Lifetime excess absolute risk for lung cancer due to exposure to radon: results of the pooled uranium miners cohort study PUMA

The Pooled Uranium Miners Analysis (PUMA) study is the largest uranium miners cohort with 119,709 miners, 4.3 million person-years at risk and 7754 lung cancer deaths. Excess relative rate (ERR) estimates for lung cancer mortality per unit of cumulative exposure to radon progeny in working level months (WLM) based on the PUMA study have been reported. The ERR/WLM was modified by attained age, time since exposure or age at exposure, and exposure rate. This pattern was found for the full PUMA cohort and the 1960 + sub-cohort, i.e., miners hired in 1960 or later with chronic low radon exposures and exposure rates. The aim of the present paper is to calculate the lifetime excess absolute risk (LEAR) of lung cancer mortality per WLM using the PUMA risk models, as well as risk models derived in previously published smaller uranium miner studies, some of which are included in PUMA. The same methods were applied for all risk models, i.e., relative risk projection up to <95 years of age, an exposure scenario of 2 WLM per year from age 18-64 years, and baseline mortality rates representing a mixed Euro-American-Asian population. Depending upon the choice of model, the estimated LEAR per WLM are 5.38 × 10-4 or 5.57 × 10-4 in the full PUMA cohort and 7.50 × 10-4 or 7.66 × 10-4 in the PUMA 1960 + sub-cohort, respectively. The LEAR per WLM estimates derived from risk models reported for previously published uranium miners studies range from 2.5 × 10-4 to 9.2 × 10-4. PUMA strengthens knowledge on the radon-related lung cancer LEAR, a useful way to translate models for policy purposes.

The European intercomparison of in-vivo monitoring laboratories: the EIVIC-2020 project

The EIVIC project was launched in 2020, and the main goal was the organisation of a European intercomparison of in-vivo monitoring laboratories dealing with direct measurements of gamma-emitting radionuclides incorporated into the body of exposed workers. This project was organised jointly by members of EURADOS Working Group 7 on internal dosimetry (WG7), the Federal Office for Radiation Protection (BfS, Germany) and the Radioprotection and Nuclear Safety Institute (IRSN, France). The objective was to assess the implementation of individual-monitoring requirements in EU Member States on the basis of in-vivo measurements and to gain insight into the performance of in-vivo measurements using whole-body counters. In this context, a total of 41 in-vivo monitoring laboratories from 21 countries, together with JRC (EC) and IAEA participated. The results were submitted in terms of activity (Bq) of the radionuclides identified inside phantoms that were circulated to all participants. The measured data were compared with reference activity values to evaluate the corresponding bias according to the standards ISO 28218 and ISO 13528. In general, the results of the different exercises are good, and most facilities are in conformity with the criteria for the bias and z-scores in the ISO standards. Furthermore, information about technical and organisational characteristics of the participating laboratories was collected to test if they had a significant influence on the reported results.

Subsequent primary neoplasms after childhood cancer therapy - design and description of the German nested case-control study STATT-SCAR

BACKGROUND

Subsequent primary neoplasms (SPN) are among the most severe late effects and the second most frequent cause of death in childhood cancer patients. In this paper we introduce method and properties of the STATT-SCAR study (Second Tumor After Tumor Therapy, Second Cancer After Radiotherapy), which is a joint nested matched case-control study to evaluate the impact of chemotherapy (STATT) as well as radiotherapy (SCAR) on the risk of developing a SPN.

METHODS

Based on the cohort of the German childhood cancer registry (GCCR), we selected patients diagnosed with a first neoplasm before age 15 or younger between 1980 and 2014. We selected those with a SPN at least half a year after the first neoplasm, and matched up to four controls to each case. Therapy data were acquired from various sources, including clinical study centers and treating hospitals. To analyze the impact of radiotherapy, organ doses were estimated by using reconstructed treatment plans. The effect of chemotherapy was analyzed using substance groups summarized after isotoxic dose conversion.

RESULTS

1244 cases with a SPN were identified and matched with 4976 controls. Treatment data were acquired for 83% of all match groups (one case and at least one control). Based on preliminary analyses, 98% of all patients received chemotherapy and 54% of all patients were treated with radiotherapy.

CONCLUSIONS

Based on our data, detailed analyses of dose response relationships and treatment element combinations are possible, leading to a deeper insight into SPN risks after cancer treatments.

TRIAL REGISTRATION

The study is registered at the German clinical trial register (DRKS) under number DRKS00017847 [45].

Updated risk models for lung cancer due to radon exposure in the German Wismut cohort of uranium miners, 1946-2018

UNSCEAR recently recommended that future research on the lung cancer risk at low radon exposures or exposure rates should focus on more contemporary uranium miners. For this purpose, risk models in the German Wismut cohort of uranium miners were updated extending the follow-up period by 5 years to 1946-2018. The full cohort (n = 58,972) and specifically the 1960 + sub-cohort of miners first hired in 1960 or later (n = 26,764) were analyzed. The 1960 + sub-cohort is characterized by low protracted radon exposure of high quality of measurements. Internal Poisson regression was used to estimate the excess relative risk (ERR) for lung cancer per cumulative radon exposure in Working Level Months (WLM). Applying the BEIR VI exposure-age-concentration model, the ERR/100 WLM was 2.50 (95% confidence interval (CI) 0.81; 4.18) and 6.92 (95% CI < 0; 16.59) among miners with attained age < 55 years, time since exposure 5-14 years, and annual exposure rates < 0.5 WL in the full (n = 4329 lung cancer deaths) and in the 1960 + sub-cohort (n = 663 lung cancer deaths), respectively. Both ERR/WLM decreased with older attained ages, increasing time since exposure, and higher exposure rates. Findings of the 1960 + sub-cohort are in line with those from large pooled studies, and ERR/WLM are about two times higher than in the full Wismut cohort. Notably, 20-30 years after closure of the Wismut mines in 1990, the estimated fraction of lung cancer deaths attributable to occupational radon exposure is still 26% in the full Wismut cohort and 19% in the 1960 + sub-cohort, respectively. This demonstrates the need for radiation protection against radon.

Production of sealed rod sources made from epoxy resin for the Saint-Petersburg brick phantom for the calibration of whole-body counters

Rod sources are a common tool for the calibration of whole-body counters in combination with the Saint-Petersburg brick phantom. Here, a method for the production of such sources in ordinary radiochemical laboratories is presented. The rod sources consist of a tubular capsule of rigid polyvinyl chloride with a radioactive filling of epoxy resin. The method allows the production of rod sources at material costs of about 1 € per rod source and of ten rod sources by one person per day. Quality-assurance measurements were performed regarding the spatial distribution of the activity within the rod sources and the distribution of the activity throughout a set of sources. The relative double standard deviation of the activities of five different segments of single rod sources was 7.1%. The relative double standard deviation within a set of 90 rod sources was 2.8% after those 11% of sources with the greatest deviation from the arithmetic mean were discarded. Tests according to ISO 2919 to certify the rod sources as sealed sources of Class 2 of this standard were successfully conducted. The bending test proved to be the most critical test for the rod sources; the sources were broken by a mass of 12-14 kg, which is only slightly more than the stipulated mass of 10.2 kg. The presented method allows for a cost- and labour-effective production of sealed radioactive rod sources and thus facilitates the application of the Saint-Petersburg brick phantom for calibrations and interlaboratory comparisons of whole-body counters.

[Specifics of risk and crisis communication in radiation protection and radiological emergency preparedness and response]

Die Gestaltung einer guten Risiko- und Krisenkommunikation im Strahlenschutz ist stets in Bezug zum gesellschaftlichen Umgang mit den verschiedenen Strahlenthemen zu sehen, zu denen die Kommunikation stattfindet. Risiko- und Krisenkommunikation werden dabei meist als unterschiedliche Kommunikationsdisziplinen betrachtet. Der Artikel gibt einen Einblick in die Komplexität der Kommunikation im Strahlenschutz in unterschiedlichen Kontexten. Er beschreibt die Einsatzmöglichkeiten der jeweiligen Kommunikationsform und die Zusammenhänge zwischen diesen Kommunikationsformen.

Virtual Igor: an analytical phantom for the simulation of the Saint Petersburg brick phantom in arbitrary layouts in MCNP

A computer code called Virtual Igor is presented. The code generates an analytical representation of the Saint Petersburg brick phantom family (Igor, Olga, Irina), which is frequently used for the calibration of whole-body counters, in arbitrary user-defined layouts for the use in the Monte-Carlo radiation transport code MCNP. The computer code reads a file in the ldraw format, which can easily be produced by simple freeware software with graphical user interfaces and which contains the types and coordinates of the bricks. Ldraw files with the canonical layouts of the brick phantom are provided with Virtual Igor. The code determines the positions of (2.75 cm)³ segments of the bricks, where 2.75 cm is the smallest length in the layout and, therefore, represents the spacing of the segment lattice. Each segment contains the exact geometry of the respective part of the brick, using cuboid and cylindrical surfaces. The user can define which rod source drill holes of which bricks contain the rod-type radionuclide sources. The method facilitates the comparison of different layouts of the Saint Petersburg brick phantom with each other and with anthropomorphic computational phantoms.