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Dose Coefficients for Irradiation of Tooth Enamel within ICRP Adult Mesh-type Reference Computational Phantoms for Idealized External Photon Exposures.

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TL;DR

This study established tooth enamel dose coefficients for external photon exposures using ICRP adult mesh-type phantoms and Geant4 simulations, revealing up to 2,251-fold variations across regions and energies below 0.1 MeV, with significant differences from voxel-based models, to improve EPR dosimetry for exposed adults.

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In the present study, the tooth enamel dose coefficients (DCs) were established for idealized external photon exposures using the International Commission on Radiological Protection (ICRP) adult mesh-type reference computational phantoms (MRCPs), coupled with Geant4 Monte Carlo radiation transport code, for use in electron paramagnetic resonance (EPR) dosimetry. The DCs were calculated for 10 distinct tooth enamel regions (buccal and lingual enamel regions for front, front-left, front-right, left, and right teeth sites) for six irradiation geometries of uniform external photon fields (AP, PA, LLAT, RLAT, ROT, and ISO) across the energy range of 10 keV to 10 GeV. The results revealed substantial variations among different enamel regions, particularly for photon energies below 0.1 MeV, with differences in DC magnitude of up to 2,251-fold between the front buccal and left lingual enamels at 0.015 MeV in the adult male MRCP. Furthermore, compared to DCs derived from the Golem voxel phantom, the MRCP-based DCs exhibited differences of up to several orders of magnitude at low energies, primarily due to the more detailed anatomical representation of enamel structures within the adult MRCPs. The enamel DCs are expected to be used beneficially to estimate individual radiation doses for exposed adult populations through the conversion of the measured EPR signals in extracted teeth, to include both individual organ doses as well as the whole-body effective dose.

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The International Commission on Radiological Protection (ICRP) recently reduced the dose limit for the eye lens for occupational exposure from 150 mSv yr−1 to 20 mSv yr−1, as averaged over defined periods of five years, with no annual dose in a single year exceeding 50 mSv, emphasizing the importance of the accurate estimation of lens dose. In the present study, for more accurate lens dosimetry, detailed eye models were developed for children and adolescents (newborns and 1, 5, 10, and 15 year olds), which were then incorporated into the pediatric mesh-type reference computational phantoms (MRCPs) and used to calculate lens dose coefficients (DCs) for photon and electron exposures. Finally, the calculated values were compared with those calculated with the adult MRCPs in order to determine the age dependence of the lens DCs. For photon exposures, the lens DCs of the pediatric MRCPs showed some sizable differences from those of the adult MRCPs at very low energies (10 and 15 keV), but the differences were all less than 35%, except for the posterior-anterior irradiation geometry, for which the lens dose is not of primary concern. For electron exposures, much larger differences were found. For the anterior-posterior (AP) and isotropic irradiation geometries, the largest differences between the lens DCs of the pediatric and adult phantoms were found in the energy range of 0.6–1 MeV, where the newborn lens DCs were larger by up to a factor of ∼5 than the adult. The lens DCs of the present study, which were calculated for the radiosensitive region of the lens, also were compared with those for the entire lens in the AP irradiation geometry. Our results showed that the DCs of the entire lens were similar to those of the radiosensitive region for 0.02–2 MeV photons and >2 MeV electrons, but that for the other energy ranges, significant differences were noticeable, i.e. 10%–40% for photons and up to a factor of ∼5 for electrons.

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Development of paediatric mesh-type reference computational phantom series of International Commission on Radiological Protection
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Very recently, Task Group 103 of the International Commission on Radiological Protection (ICRP) completed the development of the paediatric mesh-type reference computational phantoms (MRCPs) comprising ten phantoms (newborn, one year-old, five year-old, ten year-old, and fifteen year-old males and females). The paediatric MRCPs address the limitations of ICRP Publication 143’s paediatric reference computational phantoms, which are in voxel format, stemming from the nature of the voxel geometry and the limited voxel resolutions. The paediatric MRCPs were constructed by converting the voxel-type reference phantoms to a high-quality mesh format with substantial enhancements in the detailed anatomy of the small and complex organs and tissues (e.g. bones, lymphatic nodes, and extra-thoracic region). Besides, the paediatric MRCPs were developed in consideration of the intra-organ blood contents and by modelling the micron-thick target and source regions of the skin, lens, urinary bladder, alimentary tract organs, and respiratory tract organs prescribed by the ICRP. For external idealised exposures, the paediatric MRCPs provide very similar effective dose coefficients (DCEs) to those from the ICRP-143 phantoms but significantly different values for weakly penetrating radiations (e.g. the difference of ∼20 000 times for 10 keV electron beams). This paper introduces the developed paediatric MRCPs with a brief explanation of the construction process. Then, it discusses their computational performance in Geant4, PHITS, and MCNP6 in terms of memory usage and computation speed and their impact on dose calculations by comparing their calculated values of DCEs for external exposures with those of the voxel-type reference phantoms.

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Recently, the Task Group 103 of the International Commission on Radiological Protection (ICRP) has developed new mesh-type reference computational phantoms (MRCPs) for adult male and female. When compared to the current voxel-type reference computational phantoms in ICRP Publication 110, the MRCPs have several advantages, including deformability which makes it possible to create phantoms in different body sizes or postures. In the present study, the MRCPs were deformed to produce a set of percentile-specific phantoms representing the 10th, 50th and 90th percentiles of standing height and body weight in Caucasian population. For this, anthropometric parameters for the percentile-specific phantoms were first derived from the anthropometric software and survey data. Then, the MRCPs were modified to match the derived anthropometric parameters. For this, first, the MRCPs were scaled in the axial direction to match the head height, torso length, and leg length. Then, the head, torso, and legs were scaled in the transversal directions to match the lean body mass for the percentile-specific phantoms. Finally, the scaled phantoms were manually adjusted to match the body weight and the remaining anthropometric parameters (upper arm, waist, buttock, thigh, and calf circumferences and sagittal abdominal diameter). The constructed percentile-specific phantoms and the MRCPs were implemented into the Geant4 Monte Carlo code to calculate organ doses for a cesium-137 contaminated floor. The results showed that organ doses of the 50th percentile (both standing height and body weight) phantoms are very close to those of the MRCPs. There were noticeable differences in organ doses, however, for the 10th and 90th percentile phantoms when compared with those of the MRCPs. The results of the present study confirm the general intuition that a small person receives higher doses than a large person when exposed to a static radiation field, and organs closer to the source receive higher doses.

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Development of skeletal systems for ICRP pediatric mesh-type reference computational phantoms
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In 2016, the International Commission on Radiological Protection (ICRP) launched Task Group 103 (TG 103) for the explicit purpose of developing a new generation of adult and pediatric reference computational phantoms, named ‘mesh-type reference computational phantoms (MRCPs)’, that can overcome the limitations of voxel-type reference computational phantoms (VRCPs) of ICRP Publications 110 and 143 due to their finite voxel resolutions and the nature of voxel geometry. After completing the development of the adult MRCPs, TG 103 has started the development of pediatric MRCPs comprising 10 phantoms (male and female versions of the reference newborn, 1-year-old, 5-year-old, 10-year-old, and 15-year-old). As part of the TG 103 project, within the present study, the skeletal systems, one of the most important and complex organ systems of the body, were developed for each phantom age and sex. The developed skeletal systems, while closely preserving the original bone topology of the pediatric VRCPs, present substantial improvements in the anatomy of complex and/or small bones. In order to investigate the dosimetric impact of the developed skeletons, the average absorbed doses and the specific absorbed fractions for radiosensitive skeletal tissues (i.e. active marrow and bone endosteum) were computed for some selected external and internal exposure cases, which were then compared with those calculated with the skeletons of pediatric VRCPs. The comparison result showed that the dose values of the pediatric MRCPs were generally similar to those of the pediatric VRCPs for highly penetrating radiations (e.g. photons >200 keV); however, for weakly penetrating radiations (e.g. photons ⩽200 keV and electrons), significant differences up to a factor of 140 were observed.

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