A study of natural radioactivity levels in some composites of eighteen soil samples selected within Douala-Bassa zone of Littoral Region has been evaluated. The samples were analysed using gamma spectrometry based broad energy germanium detector (BEGe 6350). The activity profile of radionuclide shows low activity across the studied areas. The obtained mean values of 226Ra, 232Th, and 40K in the two campuses were 25.48 Bq/kg, 65.96 Bq/kg, and 39.14 Bq/kg for Campus 1 and 24.50 Bq/kg, 66.71 Bq/kg, and 28.19 Bq/kg for Campus 2, respectively. In terms of health analysis, some radiation health hazard parameters were calculated within the two campuses. The mean values of radium equivalent activity were 122.81 Bq/kg and 122.08 Bq/kg, absorbed dose rate in air was 99.13 nGy/h and 98.18 nGy/y, annual outdoor effective dose was 0.12 mSv/y and 0.12 mSv/y, and external health hazard index was 0.34 and 0.33 in Campus 1 and Campus 2, respectively. These health hazard parameters were seen to be below the safe limit of UNSCEAR 2000 except the absorbed dose rate in air and the annual outdoor effective doses which are relatively high compared to the values of 60 nGy/h and 0.07 mSv/y. These results reveal no significant radiological health hazards for inhabitance within the study areas.

This work evaluates the radiological health risk from NORM exposure in bauxite deposition sites of West Region in Cameroon. In-situ and laboratory measurements were performed using dose rate survey meter and Broad Energy Germanium (BEGe) detector. Radiometric analysis of 226Ra, 232Th and 40K in the soil samples from Fongo-Tongo and Mini-Matap were done with average activity concentration of 108.91 Bq/kg, 117.79 Bq/kg and 143.07 Bq/kg and, 113.15Bq/kg, 196.14 Bq/kg and zero were determined respectively. In-situ measurement of dose rate at 1 m above the ground and the annual effective dose values due to 226Ra, 232Th and 40K in 5 cm soil layer were determined using conversion factors by UNSCEAR. The average external hazard indexes in samples from Fongo-Tongo were 0.78 and 1.06 while the internal hazard indexes in samples from Mini-Matap were 1.07 and 1.37. Comparing these values with the worldwide values set by UNSCEAR we realized that avoidance of high exposure from gamma radiation due to NORM to the populace should be of concern.

Background Clinical imaging guidelines (CIGs) are suitable tools to enhance justification of imaging procedures. Objective To assess physicians' knowledge on irradiation, their self-perception of imaging prescriptions, and the use of CIGs. Materials and Methods A questionnaire of 21 items was self-administered between July and August 2016 to 155 referring physicians working in seven university-affiliated hospitals in Yaoundé and Douala (Cameroon). This pretested questionnaire based on imaging referral practices, the use and the need of CIGs, knowledge on radiation doses of 11 specific radiologic procedures, and knowledge of injurious effects of radiation was completed in the presence of the investigator. Scores were allocated for each question. Results 155 questionnaires were completed out of 180 administered (86.1%). Participants were 90 (58%) females, 63 (40.64%) specialists, 53 (34.20%) residents/interns, and 39 (25.16%) general practitioners. The average professional experience was 7.4 years (1–25 years). The mean knowledge score was 11.5/59 with no influence of sex, years of experience, and professional category. CIGs users' score was better than nonusers (means 14.2 versus 10.6; p < 0.01). 80% of physicians (124/155) underrated radiation doses of routine imaging exams. Seventy-eight (50.3%) participants have knowledge on CIGs and half of them made use of them. “Impact on diagnosis” was the highest justification criteria follow by “impact on treatment decision.” Unjustified requests were mainly for “patient expectation or will” or for “research motivations.” 96% of interviewees believed that making available national CIGs will improve justification. Conclusion Most physicians did not have appropriate awareness about radiation doses for routine imaging procedures. A small number of physicians have knowledge on CIGs but they believe that making available CIGs will improve justification of imaging procedures. Continuous trainings on radiation protection and implementation of national CIGs are therefore recommended.

CT-scan is the most irradiating tool in diagnostic radiology. For 5% -10% of diagnostic X-ray procedures, it is responsible for 34% of irradiation according to UNSCEAR. Patients radiation protection must therefore be increased during CT-scan procedures. This requires the rigorous application of optimization principle which imposes to have "diagnostic reference levels". Objective: The aim of this study was to determine the diagnostic reference levels (DRLs) of the four most frequent CT-scans examinations of adults in Cameroon. Material and Method: It was a cross-sectional pilot study carried out from April to September 2015 in five health facilities using CT-scan in Cameroon. The studied variables were: patients age and sex, type of CT-scan examination (cerebral, chest, abdomino-pelvic, lumbar spine), Used of IV contrast (IV−/ IV+), acquisition length, time of tube rotation, voltage (kV), mAs, pitch, thickness of slices, CTDIvol and DLP. For each type of examination, at least 30 patients were included per center, consecutively on the randomly predetermined days. The DRL for each type of examination was defined as the 75th percentile of its PDL and CTDIvol. Results: Of the 696 examinations, 41.2% were cerebral, 26.9% abdomino-pelvic, 17.7% lumbar spine and 14.2% chest. •cm] respectively for cerebral, lumbar spine, abdominopelvic and chest CT-scans. Taking in consideration the number of detectors, the 75th percentile of the Dose-Length product decreased with the increase number of detectors for cerebral examinations but was the highest with 16 MDCT for the abdominopelvic, lumbar spine and chest CT-scans. For the chest and lumbar spine examinations, there was a significant increase in patient-dose with the increase in the number of detectors. Conclusion: Our DRLs values lie between the norms of some European countries and those of some African countries. There is remarquable variation in dose for the commonest CTscans examinations in Cameroon, requiring then an optimization process from these determined DRLs and establishment of national DRLs. Special attention to optimization should be paid when using 16 MDCT.

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