Doses Of Ionizing Radiation Research Articles

Non-homogenous intratumor ionizing radiation doses synergize with PD1 and CXCR2 blockade

The efficacy and side effects of radiotherapy (RT) depend on parameters like dose and the volume of irradiated tissue. RT induces modulations of the tumor immune microenvironment (TIME) that are dependent on the dose. Low dose RT (LDRT, i.e., single doses of 0.5–2 Gy) has been shown to promote immune infiltration into the tumor. Here we hypothesize that partial tumor irradiation combining the immunostimulatory/non-lethal properties of LDRT with cell killing/shrinkage properties of high dose RT (HDRT) within the same tumor mass could enhance anti-tumor responses when combined with immunomodulators. In models of colorectal and breast cancer in immunocompetent female mice, partial irradiation (PI) with millimetric precision to deliver LDRT (2 Gy) and HDRT (16 Gy) within the same tumor induces substantial tumor control when combined with anti-PD1. Using flow cytometry, cytokine profiling and single-cell RNA sequencing, we identify a crosstalk between the TIME of the differentially irradiated tumor volumes. PI reshapes tumor-infiltrating CD8+ T cells into more cytotoxic and interferon-activated phenotypes but also increases the infiltration of pro-tumor neutrophils driven by CXCR2. The combination of the CXCR2 antagonist SB225002 with PD1 blockade and PI improves tumor control and mouse survival. Our results suggest a strategy to reduce RT toxicity and improve the therapeutic index of RT and immune checkpoint combinations.

Recrystallization of amorphous AlNbCr coatings irradiated with chromium ions

Applying an AlNbCr layer on the surface of Zr alloys significantly enhances the alloy resistance to oxidation and high-temperature corrosion. However, the effects of irradiation on AlNbCr coating remain largely unexplored. This work investigates the microstructural evolution of Cr ion-irradiated AlNbCr coatings under varying temperatures, utilizing bright-field transmission electron microscopy (TEM) observations and electron diffraction pattern analyses. With increasing Cr ion irradiation dose, the coatings gradually transitioned from an initial amorphous to a crystalline state. The onset of crystallization occurred earlier at higher temperatures, indicating that the crystallization process was significantly influenced by temperature. Moreover, the dynamic crystallization process of the crystalline structure was also analyzed, as well as the different irradiation responses at the Near-Interface Area (NIA) and Far-Interface Area (FIA). These findings provide new insights for understanding and optimizing the performance of AlNbCr coatings in high-irradiation environments.

Incidence of Maxillary Sinus Disorders in Dental Patients Undergoing Cone-Beam Computed Tomography: A Retrospective Cross-Sectional Study.

Background Cone-beam computed tomography (CBCT) was quickly adopted in dentistry settings due to its compact size, low cost, and minimal ionizing radiation dose when compared to medical computed tomography. CBCT generates three-dimensional (3D) images that are useful in a variety of oral and maxillofacial circumstances, including diagnosis and assessment of disease severity, treatment planning and delivery, and follow-up. A significant advantage of CBCT lies in its capability to recognize incidental findings. In the realm of dental CBCT imaging, incidental findings often involve the maxillary sinuses, temporomandibular joints, or other craniofacial structures. Objective To demonstrate the incidental findings of maxillary sinus disorders in dental patients undergoing CBCTfor numerous indications. Methods A retrospective cross-sectional study was carried out using data extracted from the Picture Archiving and Communication System (PACS)of Pure Smile Dental Center and Dental College Teaching Hospitals in the Jazan regionfrom September to December 2022. The study sample included a total of 70 patients who underwent orthodontics CBCT, most of whom were female(76%). Statistical analysis was performed using IBM SPSS Statistics for Windows, Version 27 (IBM Corp., Armonk, USA), along with descriptive statistics. Furthermore, chi-square tests and cross-tabulation were done to assess the relation between the study variables. A p-value <0.01 and <0.05was considered statistically significant. Results The most common dental CBCT findings were root invasion (18.6%), followed by gingivitis (7.14%), and dental caries (4.29%). Of the 70 patients, 42 (60%) had maxillary sinus findings, including opacification (50%), sinusitis (40%), mucosal thickening (34.3%), and polyps (7.1%). Female patients had more frequency of incidental findings related to males (41.43% and 18.57%, respectively). Conclusion A high percentage of dental patients exhibited incidental maxillary sinus findings in CBCT scans, confirming the utility of CBCT as a precise imaging method for detecting paranasal sinus disorders. A holistic documentation of incidental findings is crucial for improving patient outcomes and treatment plans.

AniMAIRE‐A New Openly Available Tool for Calculating Atmospheric Ionising Radiation Dose Rates and Single Event Effects During Anisotropic Conditions

AbstractAniMAIRE (Anisotropic Model for Atmospheric Ionising Radiation Effects) is a new model and Python toolkit for calculating radiation dose rates experienced by aircraft during anisotropic solar energetic particle events. AniMAIRE expands the physics of the MAIRE + model such that dose rate calculations can be performed for anisotropic solar energetic particle conditions by supplying a proton or alpha particle rigidity spectrum, a pitch angle distribution, and the conditions of Earth's magnetosphere. In this paper, we describe the algorithm and top‐level structure of AniMAIRE and showcase AniMAIRE's capabilities by analyzing the dose rate maps that AniMAIRE produces when the time‐dependent spectra and pitch angle distribution for Ground Level Enhancement (GLE) 71 are input. We find that the dose rates AniMAIRE produces for the event fall between the dose rates produced by the WASAVIES and CRAC:DOMO models. Dose rate maps that evolve throughout the event are also shown, and it is found that each peak in the input pitch angle distribution generates a dose rate hotspot in each of the polar regions. AniMAIRE has been made available openly online so that it can be downloaded and run freely on local machines and so that the space weather community can easily contribute to it using Github forking.

Effect of γ-rays irradiation on the structural, magnetic, and electrochemical properties of ZnMn2O4 nanoparticles

The study explored the effect of gamma-ray irradiation on the physical, magnetic, and electrochemical properties of ZnMn2O4 synthesized by the burning method. On the physical characterization side, the study utilized multiple metrology techniques to determine the impact of radiation dosage on bond lengths, density, crystallite size, micro strain, lattice constant, and dislocation density. No irradiation impact on the sample's tetragonal spinel structure was observed up to 250 kGy doses. However, the lattice parameters increased post-γ-irradiation and were apparent in the morphology change of irradiated samples compared to control spinel. Conversely, the magnetic parameters decreased post-irradiation based on the vibrating-sample magnetometry (VSM) testing of control and γ-irradiated samples. Changes in parameters like saturation magnetization (Ms) and magneton number (nB) can be attributed to ion-induced disorder and cation distribution in irradiated samples. Finally, the electrochemical testing showed supercapacitor behavior for all ZnMn2O4 samples, with a positive impact of radiation on electrical capacitance and stability. While the γ-irradiated sample with a 250 kGy dose showed a capacitance (Csp) of 515 F/g with 87.6% stability, the control sample had a Csp of 123 F/g and 78% stability. ZnMn2O4 material meets the needs of energy storage devices operating at high ionizing radiation doses.

Ionizing Radiation Dose Differentially Affects the Host-Microbe Relationship over Time.

Microorganisms that colonize in or on a host play significant roles in regulating the host's immunological fitness and bioenergy production, thus controlling the host's stress responses. Radiation elicits a pro-inflammatory and bioenergy-expensive state, which could influence the gut microbial compositions and, therefore, the host-microbe bidirectional relationship. To test this hypothesis, young adult mice were exposed to total body irradiation (TBI) at doses of 9.5 Gy and 11 Gy, respectively. The irradiated mice were euthanized on days 1, 3, and 9 post TBI, and their descending colon contents (DCCs) were collected. The 16S ribosomal RNAs from the DCCs were screened to find the differentially enriched bacterial taxa due to TBI. Subsequently, these data were analyzed to identify the metagenome-specific biofunctions. The bacterial community of the DCCs showed increased levels of diversity as time progressed following TBI. The abundance profile was the most divergent at day 9 post 11 Gy TBI. For instance, an anti-inflammatory and energy-harvesting bacterium, namely, Firmicutes, became highly abundant and co-expressed in the DCC with pro-inflammatory Deferribacteres at day 9 post 11 Gy TBI. A systems evaluation found a diverging trend in the regulation profiles of the functional networks that were linked to the bacteria and metabolites of the DCCs, respectively. Additionally, the network clusters associated with lipid metabolism and bioenergy synthesis were found to be activated in the DCC bacteria but inhibited in the metabolite space at day 9 post 11 Gy. Taking these results together, the present analysis indicated a disrupted mouse-bacteria symbiotic relationship as time progressed after lethal irradiation. This information can help develop precise interventions to ameliorate the symptoms triggered by TBI.

Vaginal Mucosal Melanoma Cell Activation in Response to Photon or Carbon Ion Irradiation

PurposePrimary gynecological melanomas are uncommon with lower survival rates compared to cutaneous melanomas. Although melanocytes have been identified in a variety of mucosal membranes, little is known about their interactions or roles inside the mucosa layer. Melanin is a common pigment in nature and is endowed with several peculiar chemical, paramagnetic, and semiconductive characteristics. One of its latest explored functions is its interaction with ionizing radiation as a protective mechanism as well as its implication in the metastatic cascade of tumor cells. Materials and MethodsIn this work, we analyzed in vitro the effects of different doses of photon and carbon ion irradiation on dendrite formation, pigmentation, migration, and invasion abilities of human mucosal melanoma cells of the vagina. We evaluated the morphology and melanin production of HMV-II cells exposed to photon and carbon ion beams with single doses between 0.5 and 10 Gy. ResultsOur results showed that irradiation induces dendrite formation or elongation and pigmentation in HMV-II cells in a dose-type-dependent and radiation-type-dependent way but also a decrease in cell motility. ConclusionThe present study describes for the first time an induction of dendritic formation, melanin production, and alterations in migration and invasion abilities by low-linear energy transfer and high-linear energy transfer radiation in human mucosal melanoma cells, suggesting a radioprotective response to further possible exposures increasing the radioresistance of these cells.

Serum exosomal miRNA promote glioma progression by targeting SOS1 via abscopal effect of radiation

IntroductionLocal exposure to ionizing radiation (IR) can induce changes in biological processes in distant tissues and organs. Exosomes are nanoscale vesicles that transport biomolecules, mediate communication between cells and tissues, and can affect the abscopal effects of radiotherapy. MethodsMice were treated with 8.0 Gy doses of chest and abdomen IR, after which serum samples were taken 24 h after exposure. Their serum exosomes were then isolated via ultracentrifugation and the small RNA portions were extracted for sequencing and bioinformatic analysis. Exosomes were injected intravenously into the mice to assess their ability to cross the blood-brain barrier (BBB). Glioma cells and glioma stem cells (GSCs) were examined for malignant biological behaviors, stemness, and tumorigenic capacity after co-culturing with different groups of exosomes. ResultsWe found that serum exosomes crossed the BBB in mice after local IR exposure-which induced decreases in the expression of BBB tight-junction proteins and increased brain endothelial cell apoptosis. Exosomes from the exposed groups promoted malignant biological behaviors, stemness, and tumorigenic capacity in glioma cells and GSCs by upregulating the expression of SOS1. Phospho-MEK1/2 and Phospho-ERK1/2, of the MAPK signaling pathway, were found to be up-regulated in cells that were co-cultured with the exposing groups of the exosomes. Further analyses demonstrated that differentially expressed levels of miR-93–5p in mouse serum exosomes regulated the cellular expression of SOS1. ConclusionFollowing local IR exposure, serum exosomes cross the BBB to promote the progression of distant gliomas. Exosomal microRNAs play an important role in this process.

Radiation Effects in Tungsten and Tungsten-Copper Alloys Treated with Compression Plasma Flows and Irradiated with He Ions.

The paper presents the results of studying the structure and phase state of tungsten and tungsten-copper alloy after pulsed action of compression plasma flows and irradiation with helium ions. The compression plasma flows were used to modify the surface layer of tungsten, as well as to create an alloy based on tungsten and copper. Using scanning electron microscopy and X-ray structural analysis, the formation of radiation defects on the tungsten surface was detected in the form of local areas of exfoliation and destruction, which begin to form at helium ion irradiation doses of 2 × 1017 cm-2. It is shown that preliminary plasma treatment of the surface in the melting mode leads to the complete disappearance of surface radiation defects up to a dose of 2 × 1017 cm-2, which may be associated with the formation of a fine-crystalline grain structure, the intergranular boundaries of which serve as effective sinks for primary radiation defects.

Low-dose ionizing radiation-induced RET/PTC1 rearrangement via the non-homologous end joining pathway to drive thyroid cancer.

Thyroid cancer incidence increases worldwide annually, primarily due to factors such as ionizing radiation (IR), iodine intake, and genetics. Papillary carcinoma of the thyroid (PTC) accounts for about 80% of thyroid cancer cases. RET/PTC1 (coiled-coil domain containing 6 [CCDC6]-rearranged during transfection) rearrangement is a distinctive feature in over 70% of thyroid cancers who exposed to low doses of IR in Chernobyl and Hiroshima‒Nagasaki atomic bombings. This study aims to elucidate mechanism between RET/PTC1 rearrangement and IR in PTC. N-thy-ori-3-1 cells were subjected to varying doses of IR (2/1/0.5/0.2/0.1/0.05Gy) of IR at different days, and result showed low-dose IR-induced RET/PTC1 rearrangement in a dose-dependent manner. RET/PTC1 has been observed to promote PTC both in vivo and in vitro. To delineate the role of different DNA repair pathways, SCR7, RI-1, and Olaparib were employed to inhibit non-homologous end joining (NHEJ), homologous recombination (HR), and microhomology-mediated end joining (MMEJ), respectively. Notably, inhibiting NHEJ enhanced HR repair efficiency and reduced IR-induced RET/PTC1 rearrangement. Conversely, inhibiting HR increased NHEJ repair efficiency and subsequent RET/PTC1 rearrangement. The MMEJ did not show a markable role in this progress. Additionally, inhibiting DNA-dependent protein kinase catalytic subunit (DNA-PKcs) decreased the efficiency of NHEJ and thus reduced IR-induced RET/PTC1 rearrangement. To conclude, the data suggest that NHEJ, rather than HR or MMEJ, is the critical cause of IR-induced RET/PTC1 rearrangement. Targeting DNA-PKcs to inhibit the NHEJ has emerged as a promising therapeutic strategy for addressing IR-induced RET/PTC1 rearrangement in PTC.

Research on Total Ionizing Dose Radiation Hardening by Design Method for Bandgap Reference Based on Real-Time Monitoring and Adaptive Compensation

Research on Total Ionizing Dose Radiation Hardening by Design Method for Bandgap Reference Based on Real-Time Monitoring and Adaptive Compensation

Techniques and Strategies to Minimize Radiation Exposure in Pediatric Computed Tomography (CT) Abdominal Examinations: A Review.

As children are more vulnerable to radiation-induced cancers and have longer life expectancies, it is essential to implement strict radiation protection measures in pediatric imaging. This study aimed to review radiation dose-minimizing measures in pediatric abdominal computed tomography (CT) examinations. A systematic search across various databases, including Web of Science, PubMed, SpringerLink, ScienceDirect, and Google Scholar, yielded a total of 7,314 articles. The search used keywords that aligned with the objectives of the study. This study included 77 publications after applying the criteria for inclusion and exclusion. We carefully reviewed these selected articles for compliance with the inclusion criteria and excluded them if they did not meet the specified criteria. Only 12 articles fulfilled the strict criteria. An in-depth review of 12 selected articles demonstrated the radiation dose reduction techniques and strategies, which include prefiltering and post-processing algorithms, careful adjustment of exposure parameters such as tube voltage (kVp) and current (mAs), and the establishment of diagnostic reference levels (DRL). Reduction of radiation exposure in pediatric CT imaging demands multifaceted approaches. To reduce the ionizing radiation dose while still obtaining high-quality diagnostic images, healthcare practitioners should adhere to DRL, adjust exposure factors, implement prefiltration, employ AI, and use post-processing algorithms.

Measurement of ionising radiation dose absorbed by bones by using a bone-imitating polymer gel dosimeter

Three-dimensional radiotherapy dosimetry allows for high-resolution dose distribution measurements using dosimeters imitating various tissues. This work concerns bone-imitating dosimeters. The following are investigated: (i) manufacturing of bone-imitating dosimeters with two types of calcium hydroxyapatite, (ii) dose response characteristics after irradiation with a 6 MV photon beam, and (iii) tissue equivalence. The main findings include the dosimetric compositions with two types of calcium hydroxyapatite. For 18 % of one type of hydroxyapatite, the dosimeter imitates trabecular bone. For much higher concentrations (>40 %, another hydroxyapatite), the dosimeter approaches the properties of dense bone. The dynamic dose response is not greater than 30 Gy, the linear dose range is <20 Gy (computed tomography and nuclear magnetic resonance measurements), and the dose sensitivity is 0.11–0.18 Gy−1 s −1 (nuclear magnetic resonance measurements) for different weight fractions of hydroxyapatites. In summary, a bone-imitating polymer gel dosimeter can be used to measure the radiation dose in radiotherapy.

Talazoparib enhances resection at DSBs and renders HR-proficient cancer cells susceptible to Polθ inhibition

Background and purposeThe PARP inhibitor (PARPi), Talazoparib (BMN673), effectively and specifically radiosensitizes cancer cells. Radiosensitization is mediated by a shift in the repair of ionizing radiation (IR)-induced DNA double-strand breaks (DSBs) toward PARP1-independent, alternative end-joining (alt-EJ). DNA polymerase theta (Polθ) is a key component of this PARP1-independent alt-EJ pathway and we show here that its inhibition can further radiosensitize talazoparib-treated cells. The purpose of the present work is to explore mechanisms and dynamics underpinning enhanced talazoparib radiosensitization by Polθ inhibitors in HR-proficient cancer cells. Methods and MaterialsRadiosensitization to PARPis, talazoparib, olaparib, rucaparib and veliparib was assessed by clonogenic survival. Polθ-proficient and −deficient cells were treated with PARPis and/or with the Polθ inhibitors ART558 or novobiocin. The role of DNA end-resection was studied by down-regulating CtIP and MRE11 expression using siRNAs. DSB repair was assessed by scoring γH2AX foci. The formation of chromosomal abnormalities was assessed as evidence of alt-EJ function using G2-specific cytogenetic analysis. ResultsTalazoparib exerted pronounced radiosensitization that varied among the tested cancer cell lines; however, radiosensitization was undetectable in normal cells. Other commonly used PARPis, olaparib, veliparib, or rucaparib were ineffective radiosensitizers under our experimental conditions. Although genetic ablation or pharmacological inhibition of Polθ only mildly radiosensitized cancer cells, talazoparib-treated cells were markedly further radiosensitized. Mechanistically, talazoparib shunted DSBs to Polθ-dependent alt-EJ by enhancing DNA end-resection in a CtIP- and MRE11-dependent manner – an effect detectable at low, but not high IR doses. Chromosomal translocation analysis in talazoparib-treated cells exposed to Polθ inhibitors suggested that PARP1- and Polθ-dependent alt-EJ pathways may complement, but also back up each other. ConclusionWe propose that talazoparib promotes low-dose, CtIP/MRE11-dependent resection and increases the reliance of irradiated HR-proficient cancer cells, on Polθ-mediated alt-EJ. The combination of Polθ inhibitors with talazoparib suppresses this option and causes further radiosensitization. The results suggest that Polθ inhibition may be exploited to maximize talazoparib radiosensitization of HR-proficient tumors in the clinic.

Characteristics of sphingomyelin metabolism in the MCF7 and BT474 radiotherapy‑resistant HER2‑positive breast cancer cell lines.

Breast cancer is the most common cancer globally in terms of incidence. This cancer is classified into subtypes based on histological or immunological characteristics. HER2-positive cases account for 15-25% of breast cancer cases, and one of the first events in breast carcinogenesis is HER2 upregulation. Furthermore, HER2 expression increases the detection rate of metastatic or recurrent breast cancers by 50-80%. The epidermal growth factor receptor family includes HER2, which is a transmembrane receptor protein. In our previous case report, patients who were resistant to anti-HER2 monoclonal antibody therapy, chemotherapy and radiotherapy had higher concentrations of phospholipid metabolites such as phosphatidylcholine and sphingomyelin (SM), which was associated with cancer recurrence progression. To better understand the relationship between radiotherapy resistance and SM expression, breast cancer cell lines with and without HER2 expression (MCF7 and BT474) after exposure to ionizing radiation (IR) were examined. In the cell culture supernatant, similar levels of SM in MCF7 cells were identified after 1-4 Gy exposure. However, SM levels in BT474 cells were upregulated compared with those of in the control group. Intracellular SM levels were upregulated in BT474 cells exposed to 1 and 4 Gy compared with the non-irradiated control group. Furthermore, significantly increased mRNA expression levels of sphingomyelin synthase 2 (SGMS2) in BT474 cells exposed to IR were observed compared with those in nonirradiated cells; however, the SGMS2 levels in MCF7 cells did not differ significantly among the 0, 2 and 4 Gy groups. These findings suggested that a higher dose of IR induced the secretion of SM and its associated gene expression in HER2-positive breast cancer cells.

Irradiation and Alterations in Hippocampal DNA Methylation.

The response of the brain to radiation is important for cancer patients receiving whole or partial brain irradiation or total body irradiation, those exposed to irradiation as part of a nuclear accident or a nuclear war or terrorism event, and for astronauts during and following space missions. The mechanisms mediating the effects of irradiation on the hippocampus might be associated with alterations in hippocampal DNA methylation. Changes in cytosine methylation involving the addition of a methyl group to cytosine (5 mC) and especially those involving the addition of a hydroxy group to 5 mC (hydroxymethylcytosine or 5 hmC) play a key role in regulating the expression of genes required for hippocampal function. In this review article, we will discuss the effects of radiation on hippocampal DNA methylation and whether these effects are associated with hippocampus-dependent cognitive measures and molecular measures in the hippocampus involved in cognitive measures. We will also discuss whether the radiation-induced changes in hippocampal DNA methylation show an overlap across different doses of heavy ion irradiation and across irradiation with different ions. We will also discuss whether the DNA methylation changes show a tissue-dependent response.

Dynamic Degradation of Planar-Gate SiC MOSFETs After Total Ionizing Dose Radiation

Dynamic Degradation of Planar-Gate SiC MOSFETs After Total Ionizing Dose Radiation

Ionizing Radiation-Induced Oxidative Stress in Computed Tomography-Effect of Vitamin C on Prevention of DNA Damage: PREVIR-C Randomized Controlled Trial Study Protocol.

Exposure to ionizing radiation (IR) is inevitable in various X-ray imaging examinations, with computed tomography (CT) being a major contributor to increased human radiation exposure. Ionizing radiation may cause structural damage to macromolecules, particularly DNA, mostly through an indirect pathway in diagnostic imaging. The indirect pathway primarily involves the generation of reactive oxygen species (ROS) due to water radiolysis induced by IR, leading to DNA damage, including double-strand breaks (DSB), which are highly cytotoxic. Antioxidants, substances that prevent oxidative damage, are proposed as potential radioprotective agents. This Study Protocol article presents the rationale for selecting vitamin C as a preventive measure against CT-associated IR-induced DNA damage, to be investigated in a randomized placebo-controlled trial, with a full in vivo design, using an oral easy-to-use schedule administration in the outpatient setting, for the single CT examination with the highest total global IR dose burden (contrast-enhanced abdomen and pelvis CT). The study also aims to explore the mediating role of oxidative stress, and it has been written in adherence to the Standard Protocol Items recommendations.

How Many Imaging Studies Do Patients With Neuromuscular Early Onset Scoliosis (EOS) Receive?

Children with neuromuscular early onset scoliosis (EOS) receive numerous radiographic studies both from orthopaedic and other specialties. Ionizing radiation doses delivered by computed tomography (CT) are reportedly 100 times higher than conventional radiography. The purpose of this study was to evaluate the number of radiographic studies ordered for neuromuscular EOS patients during their care. Retrospective review at a tertiary children's hospital from January 2010 to June 2021 included all patients with neuromuscular EOS followed by an orthopaedic specialist for a minimum of 3 years. Patients were excluded if the majority of their nonorthopaedic care was provided by outside institutions. Eighteen patients met inclusion criteria with mean follow up of 6.4±2.3 years. A total of 1312 plain radiographs and 35 CT scans were performed. Of the plain radiographs, 34.7% were ordered by orthopaedic providers and 65.3% (857/1312) were ordered by other providers. Of the CT scans, 4 were ordered by orthopaedic providers, while 88.5% (21/35) were ordered by other providers. An average of 74.7 (range: 29 to 124) radiographs and 1.9 (range: 0 to 9) CT scans ordered over the course of each patient's treatment for an average of 13.0±6.0 radiographs and 0.3 CT scans per year. With an average of 75 radiographs and 1.9 CT scans performed per patient, consideration for steps to limit exposure to ionizing radiation should be made a particularly high priority in this unique subset of patients. This requires interdisciplinary coordination as 65% of the radiographs and over 80% of the CT scans were ordered by nonorthopaedic providers. Level III.

Redistribution of Nb and other alloying elements in Nb-doped Zr alloy under high dose ion irradiation

ABSTRACT To understand the microstructural changes in Nb-doped zirconium alloy cladding at high irradiation doses, the Mitsubishi Developed Alloy (MDA) cladding was ion- irradiated up to 40 dpa at 400 ◦ C and the distribution of alloying elements was in- vestigated using atom probe tomography (APT) and scanning transmission electron microscopy and energy dispersive X-ray spectroscopy (STEM-EDS). APT analysis revealed two types of Nb nanoclusters with different Nb contents after the ion irradia- tion. The Nb concentration in the matrix decreased significantly with ion irradiation up to 10 dpa and then decreased slowly to 40 dpa. STEM-EDS analysis estimated that the secondary phase precipitates (SPPs) of Zr(Fe,Cr,Nb)2 and Zr(Fe,Cr)2 were formed before the ion irradiation. Although Fe, Cr, and Nb were dissolved from the SPPs during the ion irradiation, these alloying elements still remained in the SPPs after 40 dpa irradiation. Other Fe-Cr nanoclusters, Nb-rich phase, and Fe-rich phase were also formed during the ion irradiation. These radiation-induced precip- itates were observed until after 40 dpa irradiation and were expected to be stable under irradiation conditions.