Protection from contamination by 211At, an enigmatic but promising alpha-particle-emitting radionuclide
EJNMMI Physics volume 9, Article number: 39 (2022)
211At, a promising alpha-particle-emitting radionuclide, can easily volatilize and contaminate the environment. To safely manage this unique alpha-particle-emitting radionuclide, we investigated the permeability of four types of plastic films and two types of rubber gloves against 211At and identified suitable materials that prevent contamination by 211At.
Four types of plastic films, polyethylene, polyvinylidene chloride, polyvinyl chloride, and a laminated film, and two types of rubber gloves, latex and nitrile, were examined. Small pieces of filter paper were covered with these materials, and a drop containing 100 kBq of 211At was placed on them. The radioactivity of the pieces of filter paper under the materials was evaluated by measuring counts using a gamma counter and obtaining autoradiograms 3.5 h later. These experiments were also performed using 225Ac, 125I, 111In, 201Tl, and 99mTc.
211At solution easily penetrated polyethylene, polyvinyl chloride, and latex rubber. Similar results were obtained for 125I, while other radionuclides did not penetrate films or gloves. These results suggest that halogenic radionuclides under anionic conditions are likely to penetrate plastic films and rubber gloves.
Our evaluation revealed that, when 211At solution is used, the protection by polyvinylidene chloride, a laminated film, or nitrile rubber would be more effective than that by polyethylene, polyvinyl chloride, or latex rubber.
Protection against radiation exposure is an important issue in the field of radiology. In nuclear medicine, unsealed radionuclides are commonly used. They can easily induce contamination in surrounding areas, placing patients and medical staff at increased risk of unnecessary radiation exposure. Careful attention must be paid to avoid unnecessary contamination due to unsealed radionuclides. Anyone using unsealed radioactive materials should wear personal protective equipment (PPE) such as protective clothes, gloves, and glasses. Additionally, such materials should be handled in radiochemical fume hoods to avoid their intake [1, 2]. However, we note that the required protection measures will depend on the type of radionuclide. Currently, radionuclide therapy, in which particle-emitting radionuclides are used, is gaining popularity. In particular, radionuclide therapy using alpha-particle-emitting radionuclides has attracted considerable attention from researchers and physicians in the field of nuclear oncology. Protection from contamination by alpha-particle-emitting radionuclides is crucial because alpha particles can severely damage tissues in which they accumulate. Although alpha particles themselves can be blocked by a sheet of paper, the isolation of alpha-particle-emitting radionuclides is not always easy. We recently pointed out that a solution containing 211At, a promising alpha-particle-emitting radionuclide for targeted alpha therapy (TAT), can easily penetrate latex gloves, which are the most effective PPE against viruses . When we work with radioactive materials, we wear PPE and wrap radioactive materials in plastic films to properly isolate them and avoid accidental internal radiation exposure. In this study, we investigated the ability of four types of plastic films and two types of gloves to protect against contamination due to 211At, compared with some other radionuclides, to ensure safe management of this enigmatic alpha-particle-emitting radionuclide.
Materials and methods
The following radionuclide solutions in addition to [211At]NaAt solution were used to evaluate the permeability of plastic films and rubber sheets: [225Ac]Ac(NO3)3, [125I]NaI, [111In]InCl3, [201Tl]TlCl, and [99mTc]NaTcO4.
225Ac is also a promising alpha-particle-emitting radionuclide for TAT, and this radionuclide acts as a trivalent cation in a solution. 125I is a halogen that acts as an anion in a solution. 111In is a photon emitter that acts as a trivalent cation in a solution. 201Tl is a photon emitter with a main energy of 70.3 keV, which is similar to that of characteristic X-rays emitted from 211At . 201Tl acts as a cation in a solution. 99mTc is a photon emitter that acts as an anion in the form of [99mTc]TcO4− in a solution.
The details of these radioactive solutions are shown in Additional file 1.
Four types of plastic films and two types of rubber gloves were tested. Polyethylene (30 µm), polyvinylidene chloride (11 µm), and polyvinyl chloride (8 µm) and laminated films of polypropylene, ethylene vinyl alcohol copolymer (EVAL™, Kuraray, Tokyo, Japan), and polyethylene (104 µm) were used as plastic films. The numbers in parentheses are the film thicknesses. The first three plastic films are commercially available and used for wrapping perishable food materials to maintain freshness. The laminated film was developed to pack dried fish flakes so that they are not damaged by oxygen and high humidity. As rubber sheets, pieces of latex rubber gloves (Diamond Grip PLUS, 63-754, Ansell, Brussels, Belgium) and nitrile rubber gloves (STERLING 5070, HALYARD, Mechanicsville, VA, USA) were used. These gloves are currently used as PPE against COVID-19 . The thickness of each glove was more than 130 µm for latex and 70 µm for nitrile.
A three-centimeter-square piece of filter paper was covered by a sheet of plastic film or a piece of rubber cut out from a rubber glove. Fifty microliters of radionuclide solution whose radioactivity was adjusted to 100 kBq was dropped on the plastic film or rubber (Fig. 1). The plastic film or rubber was covered by a plastic Petri dish to minimize the evaporation of the radioactive solution. Each piece of filter paper under the plastic film or rubber was picked up 3.5 h later. This interval is half the half-life of 211At. These pieces of filter paper were placed on imaging plates (FUJIFILM, Tokyo, Japan) for 5 min and approximately 15 h. The imaging plates were scanned with an imaging plate reader (FLA-7000; FUJIFILM, Tokyo, Japan). The acquired images were analyzed using the ImageJ software (U.S. National Institutes of Health, Bethesda, MD, USA). The radioactivity of these pieces of filter paper was also measured using a gamma counter (2480 Wizard2; PerkinElmer, Waltham, MA, USA). These experiments were repeated three times for each radionuclide.
When the [211At]NaAt solution was dropped on pieces of plastic film and sheets of rubber, strong radioactivity was detected in the filter paper under polyethylene film, polyvinyl chloride film, and latex rubber, in that order. No hot spots were detected in the pieces of filter paper under polyvinylidene chloride film, the laminated film, or the nitrile rubber (Fig. 2).
When the [125I]NaI solution was dropped on the materials, strong radioactivity was detected in pieces of filter paper under polyethylene film, polyvinyl chloride film, and latex rubber, in that order. No significant radioactivity was detected in pieces of filter paper under the polyvinylidene chloride film, the laminated film, or the nitrile rubber sheet (Fig. 4). These results are similar to those of the [211At]NaAt solution.
When [111In]InCl3, [201Tl]TlCl, and [99mTc]NaTcO4 solutions were dropped on the materials, no significant radioactivity was detected in each piece of filter paper even after 15 h of exposure (Additional file 1: Figures S2, S3 and S4).
211At, a promising alpha-particle-emitting radionuclide for TAT, is popular in Japan because of its relatively wide availability. Many researchers in Japan have been engaged in studies using radionuclides. However, this element is regarded as an enigmatic element , and most of its characteristics remain unclear. Previous studies have reported that 211At can easily volatilize and contaminate the environment . Therefore, strict protection and shielding measures are essential when using this enigmatic alpha-particle-emitting radionuclide. In this study, we revealed that the permeability of the [211At]NaAt solution is dependent on the type of shielding material. 225Ac is another popular alpha-particle-emitting radionuclide, and the [225Ac]AcCl3 solution penetrated films and rubber only minimally. Because the numbers of alpha particles emitted during the single decay of 211At and 225Ac atoms are 1 and 4, respectively, 225Ac is a stronger alpha-particle-emitting radionuclide than 211At. Considering these findings, we believe that the penetration of the [211At]NaAt solution of films and rubber was not induced by the direct destruction of materials by emitted alpha particles. The penetration depends on the chemical properties of the shielding materials. 225Ac, which is cationic in a solution, and other cationic radionuclides 111In and 201Tl also failed to penetrate the shielding materials. In contrast, 125I, which is a halogen and is anionic in [125I]NaI solution in the same manner as 211At, showed a similar trend to that of 211At. However, another popular radioactive anion, [99mTc]TcO4−, did not penetrate the material. These results suggest that halogenic radionuclides under anionic conditions are likely to penetrate plastic films and rubber.
Among the materials examined in this study, two types of plastic film, polyethylene and polyvinyl chloride, and the latex rubber glove were penetrated by 211At and were considered ineffective in protecting against the contamination due to 211At. However, the polyvinylidene chloride film, the unique laminated film, and the nitrile rubber glove were resistant to the penetration by the [211At]AtNa solution. Although the details of the differences in chemical properties of materials between these two groups, easily permeable and non-permeable for 211At, were unrevealed, the permeability of the [211At]AtNa solution was correlated with that of gas or water barrier properties according to open data . The results of our additional experiment using cellophane also suggested that the gas barrier property is likely related to the mechanism of the permeability of 211At for plastic films and rubber gloves (data are shown in Additional file 1: Figure S5). Although further investigation is needed to determine the optimal methods to protect against the contamination by 211At, polyethylene is inexpensive, and bags made of this material are sold for radioactive waste disposal and are actually used in experiments with 211At . Latex rubber gloves are also the most popular PPE and, although they fulfill special requirements for work with radioactivity, 211At can easily penetrate them (data are shown in Additional file 1: Figure S6 and Additional file 1: Table S2). Considering such situations, warnings should be given to people who deal with the 211At solution. Hence, we must wear nitrile gloves and wrap or cover specimens with polyvinylidene chloride film or a laminated film while working with compounds including 211At to avoid unnecessary internal radiation exposure.
Our preliminary experiments indicated that the 211At anion can easily penetrate at least two types of plastic films, polyethylene and polyvinyl chloride, and latex rubber. The permeability of 211At may depend on its chemical properties as a halogen that becomes an anion in a water solution. When we deal with the 211At anion, we must wear nitrile gloves and wrap or cover specimens using a polyvinylidene chloride film or a laminated film.
Availability of data and materials
The data in this study are available from the corresponding author upon reasonable request.
Coronavirus disease 2019
Personal protective equipment
Targeted alpha therapy
Marengo M, Martin CJ, Rubow S, Sera T, Amador Z, Torres L. Radiation safety and accidental radiation exposures in nuclear medicine. Semin Nucl Med. 2022;52:94–113. https://doi.org/10.1053/j.semnuclmed.2021.11.006.
International Atomic Energy Agency. Radiation protection and safety in medical uses of ionizing radiation: specific safety guide. Vienna: International Atomic Energy Agency; SSG-46, 2018.
Ohnuki K, Yoshimoto M, Fujii H. Radiological protection and biological COVID-19 protection in the nuclear medicine department. Eur J Nucl Med Mol Imaging. 2021;48:6–8. https://doi.org/10.1007/s00259-020-05062-9.
Turkington TG, Zalutsky MR, Jaszczak RJ, Garg PK, Vaidyanathan G, Coleman RE. Measuring astatine-211 distributions with SPECT. Phys Med Biol. 1993;38:1121–30. https://doi.org/10.1088/0031-9155/38/8/010.
Assadi M, Gholamrezanezhad A, Jokar N, Keshavarz M, Picchio M, Seregni E, et al. Key elements of preparedness for pandemic coronavirus disease 2019 (COVID-19) in nuclear medicine units. Eur J Nucl Med Mol Imaging. 2020;47:1779–86. https://doi.org/10.1007/s00259-020-04780-4.
Wilbur DS. Enigmatic astatine Nat Chem. 2013;5:246. https://doi.org/10.1038/nchem.1580.
Lindencrona U, Sillfors-Elverby L, Nilsson M, Forssell-Aronsson E. Adsorption and volatility of free 211At and 125I. Appl Radiat Isot. 2005;62:395–403. https://doi.org/10.1016/j.apradiso.2004.07.004.
Web CRot. Barrier properties of polymers (permeability, solubility and diffusivity). 2021.
Kaneda-Nakashima K, Zhang Z, Manabe Y, Shimoyama A, Kabayama K, Watabe T, et al. Alpha-emitting cancer therapy using 211At-AAMT targeting LAT1. Cancer Sci. 2021;112:1132–40. https://doi.org/10.1111/cas.14761.
This work was partially supported by the Japan Agency for Medical Research and Development under Grant Number 20mk0101178h0201 and the National Cancer Center Research and Development Funds 2020-A-9 and 2021-S-3. 211At was supplied by the Supply Platform of Short-lived Radioisotopes, supported by a Japan Society for the Promotion of Science Grant-in-Aid for Scientific Research on Innovative Areas, Grant Number 16H06278. We would like to thank Editage (www.editage.com) for English language editing.
This work was partially supported by the Japan Agency for Medical Research and Development under Grant Number 20mk0101178h0201 and the National Cancer Center Research and Development Funds 2020-A-9 and 2021-S-3. 211At was supplied by the Supply Platform of Short-lived Radioisotopes, supported by a Japan Society for the Promotion of Science Grant-in-Aid for Scientific Research on Innovative Areas, Grant Number 16H06278.
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Ohnuki, K., Yoshimoto, M., Haba, H. et al. Protection from contamination by 211At, an enigmatic but promising alpha-particle-emitting radionuclide. EJNMMI Phys 9, 39 (2022). https://doi.org/10.1186/s40658-022-00469-9