Despite the growing use of dose management systems (DMSs), there is limited guidance on their optimal setup. This study aims to fill this gap by outlining the process followed to integrate "DOSE" (Qaelum NV, Belgium) DMS within the Cypriot public hospitals. DOSE was connected to the available central PACS, followed by a thorough data and functioning validation. A preliminary study was also conducted to assess the DOSE's ability to establish typical dose values in diagnostic radiography. Overall, over 70 x-ray units were configured. For some connections, it was necessary to first adjust the unit's DICOM attributes or to utilise the DICOM coercion technique. The DICOM image header was sometimes preferred over the DICOM RDSR, as the chosen data source. This study underscored the importance of understanding the equipment's technical capabilities for a successful DMS integration, while personnel with expertise in diagnostic radiology and the IT aspects of medical physics proved to have a vital role in the process. The pilot study showed that DOSE is an effective tool for establishing typical dose values and assessing compliance with relevant dose levels.

The ambient dose equivalent rate H*(10) was determined at various locations in the metropolitan area of the cities of La Paz and El Alto in Bolivia. A NaI(Tl) scintillation detector was employed to infer the gamma-ray fluence, and the fluence was transformed in dose rates by means of the appropriate coefficients. In this paper, a full methodology for the estimation of dose rates associated with gamma rays emitted from the ground (terrestrial radiation) and the atmosphere is developed from measurements made with the scintillator instrument. The energy calibration and resolution of the apparatus are presented, followed by the estimation of its response and efficiency by means of Monte Carlo simulations. Lastly, the definition of H*(10) is used to determine the conversion coefficients needed to transform gamma-ray fluence in dose rates. With this methodology, rates for H*(10) around 123 ± 8 nSv/h were estimated using data collected in three city districts: Mallasa (3320ma.s.l.), San Antonio (3620ma.s.l.), and Zona Sur (3400ma.s.l.). The dose rates are believed to be representative of the terrestrial radiation fields encountered in the highlands of Bolivia.

This study proposes a practical approach to assessing the need for and determining the transitioning parameters from age-specific to size-specific dose protocols in paediatric head computed tomography examinations. It was designed to begin with the two different age-specific protocols currently applied on paediatric patients of 1 y≤age≤6 y (21.34mGy) and those of age>6 y (34.73mGy). One characteristic size (HDthreshold) was found by measuring anteroposterior head diameter on historical topograms and used with age to set 135 cases into four groups for investigation (A, ≤6y, ≤HDthreshold; B, ≤6y, >HDthreshold; C, >6y, ≤HDthreshold; and D, >6 y, >HDthreshold). The image quality was compared in both subjective and objective manners. Results suggest patients in Group C may have received a potential overdose (38%), while the exposure setting for Group D may replace that for B. The proposed strategy was sufficient to assess the necessity and determine the transitioning parameters from age- to size-specific dose protocols.

In this paper, the effect of thyroid collars on radiation dose during dental cone-beam computed tomography (CBCT) was evaluated using Monte Carlo simulations and to calculate the effective dose underestimated for the actual CBCT examination due to accounting only for the head and neck. Three thyroid collar models that covered the surface of the phantom were established according to the International Commission on Radiological Protection (ICRP) adult-male mesh-type reference computational phantoms, and a Particle and Heavy Ion Transport code System was used to calculate the equivalent and effective doses of ICRP phantom when different thyroid shielding protocols were used in NewTom VGi evo CBCT, considering one medium (12×8cm) and one small (8×5cm) fields of view (FOVs), and two centre positions were used for each FOV. In four CBCT scanning scenarios, thyroid shielding reduced the equivalent dose for many tissues. The results indicate that the portion of the thyroid collar that wraps around the neck has the main role in reducing the effective dose during dental CBCT examinations, and the higher the axial level of the top of the shielding, the better the effectiveness of the shielding. In this study, the underestimation of the effective dose due to considering only the head and neck was 3.1%-8.1%, and the underestimation was more pronounced in larger FOVs.

This work assessed the activity concentrations of 238U(226Ra), 232Th, and 40K and their associated radiological risks due to exposure to soil and consumption of food crops in Babban Tsauni artisanal gold mine, Gwagwalada, Nigeria, using the gamma spectrometry technique. The mean activity concentrations of 226Ra, 232Th, and 40K in the mine soil were 60.2±9.9, 161.4±16.2, and 664.6±138.2, while they were 46.4±4.9, 79.9±39.3, 266.4±185.4 for tubers and 46.9±15.7, 100.5±35.8, 311.4±132.7 (Bq/kg) for grains, respectively. The results reveal that the activity concentrations of radionuclides in all samples exceeded the recommended values set by United Nations Scientific Committee on the Effects of Atomic Radiation (33, 45, and 420 Bq/kg) except 40K, which fell within the acceptable limit in all food crop sample types. Estimated results for radiological hazard parameters, radium equivalent, annual effective dose due to ingestion, and excess life cancer risk were within safe limits, while the annual effective dose due to external gamma radiation in soil and annual gonadal equivalent dose were significantly high in all investigated samples; these call for constant radiological monitoring.

Soil samples were collected from vegetable agricultural areas in and around Addis Ababa, and their levels of radioactivity were measured. Gamma spectrometry with high-purity germanium detector was used to quantify radioactivity level. The average concentration of 226Ra, 232Th, and 40K were 32.8±2.1, 62.4±4.4, and 544.3±23.3Bqkg-1 respectively. The mean values of 232Th and 40K are higher, whereas the value of 226Ra is comparable with world average values. Radiological hazard indices, including radium equivalent activity (Raeq), absorbed dose rate (Dr), outdoor annual effective dose equivalent (Deff), external hazard index (Hex), internal hazard index (Hin), and gamma radiation representative level index (Iγ), were calculated based on the activity concentration of 226Ra, 232Th and 40K. The mean values were 163.9Bqkg-1, 78.7 nGy h-1, 0.10mSv y-1, 0.44, 0.53, and 0.60 respectively. All indices are lower than global recommended limit values. These results revealed that radiation hazard due to radionuclides in the soil of the study area is insignificant.

The effect of patient shielding on fetal radiation dose was evaluated in computed tomography pulmonary angiography with the out-of-plane shield visible in the localizer but absent in the scan range in chest computed tomography (CT). An anthropomorphic phantom with additional prosthetic pregnancy belly was scanned with different CT scanners using clinical imaging protocols and radiophotoluminescence dosemeters (GD-352M). The out-of-plane shield decreased the fetal absorbed radiation dose with Siemens Somatom go.Up, Canon Aquilion Prime SP and Canon Aquilion One scanners. The decrease was 3.9%-39.4% (0.01-0.09mGy). With GE Optima the shield increased the fetal dose by 100% (0.23mGy), with Canon Aquilion One and GE Optima scanners the abdomen dose increase was 17.5% and 36.4%, respectively (0.61 and 1.38mGy). Applying an out-of-plane shield outside the scanned volume may increase the fetal radiation dose during CT when using tube current modulation, depending on the make and model of the CT scanner.

The oil and natural gas industry is one of the largest producers of Naturally Occurring Radioactive Material (NORM) worldwide. The scale and sludge are NORM wastes with the highest activity concentration levels, reaching 3500Bq per g of 226Ra (scale). As wastes (sludge, scale, and produced water) are constantly produced in routine activities, a specific regulation for these wastes is necessary. Therefore, this study presents the regulatory requirements that may serve as a basis for the responsible regulatory body to prepare a specific regulation for the NORM waste generated by the oil industry. As a study published showing that the disposal of bulk NORM waste (not packaged wastes) is viable in Brazil, requirements for the management of these wastes and the characteristics of the landfill for disposal were included.

The purpose of this study was to assess local diagnostic reference levels (LDRLs) for full-field digital mammography (FFDM) and digital breast tomosynthesis (DBT) mammography in India. Data from 1500 women were collected from five different mammography facilities in major cities in Tamil Nadu, India. The mean of mean glandular dose were used to arrive at an LDRL. The noted mean compressed breast thickness was 55.26±3.4. The recorded mean MGDs for the five centres were 3.1±0.1 and 3.8±0.2mGy for FFDM and DBT, respectively. The 75th percentile value for all five centers is 3.3 and 4.0mGy for FFDM and DBT, respectively. The LDRLs found in the current study were also compared with those from earlier studies conducted in other nations, such as the United Kingdom, Malaysia, Morocco, and Ghana. The present study is the first of its kind to determine the LDRL for the FFDM and DBT scanners operating in the Tamil Nadu region, India, and is proposed as a starting point that will allow professionals to evaluate and optimize their practice. Furthermore, similar studies in other regions of India are necessary in order to establish National DRLs.

Beach sediments are mineral deposits formed through weathering and erosion of either igneous or metamorphic rocks. Among the rock constituent minerals are some natural radionuclides that contribute to ionizing radiation exposure on Earth. Kolatoli and Kuakata are the two major beaches with heavy mineral deposits and important tourist sites in Bangladesh. Natural radioactivity in Kolatoli and Kuakata beach sand deposits along the southern coast of Bangladesh was assessed and compared to identify the sources, causes, and possible environmental impact. Result shows most of the radionuclides have higher activity concentrations than the background level, and the activity varies with the sample locations. The dominant radionuclides were found to be the radionuclides of thorium series i.e. Th-232 and Ra-228 followed by uranium series and K-40. The radioactivity in Kolatoli beach sands was observed to be much higher than Kuakata beach due to the presence of a higher content of heavy minerals i.e. illmenite, rutile, zircon, garnet and monazite. Furthermore, monazite and zircon are the two radioactive minerals that are considered to be the main contributors to the radioactivity in Kolatoli beach sand. These minerals are dominated by the activity of thorium series radionuclides i.e. Th-232 and Ra-228 surpass the activity of all other radionuclides such as U-238, U-234, Th-230, Ra-226, Po-210, and K-40. However, major contribution of radioactivity in Kuakata beach sand comes from uranium series radionuclides such as U-238, U-234, Ra-226, and Po-210. Beach morphology, sedimentological, and geochemical evolution of those minerals might be important areas of further study for the radioactivity monitoring activity in those areas.