of this study, the sample shows a good TL properties with three main peaks found around 140°C, 220°C and 330°C. It has a wide linear dose response between 72 Gy and 2.3 kGy and good reusability of the TL peak found at 330°C. Unfortunately, the TL peak intensity values are rapidly faded within a short waiting time interval. Zinc polycarboxylate cement, which is frequently used in dental crowns, can be used as a retrospective dosimeter for measuring the amount of radiation in space studies and nuclear accidents due to its wide linear dose-response curve in the high dose region.

Electron Paramagnetic Resonance (EPR) Biodosimetry with Human Teeth: A Crucial Technique for Acute and Chronic Exposure Assessment

ABSTRACT

Radiation exposure is a primary concern in emergency response scenarios and long-term health assessments. Accurate quantification of radiation doses is critical for informed decision-making and patient care. This paper reviews the dose reconstruction technique using both X- and Q-bands, with tooth enamel as a reliable dosimeter. Tooth enamel, due to its exceptional resistance to alteration over time, offers a unique opportunity for assessing both acute and chronic radiation exposures. This review delves into the principles underlying enamel dosimetry, the mechanism of radiation interactions, and dose retention in tooth enamel. We explore state-of-the-art analytical methods, such as electron paramagnetic resonance (EPR) spectroscopy, that accurately estimate low and high doses in acute and chronic exposure. Furthermore, we discuss the applicability of tooth enamel dosimetry in various scenarios, ranging from historical radiological incidents to recent nuclear events or radiological incidents. The ability to reconstruct radiation doses from dental enamel provides a valuable tool for epidemiological studies, validating the assessment of health risks associated with chronic exposures and aiding in the early detection and management of acute radiation incidents. This paper underscores the significance of tooth enamel as an essential medium for radiation dose reconstruction and its broader implications for enhancing radiation protection, emergency response, and public health preparedness. Incorporating enamel EPR dosimetry into standard protocols has the potential to transform the field of radiation assessment, ensuring more accurate and timely evaluations of radiation exposure and its associated risks.

The Dose Spiking Technique for Measuring Low Doses in Deciduous Teeth Enamel Using EPR Spectroscopy for Retrospective and Accident Dosimetry

ABSTRACT

Dose estimation by electron paramagnetic resonance (EPR) has been accomplished using the standard EPR dosimetry technique (ISO protocol 13304-1 for EPR retrospective dosimetry). However, different studies showed that these techniques have high measurement errors in measuring the low doses (10-100 mGy) in enamel. This work proposes a new method to make a dosimetric signal visible and measurable at low doses. The sample was purified using both chemical and mechanical processes. The pure sample mass and position and the EPR acquisition parameters were optimized to enhance the spectrometer's sensitivity for the quantitative low dose measurements. At the same time to reduce errors from the sample and spectrum anisotropy, the total doses (low plus spike) and the spike dose (4 Gy) were measured by rotating 0 to 360 degrees (i.e., 40 degrees at a time) relative to constant magnetic field direction using a goniometer. Subsequently, the spectra were averaged after their g-factor normalization. However, at low doses (<30 mGy), the radiation induced signal (RIS) was obscured by the background signal (BGS). So, the dose spiking technique was used as an alternative method. Ten low-dose deciduous molar tooth enamel (10-100 mGy) samples were spiked to the higher doses by delivering 4 Gy and measured using the X-band continuous wave (CW) EPR (Bruker EMXmicro) spectrometer. The total dose EPR signal was distinctly visible, and the peak-to-peak (P2P) amplitude height was measured. Then, the total dose was subtracted with the spike, often called a reference sample, to determine the initial low doses. The measurement errors using this method were lower than the previous methods. These results demonstrated that this method could be promising for solving low dose measurement problems in EPR dosimetry with deciduous and permanent tooth enamel.

Electron Paramagnetic Resonance Measurements of Lifetime Doses in Teeth of Durham Region Residents, Ontario

ABSTRACT

The Canadian Nuclear Safety Commission (CNSC) and Ontario Power Generation (OPG) determined the total dose contribution of nuclear power plants in Durham Region populations by analyzing environmental samples from the surrounding areas of both nuclear generating stations (Pickering and Darlington). However, the total doses from the various sources were unknown in Durham Region populations, Ontario. Electron paramagnetic resonance (EPR) dosimetry with tooth enamel has been successfully established as an effective tool for gamma dose assessment for chronic and acute exposures in individuals, groups, or populations to reconstruct the absorbed dose down to 30 mGy. This study collected the extracted teeth from people of different ages in Durham Region, Ontario, and analyzed them using the x-band continuous wave (CW) EPR spectrometer. The total dose rate from the natural and anthropogenic sources was 1.9721 mSv y-1. The anthropogenic dose rate from the various sources was 0.6341 mSv y-1, about 47.39% of the natural background dose (1.338 mSv y-1) in Durham Region, Ontario. The combined anthropogenic doses from these sources were lower than the local background dose in Durham Region and lower than the regulatory annual effective dose limit of 1 mSv y-1 in Canada. Based on these data, this study concluded that the anthropogenic dose contribution was lower than the regulatory limit to the local populations.

Methodology and Instrumentation for Electron Paramagnetic Resonance Dosimetry With Tooth Enamel

When tooth enamel is exposed to ionizing radiation, it generates a dose-dependent concentration of free radical centers (i.e., unpaired electrons). The concentration of these free radical centers is identified and quantified using electron paramagnetic resonance (EPR) spectroscopy in the form of an EPR spectrum. The intensity of the spectrum is proportional to the absorbed dose. Four international intercomparisons have already demonstrated that the EPR tooth enamel dosimetric technique is reliable for retrospective dose assessment in acute and chronic exposure scenarios. Additionally, EPR dosimetry is regarded same as a gold standard for reconstructing the total lifetime dose of individuals using tooth enamel. The accuracy and reproducibility of EPR dose reconstruction depend on the sample preparation, spectrum acquisition, and EPR spectra analysis techniques. So, this paper reviews some of the widely applied and accepted laboratory protocols or methodologies for the EPR dosimetric methods. The minimum detection limit in tooth enamel using this technique was 30 mGy. So, this review aims to share these protocols so that it would be easy to reconstruct the accident doses or chronic exposures with reliable accuracy and precision. Different bands (e.g., L, X, Q, etc.) continuous wave (CW) EPR spectrometers have been used in many historical and accident dose reconstructions; however, due to the availability, moderate price, and not being much influenced by the small amount of moisture in a sample, the X-band has been widely used. A well-developed methodology, a highly sensitive EPR spectrometer, and a well-trained operator are vital for the reliable measurements of absorbed low doses in EPR dosimetry with tooth enamel.

OPTICALLY STIMULATED LUMINESCENCE PROPERTIES OF COMMERCIALLY AVAILABLE KCL DIETARY SUPPLEMENTS AS RETROSPECTIVE DOSIMETERS

In the case of an unexpected exposure to radiation in places where there is no access to standard dosimeters, materials that can act as detectors in methods of retrospective dosimetry are looked for. Such materials include, but are not limited to, medicines and dietary supplements that are found in households or in personal bags. This paper presents the optically stimulated luminescence (OSL) dosimetric properties of dietary supplements, the main ingredient of which is a sensitive phosphor - potassium chloride (KCl). Three types of potassium chloride dietary supplements were tested and and compared to a selection of four common drugs in terms of their sensitivity. Basic dosimetric properties of dietary supplements such as signal repeatability, dose response and fading were determined. The dose recovery test was performed two and seven days after exposure to radiation. The obtained dose values for the two supplements showed good compliance with the nominal dose values and the possibility of correctly assigning the doses to the levels of triage (low dose 0-1 Gy, medium dose 1-2 Gy and high dose > 2 Gy). The presented results show that dietary supplements with KCl have the potential to be used as emergency detectors in the dose recovery process.

A comparative validation of biodosimetry and physical dosimetry techniques for possible triage applications in emergency dosimetry

Large-scale radiological accidents or nuclear terrorist incidents involving radiological or nuclear materials can potentially expose thousands, or hundreds of thousands, of people to unknown radiation doses, requiring prompt dose reconstruction for appropriate triage. Two types of dosimetry methods namely, biodosimetry and physical dosimetry are currently utilized for estimating absorbed radiation dose in humans. Both methods have been tested separately in several inter-laboratory comparison exercises, but a direct comparison of physical dosimetry with biological dosimetry has not been performed to evaluate their dose prediction accuracies. The current work describes the results of the direct comparison of absorbed doses estimated by physical (smartphone components) and biodosimetry (dicentric chromosome assay (DCA) performed in human peripheral blood lymphocytes) methods. For comparison, human peripheral blood samples (biodosimetry) and different components of smartphones, namely surface mount resistors (SMRs), inductors and protective glasses (physical dosimetry) were exposed to different doses of photons (0-4.4 Gy; values refer to dose to blood after correction) and the absorbed radiation doses were reconstructed by biodosimetry (DCA) and physical dosimetry (optically stimulated luminescence (OSL)) methods. Additionally, LiF:Mg,Ti (TLD-100) chips and Al₂O₃:C (Luxel) films were used as reference TL and OSL dosimeters, respectively. The best coincidence between biodosimetry and physical dosimetry was observed for samples of blood and SMRs exposed toγ-rays. Significant differences were observed in the reconstructed doses by the two dosimetry methods for samples exposed to x-ray photons with energy below 100 keV. The discrepancy is probably due to the energy dependence of mass energy-absorption coefficients of the samples extracted from the phones. Our results of comparative validation of the radiation doses reconstructed by luminescence dosimetry from smartphone components with biodosimetry using DCA from human blood suggest the potential use of smartphone components as an effective emergency triage tool for high photon energies.

On the Applicability of Camera Lens Protectors in Emergency Luminescence Dosimetry

In this work, the optically stimulated luminescence (OSL) properties of camera lens protectors and their potential use in emergency dosimetry were investigated. Camera lens protectors can be attached to mobile phones, which are commonly carried by individuals and may be useful in estimating an emergency dose. The presented results confirm the great potential of this type of glass material for dose determination. The glass protectors exhibit advantageous properties, such as linear dose dependence in the range of at least 0.6-10 Gy, minimum detectable dose at the level of tens of mGy, and good measurement repeatability for samples of the same type. Significant fading during the first day after exposure is an undesirable feature of tested glass. Nevertheless, the application of the correction for fading shows promising results in the dose recovery process.

Raman and photoluminescence spectroscopy analysis of gamma irradiated human hair

Preliminary study has been made of black human hair, carbon concentration of some 53%, a model in examining the potential of hair of the human head in retrospective and emergency biodosimetry applications, also offering effective atomic number near to that of water. The hair samples were exposed to \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$^{60}$$\end{document}60Co gamma rays, delivering doses from 0 to 200 Gy. Structural alterations were observed, use being made of Raman and photoluminescence (PL) spectroscopy. Most prominent among the features observed in the first-order Raman spectra are the D and G peaks, appearing at 1370 \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${{\pm }} 18\,{\hbox {cm}}^{-1}$$\end{document}±18cm-1 and 1589 \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${{\pm }} 11\,{\hbox {cm}}^{-1}$$\end{document}±11cm-1 respectively, the intensity ratio \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${{{I}}}_{{{D}}}{{/}}{{{I}}}_{{{G}}}$$\end{document}ID/IG indicating dose-dependent defects generation and annealing of structural alterations. The wavelengths of the PL absorption and emission peaks are found to be centred at \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$592.3 \pm 12.5$$\end{document}592.3±12.5 nm and \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$1077.4 \pm 7.3$$\end{document}1077.4±7.3 nm, respectively. The hair samples mean band gap energy (\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${{{E}}}_{{{g}}}$$\end{document}Eg) post-irradiation was found to be \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$2.10 \pm 0.04$$\end{document}2.10±0.04 eV, of the order of a semiconductor and approximately two times the \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${{{E}}}_{{{g}}}$$\end{document}Eg of other carbon-rich materials reported via the same methodology.

Salty Crackers as Fortuitous Dosimeters: A Novel PSL Method for Rapid Radiation Triage

When a radiological and nuclear (R/N) emergency occurs, the categorization of individuals into those who are unaffected and those requiring medical intervention is a high priority. At times, a professional dosimeter is not available and therefore some common belongings may be used as fortuitous dosimeters. The preparation of these objects for the measurement should be such as to give the most accurate and precise results. This paper focused on the Photo-Stimulated Luminescence (PSL) response of salty crackers confronts the problem of sample preparation (mass, grain size), dose response and signal stability. The dose response was determined for doses up to 5 Gy, which allowed the calculation of the limit of detection. Additionally, the signal stability was investigated for samples irradiated with 0.3 and 3 Gy. The observed decrease of the signal does not prevent the detection in the dose range typical for R/N emergency. The main dosimetric characteristics were investigated by using two different models of PSL readers equipped with single (infrared) or double (infrared, blue light) stimulation. The results indicated that the limit of detection can be improved by applying blue light stimulation. Moreover, strong correlation of the measurements performed in the two different instruments, as well as the rapidity of the analysis and the simplicity of the operations, suggest that this method can be suitable for a rapid radiation triage of a large number of civilians in a mass casualty event. The study was simultaneously conducted by two laboratories (Ruder Bošković Institute, RBI, Croatia and Istituto Superiore di Sanità, ISS, Italy) involved in the BioPhyMeTRE project (grant No. G5684) supported by NATO Science for Peace and Security Programme.

DEVELOPMENTS IN THE USE OF THERMOLUMINESCENCE AND OPTICALLY STIMULATED LUMINESCENCE FROM MOBILE PHONES IN EMERGENCY DOSIMETRY

Proposed physical dosimetry methods for emergency dosimetry in radiological, mass-casualty incidents include both thermoluminescence (TL) and optically stimulated luminescence (OSL). Potential materials that could feasibly be used for TL and OSL dosimetry include clothing, shoes and personal accessories. However, the most popular target of study has been personal electronics, especially different components from smartphones. Smartphones have been a focus because they are widely available and, in principle, may be viewed as surrogates for commercial TL or OSL dosimeters. The components of smartphones that have been studied include surface mount devices (such as resistors, capacitors and inductors) and glass materials, including front protective glass, display glass and (with more modern devices) back protective glass. This paper reviews the most recent developments in the use of TL and OSL with these materials and guides the way to future, and urgently needed, research.

DOSE RECONSTRUCTION FROM ESR SIGNAL OF GAMMA-IRRADIATED SODA-LIME GLASS FOR TRIAGE APPLICATION

In this work, we report some preliminary results regarding the analysis of electron spin resonance (ESR) response of soda-lime samples used for retrospective dosimetry. Six different soda-lime glass batches were evaluated after irradiation. We compared several dose reconstruction techniques: saturation method, subtraction method and g-effective, geff, approach. The differences were observed and discussed. ESR signal responses of soda-lime glass samples to different radiation doses for the triage application were investigated. Results confirmed that geff approach has potential for the identification and dosimetry of irradiated soda-lime glass samples using either additive dose method or only calibration curve.

Developments in Biodosimetry Methods for Triage With a Focus on X-band Electron Paramagnetic Resonance In Vivo Fingernail Dosimetry

Instrumentation and application methodologies for rapidly and accurately estimating individual ionizing radiation dose are needed for on-site triage in a radiological/nuclear event. One such methodology is an in vivo X-band, electron paramagnetic resonance, physically based dosimetry method to directly measure the radiation-induced signal in fingernails. The primary components under development are key instrument features, such as resonators with unique geometries that allow for large sampling volumes but limit radiation-induced signal measurements to the nail plate, and methodological approaches for addressing interfering signals in the nail and for calibrating dose from radiation-induced signal measurements. One resonator development highlighted here is a surface resonator array designed to reduce signal detection losses due to the soft tissues underlying the nail plate. Several surface resonator array geometries, along with ergonomic features to stabilize fingernail placement, have been tested in tissue-equivalent nail models and in vivo nail measurements of healthy volunteers using simulated radiation-induced signals in their fingernails. These studies demonstrated radiation-induced signal detection sensitivities and quantitation limits approaching the clinically relevant range of ≤ 10 Gy. Studies of the capabilities of the current instrument suggest that a reduction in the variability in radiation-induced signal measurements can be obtained with refinements to the surface resonator array and ergonomic features of the human interface to the instrument. Additional studies are required before the quantitative limits of the assay can be determined for triage decisions in a field application of dosimetry. These include expanded in vivo nail studies and associated ex vivo nail studies to provide informed approaches to accommodate for a potential interfering native signal in the nails when calculating the radiation-induced signal from the nail plate spectral measurements and to provide a method for calibrating dose estimates from the radiation-induced signal measurements based on quantifying experiments in patients undergoing total-body irradiation or total-skin electron therapy.

Dose Deposition Profiles in Untreated Brick Material

In nuclear forensics or accident dosimetry, building materials such as bricks can be used to retrospectively determine radiation fields using thermoluminescence and/or optically stimulated luminescence. A major problem with brick material is that significant chemical processing is generally necessary to isolate the quartz from the brick. In this study, a simplified treatment process has been tested in an effort to lessen the processing burden for retrospective dosimetry studies. It was found that by using thermoluminescence responses, the dose deposition profile of a brick sample could be reconstructed without any chemical treatment. This method was tested by estimating the gamma-ray energies of an Am source from the dose deposition in a brick. The results demonstrated the ability to retrospectively measure the source energy with an overall energy resolution of approximately 6 keV. This technique has the potential to greatly expedite dose reconstructions in the wake of nuclear accidents or for any related application where doses of interest are large compared to overall process system noise.

Optically stimulated luminescence (OSL) dosimetry in irradiated alumina substrates from mobile phone resistors

In this study the dosimetric properties of alumina (Al₂O₃) substrates found in resistors retrieved from mobile phones were investigated. Measurements of the decline of optically stimulated luminescence (OSL) generated following exposure of these substrates to ionising radiation showed that 16% of the signal could still be detected after 2 years (735 days). Further, the magnitude of the regenerative dose (calibration dose; D _i) had no impact on the accuracy of dose estimates. Therefore, it is recommended that the D _i be set as low as is practicable, so as to accelerate data retrieval. The critical dose, D _CL, and dose limit of detection, D _DL, taking into account the uncertainty in the dose-response relation as well as the uncertainty in the background signal, was estimated to be 7 and 13 mGy, respectively, 1 h after exposure. It is concluded that given the significant long-term component of fading, an absorbed dose of 0.5 Gy might still be detectable up to 6 years after the exposure. Thus, OSL from alumina substrates can be used for dosimetry for time periods far in excess of those previously thought.

UNCERTAINTY ON RADIATION DOSES ESTIMATED BY BIOLOGICAL AND RETROSPECTIVE PHYSICAL METHODS

Biological and physical retrospective dosimetry are recognised as key techniques to provide individual estimates of dose following unplanned exposures to ionising radiation. Whilst there has been a relatively large amount of recent development in the biological and physical procedures, development of statistical analysis techniques has failed to keep pace. The aim of this paper is to review the current state of the art in uncertainty analysis techniques across the 'EURADOS Working Group 10-Retrospective dosimetry' members, to give concrete examples of implementation of the techniques recommended in the international standards, and to further promote the use of Monte Carlo techniques to support characterisation of uncertainties. It is concluded that sufficient techniques are available and in use by most laboratories for acute, whole body exposures to highly penetrating radiation, but further work will be required to ensure that statistical analysis is always wholly sufficient for the more complex exposure scenarios.