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RENEB Inter-Laboratory Comparison 2021: The Dicentric Chromosome Assay

D. Endesfelder, U. Oestreicher, M. Bucher, C. Beinke, C. Siebenwirth, E. Ainsbury, J. Moquet, G. Gruel, E. Gregoire, JS. Martinez, A. Vral, A. Baeyens, M. Valente, A. Montoro, G. Terzoudi, S. Triantopoulou, A. Pantelias, O. Monteiro Gil, MJ....

. 2023 ; 199 (6) : 556-570. [pub] 2023Jun01

Language English Country United States

Document type Journal Article, Research Support, Non-U.S. Gov't

After large-scale radiation accidents where many individuals are suspected to be exposed to ionizing radiation, biological and physical retrospective dosimetry assays are important tools to aid clinical decision making by categorizing individuals into unexposed/minimally, moderately or highly exposed groups. Quality-controlled inter-laboratory comparisons of simulated accident scenarios are regularly performed in the frame of the European legal association RENEB (Running the European Network of Biological and Physical retrospective Dosimetry) to optimize international networking and emergency readiness in case of large-scale radiation events. In total 33 laboratories from 22 countries around the world participated in the current RENEB inter-laboratory comparison 2021 for the dicentric chromosome assay. Blood was irradiated in vitro with X rays (240 kVp, 13 mA, ∼75 keV, 1 Gy/min) to simulate an acute, homogeneous whole-body exposure. Three blood samples (no. 1: 0 Gy, no. 2: 1.2 Gy, no. 3: 3.5 Gy) were sent to each participant and the task was to culture samples, to prepare slides and to assess radiation doses based on the observed dicentric yields from 50 manually or 150 semi-automatically scored metaphases (triage mode scoring). Approximately two-thirds of the participants applied calibration curves from irradiations with γ rays and about 1/3 from irradiations with X rays with varying energies. The categorization of the samples in clinically relevant groups corresponding to individuals that were unexposed/minimally (0-1 Gy), moderately (1-2 Gy) or highly exposed (>2 Gy) was successfully performed by all participants for sample no. 1 and no. 3 and by ≥74% for sample no. 2. However, while most participants estimated a dose of exactly 0 Gy for the sham-irradiated sample, the precise dose estimates of the samples irradiated with doses >0 Gy were systematically higher than the corresponding reference doses and showed a median deviation of 0.5 Gy (sample no. 2) and 0.95 Gy (sample no. 3) for manual scoring. By converting doses estimated based on γ-ray calibration curves to X-ray doses of a comparable mean photon energy as used in this exercise, the median deviation decreased to 0.27 Gy (sample no. 2) and 0.6 Gy (sample no. 3). The main aim of biological dosimetry in the case of a large-scale event is the categorization of individuals into clinically relevant groups, to aid clinical decision making. This task was successfully performed by all participants for the 0 Gy and 3.5 Gy samples and by 74% (manual scoring) and 80% (semiautomatic scoring) for the 1.2 Gy sample. Due to the accuracy of the dicentric chromosome assay and the high number of participating laboratories, a systematic shift of the dose estimates could be revealed. Differences in radiation quality (X ray vs. γ ray) between the test samples and the applied dose effect curves can partly explain the systematic shift. There might be several additional reasons for the observed bias (e.g., donor effects, transport, experimental conditions or the irradiation setup) and the analysis of these reasons provides great opportunities for future research. The participation of laboratories from countries around the world gave the opportunity to compare the results on an international level.

Agenzia nazionale per le nuove tecnologie l'energia e lo sviluppo economico sostenibile Rome Italy

Armed Forces Biomedical Research Institute Department of Radiation Biological Effects Brétigny sur Orge France

Biodosimetry Laboratory Center for Radiation Technology and Biotechnology

Bundesamt für Strahlenschutz BfS Oberschleissheim Germany

Bundeswehr Institute of Radiobiology Munich Germany

Centro de Ciências e Tecnologias Nucleares Instituto Superior Técnico Universidade de Lisboa Lisboa Portugal

Consumer and Clinical Radiation Protection Bureau Health Canada Ottawa Canada

Cytogenetic Biodosimetry Laboratory

Dalat City Vietnam

Dalat Nuclear Research Institute

Department of Radiation Biology and Protection Atomic Bomb Disease Institute Nagasaki University Japan

Department of Radiation Life Sciences Fukushima Medical University School of Medicine Fukushima Japan

Department of Radiobiology Faculty of Military Health Sciences University of Defence Hradec Králové Czech Republic

Department of Radiobiology Singapore Nuclear Research and Safety Initiative National University of Singapore Singapore

Department of Risk Analysis and Biodosimetry Institute of Radiation Emergency Medicine Hirosaki University Hirosaki Japan

Faculty of Medicine and Health Sciences Universiteit Gent Gent Belgium

Genevolution Porcheville France

Hospital General Universitario Gregorio Marañón

Institut de Radioprotection et de Sûreté Nucléaire PSE Santé SERAMED LRAcc Fontenay aux Roses 92262 France

Institute of Nuclear Chemistry and Technology Warsaw Poland

Lab of Biological Dosimetry National Radiation Emergency Medical Center Korea Institute of Radiological and Medical Sciences Seoul Republic of Korea

Laboratori Nazionali di Legnaro Istituto Nazionale di Fisica Nucleare Legnaro Italy

Laboratorio de dosimetría biológica Madrid Spain

Laboratorio de Dosimetría Biológica Servicio de Protección Radiológica Hospital Universitario Politécnico la Fe Spain

National Centre for Scientific Research Demokritos Health Physics Radiobiology and Cytogenetics Laboratory Athens Greece

National Centre of Radiobiology and Radiation Protection Sofia Bulgaria

National Institutes for Quantum Science and Technology Chiba Japan

Nükleer Arş Ens Yarımburgaz mah Nükleer Arş yolu Turkey

Oak Ridge Associated Universities

Oak Ridge Institute for Science and Education

Oak Ridge Tennessee

PROCyTOX Commissariat à l'Energie Atomique et aux Energies Alternatives Fontenay aux Roses France and Université Paris Saclay France

Radiation Cytogenetics Laboratory

Radiation Emergency Assistance Center Training Site

Radiation Medicine Unit Department of Radiobiology and Radiohygiene National Public Health Centre Budapest Hungary

Radiation Protection Centre Department of Expertise and Exposure Monitoring Vilnius Lithuania

S P Grigoriev Institute for Medical Radiology and Oncology of Ukrainian National Academy of Medical Science Kharkiv Ukraine

Serbian Institute of Occupational Health Belgrade Serbia

Servicio de Oncología Radioterápica

UK Health Security Agency Radiation Chemicals and Environmental Hazards Directorate Chilton Oxfordshire United Kingdom

Universidad de Sevilla Departamento de Biología Celular Facultad de Biología Sevilla Spain

Universitat Autònoma de Barcelona Bellaterra Spain

References provided by Crossref.org

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