Benefits and challenges of in vivo EPR nail biodosimetry in a second tier of medical triage in response to a large radiation event Article Swipe
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· 2023
· Open Access
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· DOI: https://doi.org/10.1093/rpd/ncad022
Following large-scale radiation events, an overwhelming number of people will potentially need mitigators or treatment for radiation-induced injuries. This necessitates having methods to triage people based on their dose and its likely distribution, so life-saving treatment is directed only to people who can benefit from such care. Using estimates of victims following an improvised nuclear device striking a major city, we illustrate a two-tier approach to triage. At the second tier, after first removing most who would not benefit from care, biodosimetry should provide accurate dose estimates and determine whether the dose was heterogeneous. We illustrate the value of using in vivo electron paramagnetic resonance nail biodosimetry to rapidly assess dose and determine its heterogeneity using independent measurements of nails from the hands and feet. Having previously established its feasibility, we review the benefits and challenges of potential improvements of this method that would make it particularly suitable for tier 2 triage. Improvements, guided by a user-centered approach to design and development, include expanding its capability to make simultaneous, independent measurements and improving its precision and universality.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1093/rpd/ncad022
- OA Status
- green
- Cited By
- 7
- References
- 42
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4386817688
Raw OpenAlex JSON
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https://openalex.org/W4386817688Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/rpd/ncad022Digital Object Identifier
- Title
-
Benefits and challenges of in vivo EPR nail biodosimetry in a second tier of medical triage in response to a large radiation eventWork title
- Type
-
reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-09-01Full publication date if available
- Authors
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Ann Barry Flood, Jason W. Sidabras, Steven G Swarts, Paul W. Buehler, Wilson Schreiber, Oleg Y. Grinberg, Harold M. SwartzList of authors in order
- Landing page
-
https://doi.org/10.1093/rpd/ncad022Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://pmc.ncbi.nlm.nih.gov/articles/PMC10505939/pdf/ncad022.pdfDirect OA link when available
- Concepts
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Biodosimetry, Triage, Event (particle physics), Medical physics, Medicine, Radiation exposure, Radiation, Medical emergency, Nuclear medicine, Irradiation, Ionizing radiation, Optics, Physics, Nuclear physics, Quantum mechanicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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7Total citation count in OpenAlex
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2025: 4, 2024: 2, 2023: 1Per-year citation counts (last 5 years)
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42Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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