A study on the radiation dose associated with cerebral CT angiography (CTA) and CT perfusion (CTP) was conducted on an anthropomorphic phantom with the aim of estimating the effective dose (E) and entrance skin dose (ESD) in the eyes and thyroid gland during different CTA and CTP protocols. The E was calculated to be 0.61 and 0.28 mSv in CTA with 100 and 80 kV(p), respectively. In contrast, CTP resulted in an estimated E of 2.74 and 2.07 mSv corresponding to 40 and 30 s protocols, respectively. The eyes received a higher ESD than the thyroid gland in all of these protocols. The results of this study indicate that combining both CTA and CTP procedures are not recommended in the stroke evaluation due to high radiation dose. Application of modified techniques in CTA (80 kV(p)) and CTP (30 s) is highly recommended in clinical practice for further radiation dose reduction.
Measurements of external radiation level, radon/thoron daughters concentrations in air and uranium/thorium concentrations in airborne mineral dust at 16 amang plants in Malaysia were carried out for three consecutive months to assess radiation dose to workers. Estimated occupational dose was within the range of 1.7-10.9 mSv y(-1). The mean total dose at the amang plants was 4.1 mSv y(-1). Overall, it was found that the major dose contribution of 80% came from external radiation. Radon/thoron daughters and airborne mineral dust contributed to only 11 and 9% of the total dose, respectively.
An intercomparison exercise (IC) on whole body dosemeters to determine the quantity personal dose equivalent Hp (10) in photon radiation fields was jointly organised and conducted by the International Atomic Energy Agency (IAEA) and the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) for individual monitoring services (IMS) in Asia and the Pacific region. This was arranged to help the IMS in the region to achieve a more accurate dosimetry service and to improve their performance. Twenty-four IMS participated in this IC. Four sets of dosemeters were irradiated using X-ray and gamma radiation qualities at 0° and 20° angle of incidence, respectively. All the IMS provided results that were within the acceptable limits defined by the IAEA. However, only a minority of participants reported confidence intervals that included the reference dose, for each exposure scenario. For few systems, the overall performance could be significantly improved by reviewing calibration procedures.
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.
As a reference photon field, several radionuclides have been used frequently, such as 241Am,137Cs and60 Co for calibration. These nuclides provide mono-energy photons for dosemeters covering few tens of keV-MeV. The main energy around 200 keV is important for both environmental and medical fields since the former should consider scattering photons and the later should measure photons from X-ray generator. In our previous work, a backscattered layout can provide a uniform photon field spectra and dose rate with an energy of 190 keV by using an affordable intensity 137 Cs gamma source. Several other quasi-monoenergetic photon fields in the range of 100-200 keV could be obtained by using several available gamma sources. Two calibrated environmental CsI(Tl) survey meters, Horiba PA-1000 and Mr. Gamma A2700, had been measured with the developed backscattered photon field to understand energy-dependent features in order to confirm dosemeter readings. Consequently, both scintillator instruments are sensitive for measurements of the relatively low dose rates at 190 keV.
The aim of this study was to propose local diagnostic reference levels (LDRLs) for the most common computed tomography (CT) examinations (including contrast and non-contrast scan phase) performed at Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia (USM), Malaysia. A retrospective CT dose survey of 1488 subjects from January 2015 until December 2018 was performed at AMDI USM, Malaysia. The proposed DRLs were established at 50th and 75th percentile of dose distribution for all dose metrics (CT dose index [CTDI]; CTDIvol, CTDIw and dose-length product). The proposed LDRLs were compared with national DRLs and other established DRLs. The 10 most common CT examinations at AMDI were thorax-abdomen-pelvis (TAP) CT (46%), followed by pelvis CT (17%), abdomen-pelvis CT (10%), brain/head CT (9%) and other CT protocols. The local DRLs were established using the third quartile values of dose distribution and were categorized based on CT region protocols. Most of the proposed DRLs were exceeded the national DRLs (63%) and other international DRLs (67%). From the dose auditing, almost half of the recent dose data (for year 2018) exceeded the proposed local DRLs and the unusual dose were observed in TAP, brain/head and pelvis CT examinations. The unusual higher dose could be due to higher mAs settings, higher number of scan phase for contrast study and higher pitch factor. The local DRLs should be established for dose optimization and reduction of the occurrence of excessive radiation exposure to the patients. The establishment of the Ads and LDRLs should also consider all the factors that affect the variation in DRLs such as CT technology, scanning protocols and population characteristics. The local dose distribution should always be revised for improvement of the current local practice.
Present study concerns the radiological character of Malaysian honey. A total of 18 samples (representative of the various most common types) were obtained from various honey bee farms throughout the country. Using a high-purity germanium γ-ray spectroscopic system, the samples were analysed for the naturally occurring radionuclides 226Ra, 228Ra and 40K. The respective range of activities (in Bq/kg) was: 3.49 ± 0.35 to 4.51 ± 0.39, 0.99 ± 0.37 to 1.74 ± 0.39 and 41.37 ± 3.26 to 105.02 ± 6.91. The estimated associated committed effective doses were derived from prevailing data on national consumption of honey, the annual dose being found low compared with the UNSCEAR reference dose limit of 290 μSv y-1. The estimated threshold consumption rate for honey indicates a maximum intake of 339 g/d, which poses an insignificant radiological risk to public health; however, the total dietary exposure may not, the guidance level of 290 μSv y-1 being applicable to dietary intake of all foodstuffs. The study is in support of the cultivation of a healthy lifestyle, acknowledging prevailing radioactivity within the environment.
Malaysia is among the countries with the highest fish consumption in the world and relies on seafood as a main source of animal protein. Thus, the radioactivity in the mostly consumed marine animals such as fishes, crustaceans and molluscs collected from the coastal waters around Peninsular Malaysia has been determined to monitor the level of human exposure by natural radiation via seafood consumption. The mean activity concentrations of naturally occurring radionuclides (226)Ra ((238)U), (228)Ra ((232)Th) and (40)K ranged from 0.67 ± 0.19 Bq kg(-1) (Perna viridis) to 1.20 ± 0.70 Bq kg(-1) (Rastrelliger), from 0.19 ± 0.17 Bq kg(-1) (Teuthida) to 0.82 ± 0.67 Bq kg(-1) (Caridea) and from 34 ± 13 Bq kg(-1) (Caridea) to 48 ± 24 Bq kg(-1) (Teuthida), respectively. The mean annual committed effective dose due to the individual radionuclides shows an order of (228)Ra > (226)Ra > (40)K in all marine samples. The obtained doses are less than the global internal dose of 290 µSv y(-1) set by the United Nations Scientific Committee on the Effects of Atomic Radiation, discarding any significant radiological risks to the populace of Peninsular Malaysia.
Tapioca and sweet potato are the fourth and fifth most consumed crops in Malaysia. The activity concentrations of natural radionuclides in these vegetables were assessed from two regions in Malaysia (Kedah and Penang) along with soil samples using gamma ray spectroscopy. The transfer factors of 226Ra, 232Th and 40K from soil to vegetables were calculated, and a dose assessment was performed. The activity concentrations of 226Ra, 232Th and 40K in soil samples did not show a significant variation with the regions investigated, and the average values obtained, in Bq/kg, (±SD) were as follows: 80 ± 41, 56 ± 12, 516 ± 119, respectively. The respective average activity concentrations in vegetables were as follows, in Bq/kg: (±SD) 2.0 ± 0.5, 6 ± 2, 153 ± 49. The corresponding transfer factors were calculated to be 0.03, 0.11 and 0.31 for 226Ra, 232Th and 40K, respectively. The average annual effective doses due to the exposure from soil and ingestion of vegetables were found to lie within the worldwide ranges.
Measurements of (222)Rn activity concentration were carried out in 39 samples collected from the domestic and drinking water sources used in the island and mainland of Penang, northern peninsular, Malaysia. The measured activity concentrations ranged from 7.49 to 26.25 Bq l(-1), 0.49 to 9.72 Bq l(-1) and 0.58 to 2.54 Bq l(-1) in the raw, treated and bottled water samples collected, respectively. This indicated relatively high radon concentrations compared with that from other parts of the world, which still falls below the WHO recommended treatment level of 100 Bq l(-1). From this data, the age-dependent associated committed effective doses due to the ingestion of (222)Rn as a consequence of direct consumption of drinking water were calculated. The committed effective doses from (222)Rn resulting from 1 y's consumption of these water were estimated to range from 0.003 to 0.048, 0.001 to 0.018 and 0.002 to 0.023 mSv y(-1), for age groups 0-1, 2-16 and >16 y, respectively.
The purpose of this project is to evaluate the suitability of different sites as locations for obtaining underground water for consumption. The analysis of ²³⁸U, ²³²Th and ⁴⁰K from rock samples from each layer of borehole at a depth of ∼50 m at Site A borehole, S3L1-S3L6 in Gosa and 40 m at Site B borehole, S4L1-S4L5 in Lugbe, Abuja, north central Nigeria is presented. The gamma-ray spectrometry was carried out using a high-purity germanium detector coupled to a computer-based high-resolution multichannel analyzer. The activity concentrations at Site A borehole for ²³⁸U have a mean value of 26 ± 3, ranging from 23 ± 2 to 30 ± 3 Bq kg⁻¹, ²³²Th a mean value of 63 ± 5, ranging from 48 ± 4 to 76 ± 6 Bq kg⁻¹ and ⁴⁰K a mean value of 573 ± 72, ranging from 437 ± 56 to 821 ± 60 Bq kg⁻¹. The activity concentrations at Site B borehole for ²³⁸U have a mean value of 20 ± 2, ranging from 16 ± 2 to 23 ± 2 Bq kg⁻¹, ²³²Th a mean value of 46 ± 4, ranging from 43 ± 4 to 49 ± 4 Bq kg⁻¹, ⁴⁰K a mean value of 915 ± 116 and ranging from 817 ± 103 Bq kg⁻¹ to 1011 ± 128 Bq kg⁻¹. It is noted that the higher activity concentrations of ²³²Th and ²³⁸U are found in Site A at Gosa. Site B has lower radioactivity, and it is recommended that both sites are suitable for underground water consumption.
Vegetable is an essential daily diet item for the people of Malaysia. This work addressed the radiation and heavy metal exposure scenarios through the consumption of vegetables. Kuala Selangor is located in Sungai Selangor estuary in the west coast of Peninsular Malaysia, which is susceptible to pollution load due to the presence of large-scale industrial and human activities. Radioactivity and heavy metals level in human diet is of particular concern for the assessment of possible radiological and chemical hazards to human health. Therefore, a comprehensive study was carried out to determine the radioactivity levels ((226)Ra, (228)Ra and (40)K) and heavy metal concentrations (Cr, As, Cd, Mn, Mg, Al, Sr, Rb, Sb, Ba, Hg, Fe, Ni, Zn, Cu, Bi and Pb) in 10 varieties of vegetable collected from different farmlands in Kuala Selangor region. The committed doses for (226)Ra, (228)Ra and (40)K due to consumption of vegetables were found 16.6±1.3, 23.6±1.7 and 58±5 µSv y(-1), respectively, with a total of 98±8 µSv y(-1). This dose imposes no significant threat to human health. The estimated cancer risk shows that probability of increase in cancer risk from daily intake of vegetables is only a minor fraction of International Commission on Radiological Protection values. The concentrations of heavy metal were below the daily intake recommended by the international organisations.
The mass attenuation coefficients (mu/rho) of Rhizophora spp. were determined for photons in the energy range of 15.77-25.27 keV. This was carried out by studying the attenuation of X-ray fluorescent photons from zirconium, molybdenum, palladium, silver, indium and tin targets. The results were compared with theoretical values for average breast tissues in young-age, middle-age and old-age groups calculated using photon cross section database (XCOM), the well-known code for calculating attenuation coefficients and interaction cross-sections. The measured mass attenuation coefficients were found to be very close to the calculated XCOM values in breasts of young-age group.
During the years 1985-2008, the Secondary Standards Dosimetry Laboratory of Malaysia (SSDL Malaysia) has participated 37 times in the IAEA/WHO intercomparison programmes. This paper reports an analysis of the intercomparison data and demonstrates that the quality of the SSDL calibration service is well within the limits required by IAEA.
This study aims to reduce radon gas emanations in the indoor environment by incorporating kenaf and oil palm nanocellulose that act as nano-fillers into building materials. Fabrication of composite brick was carried out according to the MS and ASTM standards. In this research, 40, 80, 120, 160 and 200 ml of nanocellulose were used to replace the usage of sand, stone and cement materials, respectively. Kenaf and oil palm nanocellulose were utilised to reduce the internal and surface porosity as well as to replace the radon resources (stone), which indirectly reduced radon gas emanation. Radon gas emanated from each composite brick was measured within 10 consecutive days in an airtight prototype Perspex room using Radon Monitor Sentinel 1030. A compression test was also carried out to investigate the physical strength of the fabricated composite bricks. The results showed that 40 ml of kenaf and oil palm nanocellulose was the optimum amount in reducing the radon concentration, where the radon readings were 1.4 and 0.93 pCi per l, respectively. Meanwhile, the brick with no nanocellulose exhibited the highest radon reading of 3.77 pCi per l. Moreover, the Young modulus for the composite brick of both kenaf and oil palm nanocellulose was 28.92 and 27.8 N per mm2 compared to the control brick, which was 27 N per mm2. The results proved that radon gas emanations were reduced by 62.86% for kenaf and 75.3% for oil palm by incorporating the organic nanocellulose, which has high potential towards a healthy indoor environment.
The systematic monitoring of image quality and radiation dose is an ultimate solution to ensuring the continuously high quality of mammography examination. At present several protocols exist around the world, and different test objects are used for quality control (QC) of the physical and technical aspects of screen-film mammography. This situation may lead to differences in radiation image quality and dose reported. This article reviews the global QC perspective for the physical and technical aspects of screen-film mammography with regard to image quality and radiation dose. It points out issues that must be resolved in terms of radiation dose and that also affect the comparison.
This paper discusses the advantage of certification process in the quality assurance of individual dose monitoring in Malaysia. The demand by customers and the regulatory authority for a higher degree of quality service requires a switch in emphasis from a technically focused quality assurance program to a comprehensive quality management for service provision. Achieving the ISO 9001:2000 certification by an accredited third party demonstrates acceptable recognition and documents the fact that the methods used are capable of generating results that satisfy the performance criteria of the certification program. It also offers a proof of the commitment to quality and, as a benchmark, allows measurement of the progress for continual improvement of service performance.
This study assesses the 'radio-ecological' impacts of Fukushima nuclear accident on non-human biota using the ERICA Tool, which adopts an internationally verified methodology. The paper estimates the impacts of the accident on terrestrial and marine biota based on the environmental data reported in literature for Japan, China, South Korea and the USA. Discernible impacts have been detected in the marine biota around Fukushima Daiichi nuclear power plant. This study confirms that the Fukushima accident had caused heavier damage to marine bionts compared with terrestrial flora and fauna, in Japan.
This work evaluated and compared the absorbed doses to selected organs in the head and neck region from the three image guided radiotherapy systems: cone-beam computed tomography (CBCT) and kilovoltage (kV) planar imaging using the On-board Imager® (OBI) as well as the ExacTrac® X-ray system, all available on the Varian Novalis TX linear accelerator. The head and neck region of an anthropomorphic phantom was used to simulate patients' head within the imaging field. Nanodots optically stimulated luminescent dosemeters were positioned at selected sites to measure the absorbed doses. CBCT was found to be delivering the highest dose to internal organs while OBI-2D gave the highest doses to the eye lenses. The setting of half-rotation in CBCT effectively reduces the dose to the eye lenses. Daily high-quality CBCT verification was found to increase the secondary cancer risk by 0.79%.
This study was undertaken to compare the entrance surface dose (ESD) and image quality of adult chest and abdominal X-ray examinations conducted at general practitioner (GP) clinics, and public and private hospitals in Malaysia. The surveyed facilities were randomly selected within a given category (28 GP clinics, 20 public hospitals and 15 private hospitals). Only departmental X-ray units were involved in the survey. Chest examinations were done at all facilities, while only hospitals performed abdominal examinations. This study used the x-ray attenuation phantoms and protocols developed for the Nationwide Evaluation of X-ray Trends (NEXT) survey program in the United States. The ESD was calculated from measurements of exposure and clinical geometry. An image quality test tool was used to evaluate the low-contrast detectability and high-contrast detail performance under typical clinical conditions. The median ESD value for the adult chest X-ray examination was the highest (0.25 mGy) at GP clinics, followed by private hospitals (0.22 mGy) and public hospitals (0.17 mGy). The median ESD for the adult abdominal X-ray examination at public hospitals (3.35 mGy) was higher than that for private hospitals (2.81 mGy). Results of image quality assessment for the chest X-ray examination show that all facility types have a similar median spatial resolution and low-contrast detectability. For the abdominal X-ray examination, public hospitals have a similar median spatial resolution but larger low-contrast detectability compared with private hospitals. The results of this survey clearly show that there is room for further improvement in performing chest and abdominal X-ray examinations in Malaysia.