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Re: Lymphocyte Culture Lab for Rad Dose Estimate





Carol,



The only commercial laboratory that I'm aware of is in the United Kingdom:



National Radiological Protection Board

E-mail: nrpb@nrpb.org

Web site: www.nrpb.org



Here's some info that I received a short time ago on their technique.  If a

whole body exposure, their technique could detect a gamma-ray dose as low

as about 0.1 Gy.



Chromosomal Aberration Dosimetry

      This is a brief synopsis and NRPB can provide fuller information, eg.

copies of publications if requested. A small ( 5-10ml ) sample of

heparinised blood can be sent by post or courier to the laboratory and a

minimum of three working days are needed after receipt of the specimen; two

days for cell culturing and one day for microscopy. Metaphases from

T-lymphocytes are prepared and analysed for chromosomal damage caused by

radiation. The dicentric aberration is used to indicate exposure because:

a) it is easily identified; b) it is practically unique to radiation, ie.

no confounding effect of mutagenic chemicals; c) it has a low background

level ( ~ 1 in 1,000 cells ); and d) it has a highly reproducible dose

response relationship that, with a few exceptions, shows little difference

between individuals. The level of effect is dependent on radiation type,

ie., x-rays; gamma-rays; neutrons and therefore a set of dose response

curves, typical of the various radiations commonly encountered in

accidents, has been prepared. With x- and gamma-rays the effect is also

dependent on the time over which the dose is received and whether it is

continuous or intermittent. For unbroken exposures lasting for more than 1

hour or interrupted exposures with gaps of 1 hour or longer some idea of

the likely time course of the exposure is needed.



      Because the particular sub-sets of T-cells examined have a fairly

long life-span  ( ~ 3 year half-life ) it is possible to carry out the

analysis at considerable times after the irradiation. A sampling delay of

up to 1 year would not seriously prejudice the assay. The lower limit of

dose detection by the chromosomal method is about 100 mGy of x- or

gamma-rays, although at this level there are considerable uncertainties

based on sampling statistics. This is because only 500, or occasionally

1000 cells, are examined. The results of the test are given as the most

likely estimate of averaged whole body dose with 95% confidence limits.

This means that the true dose falls within these limits with at least 95%

certainty. The method gives an estimate of dose from penetrating radiation,

therefore it is not applicable to exposure from soft x-rays or surface

contamination with a or ß particles. Non-uniform or partial body

irradiations may occur. Sometimes an allowance can be made for this by

statistical methods but the technique is not applicable to very localised

exposures, eg. From a very narrow radiation beam or dose just to a hand.



      When advising an irradiated person it is worth noting that the

presence of aberrations in the blood lymphocytes is of itself of no health

consequence. Therefore the technique is a biological dosemeter and not a

risk meter. However, it can be inferred that chromosomal damage also would

have been induced elsewhere in the body such as in important stem cells. To

determine a risk of induced cancer from an accidental irradiation, one may

take whatever dose information is available, including that from

chromosomal aberrations and apply risk coefficients such as those

recommended by the International Commission on Radiological Protection.

Advice on such calculations can be obtained from NRPB.



John M. Sukosky, CHP

Dominion

Surry Power Station

(757)-365-2594 (Tieline: 8-798-2594)







                                                                                                                                            

                      Carol Marcus                                                                                                          

                      <csmarcus@ucla.edu>           To:       radsafe@list.Vanderbilt.Edu                                                   

                      Sent by:                      cc:                                                                                     

                      owner-radsafe@list.Van        Subject:  Lymphocyte Culture Lab for Rad Dose Estimate                                  

                      derbilt.Edu                                                                                                           

                                                                                                                                            

                                                                                                                                            

                      04/22/04 10:07 PM                                                                                                     

                      Please respond to                                                                                                     

                      Carol Marcus                                                                                                          

                                                                                                                                            

                                                                                                                                            









April 22, 2004



Dear Radsafers:



Just wondered if any of you know of a reliable laboratory in the USA that

has a lymphocyte culture/chromosome analysis service for estimating

radiation absorbed dose.  Or, perhaps there is one in another country.



Much obliged for any help you can give me.



Carol S. Marcus, Ph.D., M.D.

<csmarcus@ucla.edu>



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