OBJECTIVE:To describe the status and results of thyroid disease screening and assessment of reliability of radiationthyroid doses in the Belarusian in utero cohort of 2,965 individuals exposed to Chernobyl (Chornobyl) fallout. MATERIALS AND METHODS:Thyroid screening examinations are currently underway including thyroid palpation by anendocrinologist, ultrasonographic examination by an ultrasonographer and analysis of blood samples for diagnosisof hypo- and hyperthyroidism, autoimmune thyroiditis, thyroid function tests (thyroid-stimulating hormone [TSH],thyroxine [T4], thyroid peroxidase antibody [anti-TPO], and thyroglobulin antibodies [anti-TG]). Reliability of (i)information from 780 pairs of questionnaires obtained during the first and second interviews of the mothers and (ii)thyroid doses, which were calculated for the cohort members using this information, is evaluated. RESULTS:As of 15 August 2021, 1,267 in utero exposed study subjects had been screened. A single thyroid nodule wasdiagnosed in 167 persons (13.2 % of the total) and multiple thyroid nodules in 101 persons (8.0 %): 189 (14.9 %)persons had nodules detected for the first time at the screening while 79 (6.2 %) persons had nodules detected pre-viously (pre-screening nodules). Fifty-nine out of 268 subjects (22.0 %) with a suspicious thyroid nodule werereferred to fine needle aspiration biopsy, and among them 33 (55.9 %) were biopsied. Reasonable agreement wasobserved for modelqbased doses calculated for the Belarusian in utero cohort members using data from the two inter-views (Spearman's rank-correlation coefficient rs = 0.74, p < 0.001), while measurementqbased doses yielded almost per-fect agreement (rs = 0.99, p < 0.001). CONCLUSIONS:During the thyroid screening, at least one thyroid nodule was identified in 268 of 1,267 (21.2 %) inutero exposed cohort members. Seven thyroid cancer cases were identified in the cohort, including 5 pre-screeningcases and 2 cases detected during the screening. Ongoing research on this unique cohort will provide importantinformation on adverse health effects following prenatal and postnatal exposure to radioiodine and radiocesium iso-topes, for which available epidemiological data are scant.

Computed tomography is a dose-intensive type of medical imaging. Radiation doses to the patient during Computed tomography are estimated using Monte-Carlo simulations. Reference computational phantoms of adult human are used for this purpose. The simulation takes into account the parameters of radiation and the position of the beam relative to phantom. Medical radiation is often highly anisotropic and is collimated only to the area of interest. The effect from exposure of critical organs and tissues to radiation is not characterized by sole effective dose. The modern methods of estimation of the doses to patients during Computed Tomography are reviewed. According to preliminary calculations, the expected effect from the bowtie filter is much lower than expected.

This work is dedicated to modeling dental radiographic examinations to assess the absorbed doses of patients and effective doses. For simulating X-ray spectra, the TASMIP empirical model is used. Doses are assessed on the basis of the Monte Carlo method by using MCNP code for voxel phantoms of ICRP. The results of the assessment of doses to individual organs and effective doses for different types of dental examinations and features of X-ray tube are presented.

The correlations between the fallout density and ratio of radionuclides in different regions of Belarus after the accident at the Chernobyl NPP are investigated using data obtained by means of gamma-spectrometric measurements performed on soil in May–July 1986. It is shown that the isotopes of cesium and/or ruthenium are most suitable for reconstructing the activity of 131I in the fallout. Charts showing the isolines of the activity ratios 131I/137Cs and 134Cs/137Cs in the fallout are constructed. The geometric averages obtained for the log-normal distribution of the ratios 134Cs/137Cs and 131I/137Cs in terms of May 10, 1986 equal 0.47 and 5.4, respectively. The distribution of the activity ratio 131I/137Cs in the fallout and the correlation coefficients show that on the whole there is no consistent interrelation between the fallout indices of these radionuclides over the territory.

BACKGROUND:Previous studies showed an increased risk of thyroid cancer among children and adolescents exposed to radioactive iodines released after the Chornobyl (Chernobyl) accident, but the effects of screening, iodine deficiency, age at exposure and other factors on the dose-response are poorly understood. METHODS:We screened 11 970 individuals in Belarus aged 18 years or younger at the time of the accident who had estimated (131)I thyroid doses based on individual thyroid activity measurements and dosimetric data from questionnaires. The excess odds ratio per gray (EOR/Gy) was modelled using linear and linear-exponential functions. RESULTS:For thyroid doses <5 Gy, the dose-response was linear (n=85; EOR/Gy=2.15, 95% confidence interval: 0.81-5.47), but at higher doses the excess risk fell. The EOR/Gy was significantly increased among those with prior or screening-detected diffuse goiter, and larger for men than women, and for persons exposed before age 5 than those exposed between 5 and 18 years, although not statistically significant. A somewhat higher EOR/Gy was estimated for validated pre-screening cases. CONCLUSION:10-15 years after the Chornobyl accident, thyroid cancer risk was significantly increased among individuals exposed to fallout as children or adolescents, but the risk appeared to be lower than in other Chornobyl studies and studies of childhood external irradiation.

Measurements of the beta-activity of milk, serving as the main source of information on the radioactive contamination of the environment by the iodine isotope 131I, carried out on a DP-100 radiometer in the early post-Chernobyl period (1986) in Belarus, have been mathematically simulated. The results obtained allow the conclusion that the indicated measurements should be analyzed again with consideration for all of the nuclides present in milk.

Significant quantities of long-lived radionuclides were released to the environment during the Chernobyl nuclear power plant accident in 1986. These radionuclides contributed to radiation doses due to ingestion of contaminated foods and external exposure from the ground deposition that resulted. The contributions of these exposure pathways to thyroid doses received by subjects of an epidemiologic study of children from Belarus are evaluated and presented. The analysis shows that ingestion of the long-lived radionuclides, primarily radiocesium, typically contributed a small percentage of the total thyroid dose received by the study subjects. The median and mean fractional contributions were 0.76 and 0.95%, respectively. The contribution of external exposure to the thyroid dose was generally larger and more variable, with median and mean contributions of 1.2 and 1.8% of the total thyroid doses, respectively. For regions close to the reactor site, where radionuclide deposition was highest, the contributions of radiocesium ingestion and external exposure were generally lower than those of the short-lived radioiodine isotopes (132I and 133I) and their precursors (132Te). In other areas, the contributions of these two pathways were comparable to those of the short-lived radioiodines. For all subjects, intakes of 131I were the primary source of dose to the thyroid.

The thyroid gland in children is one of the organs that is most sensitive to external exposure to X and gamma rays. However, data on the risk of thyroid cancer in children after exposure to radioactive iodines are sparse. The Chornobyl accident in Ukraine in 1986 led to the exposure of large populations to radioactive iodines, particularly (131)I. This paper describes an ongoing cohort study being conducted in Belarus and Ukraine that includes 25,161 subjects under the age of 18 years in 1986 who are being screened for thyroid diseases every 2 years. Individual thyroid doses are being estimated for all study subjects based on measurement of the radioactivity of the thyroid gland made in 1986 together with a radioecological model and interview data. Approximately 100 histologically confirmed thyroid cancers were detected as a consequence of the first round of screening. The data will enable fitting appropriate dose-response models, which are important in both radiation epidemiology and public health for prediction of risks from exposure to radioactive iodines from medical sources and any future nuclear accidents. Plans are to continue to follow-up the cohort for at least three screening cycles, which will lead to more precise estimates of risk.

In this article we discuss examples of challenging problems in retrospective dosimetry and describe some promising solutions. The ability to make measurements by accelerator mass spectrometry and luminescence techniques promises to provide improved dosimetry for regions of Belarus, Ukraine and Russian Federation contaminated by radionuclides from the Chernobyl accident. In addition, it may soon be possible to resolve the large neutron discrepancy in the dosimetry system for Hiroshima through novel measurement techniques that can be used to reconstruct the fast-neutron fluence emitted by the bomb some 51 years ago. Important advances in molecular cytogenetics and electron paramagnetic resonance measurements have produced biodosimeters that show potential in retrospective dosimetry. The most promising of these are the frequency of reciprocal translocations measured in chromosomes of blood lymphocytes using fluorescence in situ hybridization and the electron paramagnetic resonance signal in tooth enamel.

An approach for evaluating the influence of measurement geometry on estimates of 131(I) in the thyroid from measurements with survey meters was developed using Monte Carlo simulation of radiation transport in the human body and the radiation detector. The modified Monte Carlo code, EGS4, including a newly developed mathematical model of detector, thyroid gland, and neck, was used for the computations. The approach was tested by comparing calculated and measured differential and integral detector characteristics. This procedure was applied to estimate uncertainties in direct thyroid-measurement results due to geometrical errors.

An 131 I environmental transfer model – adapted for Belorussian conditions – was applied to estimate thyroid doses for different population groups. For this purpose the available data were analysed and the important radioecological parameters assessed, i.e. (a) the elimination rate of 131 I from grass due to weathering and growth dilution, (b) the initial interception of 131 I by vegetation, (c) the transfer coefficient for 131 I from grass to cow's milk, (d) the yield of pasture grass and (e) the milk consumption rate. Additionally, the influence of applied countermeasures has been taken into account, such as the interruption of locally produced milk consumption, and the appropriate correction factors have been estimated. As a result, the average age-dependent thyroid doses were assessed for the Belorussian population. The highest average doses in children (> 1 Gy) have been estimated for the Bragin, Khoiniki, Narovlia and Vetka raions of the Gomel oblast. The thyroid exposure tends to decrease from the southeastern (closest to the Chernobyl nuclear power plant areas) to the northwestern part of the republic. When comparing the assessed thyroid doses with dose estimates derived from direct 131 I activity measurements in thyroids (for the locations with more than 15 direct measurements), the results agree fairly well. The model calculation may perhaps overestimate thyroid doses of the population residing in the settlements of the central and northern parts of Belarus, distant from the areas with direct measurements of 131 I activities in soil, grass and milk. These thyroid dose estimates may serve as a basis for further epidemiological studies and risk analyses.

Radioiodine released to the atmosphere from the accident at the Chernobyl nuclear power station in the spring of 1986 resulted in large-scale thyroid-gland exposure of populations in Ukraine, Belarus, and Russia. Because of the short half life of 131I (8.04 d), adequate data on the intensities and patterns of iodine deposition were not collected, especially in the regions where the incidence of childhood-thyroid cancer is now increasing. Results are presented from a feasibility study that show that accelerator-mass-spectrometry measurements of 129I (half life 16 x 106 y) in soil can be used to reconstruct 131I-deposition density and thus help in the thyroid-dosimetry effort that is now urgently needed to support epidemiologic studies of childhood-thyroid cancer in the affected regions.

A hard and soft ware computer assisted complex has been worked out for gamma-beam therapy. The complex included all radiotherapeutic units, including a Siemens program controlled betatron with an energy of 42 MEV computer ES-1022, a Medigraf system of the processing of graphic information, a Mars-256 system for control over the homogeneity of distribution of dose rate on the field of irradiation and a package of mathematical programs to select a plan of irradiation of various tumor sites. The prospects of the utilization of such complexes in the dosimetric support of radiation therapy are discussed.

In the evaluation of efficacy or while comparing various irradiation schemes with the help of the RSD concept one should consider the effect of various conditions of patient's irradiation (energy, a field size, dose rate, etc.) on the biological efficacy of absorbed energy. The radiobiological effect of various irradiation schemes should be evaluated by a common scale, therefore factors altering dose biological efficacy should be considered within the limits of the same RSD formula. In our opinion, there is no sense in individualizing the evaluation of an effect of the dose rate on the biological efficacy of radiotherapy as a separate RSD formula. The incorporation in the RSD formula of an empirical expression of RBE dependence on the dose rate within the range of 0.13-300 Gy/hr. and factors of the dependence of dose biological efficacy on its spatial distribution (energy, a field size) gives an opportunity not only to consider more correctly changes in patient's irradiation from session to session but also makes it possible to apply it to fractionated and protracted irradiation schemes.

One can achieve a high precision in the dosing of a session of intracavitary radiotherapy by rapid computerization of the treatment time that is necessary for obtaining a certain dose in a pathological focus taking account of an actual location of radiation sources in the process of irradiation. The authors have developed an algorithm and drawn up a program for computer ES-1022 to calculate a dose rate in any point of an irradiated volume from the system of gamma-radiation sources oriented arbitrarily in space. As part of a hard- and soft ware dosimetric complex, the above program provides for the calculation of the treatment time by a set dose; the time is necessary for supplying this dose to a tumor focus taking account of an actual location of radiation sources during a session of irradiation. The whole computer procedure from the moment of obtaining necessary anatomo-topographic information in the form of two x-ray pictures up to the output of an irradiation session time value and other information into the alpha-numeric printer takes 3-5 min. The program makes it possible to calculate dose distribution in any preset plane (up to 4 planes at a time) of an irradiated volume.