RENEB Inter-Laboratory Comparison 2021: Inter-Assay Comparison of Eight Dosimetry Assays

Tools for radiation exposure reconstruction are required to support the medical management of radiation victims in radiological or nuclear incidents. Different biological and physical dosimetry assays can be used for various exposure scenarios to estimate the dose of ionizing radiation a person has absorbed. Regular validation of the techniques through inter-laboratory comparisons (ILC) is essential to guarantee high quality results. In the current RENEB inter-laboratory comparison, the performance quality of established cytogenetic assays [dicentric chromosome assay (DCA), cytokinesis-block micronucleus assay (CBMN), stable chromosomal translocation assay (FISH) and premature chromosome condensation assay (PCC)] was tested in comparison to molecular biological assays [gamma-H2AX foci (gH2AX), gene expression (GE)] and physical dosimetry-based assays [electron paramagnetic resonance (EPR), optically or thermally stimulated luminescence (LUM)]. Three blinded coded samples (e.g., blood, enamel or mobiles) were exposed to 0, 1.2 or 3.5 Gy X-ray reference doses (240 kVp, 1 Gy/min). These doses roughly correspond to clinically relevant groups of unexposed to low exposed (0-1 Gy), moderately exposed (1-2 Gy, no severe acute health effects expected) and highly exposed individuals (>2 Gy, requiring early intensive medical care). In the frame of the current RENEB inter-laboratory comparison, samples were sent to 86 specialized teams in 46 organizations from 27 nations for dose estimation and identification of three clinically relevant groups. The time for sending early crude reports and more precise reports was documented for each laboratory and assay where possible. The quality of dose estimates was analyzed with three different levels of granularity, 1. by calculating the frequency of correctly reported clinically relevant dose categories, 2. by determining the number of dose estimates within the uncertainty intervals recommended for triage dosimetry (±0.5 Gy or ±1.0 Gy for doses <2.5 Gy or >2.5 Gy), and 3. by calculating the absolute difference (AD) of estimated doses relative to the reference doses. In total, 554 dose estimates were submitted within the 6-week period given before the exercise was closed. For samples processed with the highest priority, earliest dose estimates/categories were reported within 5-10 h of receipt for GE, gH2AX, LUM, EPR, 2-3 days for DCA, CBMN and within 6-7 days for the FISH assay. For the unirradiated control sample, the categorization in the correct clinically relevant group (0-1 Gy) as well as the allocation to the triage uncertainty interval was, with the exception of a few outliers, successfully performed for all assays. For the 3.5 Gy sample the percentage of correct classifications to the clinically relevant group (≥2 Gy) was between 89-100% for all assays, with the exception of gH2AX. For the 1.2 Gy sample, an exact allocation to the clinically relevant group was more difficult and 0-50% or 0-48% of the estimates were wrongly classified into the lowest or highest dose categories, respectively. For the irradiated samples, the correct allocation to the triage uncertainty intervals varied considerably between assays for the 1.2 Gy (29-76%) and 3.5 Gy (17-100%) samples. While a systematic shift towards higher doses was observed for the cytogenetic-based assays, extreme outliers exceeding the reference doses 2-6 fold were observed for EPR, FISH and GE assays. These outliers were related to a particular material examined (tooth enamel for EPR assay, reported as kerma in enamel, but when converted into the proper quantity, i.e. to kerma in air, expected dose estimates could be recalculated in most cases), the level of experience of the teams (FISH) and methodological uncertainties (GE). This was the first RENEB ILC where everything, from blood sampling to irradiation and shipment of the samples, was organized and realized at the same institution, for several biological and physical retrospective dosimetry assays. Almost all assays appeared comparably applicable for the identification of unexposed and highly exposed individuals and the allocation of medical relevant groups, with the latter requiring medical support for the acute radiation scenario simulated in this exercise. However, extreme outliers or a systematic shift of dose estimates have been observed for some assays. Possible reasons will be discussed in the assay specific papers of this special issue. In summary, this ILC clearly demonstrates the need to conduct regular exercises to identify research needs, but also to identify technical problems and to optimize the design of future ILCs.

DEVELOPMENTS IN THE USE OF THERMOLUMINESCENCE AND OPTICALLY STIMULATED LUMINESCENCE FROM MOBILE PHONES IN EMERGENCY DOSIMETRY

Proposed physical dosimetry methods for emergency dosimetry in radiological, mass-casualty incidents include both thermoluminescence (TL) and optically stimulated luminescence (OSL). Potential materials that could feasibly be used for TL and OSL dosimetry include clothing, shoes and personal accessories. However, the most popular target of study has been personal electronics, especially different components from smartphones. Smartphones have been a focus because they are widely available and, in principle, may be viewed as surrogates for commercial TL or OSL dosimeters. The components of smartphones that have been studied include surface mount devices (such as resistors, capacitors and inductors) and glass materials, including front protective glass, display glass and (with more modern devices) back protective glass. This paper reviews the most recent developments in the use of TL and OSL with these materials and guides the way to future, and urgently needed, research.

A COMPARISON OF DIFFERENT SPECTRA DECONVOLUTION METHODS USED IN EPR DOSIMETRY WITH GORILLA® GLASSES

Two different spectra deconvolution methods have been compared on samples of Gorilla® Glass (GG) irradiated in the dose range 0-20 Gy and measured with X-band EPR. The first method used a matrix deconvolution procedure using sample-specific sets of reference signals. The second method used a 'universal' set of eight reference signals (due to five electron centers, two hole centers and a background) to fit EPR spectra from any GG sample. Dose-responses curves were constructed for each individual reference signal. These were then used to test reconstruction of a laboratory-administered dose of 2 Gy. For the matrix method, the values of the reconstructed and nominal doses were within ± 20% after averaging measurements from three aliquots of each sample. For the universal method, the most promising results were obtained with E1, E4 and H1 signals. The fitting failed for one sample, due to dominance of the background signal.

AN ADVANCE IN EPR DOSIMETRY WITH NAILS

Olive oil is proposed as a medium for storage of nails in the time between nail harvesting and electron paramagnetic resonance (EPR) measurements to minimise the decay of the radiation-induced EPR signals (RIS). The behaviours of three main EPR signals, namely, RIS, mechanically induced and the background signals (MIS and BG, respectively), were studied for storage in olive oil. The properties of the MIS and BG signals were very similar to those previously observed for the storage in a vacuum. The RIS singlet slightly increased during the first day of storage and then remained practically unchanged at least for 6 days. Dose recovery test revealed that doses at the level 2 Gy may be reconstructed with an accuracy of about ±20%.

A COMPARATIVE STUDY OF EPR AND TL SIGNALS IN GORILLA® GLASS

Electron Paramagnetic Resonance (EPR) and Thermoluminescence (TL) signals have been studied in samples of Gorilla® Glass (GG) from different smartphones as well as some online stores and vendors. Background, radiation-induced and ultraviolet-induced signals were compared between the samples. Significant variability of both EPR and TL signals (in shape and intensity) was observed between samples from different screens as well as over the surface of the same screen, from the same phone. Both the EPR and TL background signals appear to be due to UV exposure during phone manufacture; some phones have higher EPR and TL signals around the edge of the screen, indicating more UV exposure at the edge than in the center. EPR and TL signals in the same GG samples appear correlated: they decayed over the same temperature region; and both hole- and electron-related EPR and TL signals were made up of stable and unstable components (at room temperature).

Emergency EPR and OSL dosimetry with table vitamins and minerals

Several table vitamins, minerals and L-lysine amino acid have been preliminarily tested as potential emergency dosemeters using electron paramagnetic resonance (EPR) and optically stimulated luminescence (OSL) techniques. Radiation-induced EPR signals were detected in samples of vitamin B2 and L-lysine while samples of multivitamins of different brands as well as mineral Mg demonstrated prominent OSL signals after exposure to ionizing radiation doses. Basic dosimetric properties of the radiation-sensitive substances were studied, namely dose response, fading of the EPR or OSL signals and values of minimum measurable doses (MMDs). For EPR-sensitive samples, the EPR signal is converted into units of dose using a linear dose response and correcting for fading using the measured fading dependence. For OSL-sensitive materials, a multi-aliquot, enhanced-temperature protocol was developed to avoid the problem of sample sensitization and to minimize the influence of signal fading. The sample dose in this case is also evaluated using the dose response and fading curves. MMDs of the EPR-sensitive samples were below 2 Gy while those of the OSL-sensitive materials were below 500 mGy as long as the samples are analyzed within 1 week after exposure.

INTEGRATED CIRCUITS FROM MOBILE PHONES AS POSSIBLE EMERGENCY OSL/TL DOSIMETERS

In this article, optically stimulated luminescence (OSL) data are presented from integrated circuits (ICs) extracted from mobile phones. The purpose is to evaluate the potential of using OSL from components in personal electronic devices such as smart phones as a means of emergency dosimetry in the event of a large-scale radiological incident. ICs were extracted from five different makes and models of mobile phone. Sample preparation procedures are described, and OSL from the IC samples following irradiation using a (90)Sr/(90)Y source is presented. Repeatability, sensitivity, dose responses, minimum measureable doses, stability and fading data were examined and are described. A protocol for measuring absorbed dose is presented, and it was concluded that OSL from these components is a viable method for assessing dose in the days following a radiological incident.

Emergency EPR dosimetry technique using vacuum-stored dry nails

Human finger- and toenails have been tested with an X-band EPR technique for different conditions of nail storage. The main radiation-induced signal at g=2.005 demonstrated good stability if the samples were stored in a vacuum at room temperature after nail harvesting and irradiation. On the basis of this phenomenon, a new protocol is proposed to use the nails as possible emergency EPR dosimeters. The dosimetry protocol was tested on laboratory-exposed samples and demonstrated the ability to recover doses in the region 0-10 Gy with an estimated uncertainty of approximately 0.3-0.4 Gy for doses in the range < 2 Gy, increasing to 0.6-0.7 Gy for doses in the range 5-10 Gy.

Emergency Optically Stimulated Luminescence Dosimetry Using Different Materials

Several materials were tested as possible individual emergency dosimeters using Optically Stimulated Luminescence (OSL) as means to assess the exposure. Materials investigated included human nails, business cards and plastic buttons. The OSL properties of these materials were studied in comparison with those of teeth. Most samples revealed OSL signals only after exposure to ionizing radiation; some samples of business cards, however, displayed a strong initial "native" signal (i.e. existing in the samples prior to irradiation). The sensitivity (minimum measurable dose) of the samples was found to vary significantly from sample to sample of the same material and was in the range from several tens of mGy to a few dozens of Gy. The dose response curves were linear for doses below 10 Gy. Fading of the OSL signals was estimated for different lenghts of times and found to be ~95%, 45%, 30% and 15% for samples of teeth, business cards, buttons and nails, respectively, following storage at room temperature in the dark for a period of 3 weeks after exposure. For samples stored under routine laboratory light, fading was much faster and the radiation-induced signals almost disappeared after a few hours of such illumination. It was concluded that the tested materials could be used in triage situations to detect and estimate the possible overexposure of individuals if the measurements can be performed soon enough after exposure.

Emergency Dose Estimation Using Optically Stimulated Luminescence from Human Tooth Enamel

Human teeth were studied for potential use as emergency Optically Stimulated Luminescence (OSL) dosimeters. By using multiple-teeth samples in combination with a custom-built sensitive OSL reader, (60)Co-equivalent doses below 0.64 Gy were measured immediately after exposure with the lowest value being 27 mGy for the most sensitive sample. The variability of OSL sensitivity, from individual to individual using multiple-teeth samples, was determined to be 53%. X-ray and beta exposure were found to produce OSL curves with the same shape that differed from those due to ultraviolet (UV) exposure; as a result, correlation was observed between OSL signals after X-ray and beta exposure and was absent if compared to OSL signals after UV exposure. Fading of the OSL signal was "typical" for most teeth with just a few of incisors showing atypical behavior. Typical fading dependences were described by a bi-exponential decay function with "fast" (decay time around of 12 min) and "slow" (decay time about 14 h) components. OSL detection limits, based on the techniques developed to-date, were found to be satisfactory from the point-of-view of medical triage requirements if conducted within 24 hours of the exposure.

UV effects in tooth enamel and their possible application in EPR dosimetry with front teeth

The effects of ultraviolet (UV) radiation on ionizing radiation biodosimetry were studied in human tooth enamel samples using the technique of electron paramagnetic resonance (EPR) in X-band. For samples in the form of grains, UV-specific EPR spectra were spectrally distinct from those produced by exposure to gamma radiation. From larger enamel samples, the UV penetration depth was determined to be in the 60-120 mum range. The difference in EPR spectra from UV exposure and from exposure to gamma radiation samples was found to be a useful marker of UV equivalent dose (defined as the apparent contribution to the gamma dose in mGy that results from UV radiation absorption) in tooth enamel. This concept was preliminarily tested on front teeth from inhabitants of the region of the Semipalatinsk Nuclear Test Site (Kazakhstan) who might have received some exposure to gamma radiation from the nuclear tests conducted there as well as from normal UV radiation in sunlight. The technique developed here to quantify and subtract the UV contribution to the measured tooth is currently limited to cumulative dose measurements with a component of UV equivalent dose equal to or greater than 300 mGy.

EPR emergency dosimetry with plastic components of personal goods

Radiation-induced electron paramagnetic resonance (EPR) signals were studied in samples of plastic materials of various origin: buttons, details of underwear, elements of mobile phones, etc. The following parameters were investigated: dose response curve in the range 0-25 Gy; stability of potential dosimetric signals at different temperatures of storage after exposure; and influence of solar radiation on the dosimetric properties of materials. Plastics from personal goods were found to be a potentially acceptable material for use as individual EPR dosimeters with sensitivity threshold below 5 Gy. Radiation-induced EPR signals in plastic demonstrated clear saturation for doses above 10 Gy. Fading of dosimetric signals was best described by the two-exponential decay function with fast and slow decay components. Values of slow decay constant were approximately 2 and 15 d, while the corresponding values for the fast decay component were approximately 2 and 15 h for temperatures of +25 degrees C and -18 degrees C, respectively. Strong influence of solar light radiation on EPR spectra was observed for unexposed and gamma-irradiated plastic samples, which may affect drastically the results of dose reconstruction.

A transferability study of the EPR-tooth-dosimetry technique

The transferability of a measurement protocol from one laboratory to another is an important feature of any mature, standardised protocol. The electron paramagnetic resonance (EPR)-tooth dosimetry technique that was developed in Scientific Center for Radiation Medicine, AMS, Ukraine (SCRM) for routine dosimetry of Chernobyl liquidators has demonstrated consistent results in several inter-laboratory measurement comparisons. Transferability to the EPR dosimetry laboratory at the National Institute of Standards and Technology (NIST) was examined. Several approaches were used to test the technique, including dose reconstruction of SCRM-NIST inter-comparison samples. The study has demonstrated full transferability of the technique and the possibility to reproduce results in a different laboratory environment.

Lessons of the 3rd international intercomparison on EPR dosimetry with teeth: similarities and differences of two successful techniques

Despite the considerable improvement in accuracy in comparison with previous intercomparison programmes, the outcome of the recent 3rd International Intercomparison on EPR Tooth Dosimetry has demonstrated that performance of various protocols practised in different laboratories significantly varies. SCRM and MUG took part in this intercomparison with their own versions of EPR dosimetry protocols, demonstrating the good correlation between reconstructed and nominal doses (best result for SCRM and fourth best for MUG) and the lowest both absolute and relative mean deviations from the nominal doses. Although the general results of the 3rd Intercomparison are being discussed elsewhere in this issue by Wieser et al., this presentation is focused on the discussion of the common features of the two techniques, which may have an effect on good performance in dose reconstruction. In addition to the mthods of analysis of the intercomparison results, as used in Wieser et al., SCRM and MUG studied the influence of an additional factor--the selection of the standard of the native signal--on the quality of the dose reconstruction.

The Third International Intercomparison on EPR Tooth Dosimetry: part 2, final analysis

The objective of the Third International Intercomparison on EPR Tooth Dosimetry was to evaluate laboratories performing tooth enamel dosimetry <300 mGy. Final analysis of results included a correlation analysis between features of laboratory dose reconstruction protocols and dosimetry performance. Applicability of electron paramagnetic resonance (EPR) tooth dosimetry at low dose was shown at two applied dose levels of 79 and 176 mGy. Most (9 of 12) laboratories reported the dose to be within 50 mGy of the delivered dose of 79 mGy, and 10 of 12 laboratories reported the dose to be within 100 mGy of the delivered dose of 176 mGy. At the high-dose tested (704 mGy) agreement within 25% of the delivered dose was found in 10 laboratories. Features of EPR dose reconstruction protocols that affect dosimetry performance were found to be magnetic field modulation amplitude in EPR spectrum recording, EPR signal model in spectrum deconvolution and duration of latency period for tooth enamel samples after preparation.

The 3rd international intercomparison on EPR tooth dosimetry: Part 1, general analysis

The objective of the 3rd International Intercomparison on Electron Paramagnetic Resonance (EPR) Tooth Dosimetry was the evaluation of laboratories performing tooth enamel dosimetry below 300 mGy. Participants had to reconstruct the absorbed dose in tooth enamel from 11 molars, which were cut into two halves. One half of each tooth was irradiated in a 60Co beam to doses in the ranges of 30-100 mGy (5 samples), 100-300 mGy (5 samples), and 300-900 mGy (1 sample). Fourteen international laboratories participated in this intercomparison programme. A first analysis of the results and an overview of the essential features of methods applied in different laboratories are presented. The relative standard deviation of results of all methods was better than 27% for applied doses in the range of 79-704 mGy. In the analysis of the unirradiated tooth halves 8% of the samples were identified as outliers with additional absorbed dose above background dose.

Comparison of retrospective luminescence dosimetry with computational modeling in two highly contaminated settlements downwind of the Chernobyl NPP

The cumulative absorbed dose in bricks collected from six buildings in two heavily contaminated settlements (137Cs > 2,000 kBq m(-2)) located downwind of the Chernobyl Nuclear Power Plant was determined using luminescence techniques by six laboratories. The settlements, Vesnianoje in Ukraine and Zaborie in Russia, are located in, respectively, proximal and distal locations relative to the Chernobyl Nuclear Power Plant. The luminescence determinations of cumulative dose in brick, after subtraction of the natural background dose, were translated to absorbed dose in air at a Reference Location using conversion factors derived from Monte Carlo simulations of photon transport. The simulations employed source distributions inferred from contemporary soil contamination data and also took into account heterogeneity of fallout deposition. This translation enables the luminescence determinations to be compared directly with values of cumulative absorbed dose obtained by computational modeling and also other dose reconstruction methods. For each sampled location the cumulative dose was calculated using three deterministic models, two of which are based on the attenuation of dose-rate with migration of radionuclides in soil and the third on historic instrumental gamma dose-rate data. The results of the comparison of the two methods indicate overall agreement within margins of +/-25%. The methodology developed is generally applicable and adaptable to areas contaminated by much lower levels of radioactive fallout in which brick buildings are found.

Comparison of sample preparation and signal evaluation methods for EPR analysis of tooth enamel

In dose reconstruction by EPR dosimetry with teeth various methods are applied to prepare tooth enamel samples and to evaluate the dosimetric signal. A comparison of seven frequently used methods in EPR dosimetry with tooth enamel was performed. The participating Institutes have applied their own procedure to prepare tooth enamel samples and to evaluate the dosimetric signal. The precision of the EPR measurement and the dependence of the estimated dosimetric signal with irradiation up to 1000 mGy were compared. The obtained results are consistent among the different methods. The reproducibility of the dosimetric signal and its estimated relation with the absorbed dose was found to be very close for the applied methods with one possible exception.

An approach to the assessment of overall uncertainty of determination of dose using an ESR technique

An approach to the assessment of overall uncertainty of dose reconstruction by means of an ESR with additive dose technique is proposed. This approach takes account of uncertainties caused by different sources giving a quantitative measure of uncertainty of the determined dose. Dose is determined as an interval assessment rather than a deterministic value, allowing for the analytical estimation of both the mean value and the 95% confidence intervals. The effects of the number of additional irradiations and the value of dose increment on the uncertainty of dose determination are analyzed.