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Biomedical subjects

G Dietze

Publications and source records attributed to G Dietze.

At least 19 recordsLinked to original sources

Dose quantities in radiation protection and their limitations.

For more than 50 years the quantity absorbed dose has been the basic physical quantity in the medical applications of ionising radiation as well as radiological protection against harm from ionising radiation. In radiotherapy relatively high doses are applied (to a part of the human body) within a short period and the absorbed dose is mainly correlated with deterministic effects such as cell killing and tissue damage. In contrast, in radiological protection one is dealing with low doses and low dose rates and long-term stochastic effects in tissue such as cancer induction. The dose quantity (absorbed dose) is considered to be correlated with the probability of cancer incidence and thus risk induced by exposure. ICRP has developed specific dosimetric quantities for radiological protection that allow the extent of exposure to ionising radiation from whole and partial body external radiation as well as from intakes of radionuclides to be taken into account by one quantity. Moreover, radiological protection quantities are designed to provide a correlation with risk of radiation induced cancer. In addition, operational dose quantities have been defined for use in measurements of external radiation exposure and practical applications. The paper describes the concept and considerations underlying the actual system of dose quantities, and discusses the advantage as well as the limitations of applicability of such a system. For example, absorbed dose is a non-stochastic quantity defined at any point in matter. All dose quantities in use are based on an averaging procedure. Stochastic effects and microscopic biological and energy deposition structures are not considered in the definition. Absorbed dose is correlated to the initial very short phase of the radiation interaction with tissue while the radiation induced biological reactions of the tissue may last for minutes or hours or even longer. There are many parameters other than absorbed dose that influence the process of cancer induction, which may influence the consideration of cells and/or tissues at risk which are most important for radiological protection.

Dose-Response Relationship, Radiation↗

Spectra of scattered photons in large absorbers and their importance for the values of radiation weighting factor wR.

In its review of the present values of radiation weighting factor w(R) and of possible revisions of this factor, the German Radiation Protection Commission has recommended to maintain the approach of ICRP 60 to base the selection of the w(R) value for a given radiation (e.g. fission neutrons) on observed values of the relative biological effectiveness (RBE) of this radiation 'regardless of whether the reference radiation is X rays or gamma rays'. The physical background of the German recommendation is the buildup of a strong field of energy-degraded Compton scattered photons in the human body if exposed to an external field of high-energy photons, so that the total radiation field inside the body is a mixture comprising low and high photon energies. Therefore, it is appropriate that the selection of the w(R) value of the given radiation is guided by RBE values averaged over X rays and gamma rays as the reference radiations. In support of this rationale, the present paper provides a sample of Monte Carlo calculated scattered photon spectra in large absorbers exposed to high-energy photons. Depth-dependent fractional dose contributions of the scattered photons are tabulated for incident energies from 1 to 10 MeV, and estimates of the influence of their degraded energies on the biological effectiveness of the incoming radiation are presented. Accordingly, we point out that it is appropriate to use, for the purposes of 'risk projection', RBE values averaged over X and gamma reference radiations.

Environmental Exposure↗

Why it is advisable to keep wR = 1 and Q = 1 for photons and electrons.

It has been well known for a long time that the biological effectiveness of photons and electrons depends on the mean linear energy transfer (LET) of the radiation considered, e.g. (60)Co gamma rays are less effective than soft or hard X rays. Nevertheless, the protection and operational dose quantities applied in radiological protection include weighting factors, w(R) or Q, respectively, which were set to 1 for all low-LET radiations. Lack of precise information, simplicity and general practical considerations are the main arguments for this convention. However, a more detailed discussion on the practical aspects supporting this procedure is missing. The paper discusses in more detail some of these aspects regarding internal and external exposure situations, which may support the idea of continuing to use w(R) = 1 for photons and electrons and, correspondingly, using Q(L) = 1 for L < 10 keV microm(-1).

Electrons↗

Monte Carlo simulation of gamma-ray response functions for a proportional counter used for neutron measurement

It is often required in neutron calibration fields to determine the dose of gamma-rays produced in a neutron source and in the surroundings, because some neutron detectors are sensitive both to neutrons and gamma-rays. As a first step estimating neutron and gamma-ray energy spectra and fluences simultaneously in a neutron field, the gamma-ray response function for a 3He proportional counter was calculated using EGS4/PRESTA code. In the simulation, the gas multiplication factor, which depends on the detection position in the gas region along an anode wire, was taken into account to obtain the precise response function. For comparison, we measured response functions using different reference gamma-ray sources such as 241Am, 137Cs, and 60Co, which were located vertically 55 mm away from the center of the anode wire. Calculated response functions agreed well with experimental ones. Monte Carlo code EGS4 is thus useful for the simulation of gamma response functions for neutron counters.

Journal Article↗

Phosphorus J-coupling constants of ATP in human brain.

Proton decoupled 31P NMR spectroscopy of the occipital brain of healthy volunteers was performed with a 1.5 T whole-body imager. By use of two-dimensional chemical-shift imaging in combination with slice-selective excitation well resolved localized spectra (38 ml) were obtained within 34 min from which the homonuclear 31P-31P J-coupling constants of ATP could be determined: J(gammabeta) = 16.1 Hz +/- 0.2 Hz and J(alphabeta) = 16.3 Hz +/- 0.1 Hz (mean +/- SEM, n = 14). Both, the J-coupling constants and the chemical-shift difference between alpha- and beta-ATP (delta(alphabeta) = 8.61 ppm +/- 0.01 ppm) were used to calculate the concentration of intracellular free magnesium. The concentrations are 0.39 mM +/- 0.09 mM by using the average of both coupling constants of each spectrum, which is in fair agreement with 0.32 mM +/- 0.01 mM obtained from the chemical shift of alpha and beta phosphate resonances, which is the more accurate result.

Adenosine Triphosphate↗

Dosimetry for occupational exposure to cosmic radiation.

In the course of their work, aircraft crew and frequent flyers are exposed to elevated levels of cosmic radiation of galactic and solar origin and secondary radiation produced in the atmosphere, aircraft structure, etc. This has been recognised for some time and estimates of the exposure of aircraft crew have been made previously and included in, for example, UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation) publications. The recent increased interest has been brought about by several factors--the consideration that the relative biological effectiveness of the neutron component as being underestimated; the trend towards higher cruising altitudes for subsonic commercial aircraft and business jet aircraft; and, most importantly, the recommendations of the International Commission on Radiological Protection (ICRP) in Publication 60, and the revision of the Euratom Basic Safety Standards Directive (BSS). In 1992, the European Dosimetry Group (EURADOS) established a Working Group to consider the exposure to cosmic radiation of aircraft crew, and the scientific and technical problems associated with radiation protection dosimetry for this occupational group. The Working Group was composed of fifteen scientists (plus a corresponding member) involved in this field of study and with knowledge of radiation measurement at aviation altitudes. This paper is based on the findings of this Working Group. Where arrangements are made to take account of the exposure of aircraft crew to cosmic radiation, dose estimation procedures will not be necessary for persons for whom total annual doses are not liable to exceed 1 mSv, and therefore, in general, for crew on aircraft not routinely flying above 8 km. Where estimates of effective dose and, in the case of female staff who are pregnant, equivalent dose to the embryo or fetus, are required (for regulatory or other purposes), it was concluded that the preferred procedure was to determine route doses and fold these with data on staff rostering.

Aircraft↗

Change in chemical shift and splitting of 31P gamma-ATP signal in human skeletal muscle during exercise and recovery.

Proton decoupled 31P in vivo NMR spectroscopy of the human finger flexor muscles was performed during exercise and recovery using a 1.5 T whole-body imager. Predominantly the gamma-ATP signal shows a splitting caused by different signal contributions with chemical shifts that vary independently. Studies on the human gastrocnemius and biceps femoris muscle were undertaken to investigate the appearance of the splitting in these muscles as well. In all cases more than one signal contribution was found which might represent the different muscle fibre types and their recruitment pattern following exercise. An analysis of the chemical shifts (delta) of ATP results in changes of up to 0.4 ppm and 0.1 ppm for delta gamma- and delta beta-ATP, respectively. Based solely on the chemical shifts of the ATP 31P signals the tissue pH value following exercise was determined. The result was in good agreement with the value derived from delta Pi.

Adenosine Triphosphate↗

Phosphorus J coupling constants of ATP in human myocardium and calf muscle.

Proton-decoupled 31P NMR spectroscopy of the heart and calf muscle of healthy volunteers was performed with a 1.5 T whole-body imager. By use of two-dimensional chemical-shift imaging in combination with slice-selective excitation, well-resolved localized spectra (elements of 38 ml) were obtained within 20 to 35 min from which the homonuclear J coupling constants of ATP could be determined. In myocardium, J gamma beta = 16.03 +/- 0.17 Hz and J alpha beta = 15.82 +/- 0.23 Hz were obtained, while the values in calf muscle were J gamma beta = 17.16 +/- 0.12 Hz and J alpha beta = 16.04 +/- 0.09 Hz. The difference in J gamma beta was significant. According to the literature, a possible reason for greater ATP J coupling constants is a smaller fraction of ATP complexed to magnesium. However, the chemical-shift difference between alpha- and beta-ATP, which is also a measure for the fraction of ATP complexed to magnesium, showed only a small difference in ATP complexation: 88% in myocardium and 90% in calf muscle. This small difference cannot account for the observed difference in J gamma beta.

Adenosine Triphosphate↗

Determination of the Chemical-Shift Difference between the Lactate Multiplets and Its pH Dependence

A volume-selective NMR method is presented for very exact determination of the difference of the Larmor frequencies between the coupled resonances of homonuclear AX3 spin systems, as, for example, lactate. The frequency difference can be determined with an accuracy of 0.003 ppm even if only the doublet of the spin system can be detected. The method is based on the effects of homonuclear polarization transfer which occurs in localized double-spin-echo spectroscopy. It is used for determination of the chemical-shift difference of the lactate multiplets, which depends on the degree of dissociation and consequently on pH. Measurements were performed with a 1.5 T Siemens Magnetom SP 63 whole-body imager on solutions of lactate and acetic acid in physiological sodium chloride solution with pH from 1 to 11. As a consequence of these measurements, conclusions are possible for the optimum echo time for PRESS measurements which avoid signal losses from polarization transfer. Furthermore, the possibility of localized pH determination by this effect is discussed.

Journal Article↗

Immunolocalization of bradykinin B2 receptors on skeletal muscle cells.

The kallikrein-kinin system has been implicated in the inflammatory process, blood pressure regulation, renal homeostasis, and glucose utilization. The effects of kallikrein and kinin on glucose uptake by the skeletal muscle are well established; however, the occurrence and the cellular distribution of the kinin receptor(s) mediating these effects in the striated muscle are unknown. Using anti-peptide antibodies raised against the predicted intra- and extracellular domains of the B2 receptor and the peroxidase/antiperoxidase system, we have been able to detect the B2 receptor on the plasma membrane of striated skeletal muscle cells of the rat hindlimb. A strong immunostaining appeared as a rim of immunoreactive material located on the periphery of striated muscle cells. Cross-sectioned and longitudinally sectioned cells revealed a similar staining pattern. Alternatively, the immunostaining with specific antibodies to tissue kallikrein and to T-kininogen did not yield a significant staining of the striated muscle cells. Localization of the B2 receptor on the surface of striated muscle cells provides a structural basis for the hypothesized physiological functions of the kinin system in the skeletal muscle.

Amino Acid Sequence↗

Spin-echo methods for the determination of 31P transverse relaxation times of the ATP NMR signals in vivo.

31P magnetic resonance spectroscopy (MRS) examinations of the calf muscles of healthy volunteers were performed to determine T2 of the coupled ATP signals by use of the Hahn spin-echo and the frequency-selective spin-echo method. Additional measurements with the J-coupling refocused double echo are presented. The most reliable determination of T2 relaxation times is possible with the frequency-selective spin echo. The other methods yield substantially wrong results. Theoretical explanations are given how J-coupling and pulse-angle deviations affect the signals and therefore the T2 determinations. The calculations for a weakly coupled homonuclear AX spin system are shown because they demonstrate most of the relevant facts. In addition, some important results for a homonuclear AMX spin system, which the ATP is considered to be, are given.

Adenosine Triphosphate↗

Photon and neutron dose contributions and mean quality factors phantoms of different size irradiated by monoenergetic neutrons.

The International Commission on Radiological Protection (ICRP) in its Publication 60 introduced important changes in the concept of risk-related quantities. For external neutron radiation in particular the introduction of the equivalent dose with the radiation weighting factor wR instead of the dose equivalent concept with the quality factor Q(L) has many consequences. The value of wR is defined by the external neutron radiation field, while the radiation quality in the phantom depends on the radiation field at the position of interest and hence on the size of and the position in the phantom. It has been investigated to what extent the size of the phantom influences the mean radiation quality in the phantoms. For incident monoenergetic neutrons, mean photon dose contributions and mean quality factors have been calculated. Results are presented for various phantoms which characterize the conditions for a mouse, a rat, the ICRU sphere and a human body.

Animals↗

A pitfall associated with determination of transverse relaxation times of the 31P NMR signals of ATP using the Hahn spin-echo.

T2 measurements of 31P NMR signals of ATP using the Hahn 90 degrees-180 degrees spin-echo sequence imply difficulties whenever the 180 degrees pulse angle is not completely perfect. The reason for this finding is the crucial influence of the J-couplings of the ATP signals which result in intensity modulations and consequently in false T2 values even when the echo times are chosen to TE = n/J. Examinations on the calf muscles of healthy volunteers were performed to demonstrate this effect and its influence on in vivo T2 determinations. The T2 relaxation times evaluated with the Hahn spin-echo in combination with a Helmholtz coil are far shorter than the true T2 values.

Adenosine Triphosphate↗

31P transverse relaxation times of ATP in human brain in vivo.

31P MRS examinations of the brain of 10 healthy volunteers were performed to determine T2 of the coupled ATP signals by use of the localized 90 degrees-TE/2-2662-TE/2-acq frequency selective spin echo sequence for elimination of phase and intensity distortions. The T2 relaxation times obtained are much longer than usually assumed: gamma-ATP: 89 +/- 9 ms; alpha-ATP: 84 +/- 6 ms; beta-ATP: 62 +/- 3 ms.

Adenosine Triphosphate↗

Imaging of the human cardiovascular system using the rapid echo flow-rephased spin-echo technique.

Using a flow-rephased spin-echo technique with a short echo time of TE = 9.7 msec, "white blood" multislice and single slice first echo images of the human heart were acquired using standard 1.5 T whole-body imagers. The technique almost completely eliminates phase shifts for flow with constant velocity and constant acceleration, so the investigations with healthy volunteers show images which are almost free of the artifacts often found in ECG-gated standard spin-echo imaging of the heart. T1-weighted images with good contrast between tissue and blood are achieved at any time during the whole heart cycle. The results obtained indicate that the technique might be helpful for imaging small vessels, vessels which contain slowly flowing blood, and vessels located in regions with static field inhomogeneities, for example, lung vessels.

Adult↗

31P transverse relaxation times of the ATP NMR signals of human skeletal muscle in vivo.

31P MRS examinations of the calf muscles of 12 healthy volunteers were performed to determine T2 of the coupled ATP signals by using the 90 degrees-TE/2-2662-TE/2-acq selective spin-echo sequence for elimination of phase and intensity distortions. The T2 relaxation times obtained are much longer than those usually assumed: gamma-ATP, 93 ms; alpha-ATP, 74 ms; beta-ATP, 75 ms.

Adenosine Triphosphate↗

Localized phosphorus NMR spectroscopy: a comparison of the FID, DRESS, CRISIS/CODEX, and STEAM methods in vitro and in vivo using a surface-coil.

The FID, DRESS, CRISIS/CODEX, and STEAM techniques for localized 31P NMR spectroscopy were compared using a Siemens Magnetom SP63 1.5 T whole-body imager and a surface-coil, 80 mm in diameter, acting as transmitter and receiver coil. The comparison was performed with phantom experiments and human in vivo investigations on the calf muscle. The phantom experiments which used the same volume size showed a comparable signal-to-noise ratio for FID and DRESS, while the two fully localized techniques showed a reduction in signal-to-noise ratio to 76% for CRISIS/CODEX and 31% for STEAM. The in vivo measurements confirm the phantom results and reveal that CRISIS/CODEX gains a 2.5 fold higher signal-to-noise ratio than STEAM under the same conditions.

Humans↗