As a result of some deviations in the installation of the X-ray inspection plant 'Extravolt-225/1600' two workers of an X-ray inspection laboratory were exposed to the radiation in a dose enough to cause an acute local radiolesions (LRs). The first patient was diagnosed with an acute LR of the hands of severe and extremely severe degree. The second patient was diagnosed with a mild LR of her right hand. The first patient received a surgical treatment followed by subcutaneous introduction of the autologous mesenchymal stem cells. The second patient received only conservative treatment. The complete epithelization of the traumatic surface was achieved. Modeling the incident with the following EPR analysis of the compact substance of the ablated bone structures made it possible to specify the spatial-temporal properties of the exposure.
Purpose: Development of a method of chemical sample preparation to reduce the lower limit of the absorbed dose estimation by EPR spectrometry. Material and methods: The required number of bone samples was prepared to study the effect of chemical treatment of bone material samples in organic solvents on their EPR spectra. They were subjected to primary treatment to separate the bones from the remains of soft biological tissue, then a dense bone was isolated and its defatting was carried out. Further, a series of parallel experiments on chemical treatment of bone materials in solutions of three organic reducing agents (hydrazine hydrate, ethylenediamine and diethylenetriamine) were done to reduce the magnitude of the native signal when carrying out works on reconstruction of absorbed doses using EPR spectroscopy. Recording of EPR spectra was performed on the ELEXSYS E500 Bruker spectrometer equipped with a high-q cylindrical resonator SHQE. Irradiation of the samples was carried out on the X-ray biological unit RUB RUST-M1. Results: To reduce the lower limit of detection of the absorbed dose and improve the reliability of the assessment of the absorbed dose using the EPR method, it is required to reduce the native component of the EPR signal without affecting, if possible, the radiation component of the EPR signal. To achieve this effect, a chemical treatment in solutions of amines was proposed, which affect the collagen compounds that present in the bones and which are responsible for the appearance of a native signal in the EPR spectrum. After chemical treatment of bone material samples at 30°C for 30 minutes in a solution of different amines, there was a significant decrease in the amplitude of the native signal, which was: 4 for hydrazine hydrate, 3.3 for diethylenetriamine and 2.1 for ethylenediamine. For bone material samples that were subjected to the proposed chemical treatment in hydrazine hydrate, it is possible to confidently determine the amplitude of the radiation signal by a value of 2–3 Gy against the minimum dose values of 6–8 Gy for bone material samples that were not chemically treated. Conclusion: It was found that during the chemical treatment there is a significant reduction of the native signal in the spectra of EPR of bone materials, the decrease of the radiation signal at the same time was slightly. Comparison of the results of treatment of bone materials in three organic reducing agents showed that the best results are obtained by the use of hydrazine hydrate at a temperature of 30°C for 30 minutes.
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